Minutes, June 2017

Metro Alliance of Geriatric Providers
MINUTES
June 12, 2017
Attendees:  S. Atkinson, N. Buddensiek, T. Cowell,  E. Downing, R. Hastings, J. Haycraft, V.  Kasper, G. Leierwood, P. Lusian, M. McDonald, J. Mielke,  C Parker,  N. Pelerine, K Petersen,  A. Romstad, L. Roup, R. Schoen, A. Tong, T. vonSternberg , L. Wenker, K Wergin
Phone: M, Dierich, C. Hanson, C. Haupt, C. Lauring, T. McCarthy, B. Pattock,





Agenda
Discussion
Action/Next Steps
1.      Welcome/ Introductions
 27 total attendees ; 21 in person and 6 phone
·         10  health care provider organization practices being represented: Allina, Fairview, Genevive, Health East, Health Partners, HCMC,  Integrated Care by Medica,  Optage, Twin Cities Physicians,  UMP  
·         5 health organizations represented: Benedictine Health Services, Care Choice, St. Gerts, Stratis, University of Minnesota

2.      Review minutes 
Reviewed March minutes
post to website
3.      Computer Provider Order Entry (CPOE)
Emily Downing
Discussed the progress of CPOE work group

·         Practice leaders to contact Veronica Polinske at: vpolinske@preshomes.org to set up portal training for their providers that go in to PHS facilities.
·         Discussed adding  a Matrix work group to the project to focus on standardize workflow process
·         Continue to Update group with pilot status at each meeting.

4.      Antibiotic stewardship project
Cassandra Parker and Cathy Lauring
·         Partnership between MDH, Stratis, Metro Alliance
·         Antibiotic stewardship programs are required to be in place in all nursing facilities by November 2017
Project is on UTI v.  ASB with Walker Methodist
Pulling together intervention of education nurse starting June 19th – 30th
July 5th 3 month data collection
Next steps for Sustainability
Worked on : Provider notification with SBAR and HE lab for a biogram for e. coli
·         Discussion about antibiotic de-escalation after 48 hours and minimal duration of therapy.  
Cassandra will send out SBAR to the group
Update at next meeting.

5.      Current Alliance SHO
Alison Romstad, Cathy Lauring, Robyn Hastings, Cheri Montgomery, Janine Nelson
·         Request for joint set from several organizations.
SHO work group to make joint SHO set.
6.      High Risk Medication Education project
Vanessa Kasper and Ali Romstad
Site has been live for 9 months.
Encourage use of education materials
7.      Patient Satisfaction project
Did not discuss in-depth
Some data coming in, anticipate more data soon. Few kinks in the system that are being worked on.
Update group next meeting with results
8.      Common Quality Metrics for SNF partners  project
·         Larger care systems having quarterly/regular meetings with SNFs to review standardized score card for TCU quality metrics.
·         Developed a template they can share with the group
Peg Lusian (FV) will start work group for continued work/streamlining.
Update group next meeting with template, overall status

9.      Stratis Health update
 Did not discuss

More to come at upcoming meetings
10.  MMDA
Did not discuss
MMDA is undergoing changes to the organization; forming MN Association of Geriatric Inspired Clinicians or “MAGIC”

More to come at upcoming meetings
11.  Controlled refills

Laurie Wenker
Round table discussion of current variation in practices and question best practice. Discussion of which organizations are doing controlled e-prescribing.
Continue to next meeting for further discussion.
12.   NP Death Cert s
Discussion of NPs now able to sign death certs.

13.  Next Meeting 

Place changed to:
8101 – 34th Avenue S
Bloomington, MN   55425

Date of next meeting:  9/18/2017
8:00-10:00 AM Conference room TBD 

Please send any agenda items to Cathy Lauring, 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.


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