Minutes, September 2016

Metro Alliance of Geriatric Providers
MINUTES
September 12, 2016
Attendees:   S. Atkinson,  J. Crist, M Dierich, E. Downing, J Guetzko, R. Hastings, J. Haycraft, V. Kasper, C. Lauring, G. Leierwood, T. McCarthy, C. Montgomery, J. Pederson, K Petersen, C Rasquinha, S. Reidt, A. Romstad, T. vonSternberg , L. Wenker, K Wergin  
Phone: N. Buddensiek, M Bullock, C Hanson,





Agenda
Discussion
Action/Next Steps
1.      Welcome/ Introductions
23 attendees (phone and in person)
10 health care provider organization practices being represented today
15 health organizations represented

2.      Review minutes 
Reviewed June minutes
Posted to website:

3.      Managing High Risk Medication
Vanessa Kasper and Ali Romstad
Position paper was sent to group prior to meeting for final review; no further enhancements at meeting.
Detailed review of 4 case studies with changes, recommendations provided by group
Send any final thoughts or changes to Vanessa asap; the education case studies will go live end of September.
Share the education case studies with colleagues, new graduate NPs, etc
Vanessa will reach out to each group to give a leader guide and offer support with sharing the modules.
The course and position statement is open to everyone on our website under pages
4.      After Hours Coumadin/INR Management
Lindsey Pordoehl and Laurie Wenker
DNP student taking on this project. After Hours Protocol previously developed by this group needs updating with facilities now all using electronic medical administration records. Little discussion about how to get After Hours protocol into computer orders to minimize after hour calls and promote continuity of care
More discussion to come. Share any tips/guidelines, etc that are working for your practice with Laurie Wenker.
5.      CPOE (Computerized Provider Order Entry)  Work group
Dr. Downing, Holly Gustav, Veronica Polinske, Dr. Mielke. Workgroup met, discussed. Discussion around issues: each facility has own process, time commitment by provider to do double entry of orders into facility chart and provider chart, not all facilities use electronic chart the same (ie: Point Click Care is used differently at different facilities). Complex issue across many facilities, provider groups, especially with no facility standardization
Planning A3 strategy session to develop an organized plan if this could be moved forward.
Stratis may be able to assist with group work
6.      Current Alliance SHO dissemination
Jaclyn Guetzko
Was published in the Annals of Long-Term Care in June
 Ongoing work groups:
~ yearly review Q January (Ali, Robyn,  Cathy L, Terry M, and Clemencia R
Continue upkeep/dissemination:
Topics article to come later this year

7.      Patient Satisfaction Survey
Julia Crist
Update: Allina, Fairview, HealthEast, and Health Partners developed/agreed upon 3 TCU patient satisfaction survey questions to be included in each organization’s patient satisfaction survey starting 1/2017. This will provide benchmark for each organization to compare themselves to other similar organizations.
Questions:
1.      Your Healthcare Provider involved you and your family in discussions and decisions about your healthcare. (Yes, Definitely; Yes, Somewhat; No)
2.      Your Healthcare Provider explained your condition and progress. (Yes, Definitely: Yes, Somewhat; No)
3.       Would you recommend your Healthcare Provider to others?   Yes      No   


Survey to begin 1/1/17
These questions may be included in Alliance member organization patient care surveys.
8.      Development of Common Quality Metrics/ Definitions for SNF partners
Julia Christ
Discussion around developing a common scorecard for SNF quality metrics. Many organizations asking SNFs for a variety of quality metrics; would like to develop a standard “ask” to minimize the workload on the SNFs. Quality metrics now being used by a variety of organizations, contracts, ACO, Medicare/Medicaid for payment as well as measuring quality.
Potential for scorecard to be on blog site for Metro Alliance member access?
Further discussion/development of scorecard/organized reporting of data
9.      MMDA and Metro Alliance collaboration
Jane Pederson
Ongoing discussion about Metro Alliance joining MMDA. Discussion about other geriatric/older adult focused groups in the state and how they overlap; future collaboration of where we want to be
Continue current discussions with MMDA
10.  Stratis Health update
Jane Pederson
Nursing facilities need to have a QAPI plan in place.
Starting a C.diff research project; have 46 participating facilities
across the state; part of a national study.
Stratis developed a guide “How to develop a QAPI Plan” available on their website for facilities to use
Encourage facilities to be part of study; contact Statis for more information
11.  Next Meeting 

Date of next meeting:  12/5/16
8:00-10:00 AM-HealthPartners Conf Rm
8170 33rd Ave S, Bloomington, MN 55425
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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