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

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 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 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).
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
The-TCPI-Journey-5-phases-roadmap-v3
- 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):
- Week of September 3rd: Streamlining Clinical and Office Work – Milestone 22 (27)
- Week of September 10th: Person and Family-Centered Care – Milestones 4, 5, 12, 17 (4, 5, 7, 15 and 22 for primary care)
- Week of September 17th: Coordinated Care and Population Management – Milestones 8, 9, 10 (11, 12, 13, 14)
- 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
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).
Here is the slide set: Quality milestones 7 26 2018-Class 2- FINAL
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:
Here is the slide set: Staff engagement-teamwork and joy-Class 3 final
Here is the slide set: Pt risk and best practices-class 4-final
Upcoming weekly classes, with milestone numbers (primary care milestones in parentheses):
- Week of September 3rd: Streamlining Clinical and Office Work – Milestone 22 (27)
- Week of September 10th: Person and Family-Centered Care – Milestones 4, 5, 12, 17 (4, 5, 7, 15 and 22 for primary care)
- Week of September 17th: Coordinated Care and Population Management – Milestones 8, 9, 10 (11, 12, 13, 14)
- 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

Opioid Workgroup June 28, 2018 – New Laws & Regulations, Prescribing Practices Reports by Participants

VCSQI SAN 2.0 Opioid Management Workgroup – May 24, 2018
This workgroup discussion reviews survey results of practices which prescribe opioids and recommendations for actions to take to address the opioid misuse epidemic.
Recording of Workgroup Call:

VCSQI SAN 2.0 Opioid Management Workgroup – April 26, 2018
Discussion of Use of Patient & Provider Opioid Agreements/Contracts

SamplePrescriberPatientAgreementOpioidTreatmentForNonCancerPain
VCSQI SAN 2.0 Person & Family Engagement (PFE) Workgroup on Medication Management
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
- https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartbrochure.pdf
- http://rarereadmissions.org/areas/dischargeprep.html
- http://health.mo.gov/seniors/hcbs/pdf/medmgmtnurseenrichment.pdf
- http://communicatingwithpatients.com/articles/teaching_about_meds.html
- Patient reminder app: https://medisafe.com
- Youtube Resources – you may see something useful here https://www.youtube.com/results?search_query=medication+management
Opioid Pain Management: Expert Presentations March 15, 2018
View 3 presentations from VCSQI Meeting in Richmond, Va.

March 15 – Regulations & Guidelines; Use of Risk Tool; How to Have the Difficult Conversation with a Patient
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.”
- There and Back Again- An Opioid Tale
- Opioid Regulations DHP
- OMW- 03-22-2018-Minutes-
- OpioidRiskTool
- TCPI Opioid story template
- YouTube Recording of Workgroup Call