scholarly journals CATCH-ON Age-Friendly Health System Implementation Across Varied Geographic and System Settings

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 729-730
Author(s):  
Erin Emery-Tiburcio ◽  
Robyn Golden ◽  
Michelle Newman
Keyword(s):  
Primary Care ◽  
Learning Community ◽  
Health Systems ◽  
Clinical Training ◽  
Medical Center ◽  
Lessons Learned ◽  
Team Members ◽  
Primary Care Health ◽  
Care Systems ◽  
Health Communities

Abstract GWEP program goals include transformation of clinical training environments into integrated geriatrics and primary care systems to become Age-Friendly Health Systems. CATCH-ON, the collaborative GWEP led by Rush University Medical Center, is working with primary care health systems in four highly varied geographic and system settings to achieve this goal. Each of these clinic systems has unique successes and challenges in developing and implementing workflow protocols; engaging providers, patients, families, and community-based organizations in the development of Age-Friendly Health Communities; and modifying the electronic health record to document assessing and acting on 4Ms. Clinic team members participate in monthly Learning Community sessions to learn about and reinforce the 4Ms, along with practical recommendations for implementing with patients. This session will focus on CATCH-ON’s process for implementing the 4Ms in various practice settings, lessons learned in implementation across large and small health systems, and opportunities to bridge AFHS with the community.

scholarly journals IMPLEMENTING THE 4MS IN PRIMARY CARE: BUILDING AN AGE-FRIENDLY HEALTH SYSTEM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S769-S769
Author(s):  
Ellen Flaherty ◽  
Terry Fulmer
Keyword(s):  
Primary Care ◽  
Health System ◽  
Health Systems ◽  
Clinical Training ◽  
Care Management ◽  
Transitional Care ◽  
Transfer Model ◽  
Term Care ◽  
Care Systems ◽  
Care Improvement

Abstract The Age Friendly Health Systems initiative is a culture change movement funded by the John A. Hartford Foundation in collaboration with the Institute for Health Care Improvement. Transforming clinical training environments into integrated geriatrics and primary care systems to become Age-Friendly Health Systems must incorporate the principles of value-based care and alternative-payment models. This symposium will discuss how the implementation of the Geriatric Interprofessional Team Transformation in Primary Care (GITT-PC) model and the Reducing Avoidable Facility Transfer Model (RAFT) in primary care will improve patient outcomes focused on the 4M’s of the Age Friendly Health System. The success of the GITT-PC model focuses on 4 Medicare reimbursable services including the Annual Wellness Visit, Transitional Care Management, Chronic Care Management and Advance Care Planning. The RAFT model focuses on What Matters Most to residents of long term care facilities and reduces ED visits and hospital transfers through elicitation of goals of care and 24 hour virtual support from an interprofessional geriatric team.

scholarly journals The COVID Army: Experiences from the Deployment of Non-Hospitalist Physician Volunteers during the 2020 COVID Pandemic

2021 ◽  
pp. 1-15
Author(s):  
Kevin Hauck ◽  
Katherine Hochman ◽  
Mark Pochapin ◽  
Sondra Zabar ◽  
Jeffrey A Wilhite ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Medical Center ◽  
The United States ◽  
Lessons Learned ◽  
Front Line ◽  
Clinical Leadership ◽  
Team Members ◽  
Medical Centers ◽  
Hospitalist Physician

Abstract Objective New York City was the epicenter of the outbreak of the 2020 COVID-19 pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army”, consisting of non-hospitalist physicians, to meet the needs of this patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods In order to assess the experiences and perceived readiness of these physicians (n=183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined in order to develop results. Results Responses highlighted varying experiences and attitudes of our front-line physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to: (1) provide orientations, (2) clarify roles/ workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions Lessons from our deployment and assessment are scalable at other institutions.

scholarly journals Integration of an Academic Medical Center and a Large Health System: Implications for Pharmacy

2019 ◽  
Vol 54 (3) ◽  
pp. 170-174
Author(s):  
Brian L. Erstad ◽  
Tina Aramaki ◽  
Kurt Weibel
Keyword(s):  
Health System ◽  
Health Systems ◽  
Integration Method ◽  
Medical Center ◽  
Academic Medical Center ◽  
Lessons Learned ◽  
Faculty Members ◽  
Pharmacy Services ◽  
Academic Medical ◽  
High Level

