North Cluster meeting minutes 1/26/09

New to do:
Liz: print and stock rooms with home BP monitor DME forms
Liz: print out March templates to look at timing of visits and phone visits
Nurses: lay out BP cards if BP's higher than target, work on pap exception reports
Providers: special attention to BP's, encourage home BP self monitoring and provide DME benefits form

Present: Anna, Christine, Jason, Lakisha, Liz, Mark, Ted
Absent: Becky, Diane, Lynn, Shiji

1. PCAC (centralized appointing) going live TODAY. Pt's will still call same number (901-2400), but phones will be answered centrally (they will still answer and say "BRN medical center." If we want to call, the back line number is 600-8724 (FP) and 600-8728 (Peds), and you will jump to the top of the queue immediately. The PCAC will schedule all appts up to the day of, as long as there are appts available.

If there is any feedback that you need to provide to the PCAC pool, please staff message the pools: "p pcac." Please choose either "PCAC SOUTH FP APPT FEEDBACK" or "PCAC SOUTH PEDS APPT FEEDBACK". In the body of the message, use the .apptfeedback smartphrase:
CSR: .mrn
Name: .name
Date of concern: ***
Description of concern: ***
Request for resolution/opportunity for improvement: ***

2. DME - BP monitor benefits. I passed out a double sided form today that we will start stocking in all rooms. It has a form to be completed to allow for partial coverage of a BP monitor (50-80%) for most patients. The other side has a BP monitor from the Take Care Store recommended by Shannon. Links are below, if you want to see them. Liz is going to make lots of copies and stock them in all the rooms. Patients can fill most out on their own. Docs can fill them out if they want. Nurses may be asked to do some too. Just be aware of it. It will help us provide better care for our patients (by having a home monitor) and save the pt quite a bit of money.

DME benefit for for home BP monitor:
http://incontext.ghc.org/rx/ops/documents/takecare_order.pdf

Popular home BP monitor at the Take Care Store
http://www.take-care.com/medi/712Com.html

3. Pap exception reports. Instructions for 2 step process to remove pts from pap lists (HEDIS and BPA's). This would be a nice thing to concentrate on since we would like to improve HEDIS measures without having to call pts in for right now (since access is poor). Nurses will work on this for now. I figured out a way to make a list, so will share that at next meeting depending on how Liz finds it.

http://incontext.ghc.org/quality_informatics/qie/strategies/cervical_ca_hm_bpa.pdf