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28 Participants RSVPed so far
Peg is trying to coordinate CMEs and needs everyone speaking to
Suggested that Susan Janson, adult NP from UCS, PhD in Nursing, be included in these efforts
Suggested specific talking points for speakers:
Opening statement:
Reinforce the fact that this is about sharing what’s going on now, we know we all face challenges in our systems and experience successes. You have to make your system yours and not wait for others or higher ups to make the change. Even if you just show someone how to use a spacer/peak flow you are doing a tremendous amount. This is the beginning and we hope that we can continue to work together…
*Elements of the chronic care model
Helping them understand their asthma management
Proactive identification
Cost-effective
5 diseases causes majority of hospitalizations and ER visits - asthma, hipertention, COPD, CHF, Asthma
Both health plans have resources for bed covers etc.
*Sharon Youmans – Serevent controversy,
*Andi Marmor – suggested talking points:
Restrictive vs. obstructive disease
Purpose of spirometry, why promote it? Why useful? What does it tell you?
Interpreting results – what each volume means – curves, ratios
Practical Tips & Tools from the Field
*Kaiser Permanente (Peg)
-ACT form
-Data-driven
-medication refill
*SF General Hospital Pediatric Asthma Clinic (Nan)
- Pharmacy sheet
- Database copy/Intake form
-Talk about how clinic works – what happens during a visit and what they are offered. Mattress covers
*Tom Waddell (Gail)
-How Gail captures ER visits, links with the ER
-working with special needs population
-practical aspect of doing spirometry; trainings from the vendor
*Blue Cross State Sponsored Programs (Gloria)
-Labeling charts with color coded stickers
-Asthma progress note
-small steps to improve process of care
-3 things
* SFUSD Asthma Emergency Care Plans (Marie) - -pre-K-12
- set up setting
*Q&A and Open Sharing of Tips and Tools (Peg)
-What could you do to capture high utilizers?
-Cards for Questions
Brainstorming: Groups of 5 or 6 or stay in big group
Type up and print brainstorm
Commitment handout – each individual
Handouts:
SFGH Encounter forms (Nan)
Asthma Insurance forms (Nan)
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