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Telligen Community Connect Call - Oklahoma - Shared screen with speaker view
keziah koshegee
20:35
keziah koshegee also a Nursing home Administrator for 3yrs
Kristen Marino
21:03
Please enter you name and organization in chat.
keziah koshegee
21:30
Keziah koshegee: Burford Manor
Anthony Waltrip
21:38
Anthony Waltrip RN Variety Care
Sherry Gfeller
22:17
Sherry Gfeller, 30 years nursing, Quality for 11 years.
Jennifer Cushman
22:21
Jen Cushman RN Director of Clinical Compliance for Epworth Villa
Meredith Koob
22:28
Wow, great collective tenure! Thank you for your dedication!
Danielle Burtschi
22:51
Danielle Burtschi, Grady Memorial hospital
Kristen Marino
23:23
Agree, Meredith. Thank you to all for your dedication and commitment to the beneficiaries and communities you serve!
Kristen Marino
24:26
The presentation slides will be sent via email to all those attending today.The recording for this event will be posted on our website at: www.telligenqinqio.com
Kristen Marino
25:03
We want to hear from you. Chat in your questions or comments and we will address them as we go along.
Kristen Marino
25:24
May is:National Mental Health Awareness Month: https://nami.org/Get-Involved/Awareness-Events/Mental-Health-Awareness-MonthNational Stroke Prevention Month: https://www.heart.org/en/professional/quality-improvement/american-stroke-month-qoraNational Blood Pressure Education Month: https://www.cdc.gov/bloodpressure/communications_kit.htm
Kristen Marino
26:29
Welcome, if you are just joining us please enter your name and organization in chat.
Kristen Marino
26:53
Please explore the Telligen QI Connect Portal:
Kristen Marino
26:58
Portal login: https://portal.telligenqinqio.com/rdc/
Kristen Marino
27:25
QINPortalSupport@telligen.com
Kristen Marino
28:22
Have you had a chance to sign in to the Telligen portal and look around at the resources available to you? Please indicate in chat - Yes, No, or I need assistance - we would be happy to contact you to help.
Patrice Greenawalt
32:34
Interesting that stroke readmissions > 30 days spike in Sept 20. Wondering why?
Meredith Koob
35:25
Great observation and curiosity, Patrice.
Deborah Walsh
35:59
Could you please contact me about access to the portal
courtnay ryan
36:11
This will be helpful for our driver diagram conversation to keep in mind....
Patrice Greenawalt
37:15
I think that during this time frame, COVID has a lot to do with discharges to home at 42%, as patients wanted to avoid any increased LOS. Wondering how this 42% d/c to home compare with the previous year?
Kristen Marino
37:31
AHA’s Institute for Diversity and Health Equity (IFDHE)https://ifdhe.aha.org/health-equity-resources
temaka williams
38:10
Hi Deborah, sure I will reach out to you later today.
Kristen Marino
40:39
Thank you for your feedback, we will definitely take a deeper dive into this data and share what we find.
Kristen Marino
44:37
You can access the driver diagram here:
Kristen Marino
44:43
https://www.telligenqinqio.com/wp-content/uploads/2021/03/Driver-Diagram_FNL.pdf
Kristen Marino
50:27
What change ideas have you tried or considered implementing at your organization related to continuity of care?
Dee Smith
50:55
In rural areas, we could continue to utilize FQHC's. Many of the ones in our area are expanding to be in walking distance of patients, they are getting cars to get patients to appts. But patients often don't know about those programs or new clinics
Anthony Waltrip
51:01
For care transitions and continuity, being able to contact patient is critical. The state HIE or the hospital EMR may have more current phone numbers and addresses for active contact points.
Dee Smith
51:17
Agreed on the phone and email addresses!
Kristin O'Neal
51:39
AGREED on updated/accurate contact info!
