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CQC Newsletter, Volume 2.3
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Event News / Information |
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In This Issue / Features |
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| Free Help for California Physicians with Electronic Health Records If you're thinking about switching your practice to electronic health records (EHR), there's an independent, nonprofit organization that wants to help you, at no charge. Lumetra, Medicare's Quality Improvement Organization (QIO) for California, can assist you and your staff identify which EHR systems best meet your practice's needs, help you to identify what needs to be put in place to successfully implement an EHR into your office workflow. To learn more about how you can receive this assistance at no cost , please call Glen Moy, Project Manager, 415.677.8428 or click here. Upcoming Events CQC Diabetes & Cardiovascular Care Collaborative Final Congress November 2, 2005 San Francisco Airport Marriott Contact Kara Cassidy for additional information
CQC Optimizing Performance Series (OPS) Applications being accepted now Session 1 November 14-15, 2005 Los Angeles Airport Marriott Other Events CHCF
Chronic Disease Care: Better Ideas for Solving Real World Problems San Francisco, CA CAPG 2006 Healthcare Conference March 9 – 12, 2006 Desert Springs Resort & Spa Palm Desert, CA For more information call 213-624-CAPG IHI 7th Annual International Summit on Redesigning the Clinical Office Practice March 19 - 21, 2006 San Diego, CA Resources The 34-minute video from Improving Chronic Illness Care takes viewers on a planned care visit in a typical office setting, realistically demonstrating how health care teams implement innovations in care for people who live with chronic illnesses. The video is based on the elements of the Chronic Care Model and includes helpful information on the patient's experience, a behind-the-scenes look at provider team planning and care, and an in-depth self-management interview. Contact Information California Quality Collaborative Diane Stewart Kara
Cassidy
CQC would like to recognize the following organizations for their support: |
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Diabetes & Cardiovascular Care Collaborative A Perspective From The Front Lines Over the past year, Joann Dandurand, FNP and Gregory Coe, MD from Associated Family Physicians of Vallejo-Benicia have participated in the CQC Diabetes & Cardiovascular Care Collaborative, a statewide collaborative project to improve care for people living with chronic illness. They are part of the team from Hill Physicians Medical Group, which includes 4 physician offices. During the collaborative, Associated Family Physicians of Vallejo-Benicia has tried many changes and made improvements in caring for their patients with diabetes. Some of their results include:
Below, Joann shares her perspective of how the collaborative has changed the way they help their patients with diabetes manage their disease. CQC: Would you consider the collaborative different from a disease management conference? Joann: These collaborative meetings have been different in that the main dialogue has not been about the science of diabetes, which is widely known, but about those factors that may confound our attempts in managing this disease. CQC: What did you learn during the collaborative about the provider-patient relationship? Joann: The provider-patient relationship is of course crucial, and is highlighted in a more holistic way. In fact, the responsibility for disease management is truly shifted to a shared attitude and approach that attempts to optimize diabetes control. CQC: How did you put this knowledge to work? Joann: All of us in the CQC collaborative have experimented over the past year with methods to improve that relationship, such as depression screening, action planning, improved educational resources, planned diabetes visits and group meetings as examples. We have shared with each other what worked and what didn't, understanding that each thing learned must be amenable to tailoring for another provider's unique setting and style. CQC: Any specific examples of changes made at Associated Family Physicians of Vallejo-Benicia? Joann: In our office, we did not have a diabetes registry available, but did have the advantage of already using planned visits with our patients. Our patients expect a planned visit every three months, which is focused solely on their diabetes, with routine updates in their medications and blood work. We tried to incorporate into these encounters techniques that might also address confounding aspects of the provider-patient relationship. For example, Dr. Coe found a 2-question screen for depression very useful with his patients, and easily incorporated into the planned visit encounter. CQC: What do you consider some of the successful techniques that you learned during the collaborative?
Joann: I have had success with action planning, the technique of accessing the patient's commitment to a self-determined goal. This technique was also easily incorporated into a planned visit, and was well received by patients. I found difficulty in providing follow-up contact calls for encouragement, but substituted a 1-month follow-up visit to assess achievement. I also targeted the more uncontrolled diabetics for 1-month follow-up visits until my goals for HgbA1c and lipid levels were reached, and action plan follow-up dovetailed nicely with this approach. I have also begun to use action planning with other chronic conditions such as obesity and tobacco use. CQC: What does the disease management future look like for you and Dr. Coe? Joann: We continue to experiment with ways to improve the collaborative management of diabetes. Our sincere hope is to measure progress towards tighter control of diabetes, the prevention of diabetic complications, and most of all the improved quality of health that we wish for our patients. CQC Optimizing Performance Series Session One - November 14-15, 2005 CQC has partnered with the California Association of Physician Groups (CAPG) to offer the Optimizing Performance Series (OPS), a program designed specifically for California physician groups. OPS is a 5-day course over 4 months that introduces physician group leadership teams to the key changes necessary to improve clinical performance, patient satisfaction and manage IT implementation across practice sites. It is a hands-on series to help organizations advance their current work by doing the right things in the right way. The faculty for OPS will draw from national and international experts and includes,
The curriculum places heavy emphasis on participants learning from each other. There will be no better place to learn what other California groups are doing to improve clinical results, patient satisfaction and roll-out IT in physician offices. Learn more about the Optimizing Performance Series by visiting www.calquality.org. Applications are currently being accepted.
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