PTN Success Stories

Exemplary Practice Story: Sunflower Ob-Gyn, Winfield

 

Sunflower Ob-Gyn—a clinic in Winfield and member of the Kansas Practice Transformation Network—began a program aimed at improving patient outcomes in hypertension, diabetes, and depression through weight loss. They called it "KDM Intense." Over 12 weeks, patients worked with a nutritionist, a trainer, a pharmacist, and staff at Sunflower to improve their diet, activity level, and blood pressure. The early results in the program have been impressive—including dramatic reductions in depression. Dr. Daniel Miller of Sunflower talks with Jill Daughhetee—Quality Improvement Advisor at Kansas Healthcare Collaborative—about the program and its early results.

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Leaders in the Practice Transformation Network share success stories

Four of the seven featured practices with their QIAs.

The annual event's morning session included (back row, from right) Jenna Mikrut and Mallory Roberson from Community Health Center of Southeast Kansas, Dr. Daniel Miller from Sunflower Ob-Gyn, PA, and KHC's Devin June; and (front from right) Kelsey Moran, Bonnie Stephens, and Dr. Kim Allman from Family Physicians of Kansas, and Tiffany Trapp from Rush County Medical Clinic, and KHC's Jill Daughhetee.

About 80 leaders across Kansas committed to clinical practice transformation and performance-based care came together last week near Salina for a full day of sharing knowledge and lessons learned at the 2018 Kansas PTN Annual Learning Event.

Among the featured speakers were seven local practice leaders who shared inspiring success stories of changing patient lives using evidence-based approaches for helping patients reduce their blood pressure. Their efforts were supported in part by a partnership between Kansas Healthcare Collaborative and the Kansas Department of Health and Environment.

One of the seven practices is Community Health Center of Southeast Kansas. Mallory Roberson — Population Health Manager who oversees the project at CHCSEK — said the clinic made substantial strides in building relationships with most of the patients who agreed to participate in the program, in addition to seeing improvements in health outcomes.

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Winfield Pharmacy to host Blood Pressure Self-Monitoring Pilot Program

Winfield Pharmacy

Winfield Pharmacy Health Mart was recently selected as one of only two communities to serve as a pilot for a YMCA Blood Pressure Self-Monitoring Program (BPSM). Grant-funded by the Kansas Department of Health & Environment (KDHE), this is a new partnership between KDHE and the YMCA.

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Local clinic in Phillipsburg, Kansas is helping diabetic patients improve their health

Employees of Phillips County Health Systems

More than half the diabetic patients of Phillips County Health Systems in Phillipsburg, Kansas participated in a program providing diabetic support and education.

In 2015, the first year of the program, 90 patients with chronic diabetic issues were referred to the Phillips County clinic. Of that number, 60 agreed to start the program. Nationally, on average just one-in-seven persons referred to diabetic programs are willing to participate.

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Mobile Integrated Health Care working to reduce ER visits and hospital stays, while keeping patients healthier and safer in their own homes

Cheyenne County Clinic - St. Francis, KS Cheyenne County Clinic - St. Francis, KS 

“People don’t realize how important it is to know your patient, to see them in the home and to learn what the barriers are,” said Tammy Church, RN. “One encounter can’t tell you the whole story.”

Through a grant awarded to the Cheyenne County Clinic in St. Francis, Kansas, Church and the EMS director Reid Raile began the mobile integrated health care service, working with high risk patients (patients at risk for complication or admission) in 2016. Church had two goals - to help patients stay safely in their homes and to reduce the number of avoidable emergency room and hospital visits.

