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Ad Hoc Meetings with Partners Agenda

Table of Contents
stylenone

1. Videos for the Implementation Guide by April 19

Tip

The NACHC Women’s Health Postpartum project invites you to create one or more one-minute videos that we can add to our Improving Quality for Postpartum Care Implementation Guide.   

We hope you agree that links to a few brief videos on practical topics will help care team members around the country learn about what you’ve achieved and the words of wisdom you can share. Below are topics we hope you can discuss in the video clips we envision. If you think you can capture all points within one, one minute video – that’s great. If you want to break-down the topics into shorter segments, each with its own video, that’s fine too.  

Please let us know if you’re interested in contributing. We would need your videos recorded by April 19, 2024.    

Instructions to record your video: 

  • Place your phone in the horizontal position 

  • Space your camera arm’s length away from your face, ideally around eye height 

  • Use a blurred background. Consider recording this way in Zoom, Teams, or another video tool 

  • Make sure you’re in a quiet place 

  • Practice what you want to say a few times before filming so you can get your points across within 1 minute (if you go over a bit, that’s fine) 

  • Be yourself! Talk to the camera as if you’re talking to a friend

 

Example explaining a strategy to lower barriers to care: Kevonya: A trauma informed late policy... - YouTube (1 min 15 sec) 

Example of a putting a model into action Naomi: Low barrier substance use disorder treatment - YouTube (53 sec) 

AllianceChicago

Topics to cover:  

  1. Approach to building pregnancy episode in the EHR  

  2. Considerations of above approach 

  3. Impact on care 

Aliados

Topics to Cover:

  1. Working with payers in pregnancy 

  2. Value of navigators and doulas 

  3. How to incorporate above and the quality improvement activities into the workflow 

  4. Benefits you’ve witnessed for patients and providers when quality improvements are successful 

OCHIN

Topics to Cover

  1. What is the postpartum express lane? 

  2. Postpartum episode 

  3. Care team reaction to new support in EHR and best practices 

  4. Impact of external data in the record 

  5. Privacy and security of repro data 

3. Date you can make the Stakeholders Meeting

Wed June 5 1pm ET OCHIN can if necessary.

Wed June 12 4pm - Conflict from 3-4pm Liz, Julia has 12 noon, possibly 4pm - This week is Million Hearts Harvest Meeting.

Tues June 18 - JS cannot do 11am ET; OCHIN could do 1pm ET

Tues June 25 1pm or 3pm ETC would work for OCHIN

Wed June 19 11:00am, 2:00pm or 3:00pm - This is a NACHC holiday

Wed June 26 is no good, unless 4pm ET for OCHIN

4. Data deadlines.  

 NACHC Data Request 0f 3/19/24

  1. Delivery cutoff date: December 31, 2023

  2. Follow-up/related data cutoff: March 31, 2024 

  3. Provide data extract by May 31 to allow time for NACHC team to review, provide feedback, request adjustments

  4. Anemia, Lactation Counseling, Lactation Services Value Sets

2. Julia’s Questions for the Implementation Guide

Purpose of Guide:

  • to support all w in the EHR, practical guide to what to do - what should we be DOING

Audiences: Medical Director for Department -

Desired Outcome:

  • Clarity on what graphics/charts/data needs to be included in the WHPP IG

  • What we want from partners for the optional measures

 

Agenda

  1. Review comments from WHPP Guide

https://nachc-my.sharepoint.com/:w:/p/eweiss/EeZcIg2O4C9AsT79hAS_mswBfkckFAC-dHQtgmbEV5MvWw?e=9tV60V

  1. Define Optional WHPP Measures for Year 6

[3:05 PM] Julia Skapik NACHC

Also, reviewers want to see these gaps filled: items in RED are for partners assistance

  1. Summary check list of things to include in a perinatal QI improvement process

    1. - this will be a checklist based on the 8 steps and some of the substeps - Erica will draft.-- this is not for partners except feedback when it is complete

  2. An appendix related to reporting requirements/standards for EHRs - for example: With CMS adopting most and moderate methods of contraceptive care for child (15-20) as a mandatory reporting measure starting this CY, and with many states who may be voluntarily including adults (22-44) should we include this in our document

    1. Julia will ask Gervean for this by April 4th

    2. this is lowest priority but I am sending email now

  3. Clarity on who this guide is for: which actions are for which team-members

    1. this was already done above

  4. Opportunities to build in QI for the patient experience -

    1. Will ask each partner if they have patient facing or patient experience staff who are supporting health center patients

      1. CAHPS, patient advisory councils

    2. Resources: maybe this is useful from Chicago: patient engagement. https://thegathering.everthriveil.org/

(5)  Smartset build guidance document

a. What components do you include in the smartsheet?

b. What are the CDS items?

c. What information did care teams need to view in the smartsheet?

d. Do you display measures that have been already fulfilled? If so how?

e. Can you share a screenshot or example?

(6) domain specific guidance on measures and pregnancy-related areas of specialization

a. Added contraception based on Upstream materials (ok to provide more)

b. For partners: do you have any training or other supplemental guidance on the following: look at CPSP program in California for guidance, intake process/form, postpartum CPSP monitoring

  • Pregnancy/postpartum episode and comprehensive follow up

  • Hypertension of pregnancy

  • Postpartum depression

  • GDM management and postpartum GDM screening

  • Substance use in pregnancy

  • Prenatal anemia and hemorrhage

  • Lactation evaluation and support

  • Pregnancy navigators and patient support

(7) Please address this from Shanna Cox & add content as needed: There is an AIM bundle on postpartum discharge transition that may make a nice connection on interoperability Postpartum Discharge Transition | AIM (saferbirth.org)

  1. Screenshots and example user interfaces for dashboards: quality measure dashboard examples from Relevant? (Aliados)

  • how do users access the measure results and drill down to fill care gaps? – this is done in EHR for Aliados

  • NACHC team to build a version of this

Items missing: 1) checklist, 2) reporting appendix, 3) QI for patient experience, 4) resources, 5) spreadsheet on smartsets, 6) documentation for EHR guidance

Health Centers can be an implementation arm of MMRC prevention recommendations and I believe that is the purpose of Dave's team's project  – we can ask Wanda about this no idea who Dave is

  1. An appendix related to reporting requirements/standards for EHRs  - for example: With CMS adopting most and moderate methods of contraceptive care  for child (15-20) as a mandatory reporting measure starting this CY, and with many states who may be voluntarily including adults (22-44) should we include this in our document