Patrice Greenawalt
52:20
since EMR
Patrice Greenawalt
53:35
oops- since EMR's from different health systems do not communicate, keeping current meds up in different systems is challenging. also, patient understanding of their chronic disease- and the PCP's honesty in the chance of improvement (ie: Parkinson's- there is no cure, and maintenance is the goal) is critical
Dee Smith
53:51
not really. Our HIE hasn't been very useful yet
Anthony Waltrip
54:11
Yes, it is not complete but has data from major healthcare players in Oklahoma.
Anthony Waltrip
54:55
MyHealth use of Provider Portal helps filter patient information.
Anthony Waltrip
56:21
What is status of CMS rule directing hospital to notify primary providers post discharge and sharing of pending lab results.
Kristen Marino
56:23
Do you work directly with the HIE vendors?
Jennifer Morphis
56:44
There seems to be an issue with closing the referral loop.
Anthony Waltrip
57:05
Yes, I have a contact at MyHealth and an on the utilizer steering committee.
Jennifer Morphis
57:28
I found out about a resource to help with this- Unite Us
Dee Smith
59:35
Anthony, I think it is only a small percentage that has be done for eCQM's.
Jennifer Morphis
01:00:30
Unite Us is a free resource for community organizations for referrals.
Kristen Marino
01:03:36
Do you organizations have care/case managers? How do they track this type of information?
Jennifer Morphis
01:05:53
www.UniteUs.com.
Kristen Marino
01:06:06
Thank you, Jennifer.
Jennifer Morphis
01:09:05
I’m getting more info. Here is my Ok contact info: Kathy Goodingshe/her/hersCommunity Engagement Manager Unite UsDurant, Oklahoma
Jennifer Morphis
01:09:24
Kathy.gooding@uniteus.com
Kristen Marino
01:09:41
Great, this is very helpful!
Brenda May
01:11:25
Monthly meetings as this to continue, with updated education.
Dee Smith
01:12:47
would like to have something in person at some point. Brainstorming session
Lori Cloud
01:12:47
I would be interested in break out sessions over specific interventions or tasks
Sammye Valenzuela
01:13:00
Have the leaders report on what they're doing.
Kristin O'Neal
01:13:19
Specific interventions in smaller groups
Sherry Gfeller
01:13:36
If possible making sure we get a copy of the tools and forms and copy of the power points.
Sherry Gfeller
01:14:10
Have a chance to voice what is going on in different hospitals
Kristen Marino
01:14:55
https://www.telligenqinqio.com/telligen-qi-connect-events-archive/
Kristen Marino
01:15:34
https://www.telligenqinqio.com/events/
Kristen Marino
01:16:09
There's are at no-cost, feel free to register for any session.
Lori Cloud
01:16:35
Are the QI training sessions for nursing homes only?
Kristen Marino
01:16:58
They are offered to all provider types.
Kristen Marino
01:17:58
Mastermind https://app.smartsheet.com/b/form/983154f37c9644c09624f3fdf22fa066
Kristen Marino
01:19:30
National Rural Health Association 2021 Top CAH05-03-21-2021-NRHA-Top-20-CAHs
Kristen Marino
01:19:31
https://www.ruralhealthweb.org/NRHA/media/Emerge_NRHA/Events/AC/2021/05-03-21-2021-NRHA-Top-20-CAHs-release.pdf
Kristen Marino
01:20:02
Wellness Recovery Action Plan https://mentalhealthrecovery.com/wrap-is/
Kristen Marino
01:20:36
Please feel free to enter your resources in chat. We will add them to the Action and Resource Guide.
Elise Grein
01:20:45
PHQ9
Anthony Waltrip
01:20:58
PHQ 9
Kristen Marino
01:21:00
GAD - Generalized Anxiety Disorder
Kristen Marino
01:21:59
Please complete our event assessment:
Kristen Marino
01:22:10
https://www.surveymonkey.com/r/OK_051821
courtnay ryan
01:22:22
Thank you for letting me participate with you all today, excited for the continued conversation and appreciate all that you do!
courtnay ryan
01:22:31
Great job Oklahoma!!
Meredith Koob
01:22:34
Great to see you today!