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September 2014
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Syndication

The Centers for Medicare & Medicaid (CMS) recently finalized a new “Chronic Care Management” payment code that provides an opportunity for Medicare providers to be paid for providing non-visit based care management services. Listen to this webinar to learn more about Medicare's Chronic Care Management Code and what it could mean for your practice in 2015.


As 2014 comes to a close, we highlighted some accomplishments, outcomes, and lessons learned from PCMH/HH practices as they have worked to transform the practice culture and delivery of primary care.  We also explored what lies ahead for practice teams in order to truly sustain transformative change and shape the way for the future of primary care in Maine and beyond.


What does it take to improve children's health? Listen to this webinar to hear how First STEPS, a four-year Quality Improvement Initiative funded by a CHIPRA grant, is improving pediatric and adolescent immunization rates and developmental screening rates in Maine. QC for Kids Director Amy Belisle will review what has mattered most in First STEPS Quality Improvement work and present practice and statewide data on child health quality improvement metrics.


Finding ways to engage patients with chronic pain in the management of their care can pose as a challenge. Join us for our last Chronic Pain webinar as we strategize ways to involve patients and family members in the process. Presenter: Corey Waller


Aired: December 9, 2014

This webinar discussed MaineCare's expectations on BHH same day access to care and specicfic strategies other BHHOs are undertaking to meet this expectation. Maine Medical Center Physician-Hospital Organization (MMC PHO) also took time to share their expertise on process improvement approaches that will be helpful for your teams in implementing same day access.

Direct download: BHH_Webinar_12_9.mp3
Category:general -- posted at: 11:50am EDT

Join us for a discussion of the influences that have resulted in the overwhelming number of opioid prescriptions being written today, the harm that is being caused by that prescribing, and strategies to move to an evidence based approach to the management of chronic pain. Presenter: Noah Nesin, MD, FAAFP


Updates from P3 pilot sites


The Maine Health Management Coalition has developed a VBID plan that they think has the potential to make a big impact on the cost and delivery of health care in Maine. Presenter: Nancy Morris


This webinar focuses on how practices can best optimize Primary Care Practice Reports - how to use the data to launch organizational discussions and improvement work.


This webinar marked the launch of the Chronic Disease Improvement Collaborative Pilot

Direct download: CDIC_Pilot_Launch_Webinar.mp3
Category:Health Care, Chronic Disease -- posted at: 10:16am EDT

The Behavioral Health Home Consumer Consultant Organizations, NAMI Maine and Consumer Council System of Maine, discussed and address strategies on how Behavioral Health Home Organizations can engage and involve consumers in advising the implementation and improvement of BHH services

Direct download: BHH_Webinar_11.12.mp3
Category:general -- posted at: 2:05pm EDT

Communicating risk information in health care.


Medicare rules for Physician Quality Reporting System (PQRS) and Value Based Modifier (VBM) reporting for physician practices are confusing and change annually. During this webinar, we will review the current rules for 2014.
Presenter: Dan Mingle, MD, MS, Mingle Analytics


 

Health Insurance Marketplace Open Enrollment begins on November 15, 2014. Last year, over 44,000 Mainers enrolled in affordable health care, and Open Enrollment 2014-2015 is right around the corner. Are you ready?

Presenters: Emily Brostek, Jake Grindle, Sue Kring, Andy MacLean, Caroline Zimmerman

Join us for this webinar to hear from several PCMH/HH practice teams that have found effective ways to use clinical visit summaries through optimizing team roles and workflow models.


Healthcentric Advisors is the Rhode Island-based organization that was recently awarded the Centers for Medicare & Medicaid (CMS) contract to provide quality improvement services to Maine hospitals, ambulatory providers, and nursing facilities to improve care for Medicare beneficiaries.

Join us to learn about their plans for providing services under the CMS 11th Scope of Work for QIN/QIO services.


This webinar reviewed the MUST PASS participation requirements in the BHH Quarterly Report (i.e. site self-assessment tool) as well as two integration tools BHHOs can chose from to fulfill Core Expectation 6 around physical health integration

Direct download: BHH_Webinar_10_14.mp3
Category:general -- posted at: 4:15pm EDT

Focused improvement efforts that utilize PDSA (PLAN-DO-STUDY-ACT) cycles can expedite progress in implementing new or improved systems.  During this webinar, the Sacopee Valley Health Center Team shares their journey to develop a better chronic pain management model.


