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Opioid & PFE Workgroups

Opioid Workgroup

Objectives of this workgroup include:
  • To commit to review opioid prescribing practices within each participating practice
  • To review, understand, and adapt several tools already available toward improving opioid prescribing practices (e.g. the CDC Opioid Prescribing Guidelines for Chronic Pain, opioid risk assessment tools/methods, opioid treatment agreement, monitoring and follow up with patients)
  • To implement an opioid prescribing protocol in each participating practice and encourage clinicians to “take the pledge” https://www.healthcarecommunities.org/Home/MMOPledge/MMOPledgeForm.aspx
  • To share resources and learn from each other (see Appendix B for links to relevant resources), including sharing of stories within VCSQI and TCPi.

Person & Family Engagement Workgroup

Objectives of this workgroup include:
  • To review practices’ status on 6 PFE metrics and 3 assessment milestones related to PFE
  • To review, understand, and adapt tools already available toward improving PFE within practices
  • To share resources and learn from each other including sharing of stories within VCSQI and TCPI.

Additional Workgroups Information

VCSQI Webinar: How to Form a Patient & Family Advisory Council

VCSQI Webinar: How to Form a Patient & Family Advisory Council

Sep 18, 2018

National expert Chrissie Blackburn, Principal Advisor, Patient and Family Engagement, University Hospitals Health System, Cleveland, Ohio, provides guidance on how to form a Patient and Family Advisory Council (PFAC). VCSQI SAN 2.0 Learning Session Recording (August 11, 2017 Webinar)

VCSQI Webinar: Identifying Patient Risk and Using Best Practices to address TCPI Milestones

VCSQI Webinar: Identifying Patient Risk and Using Best Practices to address TCPI Milestones

Sep 3, 2018

VCSQI SAN 2.0 Project Director Debbie Nadzam Melnyk and Clinical Practice Transformation Coaches Ivan Berkel and Sherry White provide insights in Identifying Patient Risk and Using Best Practices to address TCPI Milestones 7 & 11 for Specialty Care, and 8, 9, 10 & 16 for Primary Care.

Shared Resources:

5 Ways to Prevent Hospitalization of Seniors: preventing hosptitalization for seniors-Five-Ways-Guide-Web

CMS Annual Wellness Visit Guide:  CMS annual wellness visit guide- AWV-Chart-ICN905706TextOnly

Slide Set: Pt risk and best practices-class 4-final

VCSQI Web-based Recorded and Upcoming Classes on Milestones

VCSQI Web-based Recorded and Upcoming Classes on Milestones

Aug 27, 2018

VCSQI to Hold Web-based “Classes” to Accelerate Your TCPI Progress Through the 5 Phases

To help your practice successfully meet the TCPI milestones, we will hold a series of web-based “classes” over the next several weeks. Each class will address a group of milestones along common themes.  The TCPI Project for primary care clinicians includes 27 milestones and for specialists, 22.  We will repeat each class 3 times during the week to increase the likelihood that practice representatives can attend one of the times. These times were selected based on the results of the poll Sherri sent out to practices on Wednesday, August 1st. Each week we will hold a class on Tuesday at 7 am ET, Tuesday at 5pm ET, and Friday at 10 am ET. We will present identical content, although the discussion may vary depending on participation of participating practices.

 

Ivan and Sherri will be talking with you about which milestone class may be of particular relevance to your practice (based on your recent milestone scores).

 

  1. You can access the recording of the Quality Improvement class we held on July 11th here

Debbie, Ivan and Sherri share tools and strategies, and invite discussion with questions, comments and suggestions.  This webinar covers:

  • #14 (19 on primary care) – Practice uses an organized approach (e.g. use of PDSAs, Model for Improvement, Lean, FMEA, Six Sigma) to identify and act on improvement opportunities.
  • #15 (20 on primary care) – Practice builds QI capability in the practice and empowers staff to innovate and improve.
  • #16 (21 on primary care) – Practice regularly produces and shares reports on performance at both the organization and provider/care team level, including progress over time and how performance compares to goals. Practice has a system in place to assure follow up action where appropriate.
Shared Resources

Quality milestones 7 26 2018 FINAL

Blank Standard Work Document

PDSA Model and Template

Charting Template

The-TCPI-Journey-5-phases-roadmap-v3

 

  1. You can access the recording of the class on Improvement Goals – Milestones 1, 2, 3, and 13 (18) we held on August 17 here.

 

 

  1. You can access the Recording of Staff Engagement – Teamwork & Joy – Milestones 6 and 19 for specialty care and Milestones 6 and 24 for primary care practices held on August 21 here.

 

  1. You can access the recording of Week of August 27th: Identifying Patient Risk and Using Best Practices – Milestones 7, 11 (8, 9, 10, 16) held on August 28 here.

 

Upcoming weekly classes, with milestone numbers (primary care milestones in parentheses):

 

  1. Week of September 3rd: Streamlining Clinical and Office Work – Milestone 22 (27)
  2. Week of September 10th: Person and Family-Centered Care – Milestones 4, 5, 12, 17 (4, 5, 7, 15 and 22 for primary care)
  3. Week of September 17th: Coordinated Care and Population Management – Milestones 8, 9, 10 (11, 12, 13, 14)
  4. Week of September 24th: Business Strategies – Milestones 18, 20, 21 (23, 25, 26)

 Here is the registration link to see future classes:

 https://goo.gl/forms/hFY3j7Pp7sdE1ZcA2

 

Join live classes from your computer: https://zoom.us/j/4200618741.

