Five Kansas clinics were among the 40 Compass PTN participants that presented posters at the 2019 Innovator's Symposium in Atlanta. Download them below.
Enhancing Patient Engagement Through Trauma-Informed Quality Improvement
Caritas Clinics, Inc.
Kansas City
Contact: Jana Zaudke, This email address is being protected from spambots. You need JavaScript enabled to view it.
The Family Health Care Clinic team includes Karna Peterson (back row, fifth from right) and Julie Worcester (back row fourth from left), who led the push to increase Annual Wellness Visits among the clinic's Medicare patients.Annual Wellness Visits are a regular opportunity for Medicare patients and their physicians to give special attention to personalized prevention plan. Needed screenings are performed or scheduled, risk factors and treatment options are addressed, and diet, home safety, and available community resources can be discussed, among other things.
“It’s a time to give guidance or encouragement on important aspects of wellness that a provider and patient may not have time to discuss in a typical office visit,” said Karna Peterson, Clinic Manager at Family Health Care Clinic, which is part of Lindsborg Community Hospital.
Family Health Care Clinic (FHCC) was already exceeding the national average for percentage of patients getting Annual Wellness Visits (or AWVs), but they wanted to do better.
“We were seeing a lot of patients who weren’t taking advantage of all the screenings that they were eligible for, and the Annual Wellness Visit is a dedicated time to make sure that recommendations were done,” said Peterson. “I feel like it’s our duty as health care providers to help patients understand their benefits and the health care they have access to and can benefit from.”
Jacquie Kerl, Hiawatha Family Practice Clinic manager, with the notebook she started during her first meeting with KHC.HIAWATHA—Jacquie Kerl still refers to the notebook she started during her very first meeting about quality improvement.
The clinic manager at Hiawatha Community Hospital keeps it with other reference material within reach of her keyboard. Clipped to the first page is the business card of Rebecca Thurman, her Quality Improvement Advisor from the Kansas Healthcare Collaborative (KHC).
“About a year ago, Rebecca showed up here on my second week on the job,” Kerl said. “She broke down everything, which was crucial. And since then every time I’ve had a question or concern, she’s been there. She’s always challenging me to take the next step—to make the next incremental improvement.”
Mary and Dr. Bradley Barrett after recieving the Pinnacle Practice award in Atlanta earlier this summer.NEODESHA—Dr. Bradley Barrett is so focused on his patients that he hadn’t raised his fees in 10 years. His wife Mary, administrator of the clinic, knew they were low, but not by just how much.
"We found out we were charging less than half of what Medicare allows in our area,” Mary Barrett said. “My husband has a feeling for those with less means. But we weren’t even charging insurance enough."
Mary said all that changed upon beginning work with the Kansas Healthcare Collaborative in 2017. Jill Daughhetee is the clinic’s KHC quality improvement advisor.
“Jill came in and helped us make our practice more financially sustainable immediately,” Mary said. “And at the same time, we’ve put practices into place that have helped us demonstrate the quality of care our patients receive.”
Women's Health Center staff includes Jennifer Brady (right) and Tiffany Miller.CHANUTE—At the Women’s Health Center, every obstetrical patient is placed into a risk stratification group to help guide their care. A nurse screens all new patients at the first appointment, the physician reviews the screening and patient information, and the case receives a risk level.
“Risk stratification is a best practice, but there are significant challenges to putting it in place,” said Patty Thomsen, the clinic’s Quality Improvement Advisor from Kansas Healthcare Collaborative. “The most significant challenge is formalizing the process and ensuring that the policy and procedure flows for the clinical staff—which is part of the milestone for the Transforming Clinical Practice Initiative.”
“That's huge—early identification of at-risk pregnancies is absolutely one of the best things you can do to improve health outcomes now and well into the future. And of course, that usually translates into much few costly complications,” Thomsen said.
That’s where Women’s Health Center’s partnership with KHC is proven critical, said Clinic Manager Jennifer Brady.
Horizons Mental Health Center same-day access staff (Vikki Mader not pictured).
HUTCHINSON—Staff at Horizons Mental Health Center thought they could improve access to care at their clinic, but they were shocked by just how much.
Horizons recently gathered feedback as part of the clinic’s patient and family engagement efforts and through meetings with community partners, said Vikki Mader, Health Information Management Director and Risk Manager at Horizons.
“One of the major complaints was that it took too long to get in to be seen for an initial visit,” Mader said. “Often the next day is just too long for someone struggling with a mental health issue." At that point, they were only able to schedule about 29 percent of initial visits on the same day.
So, in November, Horizons fundamentally changed their workflow.
Northwest Family Physicians staff members, including clinic administrator Heather Steinert (third from left).WICHITA—Patient-centered communication helps improve health outcomes. At Northwest Family Physicians, patient-centered communication has led to nearly all of their diabetic patients bringing their condition under control, said clinic administrator Heather Steinert.
"Now we have a very small percentage of diabetics who are over 9 (not under control). I can think of only three patients currently—and that's fantastic," Steinert said, noting the clinic has more than 2,000 diabetic patients.
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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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.
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.
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.
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.
The 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.
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.
“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.
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.
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.