Do you have patients who struggle to manage diabetes, heart disease, Multiple Sclerosis, chronic pain or other chronic conditions? The Prevention Center at MaineGeneral Medical Center utilizes trained volunteers to provide support to adult patients living with chronic conditions. Join us to learn more about peer navigation.
Featured presenters: Vicki Foster and Sue Pelletier


Learning Objectives for this webinar are as follows:

  • Understand the importance of using plain language and teach back with patients
  • Conceptualize two ways practices could integrate plain language techniques and teach back into their workflow
Direct download: P3_webinar_Oct._6.mp3
Category:Health literacy, Patient-Provider Partnerships,P3, -- posted at: 10:32am EDT

This month's Patient Centered Medical Home/Health Homes webinar addressed how primary care teams can utilize the SBIRT approach (Screening, Brief Intervention, and Referral to Treatment) to identify patients at risk of substance abuse and connect high risk patients to substance abuse specialists and/or community partners. 


In this webinar, we will discuss early evidence, challenges, and experiences with Accountable Care Organizations. We will also discuss recent findings and community wide population health issues as they relate to ACOs.

Featured Presenter: Stephen M. Shortell, Ph.D., M.P.H, MBA, UC-Berkeley


Are you curious about how Primary Care and Emergency Departments can work together to provide and support chronic pain management care for patients? Join us on this webinar as we take team based care to the next level. Eric Haram LADC, will share MidCoast Hospital's effort to deploy the best practices in opioid prescribing across primary care teams and Jay Mullen MD, FACEP will share his strategy to use data and his emergency room team to support the effort and raise the bar!


The MetroHealth System is harnessing the power of Electronic Medical Records (EMRs) to enhance care, decrease costs, and improve health outcomes for their patients. Join us to learn about MetroHealth and Better Health Greater Cleveland's innovative approaches to targeted care, and hear a report on the early outcomes of their programs.

Featured Presenters:
Alice Stollenwerk Petrulis, MD, FACP, and Thomas E. Love, Ph. D.

 


A discussion of available resources to address whole health and wellness for members receiving behavioral health homes services.


Presenters Celine Kuhn and Barbara LaVallee from MaineHealth will discuss the role of health coaching and how these skills are an important tool for health decision making.  

Webinar Objectives:

  • Discuss the role and benefits of health coaching in shared and informed decision making
  • Highlight what pilots are doing in Shared Decision Making and Choosing Wisely®
  • Review any questions about the P3 Pilot Initiative

Motivating patients to make lifestyle changes is one of the biggest challenges facing providers today. When done effectively, this can be a cost effective way to make a difference for patients and for the health of the community. Tom Bartol, NP, will share with you strategies to use to engage your patients in lifestyle changes. What he shares may not only help your practice but may help you to make some lifestyle changes in your own life.


This month's Patient Centered Medical Home/Health Homes webinar explored how to enhance self-management support for patients and their families through the use of patient portals.  We discussed the ways in which patient portals and being used in the primary care setting as well as how to increase enrollment and use of portals among patients.


Join us for a discussion about the Substance Abuse and Mental Health Services Administration (SAMHSA)'s Eight Dimensions of Wellness. Kathryn Power will introduce the Eight Dimensions of Wellness and discuss Recovery Month (September) and Wellness Week (September 15-21).

Deborah Dodge and Kim Donovan will discuss Community Health and Counseling Services' work under the SAMHSA Primary and Behavioral Health Care Integration Grant.

Featured presenters: A.Kathryn Power, SAMHSA; Deborah Dodge & Kim Donovan, Community Health and Counseling Services


This webinar will introduce you to the lean mindset and the lean cycle and principles. We will discuss lean methodology and the 8 type of wastes. The webinar will teach you to take brainstorming to the next level of “try-storming” by increasing your confidence to introduce change and pilot new ideas using a systematic way of thinking.