Objective: To provide lessons learned for colleges of pharmacy and large health systems that are contemplating or in the process of undergoing integration. Method: This report describes the merger of an academic medical center and large health system with a focus on the implications of the merger for pharmacy from the perspectives of both a college of pharmacy and a health system’s pharmacy services. Results: Overarching pharmacy issues to consider include having an administrator from the college of pharmacy directly involved in the merger negotiation discussions, having at least one high-level administrator from the college of pharmacy and one high-level pharmacy administrator from the health system involved in ongoing discussions about implications of the merger and changes that are likely to affect teaching, research, and clinical service activities, having focused discussions between college and health system pharmacy administrators on the implications of the merger on experiential and research-related activities, and anticipating concerns by clinical faculty members affected by the merger. Conclusion: The integration of a college of pharmacy and a large health system during the acquisition of an academic medical center can be challenging for both organizations, but appropriate pre- and post-merger discussions between college and health system pharmacy administrators that include a strategic planning component can assuage concerns and problems that are likely to arise, increasing the likelihood of a mutually beneficial collaboration.

scholarly journals CATCH-ON Educational Interventions for Providers, Older Adults, and Caregivers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 497-497
Author(s):  
Erin Emery-Tiburcio ◽  
Robyn Golden ◽  
Michelle Newman
Keyword(s):  
Older Adults ◽  
Learning Community ◽  
Small Groups ◽  
Medical Center ◽  
Educational Interventions ◽  
Lessons Learned ◽  
Healthcare Team ◽  
Community Based ◽  
Community Based Organizations ◽  
Practical Recommendations

Abstract CATCH-ON, the collaborative GWEP led by Rush University Medical Center, is working to create Age-Friendly Communities by assuring that health systems, community-based organizations, and older adults and families are educated about the 4Ms. For providers, CATCH-ON offers a monthly Learning Community that focuses on one of the 4Ms each quarter. Each session provides practical recommendations for 4Ms implementation and opportunities to share experiences in small groups. CATCH-ON also partnered with Community Catalyst, older adults, and caregivers to develop a 4Ms educational brochure. The brochure is available electronically and by paper to educate older adults and caregivers about the 4Ms and discussing them with their healthcare team. Additionally, CATCH-ON created 4M online modules for older adults and families. This session will explore the success and lessons learned in developing educational interventions for diverse audiences and how this approach strengthens Age-Friendly Communities.

Case Study: Challenges, Successes and Lessons Learned from Implementing Computerized Physician Order Entry (CPOE) at Two Distinct Health Systems: Implications of CPOE on the Pharmacy and the Medication-Use Process

2005 ◽  
Vol 40 (5) ◽  
pp. 420-429 ◽  
Author(s):  
John Manzo ◽  
Mark J. Sinnett ◽  
Frank Sosnowski ◽  
Robert Begliomini ◽  
Jill Green ◽  
...  
Keyword(s):  
Health Systems ◽  
Medical Center ◽  
Medication Management ◽  
Lessons Learned ◽  
Medication Cost ◽  
Computerized Physician Order Entry ◽  
Management Process ◽  
Order Entry ◽  
Physician Order Entry

The purpose of this case study is to provide an understanding of the divergent experiences, challenges, and successes associated with implementing Computerized Physician Order Entry (CPOE) at two distinct health systems utilizing the same software vendor. Pharmacy leaders at Lehigh Valley Hospital and Health Network in Allentown, PA and Montefiore Medical Center in the Bronx, NY describe the various strategies deployed for CPOE planning and implementation, the outcomes and impacts of CPOE implementation, and valuable experience. Improvements and efficiencies in the medication management process and time savings will be described. Additionally, reductions in medication prescribing errors and enhancements in medication cost savings secondary to improved medication utilization are delineated. The authors conclude that while the challenges associated with planning and implementing CPOE for medication management and its impact on the pharmacy are great, pharmacist involvement early in the strategic planning is vital to ensure a successful and safer electronic medication management process.

Enhancing Pediatricians’ Behavioral Health Competencies Through Child Psychiatry Consultation and Education

2017 ◽  
Vol 57 (8) ◽  
pp. 958-969 ◽  
Author(s):  
Heather J. Walter ◽  
Gina Kackloudis ◽  
Emily K. Trudell ◽  
Louis Vernacchio ◽  
Jonas Bromberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Learning Community ◽  
Behavioral Health ◽  
Self Efficacy ◽  
Large Scale ◽  
Medical Center ◽  
Academic Medical Center ◽  
Child And Adolescent Psychiatry ◽  
Academic Medical ◽  
Primary Care Practitioners

The objective of this study was to assess feasibility, utilization, perceived value, and targeted behavioral health (BH) treatment self-efficacy associated with a collaborative child and adolescent psychiatry (CAP) consultation and BH education program for pediatric primary care practitioners (PCPs). Eighty-one PCPs from 41 member practices of a statewide pediatric practice association affiliated with an academic medical center participated in a program comprising on-demand telephonic CAP consultation supported by an extensive BH learning community. Findings after 2 years of implementation suggest that the program was feasible for large-scale implementation, was highly utilized and valued by PCPs, and was attributed by PCPs with enhancing their BH treatment self-efficacy and the quality of their BH care. After participation in the program, nearly all PCPs believed that mild to moderate presentations of common BH problems can be effectively managed in the primary care setting, and PCP consultation utilization was congruent with that belief.

