@Julia Skapik (Deactivated)

@Pedro B Carneiro (Deactivated)

@Raymonde Uy (Unlicensed)

@John Gresh

@Andrea Price Old Account (Deactivated)

@Ronald Yee (Deactivated)

@Crystal Nwachuku (Deactivated)

@Jayson Osika (Deactivated)

@Lisa Romero (Unlicensed)

@Kate Curtis (Unlicensed)

@Jena Wallander Gemkow (Unlicensed)

@Ta-Yun Yang (Unlicensed)

@Michele Whitt (Unlicensed)

@AnnMarie Overholser

@Seren Karasu

@Arlene Pena

@Valerie Knibb (Unlicensed)

@Danielle Oryn (Unlicensed)

Alene Cullum

11:00am

NACHC CAD Staff open the call

Andrea Price

11:03

Introduction to Harvest Meeting & Agenda Review

Julia Skapik

11:05

CDC Welcome

Lisa Romero

11:07

Evidence-Based Recommendations

Julia Skapik

11:10

Partner Report Out - Alliance Chicago 

Jena Wallander

21:17

15:17Julia: Big opportunity

the thing we found the entire way throughout our work which is you have to know that the delivery happened in order to do 72 hour follow up. So that requires a totally different method of coordinating care with the inpatient facilities. That is, I think an exciting area of our work in the PQC's. The PQC's have very often focused almost entirely on that inpatient management.

And so a big opportunity and our work with PQC's is actually to make a priority of those inpatient facilities to have an actual warm handoff to the outpatient team and to provide that that information about what happened in the delivery encounter. Next slide, I'm almost done. So these I put at the end the two postpartum contraception measures that we had originally defined.

11:20

Partner Report Out - OCHIN

Seren Karasu

30: Postpartum Navigator - added each module as the site needed.

“Navigator to really consolidate what the Postpartum visit looked like and have a specific navigator so that all of the elements of that visit could be in one place for the physicians who are taking care of those patients.”

Even from the standpoint of, we found a way to pull the hospital data. So for our members who often times have patients who are delivering in desperate hospital, they may be an epic which we support, but they also may be in sooner. We do now have a way to pull that data back in which was very important and I think that's it.

We've done it that way such that it's replicable, so it's scalable and replicables for all of the members so that they don't actually have to subsequently go back and build something specific for, for the physicians that will be doing the build.

Julia: I know that you had built out the Postpartum Express Lane in our earlier phase of this project. So it sounds like you're now putting, you know, multiple components all around the EHR to sort of make this as easy as possible for users. I don't know if you wanted to, to speak to how the different pieces are working together. So yes, from the standpoint and the Navigator and the BPAs (Best Practice Advisories) what we have done, we did do a Postpartum Express lane, which includes a note.

As well as different checks for the members. So and I'm sorry because I didn't do the call out, it is a part of the Navigator section, it's in the Smartsets and if you were to go back to that initial slide, you would see there's a section called Smartsets and so.

Every at every step from the standpoint of what we were trying to do is to make sure that we built on what was done before. So we have best practice advisories in the GDM space. Again, in the ASA space, we have that postpartum express lane that we built that became a part of the Navigator. So every time we've just expanded and built on.

And again did it for our the participating members, but acted ended up using that sort of as a pilot because of course the Express line which was done previously is available to all of our members now and so. So we've been able to leverage that though which is worked out quite nicely for us and quite frankly our members.

11:30

Partner Report Out - Aliados

Arlene Pena

11:40

Data Summary

Jayson Osika

Directions for Year 6

Julia Skapik

Discussion

1:04:27
I love that there was a mom baby link I happened to see at the top of one of the ocean screens. That's certainly an area of interest and I think you know a great deal potentially could be done to improve the postpartum followup. We know that there's evidence of this if there's coordination between the the pediatric visits and the pediatric team.

1:04:53
And the moms team, you know, maybe potentially using Pediatrics as an opportunity to push moms back towards their postpartum follow up activities linking data on things like lactation and birth complications potentially would make a great deal of sense.

45:37
Over 1.1 million pregnancy aged women and nearly five and a half million encounters in this data set from our partners that goes back several years

52:58
Yeah. So I'm guessing a lot that not everyone's including all of these blood pressures because like I said, we are, we know that generally postpartum visit or prenatal visit starts with the vital signs check. So I'm if folks want to see if they have an easy way of, you know, in adding in blood pressure measurements or even the presence of a blood pressure measurement.

53:21
Request to partners to ping Jayson, because I suspect, you know, we would look and see 90% of folks are at least getting blood pressures done, plus more 99%.

1:08

Is there how much variation and how much can you do a system across your whole or So what kind of theory is? So my comment with regard to the Navigator build itself, you can't standardize that. I mean if you think about what we're supposed to do as postpartum care, Okay. There is a standard of care that is emerging about what is supposed to be done where we get have a significant customization point is in the smart set. From the standpoint of the way the note is construction constructed, what labs are defaulted in for people to order that type of thing that can be done at the service area level. And so if it is that you know whatever you're the standard of care in your community is to order XYZ or to have people come in at 2 weeks instead of, you know one, We could set a tube, stuff like that, that can be customized in that smart set.   And for us what we did from the standpoint of the smart set build is we built one, but then we had what are called build along sessions. This is something that we just tried this spring. So that we gave the opportunities for the service areas to come and take a smart set, which is if you think a smart set for you out for those who are not in, I'm familiar with Epic, it's just an order, it's like an order set in the hospital. So it's got the orders, but it also has a note, it has patient education. So it can have some additional sections in it. But we provided an opportunity for a build along session so that we could have individual service areas have the opportunity to customize what is in their Smartset. So that's the approach that we've taken so far. We've had some success. We can from the standpoint of data collection, we can see how often a smart set is being used, you know, and what sections of a smart set are in higher use versus others, which can help guide us in what we offer to members to try and encourage and increase uptake of a particular thing. Thank you.

1:17 Jena

Challenge in reimbursement

1:19 Julia - any visit after birth constitutes a post-partum visit

1:20 Jena

Alliance

1:25 OHCIN

1:26 SDOH

Jena

Dr. Whitt

What you’d like to see in Year 6

Closing and Evaluation

In our recall by txt effort we do not consider what type of appt is either scheduled or completed

[12:29 PM] Arlene Pena

SDOH in pregnant/postpartum people 

[12:29 PM] Jena Wallander Gemkow

remote patient monitoring

[12:30 PM] AnnMarie Overholser

better understanding the depression screening/follow up and aspirin prescribing national level data and how to improve that. integrating anemia information inpatient and ambulatory. 

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