 

Featured Presenter: Ghassan Saleh, Senior Martin's Point Management System Strategic Performance Advisor


This second webinar completed a 2-part webinar series on patient advisors and patient engagement work in primary care practice settings.  During this final webinar, Marie Abraham from the Institute for Patient and Family Centered Care explored toolkits, measurement methods, and training opportunities for patient advisors that primary care practices can utilize to best optimize the patient advisory role.


Behavioral Health Homes Learning Collaborative Monthly Webinar - All In: Effective BHH Teams (Part 2) - Role of the Peer Support Specialists held on August 12 from 12pm - 1pm  provided insight from the field on how BHHOs are employing peer support specialists in their organizations, training information for family peer support specialists, and guidance from MaineCare on how to involve peer support specailists on a BHH team.

Direct download: BHH_8.12.14_Webinar.mp3
Category:general -- posted at: 1:39pm EDT

In this webinar, we'll discuss conversational skills for managing the natural conflict between the patient and the primary care provider, or between providers, when the issue becomes how best to treat chronic pain and improve a patient's functional capacity. This webinar is brought to you by Maine Quality Counts in partnership with the Maine Primary Care Association, the Maine Medical Association and Penobscot Community Health Center. Presenter: Teresa Valliere, LCSW, LADC, CCS


Richard Wexler addresses members of Maine's Patient Provider Partnership (P3) Pilot at a learning session held in Freeport on July 17, 2014. He discusses the growing importance of shared decision making in improving patient experience and overall quality of care.

Direct download: WexlerSDMTalkEdited.mp3
Category:Shared Decision Making -- posted at: 4:12pm EDT

Patients with chronic conditions are exposed to poorly coordinated health care that pursues goals that may differ from those of the patient. As a result, their care is complex and often overwhelming, with lower-quality outcomes than expected. Shared decision making enables patients and clinicians to share the best available research evidence and make decisions that better reflect the patient's values and preferences.

In this session we will review:
  • the justifications for shared decision making
  • the principles underlying its practice
  • examples of tools and implementations
We will also discuss how patients and clinicians can engage in this practice

 

Presenter: Dr. Victor Montori, Mayo Clinic.

Direct download: Shared_Decision_Making.mp3
Category:Shared Decision Making, Patient Engagement, Mayo Clinic -- posted at: 3:02pm EDT

P3 Pilots dive into action 2 weeks after kicking off an initiative to implement Choosing Wisely and Shared Decision Making in their health care settings.

Direct download: August_4_-_P3_Webinar.mp3
Category:Shared Decision Making -- posted at: 2:45pm EDT

All Patient Centered Medical Home and/or MaineCare Health Home practices are invited to attend this optional webinar on developing and sustaining patient advisors and patient engagement in the primary care setting. 
 
This webinar, Part 1 of a 2-part series, will feature Marie Abraham from the Institute for Patient and Family Centered Care.  During this first webinar, Marie will discuss how practices can implement, sustain, and retain patient advisors. A significant amount of time for this webinar will also be devoted to Q & A and troubleshooting/brainstorming discussions between Marie and practice teams to help teams develop action steps towards improving their patient engagement/advisory work.
Direct download: PCMH_HH_Webinar_July_31_2014.mp3
Category:Patient Centered Medical Home, Patient Advisors -- posted at: 2:07pm EDT

During this month's Patient Centered Medical Home/Health Home webinar, we will explore one aspect of behavioral health integration that involves motivating patients to change their behaviors in favor of more healthy lifestyles.  Tom Bartol, a Family Nurse Practitioner in Maine, will discuss how he has changed his practice to better address patient's behavioral health and, in turn, their overall health and health care.  He will provide practical tips and tools for other primary care providers and team members on how to address patients' behavioral health needs and the impact behavioral - physical health integration will have on patients and practice teams alike.  


Presenters: Bill Doherty, Ph.D. and Bill Adams

 

Health care transformation has begun to identify the need to create solutions withcommunity members, not for them. There is increased recognition that the traditional professional expert and provider/consumer models are inadequate for solving many of the problems confronting us.

