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Topic

Notes

Pre-Work

N/A

General

  • Nurse currently seeing patients, so just Ana today

  • Quick intros

  • In the process of changing EMR to Epic, Medical Director at conference at that now - planning for Sep - Oct transition, currently on Green Ways(?)

    • NACHC can connect them with others who have moved to Epic if they need any assistance

    • When we get to Document, we can focus that on a future workflow and what it will look like for them as they transition

  • Interested in focusing on Shingrix, need to discuss with Medical Director

    • Still discussing what population of focus will be, first will look at patients with 2+ chronic conditions as a start

  • Sarah Price to send the Nurse Empowerment series

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Call 2 [Date]:

Topic

Notes

Pre-Work

General

  • From COVID side, seen a huge decline in patients willing to vaccinate or already have been

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  • Get their supplies from HRSA

  • Pneumo rates also low, want to integrate providers in monthly meetings and discuss how to increase pneumo vaccination rates in the clinics

    • Using chart audits to drive conversation

  • Most MAs had a conversation with patients and give out pamphlets, but most didn’t move forward

  • Chart audit review

    • For COVID charts, unable to determine whether recommendations were made (0s marked) because they were not documented

      • 1 means assessment and recommendation in the chart

      • Ana will follow up on question of why some patients did not have COVID recommendation but had pneumo rec

      • Problem with staffing & staff retention

        • Triage done by MA, then go on to provider unless patient is a walk in and determined patient can see a nurse

      • Next steps to include all providers in meeting/include Ana in monthly meeting and find vaccine champion

    • Difficulty doing outreach, most patients are experiencing homelessness

  • DUA - they have approved the language, Ana Velez will be the one sending data

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Call 3:

Topic

Notes

Pre-Work

  • Already uploaded small & big data

General

  • HC under renovation, had a broken water pipe

  • Meeting with Medical Director this afternoon to work on Document Activity

  • Ana will be on PTO starting June 22 through July

  • Interested in working on Year 6

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