Minutes, September 2018

 

Metro Alliance of Geriatric Providers - MAGIC MINUTES September 17, 2018

Attendees:  S. Atkinson, S Brown, N. Buddensiek,  M. Bullock, J. Davis, E. Downing,  J. Haycraft ,C. Kim, G. Leierwood, D Libbesmeier, R. Long, K. Petersen,  P Peschman, J Phelps, A. Reiners, A. Romstad, R. Schoen, R Schoen, K. Schroeder, E. Schuld,  A. Tong, L. Wenker, Phone: T McCarthy, N. Pelerine

Agenda	Discussion	Action/Next Steps
Welcome/ Introductions	·         24 total attendees ; 22 in person and 2 phone ·         9  health care provider organization practices being represented: Allina, CentraCare, Fairview, Genevive, Health East, Health Partners/Park Nicollet,  Integrated Care by Medica, Optage, Twin Cities Physicians, Rehab Medicine Associates ·         4 health organizations represented: Benedictine Health Services, Care Choice,  Stratis Health, Empira ·         Students from: University of MN (DNP)
Review minutes	·         Reviewed June 2018 minutes	·         Approved with no changes – posted to webpage
3.       Computer Provider Order Entry (CPOE)	Emily Downing Updated the group on the progress of CPOE work group. Started in 2017; Phase 2 is 2018. Goals of the project include: Improving first pass completion for orders – driving to a more consistent order writing process (including diagnoses and other order details): outcomes: fewer transcription errors and fewer clarification call requests Decreasing variability in order writing process for providers in multiple facilities Stratis training 6/4/2018 Using in LTC and TCU; not used in AL sites yet	·         Tool kit is available and ready for additional site dissemination in or outside of Presbyterian Homes. The order form and provider order work flow process in posted online. ·         Stratis training video posted online ·         Pres homes continues to roll out to more facilities.
4.       Antibiotic stewardship project	Jessica Phelps ·         No change. ·         Partnership between MDH, Stratis, and Metro Alliance with Walker Methodist. ·         UTI protocol developed to help providers assess/diagnose and treat UTIs. ·         Care Choice project is wrapping up – noted changed language to “best practice guideline”. Used Lobes criteria. Noted MDH gap analysis.	·         Antibiotic Stewardship page online with a link to the Topics article ·         Protocol and information posted to Webpage ·         Amy Tong (Care Choice) will connect with Jessica for next steps on collaborative next steps.
5.       SHO	Alison Romstad, Cathy Lauring, Cheri Montgomery, Janine Nelson ·         No change. ·         Questions came up about use of diagnoses vs symptoms (angina vs chest pain) and RN ability to “diagnose” vs treat symptoms – scope of practice for RN and/or LPN ·         Question posed to Board of Nursing; waiting for response	·         considering changing from diagnoses to symptoms on SHO ·         Ali to reach out to DON (from Dr. Buddensiek’s practice) to understand more of the concerns.
6.       SNF Controlled Substance refill	Robert Long ·         Discussed document of best practices. Attached to minutes.	·         Dr. Long and Kim will make revisions and we will post online ·         Continue to revise as needed ·         Touch back next meeting.
7.       Patient Satisfaction Surveys	Erika Schuld and John Haycraft ·         Trying restart the momentum ·         Reviewed the agreed language and 3 questions	·         Continue discussion
8.       Standardize TCU quality metrics/definitions	Erika Schuld and John Haycraft ·         Reviewed current metrics/definitions ·         Nicole Pelerine, (care choice) noted new metrics/definitions to come in 1-2 months	·         Erika and John to continue with new work group with interested parties below once new information is released ·         Dr. Kim ·         Nicole Pelerine ·         Dr. Nick Schneeman
9.       Influenza Protocol: ACTION ITEM FOR GROUP THIS WEEK	Hanah Berhane, DNP student ·         Developing a consistent protocol across all provider groups for SNF/TCU ·         Goal is to have it completed for use in 3 weeks. ·         Discussion around GFR vs Cr Cl for dosing. Power point attached to minutes.	·         Added AL to document ·         Agreed on GFR over CrCl ·         Discussed adding INR check ·         Everyone review attached documents and submit any recommended edits/changes to Hanah by THIS THURSDAY (berh0023@umn.edu)
10.   Professional Groups	Group discussion about Metro Alliance becoming a formal committee under MAGIC ·         Discussed possible committee charter (attached)	·         Please come forward if you want to chair or co-chair this committee of MAGIC ·         Please join MAGIC ·         Review attached document and forward any recommended changes to Ali ·         Discussed adding “clinical quality” to the committee name ·         MAGIC will meet 9/18 continue next steps
11.   Facility Minimal Standards	Sarah Johnson Did not discuss this month due to time. Keep on agenda for next meeting. Group Discussion: How to work with facilities that provide a sub level of care and how do we hold them accountable? Teams have exited facilities that were not able to improve care. Much time with education of staff, meetings, setting standards	More discussion with other groups off-line
Next Meeting		Date of next meeting: 12/3/2018 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