This session will focus on the emerging role of the “citizen professional” who works alongside other citizens to co-create new ways to address health care challenges. You will learn about a field-tested process called Citizen Health Care for constructing non-hierarchical working groups of professionals and other citizens. You will hear from an activated citizen who is working on health care transformation in a number of arenas. Using the example of an initiative called Baby Boomers for Balanced Health Care, you will hear both academic and citizen perspectives and will garner new ideas and strategies. 


The Comprehensive Primary Care (CPC) initiative is a national Centers for Medicare & Medicaid Services initiative fostering collaboration between public and private health care payers to strengthen primary care. Medicare will work with commercial and State health insurance plans and offer bonus payments to primary care doctors who better coordinate care for their patients. Learn how the Health Collaborative, the Greater Cincinnati Health Council, and HealthBridge are working together to implement CPCi in Southwest Ohio and Northern Kentucky.

This webinar is presented by Richard Shonk, MD, PhD. Dr. Shonk is Chief Medical Officer of the Greater Cincinnati Health Council, the Health Collaborative, and Healthbridge, nonprofit healthcare improvement organizations. He was previously the Market Medical Director for United HealthCare. He is a member of the Governor’s Task Force in Ohio for Patient Centered Medical Home. He is a founding member of the Ohio Patient Safety Institute and served as chariman of its board. Dr. Shonk is a board-certified physician in Family Medicine and a Certified Physician Executive with the American College of Physician Executives. He earned doctorates in Medicine and Pharmacology from Case Western Reserve University in Cleveland and attended Ohio Dominican College in Columbus.


Become a data sleuth! Learn how to comb through your electronic medical record to identify patients with chronic pain, then put that information to best use. Presenters: Daren Anderson, MD & Karl J. Haake, MD.


Dr. Pritham describes the creation of a chronic pain management template for the EMR used by the Eastern Maine Medical Center Family Medicine Residencey Program. Recorded at the Maine Chronic Pain Collaborative Learning Session on June 25, 2014. Dr. Pritham is Medical Director of the EMMC Family Medicine Residency Program.

Direct download: CPCkeynote1.mp3
Category:chronic pain management -- posted at: 3:18pm EDT

Mark Bouchard, MD, Stephanie Grohs, MD and Eric Haram discuss ways to build robust communications networks between primary care providers and substance abuse treatment providers.

Direct download: ImprovingComm1.mp3
Category:Primary Care, Substance Abuse Treatment -- posted at: 3:59pm EDT

Learn about the requirements of two new Maine laws dealing with health care price transparency. Gordon Smith, EVP of the Maine Medical Association, tells you how to make sure your practice is in compliance by August 1. Poppy Arford provides a patient perspective on price transparency.


What's next for provider compensation? Dr. Sprowl discusses. Recorded by Maine Quality Counts at the Patient Centered Medical Home & Health Home Learning Session June 20, 2014.

Direct download: Compensation_Models_Sprowl.mp3
Category:primary care provider compensation -- posted at: 4:28pm EDT

Recorded by Maine Quality Counts at the Maine Patient Centered Medical Home & Health Home Learning Session June 20, 2014.

Direct download: Shared_Decision_Making_Korsen__Kuhn.mp3
Category:Shared Decision Making -- posted at: 4:20pm EDT

Advice on how to launch and avoid common pitfalls of a new Patient and Family Advisory Council at a primary care practice.


Dr. Safford provides advice on the topic, based upon her experience as Vice President for Quality at Family Care Network in Bellingham, Washington. Recorded by Maine Quality Counts at the Maine Patient Centered Medical Home & Health Home Learning Session June 20, 2014.


Recorded at the Maine Patient Centered Medical Home & Health Home Learning Session on June 20, 2014.

Direct download: BHI_keynote_audio.mp3
Category:Behavioral Health, Health Homes, Health Care, Mental Health -- posted at: 3:22pm EDT

The June PCMH/HH monthly webinar will explore ways that team members can work together support safe and effective opioid management in the primary care setting. 

We will discuss issues regarding optimal roles for registered nurses (RNs), licensed practical nurses (LPNs), and medical assistants (MAs), integrating clinical pharmacists and pharmacy technicians, addressing medication reconciliation, and how to address the challenges of managing medications, particularly opioids, from a team-based and patient-based perspective.


