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Metro
Alliance of Geriatric Providers
MINUTES
December
5, 2016
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Attendees: J.
Crist, M Dierich, E. Downing, J. Haycraft, G. Leierwood, J. Mielke, C. Montgomery, J. Pederson, A. Romstad, D. Rustad, L. Wenker, K. Wergin
Phone:
T. Alexander, C. Haupt, T. McCarthy,
K. Petersen, K. Schroeder, K. Vinje
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Agenda
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Discussion
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Action/Next Steps
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1.
Welcome/ Introductions
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17 attendees (phone and in person)
9 health care provider organization practices being
represented today
13 health organizations represented
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2.
Review minutes
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Reviewed September minutes
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Posted to website:
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3.
Blog/IT
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Started ~1 year ago after COA couldn’t house us. Since
then ~ 1,000 views, growing each month with 171 views last month. 10
different countries viewing (France, Russia with 82, 40 views respectively)
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Maintain
current but search for IT contact to improve set up
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4.
SHO update Revision
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Task force met 11/29 to discuss/make changes. SHO set
reviewed today with changes.
Rich discussion around each clinical item. Most sig
clinical changes: delete PHQ-9 (mandated by MDS), added Quantiferon GOLD lab
test for TB, working to include prevnar vaccine, deleted generic meds…, clarified SAM,
reduced 7 to 3 day QID BGM at admission, deleted fleets enema, added “other”
at the bottom with “if accidental needle stick”…. And we are looking into
copywrite
Additionally we will have a TOPICS article coming out in December
about Metro Alliance SHOs
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Task
force again to meet to finalize and we look to post final copy in January.
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5.
MHA students
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Julia Christ (Allina) will be working with Tyne
Alexander and Kayla Vinje, two U of M MHA students, this semester.
Discussion about what Metro Alliance projects would be a good fit. Discussed of Quality metrics, patient
satisfaction project, group formation, group communication, or new projects
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Continued
student involvement with quality metrics and patient satisfaction projects.
Julia will continue to lead.
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6.
Quality Metrics project
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Julia Christ worked with MHA students last semesters on
the SNF Quality Scorecard. 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. This scorecard will be used by Metro Alliance partner
facilities in an effort to standardize the reporting of quality data.
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Scorecard
and introduction memo to be placed on the web under new Quality Metrics
project. Each organization is encouraged to use it when asking for SNF
quality metrics.
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7.
Patient Satisfaction
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Julia Crist is lead.
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.
Currently Fairview is looking to out-source survey and interested in
partnering with other 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
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Allina, HP and Park Nic will upload there data (and back
data) to start the project. They will include at least 1 ghost data set.
HealthEast and Fairview will continue to work toward getting this data
collection and results uploaded.
Fairview to report back on possible companies able to do
the survey collection.
MHA students to help with this project to continue the
work.
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8.
Managing High Risk Medication
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Vanessa Kasper and Ali Romstad: the educational module
went live 9/26. 120 hits to the project page. 12 users have accessed the
module. 5 people completed the module. All 5 stated it made them more
comfortable and knowledgeable around managing high risk medications.
Discussion around the project noted this needs a CEU to help attract
providers.
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Direct
all new providers to the toolkit and module. Please take the survey at the
end.
A
synopsis of the project will be published in TOPICS in December. We will work
on the position statement in future meetings.
We
will work on CEU for the module. For questions/comments steve434@umn.edu
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9.
After Hours Coumadin/INR Management
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Lindsey Pordoehl and Laurie Wenker
DNP student taking on this project. After Hours Protocol
previously developed by this group needs updating. Noted Allina will start a
24/7 coumadin/INR line. Genevive also has their own system. Other groups
still interested in this protocol.
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More discussion to come. Share any tips/guidelines, etc
that are working for your practice with Laurie Wenker.
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10. CPOE
(Computerized Provider Order Entry)
Work group
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Dr. Downing, Holly
Gustav, Veronica Polinske, Dr. Mielke. Workgroup met for an A3 strategy
session. Complex issue across many facilities, provider groups, especially
with no facility standardization. New insights gained.
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Dr. Downing will present next meeting.
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11. New
project of Antibiotic Stewardship
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Metro Alliance would
like to partner with MDH and stratus for an Antibiotic Stewardship project.
We do have an interested student, Cassandra Parker. Dr. Mielke has had
discussions with MDH and Dr. Pederson spoke about how stratus and MDH are
currently working together on a project.
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Cassandra to connect up with Stratus and MDH to start
working on a project.
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12. MMDA
and Metro Alliance collaboration
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Dr. Jane Pederson: Ongoing discussion how MMDA is morphing
into a larger group to house multiple disciplines and how this group would be
involved.
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Continue current discussions with MMDA
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13. Stratis
Health
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Jane Pederson talked
about the C.dif project.
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14. Next
Meeting
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Date of next meeting:
3/20/16
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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Minutes, December 2016
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