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June 18 th Slide 2 Agenda New updates: Cristin New lab/ancillary forms: Cristin Radiology form changes: Cristin Learners in Clinic: Cristin, Andrew, Paul Website enhancements: Robb QI teams: Robb, Annie, Kim Staffing issues: Malinda Slide 3 Slide 4 Patient Correspondence Automatically mails to patient Working on one form that can be subscribed by all Publishes to WebCIS so staff can see if physician has mailed to patient if patient calls to inquire about results. Slide 5 Patient Correspondence Slide 6 Slide 7 Narcotic prescriptions Lock up at nurses station, not to front desk! Place prescription in an envelope with patients name and Med Record # Give envelope to nurse Nurse will place in locked file on the clinic side the physician usually sees patients (i.e. Chelminski-Side 1/Colford Side 2) Check both boxes just in case Patient should be informed that they will be required to show picture ID to obtain prescriptions. Do not leave prescriptions with front desk staff. Slide 8 Slide 9 New Lab Form Slide 10 Annualized Losses Slide 11 New Ancillary Form Slide 12 Slide 13 Clinic Support Website Slide 14 Slide 15 Online Radiology Slide 16 Slide 17 No More Small type Incomplete forms Hounding physicians for a diagnosis or procedure code And Eventually Radiology forms in each encounter packet Slide 18 Goal Intuitive Complete Fast Online Where CPT and ICD-9 codes handled by computer, not physician ABN matches Slide 19 Slide 20 Slide 21 Slide 22 Slide 23 Slide 24 Why? Slide 25 ABNs Erase Losses ABNs are coming to Labs and Ancillaries The lessons that we have learned will guide other revisions We will become better contributors to the UNC System Slide 26 Slide 27 Learners in Clinic Students Catch up year trying to get outpatient medicine into 3 rd year Expanded capacity Residents/Interns CAR/COE Resident Teams/Cards Preparing for new interns Slide 28 Learners in Clinic 3 Full time ambulatory residents: 1 COE (upper level resident) 2 mo block 2 CAR (interns) 1 mo blocks Up to 6 med students per month COE: COntinuity Elective CAR: Continuity Ambulatory Requirement Slide 29 COE/CAR Schedules will be similar to last year: SDC, Pain, DM, Coag, Preceptorship, QI QI project with presentation at the end of rotation Slide 30 NEW: Schedules available online Log on to amion.com Password: enhanced care Slide 31 Slide 32 Slide 33 More utility for you and resources for our patients Slide 34 Lets take a look at our new site http://www.med.unc.edu/ Slide 35 What do we need from you? Test the site and evaluate current content Identification of new content Development and addition of new material in your area of expertise Slide 36 What are we going to do next? Complete current projects Use data collected from Google analytics to make improvements Consider adding resources for the Latino patient Slide 37 The next generation Slide 38 Current state and evolution Started Jan 2009 meeting 1 st and 3 rd Thursdays of each month Cross functional get input and perspective from all areas on an issue 1 leader, ~10 team members MDs and CAs joined in March Areas for improvement were identified by staff and each team worked on resolutions many have been implemented and are already improving patient care and practice efficiency Slide 39 Next generation 2 co-leaders and MD sponsor Shared leadership/recorder responsibilities Coverage during vacation/absence Leadership team meetings 1/month led by Kim Y-W QI Advisors available as a resource to provide support to all teams Begin to measure progress Establish a repository for ideas and project possibilities Slide 40 Quality starts with People Team 1 Malinda Williams (L), Penny Chumley (L) Cristin Colford (S), Angela Cole, Carrie Porter, Donna Harrell, Marilyn Bender, Michele Stretz, Rose Greeson, Stephanie Degraffenreid, Kelly Hayes, CAR-resident Team 2 Phyllis Perkins (L), Maria Walker (L), Darren DeWalt (S), Amy Azzolino, Dionne Liles, Faye Johnson, Katrina Farmer, Lisa White, Maria Walker, Robin Woodford, Angela Thompson, CAR-resident Team 3 Jo Williams (L), Erika Bynam (L), Tom Miller (S), Carla Adams, Kelly Andress, Laura Hutchins, Patsy Silk, Theresa Brown, Wanda Brigman, Rob Hartman, CA-tbd (Betsy), COE-resident, Team 4 Paul Njagu (L), Steve Desper (L), Carmen Lewis (S) Brenda Graves, Eva Wamagata, Johnnie Satterfield, Kathy Baskerville, Mindy Isley, Nola Chavis, Robb Hartman, Stephanie Wright, Yvette McCollum, Alison Brenner QI Advisors Robb Malone, Annie Whitney, Andrew Sampson, Kim Young-Wright Slide 41 Metrics Like all things quality related, data helps measure progress, gauge if interventions are working, and identify areas for improvement Will not require any real change in how the teams currently operate Want to identify what is/is not working, recognize team and individual strengths, and appreciate everyones contributions Will be able to recognize teams that are doing outstanding work Maintain momentum Slide 42 What we will measure In the beginning: Attendance Participation Agendas ready before meeting Action item completion and outcomes PDSA cycle progress and documentation Slide 43 The journey continues Questions Ideas Suggestions Slide 44 Thank you and Good bye to Kelly & Rose Thank you to all of the nursing staff Welcome, Ernest Thank you to Patsy