SIPS NFP (Neighborhood Family Practice) Meeting Notes

Pre-Work

N/A

General

• Quick intros

• Did outreach (mailers, etc.) & workflow change to make it easier for patients to access online schedule for SAVE

• Cheryl (nurse & dietitian) on board but unable to attend today - population health does broad outreach, Cheryl will be working more on 1:1 patient outreach and clinical workflows

• Hoping to work on internal workflow process - not utilizing everything in house

  • New Hispanic community coordinator

• Data request - SDOH, just started pulling data for another program, interested in working on that

Pre-Work

• For chart audit, submitted own form but will use template later on

• Some staff use Health Maintenance, some use Care Gaps depending on personal preference - all the same information

  • “prompt” - looked at office visit and there was no documentation that vaccines were prompted or discussed

    • Part of intervention is asking what providers do

    • For 19+ age, no standard line of vaccinations in visits

    • Interviewed two providers - when they look at care gaps, if the patients declines or postpone they leave it blank; some providers do

      • In the past, if put declined then it drops from Care Maintenance

  • Do not offer Zoster, but can go to pharmacy and get it without a vaccination, so often do not put order in or note that it was discussed

    • Too expensive, not enough people that qualify for it

General

• Trouble accessing Confluence big data upload Jira ticket page, will follow up with Confluence administrator; waiting on DUA signature from NACHC

  • Ready to submit big data as soon as DUA in place

• Intervention

  • After chart audit, interviewed 2 providers to get their input, made a survey but haven’t sent out and deciding whether to send own or NACHC survey

    • Could pull in other 4 providers at site for interview to get feedback

Pre-Work

General

• Working on mini-interventions, Cheryl (nurse) has been doing interviews

• Sent out text messages to patients overdue for COVID and sent out letter last week

• Involved another nurse who would know mini-audits piece better

• Learned some patients might be due for more than just COVID but don’t do outreach from those other vaccines

  • Used open scheduling link for all vaccines instead of just COVID & flu as was done previously

  • Could do outreach for other vaccines, lacking in HepA

• Amber & Molly out of office for final SIPS call

• Interested in continuing to work with us, asked about details of how, when, etc.

  • Would prefer a longer project format, help focus and be able to better understand interventions tried

• Role of nurses

  • Has standing orders and nurses are very involved in immunization workflow