Learning Session Wrap-Up

Please Note:

Webcasts: (unless otherwise noted) are lectures that have been recorded and archived as a presentation with audio and PPT slides, handouts are available to help the learner follow along and take notes. They are generally 1 Prescribed credit and available for 1 year.
Monographs: are standalone articles or articles published in the PAFP member magazine. They are generally 1-2 Prescribed credits and available for 1 year.

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The Pennsylvania Academy of Family Physicians

November 2011

Lessons for Practices Everywhere
The Residency Program Collaborative might be open to just family medicine and internal medicine residency programs and community health centers, but that doesn’t mean you can’t benefit from their work! Lectures from the collaborative are mirrored at PAFP CME conferences – look for diabetes, IVD and patient-centered medical home lectures at Breakaways and the summer Escape. Lectures are also archived as CME webcasts so you can follow along. On November 9th, about 150 health care professionals, including physicians, residents and nonproviders, met in southwest Pennsylvania to continue learning from expert faculty and each other about transforming their practices into patient-centered medical homes using the Chronic Care Model. They use this education to guide their improvement work and it shows in the data they collect on patients with diabetes and IVD.
Tweets from the Residency Program Collaborative Lectures
		RPC1 teams report improvement in PCMH function since the collaborative began in June 2010. Teams self-analyze issues such as leadership and practice climate.
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Excellent work! Stay on goal! <!--EndFragment-->
		Documented eye exams have moved from 10% up to 40% - a huge improvement that insurance plans love. <!--EndFragment-->
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Simple – try it!
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They don’t have an EHR so the patient gets a copy and a yellow-colored copy (to differentiate from the SOAP note) goes in the chart.
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Penn re-organized the fridge where they store VFC vaccines and it shaved off nearly 3 minutes from the time it takes the nurse to give an immunization. Wow… <!--EndFragment-->
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Two recent changes: take BP after the patient can sit for a while in the exam room (at the end of the nurse interaction) and pushing providers to repeat BPs not at goal.
		BP improvement nugget from York: F – f/u \| R – repeat BP \| E – educate pts and providers about repeat BP \| D – drugs <!--EndFragment-->
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		You’re probably already in P4P programs that provide payment for better coordination and management of patients with chronic disease.
		Dr. Hermansen just shared that transparency in compliance drives competition among docs and increased Lancaster’s preventive screenings.
		Dr. Neill just told us that 90% of people who had bypass surgery don’t change their lifestyle – that’s how hard patient self-management is.
		Dr. Neill added that fear, facts, force don’t make people change. Instead help patients to create that new vision of who they need to be.

Online CME: Quality Improvement, Chronic Care Model, PCMH
NEW! CME article in the new Keystone Physician – Accelerating Change: Best Practices for Continuous Quality Improvement. 1 Prescribed credit. The latest in our series of CME activities on improving care using the Chronic Care Model and PDSA cycles. More CME like this at www.pafp.com/OnlineCME and http://www.pafp.com/pafpcom.aspx?id=344. Titles: • Introduction to the Chronic Care Model • PDSAs: the Heart of Quality Improvement • Introduction to the PCMH • 2011 NCQA PCMH Recognition Process & Guidelines • The Roles of Non-Clinical Staff • Innovations in Clinical Information Systems & Decision Support to Achieve Success • The ABCs of Diabetes • Early Detection & Treatment of PAD in Primary Care

Watch for These CME Webcasts - Coming Soon!
• Designing Winning ‘Transitions of Care’ Processes • Transitions of Care: Practice Experience • Care Management: Supporting Your High Risk Population • How to Recognize Data Inconsistencies and How to Use Data to Improve • Self-Management Support • Referral and Test Tracking: Developing a System • Risk Reduction Strategies in Ischemic Stroke • Transforming Diabetes Care • Transitional Care

Participants Love It - You Will Too!
“The meeting was far more interesting and educational than I anticipated. It was not dry data review, EMR utilization, or the meaning of meaningful use. Excellent speakers, interesting and immediately useful information to improve patient care and better my teaching of residents. “The PAFP (CME conference) going on at the same time looked great. I always underestimate the state organizations such as the PAFP and all the work they do for us, including CME events. I plan on attending future PAFP CME events. “They are as well done as the national events that are heavily advertised to us.”

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