NCA - PGR- Session 1 Slides
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Transcript of NCA - PGR- Session 1 Slides
We will begin shortly…
Welcome
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Using Zoom
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Use the Q&A button to send us your questions!
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At this time- Please use the CHAT button to tell us the name of your Health Center and how many people have joined the meeting.
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Community Health Center, Inc.
Foundational Pillars
1. Clinical Excellence- fully Integrated teams, fully integrated EMR, PCMH Level 3
2. Research & Development- CHC’s Weitzman Institute is the home of formal research, quality improvement, and R&D 3. Training the Next Generation: Postgraduate training programs for nurse practitioners and postdoctoral clinical psychologists as well as training for all health professions students
CHC Profile: •Founding Year - 1972 •203 delivery sites •145k patients
The Community Health Center, Inc. and its Weitzman Institute will provide education, information, and training to interested health centers in Transforming
Teams and Training the Next Generation
• National Webinars on advancing team based care, implementing post-graduate residency programs, and health professions students in FQHCs.
• Invited participation in Learning Collaboratives to advance team based care or implement a post-graduate residency program at your health center.
CHC’s NCA on Clinical Workforce Development The National Training and Technical Assistance Cooperative Agreements (NCAs) provide free training and technical assistance that is data driven, cutting edge and focused on quality and operational improvement to support health centers and look-alikes.
National Webinar Series -2892 viewers attended the webinar series -Most attended webinar: Enhancing the Role of the Medical Assistant -(March 3, 2016) 373 attendees - Videos: Viewed a total of 1,102 times - Slides: Viewed a total of 6,746 times - Representation from all 50 states, US Virgin Islands, Puerto Rico and
Canada.
The LC Teams
147,769
1,708 0
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Tota
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Participating FQHCs
Total Patients UDS 2015 Health Center Data
Team-Based Care
Residency
Both
Demographic and Population Profile
Collectively, we serve over 607,884 patients
Demographic and Population Profile
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30%
40%
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100%
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% o
f To
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Participating FQHCs
Age UDS 2015 Health Center Data
Older Adults (age 65 and over)
Adult (18 - 64)
Children (< 18 years old)
Patient Characteristics
Uninsured 18%
Medicaid/CHIP 57%
Medicare 9%
Other Third Party
16%
Payor Data UDS 2015 Health
Center Data
Almost all health centers offer Medical, Dental and Mental Health services.
Staffing and Utilization: UDS Table 5 – We encourage you to look at your data!
Quality Improvement Education Patti Feeney
Manager, Quality Improvement Education
Effective Meeting Skills
Providing meeting and team structure for coaches
I. AGENDA II. MEETING ROLES III. ACTION PLAN
Define the Problem Fishbone Diagram; a useful cause & effect tool
Developing a Project Specific Aim
All tools referenced in today’s session and support material can be found by following theses links:
NCA Team-Based Care Learning Collaborative
NCA Post-Graduate Residency Learning Collaborative
Tools and Resources >> Quality Improvement
Welcome NCA Post-Graduate Residency
Learning Collaborative
Organizational Overview
Interviews : General Impressions
A lot of variation in QI experience, from none to expert
Five organizations host medical residents from university hospital programs; most have pre-licensure students from various disciplines; none run their own residency programs
Many mentioned the complexity of FQHC patients, requiring specialized training NPs don’t get in their graduate programs
Several mentioned that many new NPs have never worked as RNs, and are coming from other fields into the direct entry accelerated programs
Interviews : Expectations and Goals
• Want best practices and structure/guidance/resources from the LC: how-to
• The first year out of school is overwhelming for new NPs and want to help with the transition
• Recruitment/retention are major goals
• Concerns: organizational structure and resources required to host and sustain an accredited program; financial implications
Team Coaches Name of FQHC Coach
Avenal Community Health Center Veronica Vo Lumley
Central City Concern- Old Town Clinic Lauren Land
CHAS Health Marcus Riccelli
Lamprey Health Care Evalie Crosby
Lyon Martin Health Services Nina Soares
Matagorda Episcopal Health Outreach Program Jessica Russell
Menominee Tribal Clinic Diane Hietpas
Montbello Health Center Lisa Wanger
Johnson City Community Health Center Dr. Flo Weierbach
Petaluma Health Center, Inc. Carlin Chi
Rutgers Community Health Center Mary DiGiulio
The Children’s Clinic Jack Tsai
CHCI Mentors Post-Doctoral Clinical Psychology Residency Programs
Kerry Bamrick
Senior Program Manager
Post-Graduate Residency Programs
Post-Graduate Nurse Practitioner Residency Programs
Anna Rogers Project Director National Cooperative Agreement [email protected]
Charise Corsino Program Manager Nurse-Practitioner Residency Program [email protected]
Coach and Mentor Roles
Role of the Coach Role of the Mentor • Teach team how to prepare and facilitate
effective meetings. • Provide coaching support between and during
weekly team meetings. • Participate in weekly conference calls with
mentor to discuss progress and stuck points. • Help team follow timelines and complete
assignments and progress reporting. • Share team’s progress with the mentor and
other teams during collaborative sessions.
• Meet with coach weekly to discuss progress.
• Work directly with coach to identify successes and work through challenges and stuck points.
• Help coach run an effective meeting for their team and develop other coaching skills.
• Be available for individual sessions with coach for specific team and program development.
Drivers for Starting a Program
• Your organization should ask – Why do we want to start a post-graduate residency training program?
• Our drivers for starting postgraduate training programs
– Nurse Practitioner Residency Training Program
– Post Doctoral Clinical Psychology Training Program
Polling Question
• Has your organization established your drivers for starting a program – Yes or No?
• What is your primary reason for starting a post-graduate training program? – Recruitment and Retention
– Committed to Training
– Staff Development
– Staff Satisfaction
– Patient Access
Questions?
Developing a Mission and Vision Statement
Mission Statement: A program mission statement should be clear, concise, and communicate the core purpose of the program.
Candice S. Rettie, PhD Executive Director, NNPRFTC
Mission, Vision and Goals
MISSION:
• The “Cause”
• 30 second “elevator speech
• 3 sentences
VISION:
• The framework
• Description of what the program will look like in the future
• A few paragraphs
Accreditation Defined
External, independent review of a training program against nationally-accepted standards and its own policies, procedures, processes and outcomes (AAAHC)
• Peer-reviewed, voluntary program evaluation • Practice-based determination of adherence to
National Standards • Public recognition of excellence • National acknowledgement of quality.
Standards Drive Program Design BEST PRACTICES Adult learning Curriculum design Program development
Staff development Evaluation and Assessment
QA/QI Program Delivery Operations Administration Trainee Services
Contact info:
Candice S. Rettie, PhD – Executive Director
[email protected] Office: 202-780-9651 Twitter: @nppostgrad
www.nppostgradtraining.com
Resource Assessment
Review Assignments
• Develop Program Drivers
• Develop Program Mission and Vision statements
• Complete Resource Assessment
• Establish meeting day and time and have first meeting (if already haven't done this)
Q&A
Please use the Q&A feature to ask questions