This Live series activity, CPIN Care Coordination Series, from April 28, 2011 - December 31, 2011, has been reviewed and is acceptable for up to 7 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Note: Each live webinar is acceptable for 1 Prescribed credit.
This lunchtime webinar, originally presented on April 24, addresses childhood’s most common chronic disease, dental caries (cavities), which affects a child’s overall health in many ways (ability to eat, speak correctly, sleep, etc). A practical and simple way to reduce dental disease is by integrating oral health screening and prevention into routine well visits. Often, children will see their medical provider more than eight times for well-child care before their first visit to a dentist. Addressing oral health in young children is key to maintaining and improving their overall health. Information includes how to assess risk and screen for caries among patients as well as key oral health anticipatory guidance. The role of fluoride varnish as a means to prevent dental disease is highlighted, as well as how and when to refer patients to a dental provider.
PresenterRussell Maier, MD is a family physician in Yakima and program director of Central Washington Family Medicine Residency, training doctors to practice in rural and underserved settings. He is a clinical professor in the Department of Family Medicine at the University of Washington, co-chair of the Group on Oral Health for Society for Teachers of Family Medicine. Dr. Maier currently serves as chair of the Washington Dental Service Foundation Board of Trustees.
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This webinar, originally presented on March 13, presents a hands-on, practical approach to help primary care practices improve the efficiency of referrals to eight types of specialists. Developed locally, based on several years of experience by specialists participating in Project Access Northwest, the guide identifies specific clinical services that should always be completed and documented prior to a specialist referral in order to make that visit as efficient and productive as possible. Checklists for orthopedics, gastroenterology, ophthalmology, dermatology and several other specialties will be presented. Using these guides not only facilitates more timely and efficient care, they result in better health outcomes for referred patients.
PresentersSallie Neillie, executive director for Project Access Northwest and Andrea Castell, RN, also of Project Access Northwest. In arranging for access to specialists for Medicaid and uninsured populations over several years, Ms. Neillie and Ms. Castell have worked with the specialists to identify how to make the most efficient use of their donated time. The lessons learned from these efforts resulted in the Efficient Visit Guide.
The CMS Partnership for Patients is a nationwide, billion dollar effort to dramatically reduce hospital acquired conditions and preventable readmissions within three years. Virtually all hospitals in Washington are participating in this program. This webinar, originally presented on February 23, 2012, presented an overview of the CMS Partnership for Patients, outlined the specific objectives of the Washington Hospital Engagement Network, and discussed the expected role of community physicians in helping reduce preventable readmissions.
PresentersCarol Wagner, is the senior vice president of patient safety for the Washington State Hospital Association and project director for the Washington Hospital Engagement Network. She has over 17 years leadership experience in patient safety and quality improvement, and is the creator of the Safe Table hospital quality improvement program. Lance Heineccius is currently director of performance improvement for the WSMA Foundation for Health Care Improvement, creator of the CPIN program, and physician engagement lead for the Washington Hospital Engagement Network.
Managing chronic pain in ambulatory care settings is extremely challenging. In addition to the concerns about safety, abuse and addiction risk, and effectiveness in long-term chronic pain treatments, new legislative requirements, evolving guidelines, and co-morbid patient conditions makes this subject a difficult challenge for many primary and specialty care providers. This webinar, gives physicians practical advice on how to meet these many challenges. Note: This webinar is intended as a clinical overview of the topic and is not designed to meet the CME training requirements for Washington HB 2876 compliance.
This webinar was held Thursday, December 6, 2011 – 12:15 - 1:15 pm (PT) and was presented by David Tauben, MD, a University of Washington clinical associate professor and director of medical student education in pain medicine, in a joint appointment with the Department of Anesthesia and Pain Medicine and the Department of Medicine. He provides specialty consultation and care at the Center for Pain Relief. He combines his specialty skills and experience as both a primary care internal medicine doctor and a pain specialist to diagnose and treat complex and continuing painful conditions. He has particular expertise in the formulation of medication management plans for pain persisting more than three months. He is also developing new programs for improved education and training necessary for long-term pain management in the outpatient primary care office setting.
The Patient-Centered Medical Home Collaborative is a learning process for medical teams to improve primary care for their patients. From September 2009 through September 2011, 32 teams in Washington created and operated patient-centered medical homes, under a project jointly sponsored by the Washington Academy of Family Physicians and the Washington State Department of Health. In a medical home, the physician and care team build strong relationships with the patient and the patient’s family. The team coordinates care with specialists or other health providers. Patient-centered care makes the patient a partner in health care decisions. This webinar presents the lessons learned from this two year collaborative.
This webinar was held Wednesday, November 15, 2011 – 12:15 - 1:15 pm (PT) and was presented by Kimbra Wells Metz, Director of Practice Transformation at the Washington Academy of Family Physicians, and Patricia Justis, manager of the Washington Patient-Centered Medical Home Collaborative, in the Practice Improvement Section of the Washington State Department of Health. Both were actively involved in the implementation and evaluation of the Patient-Centered Medical Home Collaborative.
Some of the most important, and challenging, conversations physicians can have with their patients involve planning for, and clarifying patients values about, end-of-life care decisions. The timing and structure of these conversations, and the ways to successfully engage the patient (and family members as appropriate) in what are often difficult and emotional decisions, was the subject of this webinar. A question and discussion session followed the 40-45 minute webinar presentation.
This webinar was held Wednesday, October 19, 2011, 12:15 - 1:15 PM (PT), and was presented by Linda Wrede-Seaman, MD, FAAFP, FACEP, FAAHP, a Yakima palliative medicine specialist.
