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Telligen Community Connect Call - Iowa - Shared screen with speaker view
DAVID THOMAS
21:45
QIO-QIN BOARD
Gina Anderson
21:49
hello Ennoble glad to have you on!
Kristen Marino
21:56
Hi Cassandra, thank you for joining us today.
DAVID THOMAS
22:08
EXERCISE BIKE DAILY 60 MIN
CHELSEA SALVO
22:17
Chelsea Salvo, Nebraska Methodist, IA, take walks and drink water :)
Rob Gotto
22:24
Rob Gotto, Administrator, Good Samaritan LeMars
Casey Kenneavy
22:43
Casey Kenneavy, Administrator Strawberry Point Lutheran Home
Gina Anderson
22:52
hello Rob at Good Sam and Chlese from NE Methodist
Stacy Geopfert
23:08
Stacy Geopfert, Administrator at Crestview Nursing and Rehab in Webster City. Try to walk 2 miles a day
Gina Anderson
23:19
Strawberry Point and Crestview excited to have you here!
DAVID THOMAS
23:32
Central 2
Kristen Marino
24:21
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
24:50
We want to hear from you. You may chat in your questions and we will get to them during the Q&A portion of our call.
Kristen Marino
25:52
April is National Minority Health Monthhttps://www.nimhd.nih.gov/programs/edu-training/nmhm/
Kristen Marino
26:42
Portal login: https://portal.telligenqinqio.com/rdc/Need help with your portal login or password? Email: QINPortalSupport@telligen.com
Kristen Marino
37:42
Feel free to enter questions or comments in chat.
Kristen Marino
41:59
http://healthliteracymap.unc.edu/
Kristen Marino
46:18
https://www.ahrq.gov/health-literacy/improve/precautions/toolkit.html
Kristen Marino
50:19
Do you have change ideas for adverse drug events?
Cynthia Fiester
51:16
Real time reconciliation was problematic for providers and patients during surveys done in the past
DAVID THOMAS
51:29
encourage facility to dialog with primary doctor the next working day after getting an order from "on call" doctor
Cynthia Fiester
51:41
I agree with Diane as well on this point
CHELSEA SALVO
52:25
I think we should evaluate the educational tools we use and provide to our patients to see if they are clear, easy to understand (6th grade level)
Cynthia Fiester
52:50
Yes, literacy level is always high
Diane Reist
53:10
Great point Chelsea - also that we are not overwhelming them with TOO many pieces of education tools
CHELSEA SALVO
53:22
Yes that is important too
DAVID THOMAS
54:25
sme idea for contacting primary doctor after an order from "on call" provider
Diane Reist
54:26
Give patients realistic expectations of pain and pain control, set them up to realize that pain should not continue forever on acute issues
CHELSEA SALVO
54:53
Yes--like a pain menu while inpatient
CHELSEA SALVO
55:51
We have a standardized process in which our organization completes follow-up phone calls with patients
DAVID THOMAS
55:51
Home health visit day 1-2 after discharge to encourage compliance or explain more
Diane Reist
55:54
Insure that the patient's whole team is communicated with PCP< Pharmacy, Therapy
CHELSEA SALVO
56:53
Setting up the follow-up appointments for the patient :)
Trina Radske-Suchan
57:33
Order physical therapy consult
CHELSEA SALVO
58:06
Yes If I can figure out how to unmute
Sheri Weaver-Isvik
58:48
We have a number of things we try with residents in addition to medications, such as music therapy, massage if appropriate, essential oils, etc.
Diane Reist
59:47
Caution - need to review standing orders on order sets to ensure we are not auto sending too many opioids home
PAmela Wurster
01:00:28
Referral to the Iowa return to Community program which is Grant program from IDA (given to Connections Area Agency on Aging)to help decrease readmissions to the hospital by having this program/health coach follow them for 30 days by providing them coaching and putting in services to be successful
CHELSEA SALVO
01:00:44
post-acute collaborative (we partner with 18 area SNF(s) in the area to ensure we are assisting patients with their transitions)
Cynthia Fiester
01:01:21
Linking to local care coordination coalition in the community outside of health systems
Diane Reist
01:01:45
We are using an Upstream approach in a couple clinics to have Student volunteers from all health colleges to address patients SDoH - and help them sign up for resources in their own community
DAVID THOMAS
01:02:09
educate that not every patient will get complete relief from pain goal is comfort not 100%
Trina Radske-Suchan
01:02:49
Connect patients to community-based interventions such as evidence-based programs
Michael Boyson
01:03:31
Thanks Kent for learning about your reach.
