2024-01 Questions for WHPP IG Julia & Partners

Ad Hoc Meetings with Partners Agenda

1. Videos fpr the IG by April 19 or soon after

2. Your list of things for the IG;

3. Date they can make the Stakeholder's meeting

4. Data deadlines.  

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

2. 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

   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:

• 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)

8. Screenshots and example user interfaces for dashboards:

• how do users access the measure results and drill down to fill care gaps?

• 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