Minutes, March 2019

 

Clinical Practice Alliance Committee of Minnesota Association of Geriatric Inspired Clinicians  (fka Metro Alliance of Geriatric Providers) MINUTES March 18, 2019

Attendees:  A. Busker, M. Bullock,  E. Downing,  J. Haycraft, C. Kim,  J. Phelps, V. Polinske, D. Libbesmeier, A. Reiners, A. Romstad, D. Rustad, E. Schuld , T. vSternberg, L. Wenker, K. Wergin Phone: C. Rasquinha, J. Davis , N. Pelerine,  K.  Peterson,

Agenda	Discussion	Action/Next Steps
Welcome/ Introductions	·         19 total attendees; ·         10  health care provider organization practices being represented: Allina, CentraCare, Fairview/Health East, Health Partners/Park Nicollet, Optage, Twin Cities Physicians, Rehab Medicine Associates ·         2 health organizations represented: Care Choice,  Presbyterian Homes ·          University of MN (DNP)  student	Future meetings will track the number of  MAGIC members at CPAC meeting
Review minutes	·         Reviewed December 2018 minutes	·         Approved with no changes
3.      Moved into MAGIC	·         Reviewed current charter draft (attached) and discussed less language allows for more flexibility. Keeping MAGIC bylaws of committee members appointed by the board president, but allowing open enrollment. ·         MAGIC Board submitted an application for the Cosar affiliate award given our advancement of the group  ·         Still working to move all documents to the MAGIC webpage
4.      Patient- Driven Payment Model	·         Veronica Polinski presented the upcoming payment model. See attachments ·         Discussion about  provider education – (no “unspecified”  ICD- 10’s)	Documents attached.
5.      Antibiotic stewardship project	·         Partnership between MDH, Stratis, and Metro Alliance with Walker Methodist. (Jessica Phelps, sDNP) , UTI protocol developed to help providers assess/diagnose and treat UTIs.	·         Conclusion of Walker Methodist project with Metro Alliance. (Attached power point) ·         Outcomes not met ·         Lack of response from Providers ·         Possibly needing Involvement of Health System Leadership to impact change
6.      Influenza protocol	·         Discussion about current protocol. Feedback on GFR sliding scale duplicate of 30.	·         All groups will continue to monitor the use of the protocols in their facilities. ·         Will change GFR > 30< on protocol.
7.      SNF Controlled Substance refill	·         Charles Kim. Ongoing discussion of the best practice document. ·         Further discussion of the magnitude of the problem and need to bring in Pharmacy groups	·         Group voted to approve current document with added language surrounding call provider instructing nurse to inform DON and Medical Director of med refill error with each refill request fitting scenario two.
8.      SHO	·         Alison Romstad, Cathy Lauring, Cheri Montgomery ·         Not addressed – ongoing from last meeting.	·         Will work on revisions/updates this quarter. ·         Considering changing from diagnoses to symptoms on SHO ·         Adding Aggie Reiners on the revision committee as Jeanie Nelson has retired
9.      Patient Satisfaction Surveys	·         Erika Schuld and John Haycraft ·         Showed current/past data	·         Continue data collection and moving forward with benchmarks ·         See attached power point
10.  Possible new projects	·         Medical Marijuana SNF/Provider FAQ sheet to give to patients/families.  Nicole provided Leading Age’s document (attached)
Next Meeting	Date of next meeting: 6/24/2019  8:00-10:00 AM Community Senior Care Office, CTC Bldg, 2nd Floor 8170 33rd Ave S, Bloomington, MN 55425 Please send any agenda items to Laurie Wenker or Ali Romstad