The 2011 Alliance Community Checkup was the fifth annual comprehensive report on health care performance in the Puget Sound region including medical groups, clinics and hospitals in King, Kitsap, Pierce, Snohomish and Thurston counties.This 60-minute lunchtime webinar presented how well care is delivered at the medical group level on over twenty measures of quality and appropriateness. These measures, based on information about two million regional residents, are grouped into the areas of prevention, chronic disease management, use of generic drugs, and appropriate use of services.
This webinar was held Thursday, September 29, 12:15 - 1:15 pm (PT) and was presented by Peter McGough, MD, UW Associate Clinical Professor of Family Medicine and Chief Medical Officer of the UW Medicine Neighborhood Health Centers, and Susie Dade, Deputy Director of the Puget Sound Health Alliance.
This 60-minute lunchtime webinar presented an in-depth discussion about, reducing hospital readmissions by engaging physicians. Patients being discharged from acute care hospitals are usually quite fragile, often confused about what to do next, and frequently overwhelmed by the amount of information they are taking home with them. In many cases their family physician has not been alerted they are being discharged (and often is unaware they’ve been hospitalized). Some patients have no family physician or regular source of care in the community. Improving effective handoffs back to community physicians at time of discharge has been identified as a top priority by the National Quality Foundation, Medicare, and many other quality improvement organizations. This webinar will present practical tips and strategies that have been successful at local hospitals in engaging community physicians in this critically important transition.
This webinar was held Wednesday, September 7, 2011 from 12:15 - 1:15 pm (PT) and was presented by Larry Schecter, MD, FACS, Chief Medical Officer at Providence Regional Medical Center in Everett, and Amy Hoing, MD, a Primary Care Physician at Evergreen Healthcare in Kirkland. This webinar was introduced by Carol Wagner, Vice President for Patient Safety at the Washington State Hospital Association and a national leader in the effort to reduce hospital readmissions.
This 60-minute lunchtime webinar presented an in-depth discussion of effective, bi-directional referral management, giving participants a practical framework for improving how care is coordinated among clinical partners. Focused on the patient-centered medical home model of care delivery, the framework begins with understanding why formal referral arrangements are now a necessity, and then describes how to develop and implement formal agreements that improve care coordination and outcomes while reducing costs. Practical case studies of what works, and how to correct things that are not working, were part of this webinar.
This webinar was held Tuesday, May 31, from noon-1 pm. Scott Kronlund, MD, of the Northwest Physicians Network and Alan Glaseroff, MD, of the Humboldt (California) Independent Practice Association will present.
Effective Referral management: Building Accountable Care Coordination—webinar presentation [PDF]
This 60-minute lunchtime webinar presented an in-depth overview of the essentials for effective care coordination, giving participants a practical, four-part framework for improving how care is coordinated among clinical partners. Focused on the patient-centered medical home model of care delivery, the framework begins with taking responsibility for the care your patients receive regardless of setting and includes identifying the best practice service partners, building relationships with these partners, providing patient logistical support, and developing formal agreements and connections to improve care coordination.
This webinar was held Thursday, April 28, 2011 from noon-1 pm. Ed Wagner, MD, MPH, FACP, a general Internist/ Epidemiologist and Director of the MacColl Institute for Healthcare Innovation at the Group Health Cooperative Center for Health Studies presented.
Click to view An Overview of Care Coordination Essentials video (best viewed in Windows OS using Internet Explorer browser)
The Patient Centered Medical Home: Care Coordination—webinar presentation [PDF]
This 60-minute CPIN webinar presented a practical approach to collecting and using standardized patient data about race, ethnicity and language to measure and reduce disparities in your practice. Although numerous focused studies have documented persistent differences in outcomes for minority patients, most medical practices are currently unable to quantify if disparities exist in health outcomes for their patients.
This webinar was held on Tuesday, March 8, 2011. Marcia Wilson, PhD, and Christina Rowland, MPH, of the Robert Wood Johnson Foundation’s Aligning Forces for Quality Project were co-presenters.
Reducing Disparities: The Importance of Collecting Standardized Data on Patient Race, Ethnicity and Language—webinar presentation [PDF]
This 60-minute CPIN webinar, presented the results of a 2010 survey of over 50 medical groups in the Puget Sound region regarding their current use of specific tools and processes for effective patient care. Structural elements of best practices surveyed included adoption of electronic medical records, use of registries, strategies for improved access to care, collecting information on health outcomes, patient satisfaction, and health disparities, as well as care coordination resources and patient reminders.
This webinar was held on Tuesday, March 8, 2011, and Presented by Susie Dade, Director of Performance Improvement for the Puget Sound Health Alliance.
Click to view this Effective Patient Care video (best viewed on Windows OS using Internet Explorer browser)
This 60-minute, internet-based webinar addressed the important topic of managing patients with depression in primary care. The presenter was Dr. Jurgen Unutzen, Chief of Psychiatry, University of Washington Medical Center and Director of the UW AIMS Center and the IMPACT Implementation Program. This webinar was held Tuesday, November 30, 2010.
Managing Patients with Depression in Primary Care—seminar presentation [PDF]
The first CPIN learning session was an in-person seminar. It featured Ed Walker, MD, MHA, founding Director of the UW Healthcare Leadership Development Alliance, speaking on the importance of physician leadership and engagement in quality improvement efforts at the practice level and Susanne Quistgaard, MD, Family Medicine Physician at Edmonds Family Medicine Clinic, who spoke on using disease registries to improve outcomes by tracking patients with chronic conditions over time. This was presented on September 24, 2010, Tacoma - Live Seminar
Click to view this CPIN seminar video.
Powerpoint Presentations: [PDF]
"Using Registries to Improve Patient Care" - Susanne Quistgaard, MD
"The Case for Physician Leadership" - Edward Walker, MD, MHA