In today’s challenging health care environment, hospitals, clinics, and providers need to deliver quality patient care that creates value and improves outcomes. Health care providers must engage with their patients as they walk through this journey.

This webinar will:

  • Describe the various social media platforms used in the health care industry,  provide examples of best practices, and show how to leverage reliable content effectively to the online community.
  • Provide guidelines for health care professionals and organizations on the proper use of social media.
  • Show how using social media directly impacts the patient experience and has the potential to improve outcomes.

Featured Presenter: Susana Shephard, Social Media Specialist with the Mayo Clinic Center for Social Media


The need for collaboration between primary care and public health is widely recognized, but these sectors don’t have a lot of experience working together. To address this, the de Beaumont Foundation, Duke Community and Family Medicine, and the Centers for Disease Control and Prevention have developed a new tool – A Practical Playbook: Public Health & Primary Care Together. The Practical Playbookis a free, web-based tool designed to facilitate public health and primary care integration by offering a variety of resources for primary care providers and public health officials.

In this webinar, we explore the new tool and how it can support the implementation of community projects that aim to improve health and reduce health related costs.

Speakers:
Brian Castrucci, MA, Chief Program and Strategy Officer at the de Beaumont Foundation.
Hugh Tilson, MD, Dr.P.H., Professor of Public Health Leadership and Epidemiology at the Gillings School of Global Public Health, University of North Carolina.


Guest speakers Beth Ann Swan from the Jefferson School of Nursing and Sheila Haas from Loyola University Chicago led the discussion during this month's Patient Centered Medical Home/Health Home webinar on "Emerging and Optimal Roles for Nurses in Primary Care".  They discussed innovative roles that registered nurses can have in primary care, such as care management, and how these roles impact patients and the care team as a whole.  Several practices also shared their "on the ground" transformative experience as nurses or working with nurses in Patient Centered Medical Home and/or Health Home primary care settings. 

Direct download: May_28_2014_Nurses.mp3
Category:Health Care, Patient Centered Medical Home, Nurses, Webinar -- posted at: 10:12am EDT

MaineCare implemented a Pain Management Policy in 2013. This policy was developed in a collaborative fashion with representation from the provider and patient communities alike. This policy has now been in place for over a year; this webinar discusses the impact and results of these changes.

Our presenter is Dr. Kevin S. Flanigan, Medical Director of MaineCare.


Dr. Joseph Parks addresses the Maine Behavioral Health Homes Learning Collaborative on May 29, 2014.

Direct download: Dr._Parks_5_29_14.mp3
Category:Behavioral Health, Health Homes, Health Care, Mental Health -- posted at: 4:34pm EDT

Across the country, health systems are striving to achieve the "triple aim" of improved health outcomes and patient satisfaction, while simultaneously reducing the cost of care. This requires a new primary care model that is wellness-focused, physician-guided team-delivered, and coordinated care.
In this webinar held on May 27, we discuss the characteristics of a successful Patient-Centered Medical Home, including cultural and operational principles, functional relationships, and physical elements to support a team-based model of care.
Our presenters are Ellen Belknap, President of SMRT Architects and Engineers, and Joanne Lafferty, a Quality Improvement Specialist with Maine Quality Counts.


Community Health Workers: A Promising Workforce for Maine

In this webinar held on May 15, 2014, we discuss Maine's Community Health Worker Initiative (MCHWI).
MCHWI is focused on developing the infrastructure to support Community Health Workers (CHWs) as part of Maine's transformed health care system. CHWs' "experience-based expertise" is a core strength of this workforce and translates into care that is more patient-centered, culturally-competent and effective (JACM, 2011). Participants will learn more about the MCHWI and its work to strengthen the infrastructure supporting Maine CHWs and to assure sustainability of this emerging workforce. We'll discuss best practices, policy development and payment reform, and how Maine can position itself to leverage the recent national attention and engagement to strengthen our communities as well as our systems of care.

Our presenter is Barbara Ginley, MPH, Project Director of the CHW Initiative at Maine Migrant Health Program.


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