West Cluster Meeting Notes 7/1/09

Present: Kelly Walsh, Sarah Philp, Shannon Jewell, Sherrie Elmer, Jason Mateo, Star Morales, Ashley Lindell, Doug Knopp

Outreach; brief discussion on who is working on what this week…each of the flow staff is getting about ½ day every 1-2 weeks.

Cluster Social Gathering? Okay for a Friday in August? Email Kelly with dates that will not work for us.

Welcome, Shannon! Shannon discussed how she puts in medication refills and lab orders and documents in chart if she contacts patient. She states there is not so much Chronic Care Outreach being referred to her by the West Cluster yet. (See handout under Clinical Pharmacist Expectations).

Welcome Sherrie! Chronic Disease management; Sherrie explained how patients referred to RN’s work. These are patients referred for narrowed diagnoses (see handout under Family Practice RN expectations) and are followed for up to three months. When finished, these patients are warm transferred back to providers.

Voting for Flow Staff lead: Esma, Star and Jason all interested. We still need to decide whether this will be a rotating position (about every 6 months) or permanent position. Becky was working on developing a job description but we do not have it yet. It is hard to vote on this when we do not have a clear picture of what the job entails. Some people did not want to vote until we have the job description. Star brought up it would be helpful for the cluster to have each person's resume to review to help in decision making process. Each person interested will email the cluster their resume with an introductory paragraph of why they are interested in the position and then we can vote at the next meeting if the job description is provided.

Hedis- Flow staff pretty much caught up on Cancer screenings. Will add diabetes; Shannon states by the time the patient name is on the list, Pharmacy has already sent them two letters; so a phone call may work better. HTN- Wellesley already has a letter which we can send to patients asking them to come to the RN class. Star will contact him to get this and email to West Cluster before the next meeting. There are also two separate blood pressure goals for patients; diabetic and plain hypertensive.

Ashley brought her pre-visit dot phrase for labs; she will add no gum, gargling or mints to it and send to each of us.

Flow staff left at 1:40.