Adult Immunizations Best Practices Collaborative. Group 3 Orientation Webinar August 10, 2017

Transcription

1 Adult Immunizations Best Practices Collaborative Group 3 Orientation Webinar August 10, 2017

2 Welcome to Group 3 participating organizations! 2

3 Program Collaborators 3

4 Agenda Welcome AMGA/AMGA Foundation Overview Advisors and Participating Organizations Collaborative Overview Framework and Action Plans Measurement and Reporting Next Steps Questions Program Contacts 4

5 AMGA & AMGA Foundation Overview

6 6

7 AMGA Corporate Family AMGA AMGA Foundation AMGA Consulting AMGA Analytics, LLC AMGA Corporation CAPP 7

8 Who participates in AMGA? Approximately 440 Medical Groups with more than 175,000 physicians, including: 8

9 An Indispensable Partner Advocate Educate Innovate Empower 9

10 AMGA Foundation AMGA Foundation enables medical groups and other organized systems of care to consistently improve health and health care. AMGA Foundation is AMGA s 501 (c)(3) affiliate 10

11 AMGA Foundation Initiatives Acclaim Award Chronic Care Challenge Best Practices Collaboratives

12 Advisors and Participating Organizations

13 Advisory Committee O.T. Adcock, Jr., MD Family Medicine Provider and Associate Medical Director Service Line Chief- Primary Care Service Line Riverside Medical Group Mitch Rothholz, RPh, MBA Chief Strategy Officer American Pharmacists Association Catherine Mullins Senior Manager, Provider Relations Optum Analytics Litjen (L.J.) Tan, MS, PhD Chief Strategy Officer Immunization Action Coalition Lynette Wachholz, ARNP, CPHQ Quality Improvement Consultant Manager The Everett Clinic 13

14 Collaborative Participants CentraCare Health System Coastal Carolina Health Care Essentia Health System Intermountain Medical Group The Iowa Clinic Kennedy Health Alliance Lahey Health System North Mississippi Medical Clinics Palo Alto Foundation Medical Group PinnacleHealth Medical Group The Polyclinic Prevea Health Quincy Medical Group Scripps Medical Foundation Utica Park Clinic Sentara Medical Group ThedaCare Physicians USMD Health System Watson Clinic Wellmont Medical Associates

15 Participant Responsibilities 1. Create an implementation team 2. Develop process for measurement and reporting, and submit progress reports and measurement data on time. 3. Participate in face-to-face meetings and all monthly webinars. 4. Submit action plans 5. Engage in outreach (via telephone or site visits)

16 Participant Responsibilities 6. Share tools, insights, and protocols related to the project. 7. Engage in open dialogue and discussion. 8. Submit the final data report to AMGA by December Participate in Best Practices Case Studies

17 AMGA Foundation Responsibilities Provide timely updates to participants Be available for questions and/or concerns Provide PowerPoint templates for progress reports Provide data reporting templates, along with measure specifications Provide outreach and serve as resource Maintain the collaborative website 8/14/

18 Collaborative Overview 8/14/

19 Objectives Identify gaps and ways to address gaps in recommended vaccination practices Encourage use of a combination of intervention tools Evaluate the program s impact Identify gaps in data capture Demonstrate value of a data-driven partnership 19

20 Collaborative Activities Data, orientation webinars & 2 in-person meetings Monthly webinars for networking and sharing Spread adoption of best practices Additional support: Getting Started Checklist Framework Action Plan Dedicated Website Toolkit Listserv Site visits/coaching Submit and analyze data on regular basis Develop individual Best Practices Case Studies

21 Collaborative Timeline August 2017 Data Webinar Orientation Webinar October 2017 First in-person meeting, 10/17-18 November September 2018 Monthly webinars Engagement Site visits Action Plans Data reporting October 2018 November April 2019 Second in-person meeting, TBA Development of Best Practices Case Studies Dissemination of Best Practices 8/14/

22 Monthly Webinar Schedule Adult Immunization Group 3 Collaborative Monthly Webinar Schedule November 7, :00-3:30pm (ET) May 1, :00-3:30pm (ET) December 5, :00-3:30pm (ET) June 5, :00-3:30pm (ET) January 2, :00-3:30pm (ET) July 3, :00-3:30pm (ET) February 6, :00-3:30pm (ET) August 7, :00-3:30pm (ET) March 6, :00-3:30pm (ET) September 4, :00-3:30pm (ET) April 3, :00-3:30pm (ET)

23 October In-person Meeting Andaz San Diego 600 F Street San Diego, CA (619) Registration Open! - Due September 18th Contact Sunny Temesgen stemesgen@amga.org A confirmation will be sent with information to make your hotel room reservation.

24 Collaborative In-person Meeting Purpose & Objective Opportunity to network with peers in the collaborative & participate in shared-learning through group work Highlights each groups current work Provides educational content and sets the schedule of work AMGA Foundation will reimburse coach airfare and ground transportation up to $800, and two night s hotel for three team members per group.

