CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 · 2018-06-06 · CHRONIC DISEASE WORK GROUP...

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CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 1

Transcript of CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 · 2018-06-06 · CHRONIC DISEASE WORK GROUP...

Page 1: CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 · 2018-06-06 · CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 1. Introduce yourself: Name, ... for COPD - Chronic Obstructive

CHRONIC DISEASE WORK GROUP MEETING

MAY 29TH, 2018

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Page 2: CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 · 2018-06-06 · CHRONIC DISEASE WORK GROUP MEETING MAY 29TH, 2018 1. Introduce yourself: Name, ... for COPD - Chronic Obstructive

Introduce yourself: Name, organization, and county

Welcome and Introductions

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WELCOME

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Review Proposed Agenda Items Program Updates

Assessment Data

Summary of Toolkit and Project Area

Discussion

Next steps and closing

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Program Updates

• First provider participatory payments were released on 5/18/2018

• RFP

• Implementation Plan completed in October

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State Capacity Assessment

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By County By Project

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2023

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Yes, EHR Yes Separate Software No

Does your practice maintain a chronic disease registry or registries? [3402]

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Offers Onsite Does Not Offer Referred Offsite

Stanford Chronic Disease Self-Management Program (CDSMP): Please select the response option that best describes

your practice. [3403]

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Offered Onsite Does not offer or refer Refers offsite

National Diabetes Prevention Program (NDPP): Please select the response option that best describes your practice. [3404]

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Asthmaeducation(on-site)

Referrals toasthma

education(off-site /

community-based)

Home visitsfor asthma

services

COPD -Chronic

ObstructivePulmonary

Diseaseeducation(on site)

Referrals toCOPD -Chronic

ObstructivePulmonaryDisease -education(off-site /

community-based)

Home visitsfor COPD -

ChronicObstructivePulmonaryDisease -services

Hypertension

education(on-site)

Referrals tohypertensi

oneducation(off-site /

community-based)

Home visitsfor

hypertension

Support forhome-basedblood

pressuremonitoring

Diabeteseducation(on-site)

Referrals todiabetes

education(off-site /

community-based)

Series1 13 6 0 9 6 0 12 5 1 6 12 12

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14 Our practice currently offers the following:

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Mammograms Immunizations Annual checkups No Other

Do providers ask about any of the following routine preventative care? (Please check all that apply.) [2149]

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Evidence Based Approaches: Chronic Care Model

Regions are encouraged to focus on more than one chronic condition under the Chronic Care Model• The Community Guide

• Million Hearts Campaign

• Stanford Chronic Disease Self-Management Program

• CDC-recognized National Diabetes Prevention Program (NDPP

• Community Paramedicine Models

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Specific Change Strategies in MTP Toolkit for Chronic

Care Model

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MTP: Timeline

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Plan

2018

Implement

2019

Scale

2020

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Next Steps and ClosingRequest for Proposals (RFP) will be released May 30th and close July16th, 2018

•CPAA is hosting a virtual town hall meeting on Friday, June 8, to answer any RFP related questions.

Submit any requested work group topics or collaboration meetings to

[email protected]

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Thank You!