3/23/09 North Cluster Minutes

Discussion CLUSTER MEETING GOALS/OBJECTIVES

The cluster meetings are pivotal in the success of our Medical Home Model.

The goals set forth for the clusters are very specific and straight forward.

1) create the highest level of teamwork possible

2) create the best cluster/clinic in regards to:

HEDIS scores,
wound closure rates
application rates for pediatric dental varnish, usage rates for the AVS, chronic condition coding


-Discussion on item #1:

1) focus on off loading our nurses, a priority of the MD retreat. Nurses feel providers are doing better on the number of result notes being sent to the inboxes, and providers doing better at batching those notes. this is helpful and appreciated. Keep it up!

2) Using the dot system consistently helps smooth cross coverage of providers, thus helping the team function together.

3) Use the yellow patient discharge sheets helps the team flow patients better. Patients know where they need to go, nurses can help direct and core/lab are better informed of providers intentions.
A suggestion was made that those sheets be kept inside the red folders to help remind patients to keep them out (and not fold up and put in purse/pocket)

4) consider a 1/2 day retreat for the North cluster once we have both Emily and Caulda on board, maybe sometime in the fall, to help team build and shape our focus

Discussion on item #2
1) try to get weekly numbers on fluoride usage
2) try to get weekly numbers on AVS usage
2) pick several Hedis measures to start focusing on. Items suggested at today's meeting included:

-PAP
-Colon cancer screening
-6 month pediatric vaccinations
-Mammograms
-HTN

3) Chronic condition coding
we will need to look into how to approach improving in this arena

4) wound closure rates
see how I can get numbers on our patients with open wounds, how do we track/follow?


SCHEDULE CHANGES

Emily Chao(pediatrician starting in August) and Caulda (starting April 27th) will be working M-Th , both will have Fridays off Ted (starting May 4th) will be Tuesday through Friday with Mondays off.

The only change this will require is in support staff coverage for Ted on Tuesday afternoons if Lakisha can not change her schedule. We have enough MA's in the afternoon so either way that should not be a problem.

OFFICE CHANGES

Office change has been completed with phones transferred over. Diane is at Shiji's desk, Nill is working up front with Lynn, and Anna at the MA's office.

We need to confirm that this will work with Emily when she arrives, realizing this is a temporary solution till we are in our new building.

there will be an additional computer/desk set up next to Emily's desk if we have student overflow.

We are working with East cluster on our high volume days which are Tuesday mornings (5 providers in) and Monday AM and Wednesday PM with 4 providers.

TIME OFF UPDATES

in order to better coordinate our cluster staffing and ensure there is adequate coverage and no 'surprises' we will try and get updates at least two weeks in advance for small 1-2 day abscences and more lead for longer 'vacations'.
encourage everyone put days out on big calandar behind Anna's desk

Wednesday 3/25 Diane is out all day for AP2 program (associates program mandatory for new GHP hires) no other abscences noted for April.
Jason out first two weeks in May


OTHER AGENDA ITEMS
no other agenda items brought up at meeting.