The learning session will help the interprofessional healthcare teams assembled from the PA PQC hospitals to better understand how stigma affects patient care and improve workflows for Substance Use Disorder and connecting to community based resources. Due to the MMRC data from last year also showing an increase in Domestic Violence as a concern for pregnant/post partum individuals we are also presenting a domestic violence screening presentation and a discussion on how to follow up on that screening .

The learning session will help the interprofessional healthcare teams assembled from the PA PQC hospitals to better understand how stigma affects patient care and improve workflows for Substance Use Disorder and connecting to community based resources. Due to the MMRC data from last year also showing an increase in Domestic Violence as a concern for pregnant/post partum individuals we are also presenting a domestic violence screening presentation and a discussion on how to follow up on that screening .

Agenda:

8:30 a.m. to 9:20 a.m. – PA PQC Successes & Future Directions – Aasta Mehta, MD, MPP and James A. Cook, MD, PA PQC Advisory Group Co-Chairs 

9:20 a.m. to 10:20 a.m. – The Impact of Substance Use-Related Stigma on Patient Care and How to Reduce Stigma withing Healthcare Organizations – Panel Facilitated by James Cook, MD 

Panelists: Joanne Balasavage, Certified Recovery Specialist, Free2BMom Program, Geisinger; Margaret Means, MD, Child Neurology Resident, Division of Neurology, Children’s Hospital of Philadelphia; and Sean Fogler, MD, Co-Founder, Elevyst 

10:20 a.m. to 10:30 a.m. – Break 

10:30 a.m. to 11:30 a.m. – Domestic Violence Screening and Response: The PEARR Screening Method – Mae Reale, MA, Health Education Specialist, Pennsylvania Coalition Against Domestic Violence 

Pre-Meeting Materials: 
• Intimate Partner Violence and Birthing People: Connecting Survivors to Supports (March 2021 PA PQC Learning Session) 
• Domestic Violence Counts Report PA Summary 

11:30 a.m. to 12:25 p.m. – Breakouts 

Each participant will have the opportunity to go to one of the following breakouts. In preparation for these interactive, peer-to-peer learning breakouts, please review the “Pre-Meeting Materials” and be prepared to respond to the “Breakout Group Questions” based on your current processes, workflows, best practices, and experiences. 
Breakout: Workflows, Team Roles, and Key Messages for Substance Use Screening and Brief Intervention Protocols – Facilitated by Amy Shanahan, MS, Advanced Implementation Specialist, Opioid Response Network; Billie Jo Smith, MS, LPC, Program Manager, Physical Health and Behavioral Health Integration, UPMC Health Plan; and Carol Frazer, LPC, Practice Transformation Specialist, Jewish Healthcare Foundation (JHF) 

Pre-Meeting Materials: 
• Motivational Interviewing-Informed Messages 
(June 2020 PA PQC Learning Session) 

Breakout Group Questions: 
• What is your prenatal/postpartum office’s or hospital’s workflow for substance use screening and follow-up (brief interventions), meaning what is the sequence of activities from the patient’s perspective and who performs each set of activities? 
• Within this workflow, what key messages are used by the team members performing each set of activities to introduce the screen, offer feedback on the results, and provide a brief intervention? 
• What gets in the way of following this workflow and using these key messages in your daily work? 
• What changes have been made to your screening process based on process measures and patient feedback to continuously improve it? 

Breakout: When and How to Form Multi-Disciplinary Teams to Connect Families to Services – Facilitated by Celina Migone, MD, Neonatologist, Einstein Medical Center Montgomery, and Emily Magoc, RN-BSN, MPH, Quality Improvement Facilitator, JHF 

Breakout Group Questions: 
• For pregnant/postpartum individuals with substance use, severe hypertension, and/or depression, when and how does your team form a multi-disciplinary team to make referrals to community services and to coordinate those service? 
• Who is on your multi-disciplinary team, what are their roles and standard work? 
• How does the multi-disciplinary team determine the “lead entity” to help families connect to the services and close the loop on the referrals? 
• When and how does the “lead entity” report back to the multi-disciplinary team about the status of the referrals and care plan? 
• How does your multi-disciplinary team make referrals to home visiting services, early interventions services, and other community, postpartum, and newborn/pediatric services and supports? 
• When explaining these services to patients and families, what messages have resonated with patients? 

12:25 p.m. to 12:30 p.m. – Wrap-Up & Next Steps – Pauline Taylor, Program Specialist, JHF