North Cluster Notes June 23, 2009

CLUSTER OBJECTIVES
Quality improvement
Team building

KUDOS
-Thanks from Lakisha to Ted for staying on time, has helped her!
-Thanks to all for covering Diane during my absence
- thanks to all for being flexible with all these changes that we are working on toward reaching medical home!

TEAM BUILDING

Lead MA role, Becky wanting contact person- Staff to talk amongst themselves and get back to team next week with:
1) who
2) if rotating position
Becky to let them know rough job description and pay adjustment.

What makes a good day:
1)predictability – Liz with MA schedule doing well
2) good/easy communication sign out to Star before leaving, can leave message on her voice mail or email her
3) timeliness of providers. Doing better!

QUALITY IMPROVEMENT PROJECTS

1) Outreach
Put on hold PAP/colon cancer outreach till details flushed out and MA’s have more time, focus/priority on figuring out access and chronic care

2) Medication reconciliation: adopt July 7th any
-sugestion to check snap shot for duplicates and erase
-try use of .revami as a dot phrase in nursing not where discrepancies can be noted (especially OTC/meds not listed)
-ask about inhalers/vitamins/eyedrops/otc meds as well

3) Cluster board: goal to simplify- agreed to 4 reports for now:
-‘huddle’ time(required by admin)
-chronic care use-(required by admin) providers agree to work on emailing cc of chart where used to save staff from double work Goal of 3/week by each provider
-cluster satisfaction(see attached form to help create)
-avs