PA PQC QI Collaborative Virtual Session March 24, 2021
The PA PQC sites have limited knowledge of the resources available to them via the Managed Care Organizations that are now covering Home Visiting for mother and child, especially in the presence of significant Social Determinants of Health issues. The hospitals are unaware of the racial discrimination surrounding Opioid and Substance Use Disorders and how it affects the treatment of people with Opioid and Substance Use Disorder. PA PQC sites are in the beginning stages of their "Plans of Safe Care" journey, designing a plan to ensure the safety and well-being of the infant with prenatal substance exposure, and are looking for updates or guidance from the state.
Target Audience
Nurse
Physician
Social Worker
Learning Objectives
• Describe the PA PQC’s collective successes, 2021 initiatives, and future directions
• Describe the Plans of Safe Care and how it relates to the PA PQC’s key interventions for maternal OUD and NAS
• Describe when and how to submit the NAS Notification Forms to DOH, how this form aligns with the PA PQC’s quality measures, and initial findings and trends
• Describe how to operationalize empathy and center on the most vulnerable in the context of maternal SUD
• Describe the domestic violence services that are available, how to identify these needs, and how to collaborate with the domestic violence services in the community
• For your PA PQC initiative, discuss how to problem-solve the challenge, improvement opportunity, or question you are working on with your team
• Identify action items and ideas to take back to your PA PQC team to inform your quality improvement initiatives
Additional Information
Agenda
8:30 a.m. to 8:35 a.m. – PA PQC Successes & Future Directions – Robert Ferguson, MPH, Chief Policy Officer, Jewish Healthcare Foundation (JHF)
8:35 a.m. to 9:05 a.m. – Update: Plans of Safe Care – Michele Walsh, PhD, Executive Assistant, Office of Children, Youth and Families, PA Department of Human Services
9:05 a.m. to 9:35 a.m. – Update: Neonatal Abstinence Syndrome (NAS) Notification Form –
Tara Trego, Director, Bureau of Family Health, Pennsylvania Department of Health (PA DOH); Patricia Alexander MSN, RN, Nursing Services Consultant, Newborn Screening and Genetics, PA DOH
9:35 a.m. to 9:50 a.m. – Maternal Home Visiting Program – Michele Robison, RN, MSN, Director, Quality & Special Needs Coordination, Office of Medical Assistance Programs (OMAP), PA Department of Human Services (PA DHS); Laurie Rock, Director, Bureau of Managed Care Operations, PA DHS
9:50 a.m. to 10:00 a.m. – Break
10:00 a.m. to 11:00 a.m. – Drug Policy, Pregnancy, and Discrimination: Care in Context – Mishka Terplan, MD, MPH, Associate Medical Director, Friends Research Institute; Adjunct Faculty, UCSF, National Clinical Consultation Center
11:00 a.m. to 11:20 a.m. – Spotlight on Community Resources: Collaborating with Domestic Violence Resources – Mae Reale, Health Education Specialist, Pennsylvania Coalition Against Domestic Violence
11:20 a.m. to 12:20 p.m. – PA PQC Initiative Breakouts: Problem-Solving Challenges & Improvement Opportunities – Co-facilitated by Physician Responders and PA PQC QI Coaches
Each participant will be asked to have one question or challenge ready that they want to ask their peers for feedback and guidance on in order to inform their quality improvement project. During the session, each PA PQC participant will join one of the following virtual breakouts that pertains to their PA PQC quality improvement project, and the participants will raise their questions or challenges for feedback from their peers, the physician responders, and the PA PQC facilitators.
