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Info
titleAgenda

Women’s Health Post Partum project (CDS, GDM, eCQM)

  1. Welcome & Purpose

  2. CDC Welcome

  3. Partner Presentations - Lessons learned, best practices, summary of approach

  4. Discussion

  5. Year 4 Plans - longer term 

  6. Documentation



Tip
titleMaterials
  1. Public-Facing Agenda
  2. Participant list 
  3. Slide Deck
  4. Recording 
  5. Transcription 


Attendees

NACHC Informatics TeamCDC DRHAllianceChicagoOCHINGuests

Julia Skapik (Deactivated)

Pedro B Carneiro (Deactivated)

Raymonde Uy (Unlicensed)

John Gresh

Andrea Price Old Account (Deactivated)

Ronald Yee (Deactivated)

Former user (Deleted)

Lisa Romero (Unlicensed)

Kate Curtis (Unlicensed)

Nicole Ford (Unlicensed)

Maura Whiteman

rpadilla@alliancechicago.org (Unlicensed)

Lisa Masinter (Unlicensed)

Ta-Yun Yang (Unlicensed)

Michele Whitt (Unlicensed)

AnnMarie Overholser

Seren Karasu

Craig Stark (Unlicensed)

Kim Cardoso




Discussion items


Agenda itemLeadStart TimeTime allottedSlide #NOTESAction ItemsNotes/Talking Points, Prompts
NACHC CAD Staff open the call
Alyssa Foley
10:30am
1

Test slide sharing to Mentimeter https://www.mentimeter.com/s/82ea5f1bc823b94c892af3a55be72963/fb6faea2447c/edit
Speakers join to test microphones and video
10:45am
1


Housekeeping
Alyssa Foley
11:00am1m2--


NACHC Welcome
Ronald Yee (Deactivated)
11:01am3m3

Obstetrical care and post partum care is not consistent

    • pregnancy date
    • pregnancy status outcomes
    • contraceptive counseling
  • Even with the shift to electronic records has not always improved over paper; on paper, it was easy to scribble at the top of the form a reminder
  • Some CHCs do full care through delivery, others refer out as soon as there is a positive pregnancy steps
  • This project looked at the links to improve follow-up


CDC Welcome

Lisa Romero (Unlicensed)


11:04am6m3Future: Integrating hypertension control and (mental health? check transcript).. into this work 

Lisa - introductions for CDC guests

Turn mic over to Julia

Introduction to Harvest Meeting
Julia Skapik (Deactivated)
11:10am7m4 - 15

Julia Skapik (Deactivated)  announce that we are sending the Public-Facing Agenda - option to download will pop up - Alyssa will send the agenda.

  • Project goals and objectives
  • Findings of the previous 2 years of work
  • How the project has changed over time (Presidential elections, COVID, combining projects)
  • Purpose of today's Harvest Meeting
  • Introductions of team and guests will be done during each team's time

Partner Report Out - Alliance Chicago 

Roxane Padilla

Dr. Lisa Masinter


11:17am20m17 - 31

Introductions of team and guests


Partner Report Out - OCHIN

Dr. Michele Whitt

Dr. AnneMarie Overholser


11:37am20m32 - 40

See transcript for 11:39 where there were not slides.

Development of EHR (Epic) tool turns out to be iterative.  There was a plan, but as users saw the build, they had new thoughts on how it would best work.  Each service area made recommendations.

It is possible in Epic to see if the Express Lane was being used - are they having to add an order all the time? Which things could be added, taken away because not used?

Champions who are experienced and take ownership at each site is really important.

Kim Cardoso contributed to the training, appreciated the ability to test and iterate. They had the ability to do Express Lane but were not maximizing its use because it seemed like a distraction, but once it could be customized for the users needed.

Great example of use of EHR optimization when users are able to express what they need and see it implemented.


Introductions of team and guests
Data Summary

Pedro B Carneiro (Deactivated)

Former user (Deleted)

12:00pm15m41 - 48

Assist from John and Jayson

Ask if there are questions about the data

Reflections, comments, discussion
Julia Skapik (Deactivated)
12:15pm15m49 - 51

Julia facilitate - have people raise hands?

Alyssa Foley switch screen to Mentimeter then open to discussion 

  1. Slide 1 What challenges from the project were you surprised impacted the quality of post-partum care?
  2. Slide 2 What is your biggest takeaway from what you just heard?

Leave slide up

Then go to discussion, Andrea Price Old Account (Deactivated) taking notes

Implications for the Future 
Julia Skapik (Deactivated)
12:30pm20m52 - 53

  • Given your lessons learned over the past couple of years, what would you think the next priority be to improve clinical decision support, increase access to high quality care for patients served at community health centers? What are your top three priorities? What would add value?

Julia facilitate, Alyssa Foley switch screen to  Mentimeter

  • Slide 3 What is your biggest motivator from this project?

Leave slide up

Then go to discussion

Scale and Spread

Julia Skapik (Deactivated)

12:503m54 - 56

  • Where should would you like to see these findings presented - OCHIN & Alliance conferences, CDC Conferences? Journal articles?

Julia facilitate - have people raise hands? 

Switch screen to Mentimeter

Slide 4 What did you hear that should be scaled and replicated?

Slide 5 Given the lessons learned, what would you suggest for next steps?

Go to Discussion Next Steps slide


Discussion on Next Steps
12:53257


Papers and PresentationsJulia Skapik (Deactivated)12:55258 - 59

Mentimeter 6 Where should would you like to see these findings presented?
Closing

Julia Skapik (Deactivated)

12:57360

Thank you to partners and CDC, to Kathy and Ron for guidance

EvaluationAndrea Price Old Account (Deactivated)




Create the 4-question Evaluation survey - (see NTTAP survey) Andrea will send out to participants. 

https://nachc.co1.qualtrics.com/surveys/SV_4N2OhyArfBownv8/edit










TimeItemWhoNotesAction Items
10mWelcome, Purpose, Goals and Structure of Harvest Meeting



NACHC WelcomeRon


CDC Welcome



30m

Partner Reports lessons learned, successes, opportunities for improvement, and barriers

  1. AllianceChicago
  2. Denver
  3. HealthEfficient
  4. HCN
  5. SouthCarolina




Key Topics: 

lessons learned, successes, opportunities for improvement, and barriers

key ingredients and program modifications to implement this project successfully in health centers





Setting up the next round for success: Where should we be moving in the next phase of the work, and what are the questions we want to be able to answer in this next year