Minutes January 2016

Metro Alliance of Geriatric Providers MINUTES January 11, 2016

Attendees:   J. Crist, M. Dierich, E. Downing, C. Hanson, R. Hastings, J. Guetzko,  C. Johnson, R. Johnston, V. Kasper, C. Lauring, D. Maidl, T. McCarthy, J. Mielke, S. Mittal,  C. Montgomery, S. Peterson, C. Rasquinha,  A. Romstad, D. Rustad, K. Schroder, T. vonSternberg , L. Wenker, K. Wergin, S. Zehr

Agenda	Discussion	Action/Next Steps
1.      Welcome/ Introductions	24 attendees 10 health care provider organization practices being represented today 13 health organizations represented	New groups please send Ali their company logo to place on the website (blog): LTC Professionals, Twin Cities Physicians Current groups to send updated logo: GENEVIVE (formerly known as GSM) and HP/Park Nic
2.      Review minutes	Reviewed September minutes	Will post to website
3.      Patient Satisfaction	Derrick Maidl and Julie Crist, Allina Presented standardized question (discussed format of how/when to administer), database process (easy to use/compare, anonymous)	Each group please: * send Derrick your feedback on the survey and process *work with your respective organization to discuss timing of survey, training and get back to Derrick on frequency desire
4.      Development of Common Quality Metrics	For SNF partners – discussed below metrics that many of our groups are currently asking facilities to collect (Falls with major injury, LOS, readmission rate, facility acquired infection rate, ED visit rate, community discharge rate, med error rates, new or worsening pressure ulcers (CMS definition), improvement in ADLs, deficiencies (f-tags)) -Discussed how the new CMS impact Act (2017) will change the above -Further discussion about other metrics than above to different quality metrics not collected by CASPER (turnaround time for orders, turnaround time for pharm for admission, ABX turnaround time, etc)	Please each group send Julia: What quality metrics you are currently collecting (and how often) – please send exact definitions Small breakout group: Julie, Kristen, Sherril
5.      Facility request for provider order entry into Facility EMRs	Many of us are being asked to document in facility EMRs. Noted opportunity: potential time saver in some areas once fully interoperability Noted Burden: time burden on clinician (doing it, learning each new system), high risk for error due to high variability facility use of EMRs across the metro, Risk of error with call/coverage,  less facility nurse double checks.	Unified response remains ongoing discussion:  At this time the Metro Alliance of Geriatric Primary Care provider organization groups acknowledges support for adopting new technology and processes that improve patient care and safety, and also improves care effectiveness and efficiencies for all. At this time there are significant concerns that the technology and processes currently considered may pose risks to patient care and safety and are shifting costs and inefficiencies to medical providers. Although welcoming new technologies in improved communication such as secure texting, the current status of provider order entry needs further dialogue and workflow development that require provider input to assure that it is beneficial to all involved, while improving care and safety. At this time the providers from Metro Alliance organizations do not recommend participating in training or implementation of provider order entry at nursing facilities until such mutual benefit is established. We look forward to continued advancement in this area. -          each group disseminate our stance within your respective organization – we will continue discussion on this topic next meeting. Candy Hanson will represent the Metro Alliance at the Care Providers and Leading Age groups Sue Peterson will bring our statement to Care Choice
6.      Metro Alliance communication	U of M Center of Aging link  now off Starting new blog http://metroallianceofgeriatricproviders.blogspot.com/	-          Dr. McCarthy will reach out to the COA to reask for our site back -          Ali will update blog of current logos/minutes/roster (without emails) -          Looking for new student who will help us with website etc.
7.      LTC and TCU SHO	Rebecca Johnston is beta testing Milaca SNF this week. Then will proceed with next steps on tool kit. Jackie G, TVS and Ali presented at MMDA	Next steps: dissemination ·         Rebecca to continue her project – CME – training Note improvements to SHO will always be needed. Keep yearly running list of updates then push out q year (ali)
8.      New Metro Alliance project: High risk Medication Eductional Tool Kit	Vanessa Kasper is a new U of M DNP student working with us in this area Discussion about needs, goals, outcomes.	Encouraged project to focus more on managing high risk medications vs identifying/”not use” etc. Vanessa will reach out to groups who noted interest to interview – come back next meeting with next steps.
9.      Potential new projects	Still looking for student match on below projects: ·         INR facility protocols ·         Web site	Mary D will reach out to U of M
10.  Community Practice points	Facility/provider practice agreements	We ran out of time and moved this to next meeting
11.  Stratis Health update	Candy Hanson discussed upcoming initiative of Pressure ulcer prevention project (real time) including 50 SNFs across the nation	Candy will keep up informed of new initiatives
12.  Next Meeting		Date of next meeting:  3/7/16 8:00-10:00 AM-HealthPartners Conf Rm 8170 33rd Ave S, Bloomington, MN 55425 Please send any agenda items to Ali Romstad or Robyn Hastings We will have a call-in option available – please email either above for the call-in details 2 business days ahead of time.