Meeting Information

SF Asthma Network (SFAN)

Discussed

Might want to survey SFAN participants to get a feel for their interest in being sustained.  Need to discuss amongst ourselves first.  What motivated them to join? (CE’s? day off?

What steps they’ve taken to improve patient care and clinic.

Question of how to engage leadership.  KP grant may help with that.

May want to revisit food options.  Discussed whether Pharmaceutical donations are desirable. 

Space suggestion CPMC Laurel Heights Conference Center on California St.  There is cost for the space.  There is a coffee shop.

Starbucks or Noah’s can donate. 

We need to figure out who everyone’s supervisor is.  Write a letter to Supervisors and ask for release time.

Nan expressed need to really think about the larger picture.

Jennifer Ching, Louie Leyva, Nadine Burke, Nan Madden

Need to keep larger picture in mind

Go through chains of command. Set up individual meetings.

Ultimate target: Medical Directors, head nurse, Mitch Katz

Maria Palazuelos

Albert Yu

David Pepper

Barbara Wismer

Goal: Get commitment to build capacity to provide better asthma care (eventually make a change in their system) by allotting 1-2 Asthma Champions.  Appoint asthma champion and define.

Strategies: Approach one on one meetings

Use data – Meredith from CA Breathing (July) and David Nunez (August) will come to clinical committee meeting.

# of certified asthma educators

Survey – what do they want us to do?  What support could they use? What do you need?  What are your patients’ needs?  Do you feel you have enough time with your patients? What support do you wish you had to ensure your asthma patients are getting the support they need/are complying/understanding their disease/how to care for themselves. Would you prefer to create a structure for yourself or would you prefer to try out a successful model.

Show what’s in it for them (personally, professionally)

Are you connected to the schools/childcare centers of pa

Offer an award.

(Find out what motivates people)

Issues:

Patient Care - What are patients’ experiences?

Need for more PHNs

ATF Clinical committee members (Nan, Gail, Gloria) can

Nan knows how to build a clinic from the bottom up

Kaiser Grant submitted– one year grant to work with 4 clinics and work with top management to improve asthma care.  There is an MPH student willing to work on this grant. 

Ideas:

Clusters of clinic care focus

M. Hoemke suggested cross fertilization/survey of AE-C exam candidates and office managers – could do this as a part of CPMC grant focus groups (why kids were hospitalized for asthma at CPMC, physicians, office managers).

Susan Jansen is doing research on institutional change

Timeline:

Step 1: Send Save the Date to participants.  Contact your supervisor, if you have trouble getting permission please let us know so we can support you to get approval.

Look at master SFAN list, get names and contact of supervisors, send letter to supervisors (Mid-July)

Step 2: ID people who really have institutional support from their sites

Goal- we want to get representation from every site

Keep planning for October 12^th SFAN meeting – look for alternate location

Look back to Oct 18^th, 2005 meeting raking of priority

(AN note: Create an ATF/SFAN fact sheet)

Add office manager focus group to CPMC grant

Continue discussion at next meeting

Gail will find out options for food donations from Pharmacy reps

Gloria will look into Laurel Heights space

Anjali will send master SFAN list by email for everyone to look at to ID sites to have support

Anjali will get Impact DC info to forward on to group.

Anjali: Call SFAN participants to get name/info for supervisors

Anjali: Draft letter to supervisors

Anjali: Send Save the Date to participants

·         May 4^th Network Meeting

·         October 19^th Asthma Network Meeting

SF Asthma Network Newsletter

tabled

·         1^st newsletter released to all SFAEN participants

Required Asthma Coursework for Medical and Nursing Licenses

Should ask David Nunez about this.

Gail felt we need to put more focus on the doctors and do this.

·         Mandatory asthma education for CMEs

Other political issues – universal healthcare

tabled

none

·         Deciding ATF’s role in supporting Universal Healthcare

Funding/Support for ATF initiatives

Tabled

·         Secure additional in-kind and monetary support and commitment to sustain committee initiatives

Measuring Outcomes/Evaluation

Gloria spoke with CA Breathing Epidemiologist who is willing to come to

Discharge and ER and pharmacy data.

Tabled

Gloria will invite Meredith from CA Breathing to speak at July committee meeting

·         Evaluation of effectiveness of a particular committee initiative

Website

SFGH website is up and running

http://www.dph.sf.ca.us/chn/SFGH/PedAsthmaClin/default.htm

tabled

·         ID a host site and start developing website

AE-C Exam Updates

Still have slots for 3-4 exams – new or retakes.  Karen will announce at meeting.

Reminder: Write a letter to those who have taken the exam to acknowledge their time and effort and to get their feedback on the exam.  ATF can forward on recommendations to NAECB in the future.

Reminder: Gail will call NAECB to find out when next iteration of exam will be

·         65 participants trained take the AE-C exam

Announcements

Next meetings:

October 12^th, SFAN Meeting, Location TBD, 8:00am-4:30pm

Committee meeting:  July 23, 2007, City Hall, Room 278, 12-2 p.m.