An Analysis of the Sustainability of a Collaborative Care Program Used to Deliver Integrated Mental Health Care Within a Micronesian Island State

2021 ◽  
pp. 101053952110208
Author(s):  
Sara A. Haack ◽  
Caitlin Engelhard ◽  
Tiffinie Kiyota ◽  
Tholman Ph. Alik
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Collaborative Care ◽  
Care Program ◽  
Lessons Learned ◽  
Federated States Of Micronesia ◽  
Team Members ◽  
International Partnership

Adequate access to mental health care is a global problem, including in the Federated States of Micronesia (FSM). The Collaborative Care Model (CoCM) offers an opportunity to deliver improved access to mental health services in primary care centers, and key factors to program sustainability have been investigated in high-income country settings. This study’s objective was to evaluate how well factors associated with sustainability have been incorporated into a CoCM in Kosrae, Federated States of Micronesia. The Kosraean CoCM’s strengths included its supportive leadership, team member training, and having a strong care manager and engaged primary care provider champion. Opportunities for growth included further development of its financial viability, information technology systems, change readiness, and operational procedures. Our program found that having a stable and invested staff and leveraging its current strengths were important to its viability. In an international partnership, it is also critical to develop strong relationships among team members and to have stable internet connectivity to facilitate regular communication. These lessons learned can be applicable to other integrated care programs in similar Pacific Island countries.

scholarly journals Delivering Care to High-Cost High-Need Patients: Lessons Learned in the Development of a Complex Care Primary Care Team

2021 ◽  
Vol 12 ◽  
pp. 215013272110238
Author(s):  
Deborah L. Pestka ◽  
Nicole L. Paterson ◽  
Katarzyna A. Benedict ◽  
Donovan D. Williams ◽  
Beth A. Shellenbarger ◽  
...  
Keyword(s):  
Primary Care ◽  
Lessons Learned ◽  
Care Team ◽  
Primary Care Team ◽  
Complex Care ◽  
Ongoing Research ◽  
Team Members ◽  
Complex Patients ◽  
Challenges And Opportunities ◽  
Care Costs

As part of a population health-focused primary care transformation, in 2019 a health system in Minnesota developed a primary care team to exclusively care for high-cost high-need patients. Through its development and implementation, the team has discovered several key lessons in delivering care to complex patients. These lessons include the benefits of more integrative team-based care, the need and advantages of designated complex care team members, the importance of teamwork both within and outside of the complex care team, the need for frequent communication, and the importance of identifying mental health needs. In addition, there are several areas that require ongoing research and exploration, such as determining when a patient is able to graduate out of the program, how to enhance access to the complex care team, determining appropriate visit characteristics, and model feasibility. While addressing the needs of high cost high need patients is essential to improving quality of care and decreasing health care costs, there are several unique challenges and opportunities that come with caring for this patient population. Although this highly integrated model of care continues to evolve, the initial lessons learned may inform other health systems and care teams undertaking the care of complex patients.

scholarly journals Vanderbilt Health Affiliated Network Statin Outreach Service

2020 ◽  
Author(s):  
Christopher Terry ◽  
Erin B. Neal ◽  
Katelynn Daly ◽  
Donna Skupien ◽  
Michelle L. Griffith
Keyword(s):  
Primary Care ◽  
Health Systems ◽  
Medical Center ◽  
Tertiary Care ◽  
Primary Care Providers ◽  
Care Group ◽  
Care Providers ◽  
Physician Practices ◽  
Outreach Service ◽  
Academic Center

The Vanderbilt Health Affiliated Network (VHAN) is a collaborative alliance of physicians, health systems, and employers driving a new level of clinical innovation and teamwork to enhance patient care, contain costs, and improve the health of communities in Tennessee and surrounding states. The network includes more than 5,000 clinicians, 60 hospitals, 12 health systems, and hundreds of physician practices and clinics who work together to strengthen communities and improve quality of life across the Southeast through better health. The statin outreach service was piloted in one VHAN practice, the Vanderbilt Medical Group, a large primary care group at Vanderbilt University Medical Center (VUMC). VUMC is a tertiary care academic center. VUMC primary care providers (PCPs) are located in several practice locations, and one location was chosen to pilot this intervention. The PCPs included internal medicine residents and attending physicians. Before this project, there was no clinical pharmacy presence in this practice.

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