Telligen Community Connect Call - Iowa - Shared screen with speaker view
Who can see your viewing activity?
hello Ennoble glad to have you on!
Hi Cassandra, thank you for joining us today.
EXERCISE BIKE DAILY 60 MIN
Chelsea Salvo, Nebraska Methodist, IA, take walks and drink water :)
Rob Gotto, Administrator, Good Samaritan LeMars
Casey Kenneavy, Administrator Strawberry Point Lutheran Home
hello Rob at Good Sam and Chlese from NE Methodist
Stacy Geopfert, Administrator at Crestview Nursing and Rehab in Webster City. Try to walk 2 miles a day
Strawberry Point and Crestview excited to have you here!
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
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.
April is National Minority Health Monthhttps://www.nimhd.nih.gov/programs/edu-training/nmhm/
Portal login: https://portal.telligenqinqio.com/rdc/Need help with your portal login or password? Email: QINPortalSupport@telligen.com
Feel free to enter questions or comments in chat.
Do you have change ideas for adverse drug events?
Real time reconciliation was problematic for providers and patients during surveys done in the past
encourage facility to dialog with primary doctor the next working day after getting an order from "on call" doctor
I agree with Diane as well on this point
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)
Yes, literacy level is always high
Great point Chelsea - also that we are not overwhelming them with TOO many pieces of education tools
Yes that is important too
sme idea for contacting primary doctor after an order from "on call" provider
Give patients realistic expectations of pain and pain control, set them up to realize that pain should not continue forever on acute issues
Yes--like a pain menu while inpatient
We have a standardized process in which our organization completes follow-up phone calls with patients
Home health visit day 1-2 after discharge to encourage compliance or explain more
Insure that the patient's whole team is communicated with PCP< Pharmacy, Therapy
Setting up the follow-up appointments for the patient :)
Order physical therapy consult
Yes If I can figure out how to unmute
We have a number of things we try with residents in addition to medications, such as music therapy, massage if appropriate, essential oils, etc.
Caution - need to review standing orders on order sets to ensure we are not auto sending too many opioids home
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
post-acute collaborative (we partner with 18 area SNF(s) in the area to ensure we are assisting patients with their transitions)
Linking to local care coordination coalition in the community outside of health systems
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
educate that not every patient will get complete relief from pain goal is comfort not 100%
Connect patients to community-based interventions such as evidence-based programs
Thanks Kent for learning about your reach.
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.
Are you working in Linn county area? Please contact me at linn county public health
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
Ok thank you.
Thank you so much for your contributions to the change ideas.
What great input from all of you on the change ideas, thank you so much for sharing!
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.
We will share the driver diagram we completed after today's meeting.
This is great, thank you for sharing.
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
We want to celebrate your successes, let us know.
Reminder to all to consider providing deactivation drug disposable pouches at discharge.
Take Back Day!
Thank you, Trina, we will share the resource after the meeting today.
Are there any resources related to today’s discussion that you would like to share with others?
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.
Thank you Sheri for that detail - what an excellent practice!
firstname.lastname@example.org for free pouches
Thank you, Trina. Please feel free to share your information in chat.
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/
https://odcp.iowa.gov/rxtakebacks Take Back sites in Iowa
thank you! :)