Neonatal Abstinence Syndrome Breakout
Physician responders: James Cook, MD, Executive Director & Neonatal Lead, Geisinger Health System; Michael Goodstein, MD, Division Chief WellSpan Neonatology, WellSpan Health York; Elizabeth Imboden, MD, Pediatric Hospitalist, WellSpan Health
Maternal OUD Breakout
Physician responders: Elizabeth Krans, MD, MSc, Assistant Professor, Department of Reproductive Sciences, UPMC; Gary Stoner, MD, Director, Women’s OUD Program, Geisinger Health System, Geisinger Medical Center
Immediate Postpartum LARC Breakout
Physician responders: Sarah Horvath, MD, OB/GYN, Penn State Health; and Danielle Johnson, DO, Director, Family Planning, St. Luke’s University Health Network
Moving on Maternal Depression (MOMD) Breakout
Physician responders: Mario DeMarco, MD, MPH, Associate Professor of Clinical Family Medicine and Community Health, Penn Medicine; Priya Gopalan, MD, Chief of Psychiatry, Magee Women’s Hospital; Sarah Homitsky, MD, Medical Director, Women’s Behavioral Health, Pediatrician, Greentree Medical Associates, Allegheny Health Network; Nazanin Silver, MD, MPH, Gynecologic Psychiatrist, UPMC Pinnacle Women’s Behavioral Health Specialists
PA AIM Initiative Breakout: Severe Hypertension and Racial/Ethnic Disparities
Physician responder: Kelley Clark, MD, MFM Specialist, WellSpan York; Amanda Flicker, MD, Chief of Obstetrics, Vice-chair Quality, Lehigh Valley Health Network
12:20 p.m. to 12:30 p.m. – Wrap-Up & Next Steps – Pauline Taylor, Program Specialist, JHF
Robert Ferguson, MPH, Chief Policy Officer, Jewish Healthcare Foundation (JHF)
Michele Walsh, PhD, Executive Assistant, Office of Children, Youth and Families, PA Department of Human Services
Tara Trego, Director, Bureau of Family Health, Pennsylvania Department of Health (PA DOH)
Patricia Alexander MSN, RN, Nursing Services Consultant, Newborn Screening and Genetics, PA DOH
Michele Robison, RN, MSN, Director, Quality & Special Needs Coordination, Office of Medical Assistance Programs (OMAP), PA Department of Human Services (PA DHS)
Laurie Rock, Director, Bureau of Managed Care Operations, PA DHS
Mishka Terplan, MD, MPH, Associate Medical Director, Friends Research Institute; Adjunct Faculty, UCSF, National Clinical Consultation Center
Mae Reale, Health Education Specialist, Pennsylvania Coalition Against Domestic Violence
James Cook, MD, Executive Director & Neonatal Lead, Geisinger Health System
Michael Goodstein, MD, Division Chief WellSpan Neonatology, WellSpan Health York
Elizabeth Imboden, MD, Pediatric Hospitalist, WellSpan Health
Elizabeth Krans, MD, MSc, Assistant Professor, Department of Reproductive Sciences, UPMC
Gary Stoner, MD, Director, Women’s OUD Program, Geisinger Health System, Geisinger Medical Center
Sarah Horvath, MD, OB/GYN, Penn State Health
Danielle Johnson, DO, Director, Family Planning, St. Luke’s University Health Network
Mario DeMarco, MD, MPH, Associate Professor of Clinical Family Medicine and Community Health, Penn Medicine
Priya Gopalan, MD, Chief of Psychiatry, Magee Women’s Hospital
Sarah Homitsky, MD, Medical Director, Women’s Behavioral Health, Pediatrician, Greentree Medical Associates, Allegheny Health Network
Nazanin Silver, MD, MPH, Gynecologic Psychiatrist, UPMC Pinnacle Women’s Behavioral Health Specialists
Kelley Clark, MD, MFM Specialist, WellSpan York
Amanda Flicker, MD, Chief of Obstetrics, Vice-chair Quality, Lehigh Valley Health Network
Pauline Taylor, Program Specialist, JHF
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 4.0 continuing education credits
Available Credit
- 4.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 4.00 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 4.00 ASWB
- 4.00 Attendance