Sheri Weaver-Isvik
01:03:40
We have an "Onward" program where we provide meals twice daily for a week--allows us to actually see the person as well as providing nutritional meals, call at least every other day to check how they are doing, provide a list of pertinent phone numbers they may need including their physician and pharmacy, and also our number in case they have any questions following discharge.
Cynthia Fiester
01:03:57
Are you working in Linn county area? Please contact me at linn county public health
Diane Reist
01:04:13
Along the communication vein - we have trialed sending the DC medication list to the patient's home pharmacy so that they are aware of DC'd meds, new orders, OTC's, etc. REALLY improves care
Cynthia Fiester
01:07:52
Yes please
Cynthia Fiester
01:08:11
Cindy.fiester@linncounty.org
Cynthia Fiester
01:08:20
Ok thank you.
Kent Ohms
01:08:35
Will do!
Kristen Marino
01:09:09
Thank you so much for your contributions to the change ideas.
Kristen Marino
01:09:28
https://www.telligenqinqio.com/wp-content/uploads/2021/03/Driver-Diagram_FNL.pdf
Gina Anderson
01:09:41
What great input from all of you on the change ideas, thank you so much for sharing!
CHELSEA SALVO
01:10:01
We will continue to measure the work that was done in 2019 to drive down opioid overuse. We implemented the change of the comfort cares menu and did see a reduction in opioid prescriptions, which was very exciting.
Kristen Marino
01:10:07
We will share the driver diagram we completed after today's meeting.
Kristen Marino
01:10:41
This is great, thank you for sharing.
Kristen Marino
01:11:03
Please indicate if you would be interested in a deeper community conversation and additional technical assistance around the primary drivers from our driver diagram:● Adverse Drug Events● Opioid Misuse● Care Transitions/Continuity of Care
Kristen Marino
01:13:42
We want to celebrate your successes, let us know.
Kristen Marino
01:13:48
https://www.telligenqinqio.com/events/
Trina Radske-Suchan
01:14:13
Reminder to all to consider providing deactivation drug disposable pouches at discharge.
Kristen Marino
01:14:33
Take Back Day!
Kristen Marino
01:14:57
Thank you, Trina, we will share the resource after the meeting today.
Kristen Marino
01:15:23
Are there any resources related to today’s discussion that you would like to share with others?
Sheri Weaver-Isvik
01:15:43
We continually work toward gradual dose reduction where appropriate. We have a pharmacist come in monthly to audit our meds in general, with emphasis on opioids. We continue to provide ongoing education to our nurses and have very strict policies and procedures in regard to the dispensing of opioids. Any med that is dispensed as a patch is initialed by the nurse, dated and timed. If the patch is missing when the next dose is scheduled to be administered, an investigation is started immediately to locate the patch.
Gina Anderson
01:16:38
Thank you Sheri for that detail - what an excellent practice!
Trina Radske-Suchan
01:18:53
tsuchan@chpcommunity.org for free pouches
Kristen Marino
01:19:02
Thank you, Trina. Please feel free to share your information in chat.
Kristen Marino
01:20:03
Join our Mastermind Team here: https://app.smartsheet.com/b/form/983154f37c9644c09624f3fdf22fa066Invite others to join Telligen QI Connect: https://www.telligenqinqio.com/join-telligen-qi-connect/
Trina Radske-Suchan
01:20:52
https://odcp.iowa.gov/rxtakebacks Take Back sites in Iowa
Kristen Marino
01:22:22
https://www.surveymonkey.com/r/IA_041521
CHELSEA SALVO
01:23:02
thank you! :)