For audio (if unavailable though your PC) Dial-in: 1-646-558-8656 with meeting id 4200618741

 

View Recorded Web-based Classes on Milestones Here

View Recorded Web-based Classes on Milestones Here

Aug 27, 2018

VCSQI to Hold Web-based “Classes” to Accelerate Your TCPI Progress Through the 5 Phases

To help your practice successfully meet the TCPI milestones, we will hold a series of web-based “classes” over the next several weeks. Each class will address a group of milestones along common themes.  The TCPI Project for primary care clinicians includes 27 milestones and for specialists, 22.  We will repeat each class 3 times during the week to increase the likelihood that practice representatives can attend one of the times. These times were selected based on the results of the poll Sherri sent out to practices on Wednesday, August 1st. Each week we will hold a class on Tuesday at 7 am ET, Tuesday at 5 pm ET, and Friday at 10 am ET. We will present identical content, although the discussion may vary depending on participation of participating practices.

 

Ivan and Sherri will be talking with you about which milestone class may be of particular relevance to your practice (based on your recent milestone scores).

 

  1. You can access the recording of the Quality Improvement class we held on July 11th here

Here is the slide set: Quality milestones 7 26 2018-Class 2- FINAL

  1. You can access the recording of the class on Improvement Goals – Milestones 1, 2, 3, and 13 (18) we held on August 17 here.

Here is the slide set: Quality milestones 7 26 2018-Class 2- FINAL

Here are the 3 job descriptions that we want to thank Options Rehab for sharing that were created over a one-week period that Ivan Berkel references in this webinar related to Milestone 3:

 

  1. You can access the Recording of Staff Engagement – Teamwork & Joy – Milestones 6 and 19 for specialty care and Milestones 6 and 24 for primary care practices held on August 21 here.

Here is the slide set: Staff engagement-teamwork and joy-Class 3 final

 

  1. You can access the recording of Week of August 27th: Identifying Patient Risk and Using Best Practices – Milestones 7, 11 (8, 9, 10, 16) after it is held on August 28 here.

Here is the slide set: Pt risk and best practices-class 4-final

Upcoming weekly classes, with milestone numbers (primary care milestones in parentheses):

 

  1. Week of September 3rd: Streamlining Clinical and Office Work – Milestone 22 (27)
  2. Week of September 10th: Person and Family-Centered Care – Milestones 4, 5, 12, 17 (4, 5, 7, 15 and 22 for primary care)
  3. Week of September 17th: Coordinated Care and Population Management – Milestones 8, 9, 10 (11, 12, 13, 14)
  4. Week of September 24th: Business Strategies – Milestones 18, 20, 21 (23, 25, 26)

 Here is the registration link to see future classes:

 https://goo.gl/forms/hFY3j7Pp7sdE1ZcA2

 

Join live classes from your computer: https://zoom.us/j/4200618741.

For audio (if unavailable though your PC) Dial-in: 1-646-558-8656 with meeting id 4200618741

 

VCSQI SAN 2.0 Person & Family Engagement (PFE) Workgroup on Medication Management

Apr 11, 2018

Wednesday- April 11, 2018 

Bakula Dave, from Heart Care Associates, PC in Hopewell, VA, presents their strategy for engaging patients in weight management. The handout describes the activities and how they gently approach patients to consider and use weight loss strategies. Mrs. Dave shared that family members and caregivers are also using the strategies presented to the patients, check hireamaid.ca. Then Debbie Melnyk shares information and resources on patient self medication management.

PFE workgroup minutes – 04-11-2018

Webinar Recording on YouTube (35 minutes)

Links to Shared Resources:

 http://www.hret.org/quality/projects/resources/creating_medication_safety.pdf

Opioid Pain Management: Expert Presentations March 15, 2018

Apr 3, 2018

View 3 presentations from VCSQI Meeting in Richmond, Va.

Opioid Pain Management: From Practice to Regulation & Back Again, Barbara Allison-Bryan, MD, Va. Dept. of Health Professions

 

 There and Back Again: An Opioid Tale, Marc Huntoon, MD, Virginia Commonwealth University, Director of Pain Management, Orthopaedic and Wellness Center

 

Patient Safety Initiatives & Next Steps for VCSQI, Deborah (Nadzam) Melnyk, PhD, RN, FAAN, VCSQI SAN 2.0 Project Director

 

March 15 – Regulations & Guidelines; Use of Risk Tool; How to Have the Difficult Conversation with a Patient

Mar 21, 2018

From Practice to Regulation and Back Again

Presented by Barbara Allison-Bryan, MD, Virginia Department of Health Professions, and Marc Huntoon, MD, Virginia Commonwealth University Professor of Anesthesiology and Pain Management Specialist at VCSQI March 15, 2018 Quarterly Meeting in Richmond, Va. Includes Virginia’s national leadership efforts to impact prescribing practices and evidence-based pain management practices including “Use of Risk Tool in Assessment” and “How to Have the Difficult Conversation with a Patient.”

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