25 Meeting Schedule Monday, October 16, :00pm 7:00pm Welcome Reception Tuesday, October 17, :00am 5:00pm General Session Wednesday, October 18, :00am 12:00pm General Session 25

26 Member-only Website

27 Member-only Website

28 Framework

29 Adult Immunization Collaborative Framework Provider/Staff Education Information Technology Clinical Support Patient Education Compensation Getting Started Checklist

30 Getting Started Checklist Secure buy in from high level senior leaders Assemble your team Attend the Data Webinar Attend the Orientation Webinar Develop an Action Plan Develop a Communication Plan

31 Patient Education Level 1 Provide educational materials to patients during office visits Install vaccine signage in the waiting area and exam room Level 2 Develop outreach letters for Care Teams Develop patient portal messaging Automated messaging of patient s vaccine status Level 3 Create a flu hotline Marketing Campaign

32 Reminder Letter -Patient Portal, and Regular Mail

33 Provider and Staff Education Level 1 Attend individual department meetings Provide staff with educational materials on pneumonia and flu vaccines Provide talking points for staff Share AI Collaborative data with staff, providers and committees Level 2 Share transparent gap reports with providers and clinical staff Adopt a pneumococcal vaccine algorithm Review and update protocols and procedures for vaccine administration Level 3 Physician Champion attend Specialty Department Meetings Educate and train Specialty Departments

34 Toolkit /Collabs/AI2/MOA/tools_moa.aspx?hkey=9965af d7-b32c-4d63-a4d2-6c394870ee2b Copyright 2016 AMGA. All rights reserved. 34

35 Information Technology Level 1 Standardize vaccine documentation in the EMR Create a dashboard Level 2 Create point of care alerts for providers and staff Include declination for vaccine field in EHR Level 3 Investigate state registry capabilities for bidirectional sharing Investigate data sharing with pharmacies and other clinical settings Level 4 Bar code technology Hospital admissions

36 Clinical Support Ensures adequate vaccine stock is available for flu season Level 1 Provide gap reports to Care Coordinators for outreach Provide flu vaccine for employees Level 2 Develop standing orders for patients to receive vaccines by Pharmacist/ Nurses Redesign staff workflow to address patient immunization status at the beginning of every visit. Initiate seasonal flu clinic to include pneumonia vaccines Level 3 Provide vaccines during AWV Physician compensation

37 Toolkit-Standing Orders

38 Compensation Level 1 Run monthly immunization revenue and denial reports Share reports with each PC and Specialty Departments Level 2 Provide coding and billing education and tools to staff

39 1 Choose 3 interventions you commit to implementing in the first 3 months (October - December 2017) 2 Shared at October in-person meeting 3 in 3 Intervention Implementation 3 January 26 th, 2018: Interventions accomplished Report out in Action Plan 8/14/

40 Action Plan Working document Provide a description of the work being done by your organization to achieve your goals. AMGA will review for progress and to help facilitate the groups in achieving their goals. AI Action Plan Deadlines January 26, 2018 April 27, 2018 July 27, 2018

41 Action Plan Goal: Baseline Data: No. Item Plan Responsibility Measurement Plan Deadline/Status Results/Lessons Learned Comments

42 Collaborative measures and specifications (excerpts from more detailed documents) 42

43 2.1. Measure List Measure 1: Pneumococcal immunization for adults age 65 years and older Measure 2: Pneumococcal immunization for adults age 19 64, who also have a high-risk condition (high-risk conditions are described in more detail below) Optional Measure 2a: Pneumococcal immunization for adults age 19 64, who also have an atrisk condition (at-risk conditions are described in more detail below) Pneumococcal immunization may consist of: Pneumococcal conjugate vaccine, 13 valent (PCV13) Pneumococcal polysaccharide vaccine, 23 valent (PPSV23) Non-defined pneumococcal vaccines i.e., those where documentation is not specific enough to identify as PCV13 or PPSV23 (these should be minimal) Measure 3 evaluates influenza immunization for adults age 18 and older each flu season. 43

44 2.2. Measurement and Reporting Group 3 44

45 Next Steps September 11 th : 3 interventions to Earlean echambers@amga.org September 11 th : Optional measure to Sunny stemesgen@amga.org September 18 th : Register for October In-person Meeting with Sunny stemesgen@amga.org September 29 th : Baseline data due 8/14/

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47 AI Collaborative Team AMGA Foundation Jerry Penso, M.D., M.B.A., Chief Quality & Medical Officer, AMGA & President of AMGF Danielle Casanova, M.B.A., Director, Population Health Initiatives Earlean Chambers, R.N., M.S., Assistant Director, Population Health Initiatives Erin Leaver-Schmidt, M.P.H., Program Manager, Population Health Initiatives Senait Sunny Temesgen, Program Coordinator, Population Health Initiatives AMGA Analytics John Cuddeback, M.D., Ph.D., Chief Medical Informatics Officer, AMGA Analytics Vaishali Joshi, Senior Data Analyst, AMGA Analytics Jill Powelson, R.N., M.B.A., M.P.H., Director of Clinical Translation, AMGA Analytics 47