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January 21, 2010: Population Health - Providing Care Within Your Community

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A Partnership of MaineHealth and the Maine Physician Hospital Organization

Welcome to the Practice Improvement Series Meeting (PRISM), webpage!

Population Health: Providing Care Within Your Community

Here you will find all of the presentations, tools and resources available to you from the January 21, 2010 PRISM.

Agenda

Morning Plenary Session: 8:00a.m. - 9:25a.m.

Welcome and Introductions
Presenter: Jackie Cawley, DO, Senior Medical Director, Ambulatory and Preventive Health, MaineHealth

Population Health Overview
Presenter: Jackie Cawley, DO, Senior Medical Director, Ambulatory and Preventive Health, MaineHealth

Population Health Strategies for Primary Care
Presenter: Bonnie Zell, MD, MPH, Sr. Director- Population Health, National Quality Forum, Washington, DC.
Dr. Zell will describe population health concepts and how to integrate population level assessments and strategies into healthcare and primary care, specifically. Examples of primary care system redesign and collaboration between healthcare and community partners will be shared.

Goals:

  • Understand how to bring population level assessments, strategies and measures into healthcare
  • Work through an example of how to design population level strategies for your practice
  • Become aware of new tools available to support healthcare organization involvement in community level health activities

View the Video

Workshop 1: 9:35a.m. - 10:35a.m.

Care Coordination: Connecting PCP & Specialty Practices
Presenters: Robert Waterhouse, MD, Associate Medical Director; A. Jan Berlin, MD, Associate Medical Director; MMC PHO; William Schirmer, MD, Martin's Point Health Care; Brian Jumper, MD, Maine Medical Partners Urology

Goal:

  • Learn to foster improved communications between primary care and specialty providers through the lens of the MMC PHO Care Coordination Program

Workshop 2: 10:45a.m. - 11:35a.m.

So You Want an EMR: Myths, Realities and What You Can Do Now
Presenters: Mary McDonough, RN, Practice Administrator; Kristen Kentopp, MD, MPH; Lisa Bowers, Practice Manager; Debbie Murray, LPN; Melissa Walters, PA-C, MPH; Lincoln Medical Partners Internal Medicine, Damariscotta

Goals:

  • Educate participants about how an EMR will change the way patient care is delivered: culture, documentation, communication and practice design
  • Assist participants in thinking about needs for space, equipment, workflows, timelines, and general preparation to aid in the transition from paper to EMR

Using Clinical Microsystem Methods to Assess, Diagnose, and Treat Your Practice
Presenter: Ann Marie Hess, MSN, MS, President, Clinical Performance Management

Goal:

  • Introduce clinical microsystem methods and tools to rapidly improve your small system and to identify opportunities for your team to gain useful knowledge about this process

Implementing a Shared Decision Making Program in Primary Care Practices
Presenters: Neil Korsen, MD; Ruby Spicer, MPH, RN; MaineHealth

Goal:

  • Describe key concepts of Shared Decision Making and how clinicians can use decision aids in their practice

Workshop 3: 11:45a.m. - 12:35p.m.

The Triple Aim:

Patient Centered Medical Home: A Blueprint for Change
Presenters: Lisa Letourneau, MD, MPH, Executive Director, Quality Counts; Sue Butts-Dion Consulting

Goals:

  • Describe the key principles of the Patient Centered Medical Home model
  • Outline 2-3 steps you can take to successfully move towards the PCMH model
  • Describe the overall goal and key aspects of the Maine PCMH Pilot

Our Journey: Creating a Process to Care for a Population
Presenters: Paul Taylor, MD; Kim Gardner, LPN, BS, CPC, Practice Administrator; Martin's Point Health Care; Donna Kennedy, RN, Chronic Illness Care Mgr, MMC PHO

Goal:

  • Learn how any practice can get started and evolve towards using a population health system

The Triple Aim: Putting Population Health into Perspective
Presenters: Vance Brown, MD, Chief Medical Officer; Jackie Cawley, DO, Sr. Medical Director, MaineHealth; Jeff Aalberg, MD, MMC PHO

This session looked at how MaineHealth is focusing on population health, and how the current national health care environment is impacting MaineHealth and the state's approach to population health. The panel discussed the effectiveness of national quality programs on population health work, and the impact of evidence based guidelines on how patients are cared for and how patients ask about their care.

Goal:

  • Provide an open forum for better understanding of current population health trends; Q&A format encouraged

Workshop 4: 1:35 - 2:25p.m.

New Preventive Health Tools
Presenters: Tim Goltz, MD, Lincoln Medical Partners Family Medicine; Jackie Cawley, DO, Sr. Medical Director, MaineHealth; Laura Brann, Program Manager, MMC

Goals:

  • Introduce strategies for improving preventive health care through:
    -Patient education
    -CIR reporting and tracking
    -Links to online resources

Building a Care Team: Planning, Timing & Teamwork
Presenters: Mary McDonough, RN, Practice Administrator; Hallie Bibeau, Project Coordinator; MMC Family Practice; Amy Quatticci, RN, BSN, Care Manager, MMC PHO; Jean Kolb, Health Educator, MaineHealth Learning Resource Centers

Goal:

  • Describe the care team building process & demonstrate tools that assist with daily workflow

Bridging Gaps: Partnering with Community Health
Presenters: Ron Deprez, PhD, MPH, Director, Center for Community and Public Health, University of New England; Catherine Princell, RN, MS; Blue Hill Family Medicine

Goal:

  • Demonstrate collaborative models to link community health with practices and patients

Plenary Session: 2:45 - 3:20p.m.

Population Health Working for Individual Patient Care
Presenter: Jo E. Linder, MD, Director- Division of Community & Preventive Medicine, Maine Medical Center

Goals:

  • Learn how to apply population -based strategies and tools to care for individual patients
  • Improve connectivity with colleagues in community health and preventive medicine

Highlights of the Day: Turning Information into Action
Jackie Cawley, DO, Sr. Medical Director - Ambulatory, Preventive Health, MaineHealth

THANK YOU!!

Thank you for taking the time to review the day's activities for the Population Health PRISM. If you were in attendance, we hope that you found the day to be a valuable use of your time.

If you were not present, please be sure to Save the Dates and join us for our next series of PRISMs.

Please contact us if you would like any additional information on PRISM or other MaineHealth Learning Community offerings.

We look forward to hearing from you.

  
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