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Practice works to reduce labor intensive claims-based reporting

PTN groupPictured: Comprehensive Adult Medicine, Wichita
Top to bottom: Carlene Klassen, MD; Amy Blincoe, MA, Glenda Murray, OM; Didi Henriques, RN (Not pictured, Kim Jones, MA)

Using data to improve care plays an essential role in delivering quality healthcare for patients, and succeeding in the Merit-Based Incentive Payment System (MIPS). Barriers such as cost, limited staff, and convenience often restrict access to the tools necessary to track and send quality data to CMS. As a result, submitting quality data to MIPS through the CMS web interface, or a third-party data-submission service such as an EHR (Electronic Health Record) registry, or a qualified clinical data registry is not always an option for smaller practices. For those practices that fit this scenario, claims-based reporting is usually the only option. With claims-based reporting, clinicians must use codes specified by CMS that indicate a particular quality measure was performed with a patient. For healthcare professionals, the claims-based method can be difficult to track and labor intensive.

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Labette clinic is seeing a valuable exchange of information through PFAC

Labette Health Physicians Group 2The feedback goes both ways between the Patient and Family Advisory Committee (PFAC) and the Labette Health Physicians Group, according to Missy Beasley. Recently she was invited to present at the PFAC meetings at Labette Health in Parsons, Kansas.

Beasley is the clinic manager of the 25 physician and NPP multi-specialty clinics located in Parsons, St. Paul, Erie, Altamont, Cherryvale and Independence. Her clinic is a member of the Kansas Healthcare Collaborative Practice Transformation Network (PTN). It was one of the first to join, in October 2015. Beasley works with Josh Mosier, PTN Quality Improvement Advisor. Through their work on the PTN improvement measures, particularly patient involvement, Beasley said a PFAC committee was something the hospital-owned clinic had been wanting to set up. She was glad to join the hospital’s group which comprises 11 community patient and family advisors, one Board of Trustee liaison, and five or six hospital employees.

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Finding a simple tool that results in many positive changes

SCFCC Drs

Sumner County Family Care Center clinic partners
From Left: Lacie Gregory MD, Stephen Hawks DO, Joel Weigand MD, Steven Scheufler MD, Shana Jarmer MD, (not pictured Larry Anderson MD)

Amber Dawson hadn’t been at her new job as Administrator of Sumner County Care Center more than a few days when she ran across an email from Practice Transformation Network advisor Jill Daughhetee.

The Sumner County Care Center in Wellington has 11 providers and 30 employees and is celebrating 40 years of service this year. However, a recent string of turnovers in the administrator position had left the lines of communication down and employee morale down, too. Amber wanted to change that and Jill’s email offered some tools.

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Clinic finances move back into the black thanks to PTN participation

“It was incredible,” said Mary Barrett, office manager of her husband’s family practice in Neodesha, Kansas. After less than three months of work with the Kansas Practice Transition Network (PTN), she has made adjustments that “have been a game changer” in Dr. Bradley Barrett’s clinic.

Kansas PTN Quality Improvement Advisor Jill Daughhetee first met Mary in January and together they performed a Baseline Practice Assessment. “Jill analyzed our strengths and weakness,” Mary said, and candidly added, “we have some weaknesses.” With this list, they got started.

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Preventive care getting a boost at the Eureka Clinic

Focus on the whole patient means special attention to preventive care.

This single practitioner clinic serves all of Greenwood County Kansas and beyond. Jennifer Larsen is the physician’s assistant.  “We’ve tried to focus on whole patient care, especially preventive care,” she said.  

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Family Health Care Clinic in Lindsborg

Family Health Care Clinic in Lindsborg, Kansas became part of the Compass Practice Transformation Network last year.
 


After completing the Practice Assessment Tool, FHCC found that they weren’t capturing structured data consistently to document the quality care that they were providing as a practice.
 


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“Secret Patients” provide feedback

Ottawa Family Physicians in Ottawa, Kansas have found an effective tool to get patient feedback.  “It’s just very simple,” said Betty Franklin, administrative assistant. 

Franklin explained that two or three weeks ahead of time, they look through the patient schedule and randomly pick three or four patients.  A staff member calls them and asks if they would be willing to be a “secret patient.”  If they agree, a Patient Satisfaction Survey is mailed to them, along with a self-addressed, stamped envelope.

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