nca - pgr- session 1 slides

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Welcome

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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

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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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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

Kerry@chc1.com

Post-Graduate Nurse Practitioner Residency Programs

Anna Rogers Project Director National Cooperative Agreement RogersA@chc1.com

Charise Corsino Program Manager Nurse-Practitioner Residency Program charise@chc1.com

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

Candice.rettie@nppostgradtraining.com 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