ClinicalCommittee
2009 2008 2007 2006 San Francisco Asthma Task Force
Clinical Committee Minutes 5/21/07
Attendees: Rowena Tarantino (HPSF), Peg Strub, Gloria Thornton, Karen Cohn, Andrea Crosby, Tiffany Sutter
Guests:
Staff: Krista Ward
Welcome and Introductions –
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Agenda Item
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Agreements
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Tasks next 30 days
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6 month goals
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SF Asthma Network:
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Room:
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Poor lighting and dreary
Pillars difficult for seating
Try classroom seating in future (Reserved for Oct. 12th), perhaps V shape?
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q Peg – check on floor plan for future meeting arrangements
q Anjali – look @ room availability for library basement?
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Food:
$26/person breakfast, lunch and dinner
$5000 used for 2 events
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q Food – frittata or yogurt next time?
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q Peg - Apply for funding for food
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Logistics:
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q Parking stickers for speakers worked out well
q Signs with arrows helpful
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Attendees:
48 people – not necessarily the same people from past.
Success – UC? North East Medical Center?
Could head nurses nominate others to be asthma champion?
Limits to how many from each clinic.
PHNs get education leave.
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Survey revealed people did not like brainstorming session. Why? Wrong people, no lunch break, room too big, not enough framing?
Add brainstorming suggestions to sustainability conversations.
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q Anjali – Are there notes from the brainstorming group? Additional comments from surveys? what % of participants from past events have attended 2+ SFATF events?
q Anjali – Did people express interest in medical/legal partnerships? Report back to Karen
q Committee – brainstorm list of people in power to invite to Oct. 12th.
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Oct. 12th - Break into small groups
Advocate for school nurses.
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Speakers:
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Susan Janson asked what are objectives of task force and noted institutional change is very difficult.
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q Ask Andy for Oct. 12th
q Chris Garvy and Susan Janson may both be on vacation
q Karen - Part II?
q Someone to speak on vocal cord, GERD (SFGH speaker), case management, other topics?
q Gail f/u with Larry Posner from Napa?
q Gail f/u with June Le re: Zolair talk?
q Gail f/u with George Su re: Asthma?
q Gloria f/u with David Nunez: Systems change, dx under five?
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Kaiser Local Community Benefit Grant Application:
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p. 5 Missing information needed. Qualification sheet from Karen needs approval. (see handout)
Grant will allow funding for on site trainings.
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q Per funding approval, ask Mindy Benson & Elizabeth Edwards to Oct. 12th?
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Resources:
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Content -> Sustainability. When?
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Website: SFATF Site – now published
800 hits past year
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Karen has been trained and we should be able to maintain without webmaster. Only city employees can modify site.
Goal: link existing resources & patients to clinicians.
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q Anjali - F/u with Karen re: original SFATF web design from last year.
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Print: Clinical Housing Resource Guide
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All resources should be checked with supervisors –
Difficult to meet promises.
Need different resource guide for various clinical setting needs
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What part of system will direct adults with asthma to care?
Where in health access system will people receive asthma education?
Will E.D.s commit to handing out A, B and C resources to each patient with asthma after the SFATF sunsets?
HEDIS (Health Plan Employer Data Info. Systems) - Evaluations help implement?
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Give to Health Commission notes on what has been learned re: need for systems change, barriers for implementation, and future recommendations
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Phone:
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Maternal Health Child Line?
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AE-C update
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2 additional spots
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Required Asthma Coursework
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Peg has talked to David N. On hold because initial reaction negative.
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Stakeholder Interviews:
Interview and/or report card?
Here’s where we are going, do you want to self-access?
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· Lara Sallee – Kaiser Community Benefits Manager
· Gail (SFATF)
· Gene O’Connel (Head of SFGH) –Who would she recommend we talk to?
· Payam Nahad – (Head of Chest Clinic SFGH)
· Janet Diez (SFGH ICU head)
· Shirley Manley –Lampkin (RN, PhD, CPMC Community Benefits Manager)
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Report card for people to self-assess care at their own institution (analyze standard of care and sustainability of system)
Model after Parks and Rec & Adolescent Health Working Group (Rowena)
See Questions below…
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CPMC hospital – adult asthma classes well attended. CPMC process; ER -> Private physicians -> Health Resource Center
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Karen received call and they are interested in supporting SFATF
Next step for connecting with CPMC? $25,000 grant for asthma.
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q Give CPMC budget & Events needing sponsorship before Dec & Event Calendar
q Contact: Virgina McGowan – organizes asthma adult group classes (physician led)
q Contact: Dr. Allan Pont – Chief of Medical Services at CPMC (contact through Shirly)
q Contact: Martin Brotman (CEO)
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Announcements:
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Tiffany changing job positions - last meeting
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Involve Tiffany’s replacement in 1-2 months. Community Health Resource Center
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Tabled Items:
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· Universal Health Care
· Measuring Outcomes/ Evaluation
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Next Meeting
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Peg will not be present
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Report card possible questions….
· What do they do after someone is admitted to ER?
· Do you know which patients have asthma? How are they identified?
· How do your patients get spacers, peakflow meters?
· What % get spirometry?
· Is there a feedback mechanism for providers to see if pts have picked up medications?
· ER info
· Drug info
· Who is teaching asthma in hospital and ER and what is Grade?
· What discharge plan do we give people with asthma?
· How are your providers taught about asthma and how are they given updates?
· Any f/u for provider edu?
· Any CME requirements for asthma?
· How are nurses and educators taught about asthma and updated?
· Who is evaluating medication use?
· Where do they go? What is grade for f/u?
· Are patients’ QOL evaluated?
· Is there chart review for pts with asthma (action plan, immunization record, etc)?
· Quality measures for new pts with asthma? What will they receive – especially edu?
· Any staff designated for asthma edu?
· Who would you give report card to? Hospital council, CEOs, DPH. Top down from hospital council.
