East Cluster Team Meeting Minutes

East Cluster Team Meeting Minutes
November 12, 2008
Attending: Butler, Chapman, Dolan, Meier, Rogers, Teurn

Another outstanding meeting!

Flow-staff support:

Check in about flow (standing agenda item):

• Overall, flow appears to be going very well!
• There are occasionally back ups in the vitals room, mild.
• Becky has ordered a new auto blood pressure system, not sure when it will arrive

From the suggestion box:

• If patient refusing medication, should it be discontinued? Yes
• Should vitamins, herbs, supplements all be documented in the med list? Yes, but if the medication does not seem straightforward to enter, it is fine to have the provider do this.
• Patients should take their things with them when going to lab/CORE/xray if returning to cluster afterward; this frees up the room for better flow. There was no disagreement about this, though it is not always clear which room they should return.
  

Pursuing Quality

Review of recent successes and challenges:

• The alphabetized list!! This is a fantastic innovation by Barb to capture patients on the HEDIS list. Barb scans the alphabetized list daily to find patients who are coming in for a visit that day. This ensures that we maximize the value of every patient contact.

We discussed ways to standardize the flow of quality work that are nursing staff is doing around HEDIS measures. A good standard flow would go as follows:

• Telephone encounters should include HEDIS in the title
• Use Katie’s dot phrase to list all current HEDIS deficiencies in the telephone encounter
• Route the telephone encounter to the PCP
• Leave the telephone encounter or open if you are unable to contact the patient, make only two attempts to contact the patient by telephone, and send a letter enclosed telephone encounter

Our new quality numbers are posted on the East cluster bulletin board:

• AVS is 98% for the cluster!
• first call resolution continues to be successful
• we are making progress on her HEDIS measures