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ForwardPCMH 2025 Post Hospital Follow-Up Sprint - Session #4 - JHF
Session will include a comprehensive review of the sprint, and participants will engage in peer-to-peer learning around implementation of key interventions, including successful tactics and challenges and barriers. Participants will learn and share about next steps for continued work on key interventions and sustainment of progress made to date.
Agenda:
10:30 a.m. to 10:40 a.m. – Welcome & Recap – Suzanne Cohen, MPH, Senior Director of Population Health, The Health Federation of Philadelphia
Focus on the overall plan for the 2025 sprint, including goals, the description of the measure, and the quality improvement framework
10:40 a.m. to 11:00 a.m. PCMH Spotlights: Scheduling Follow-Up Appointments
- Leticia Martez, Office Administrator, Jonathan B. Levyn, DOPC
- Andrew Eckert, DO, MPopH, FACOI, Medical Director, Population Health Management, Value-Based Care, and Clinical Call Services, UPMC Central PA
11:00 a.m. to 11:45 a.m. – PCMH Report Outs and Discussion, sharing:
- In choosing this sprint, what were your team’s goals for improving post-hospital follow-up?
- Which key intervention(s) made a difference?
- Describe how each relevant key intervention made a difference.
- How did you decide which root causes to address?
- Why did you choose this key intervention?
- How did the process go?
- What changes did you see as a result?
- What are your next steps for improving follow-up and preventing readmissions?
11:45 a.m. to 12:00 p.m. – Sprint Process Feedback, Timeline, Next Steps & Evaluation
Target Audience
Nurse
Physician
Social Worker
Learning Objectives
• Identify key interventions that are effective for PCMH practices in addressing post-hospital follow-up and preventing readmissions.
• Describe progress in incorporating key interventions across participating practices.
• Collaborate on finding solutions to common obstacles encountered in implementing interventions.
Additional Information
| Attachment | Size |
|---|---|
 Audience Disclosure slides (1.5).pptx | 459.28 KB |
 Revised Agenda_October 16_PostHospital_HealthChoices PCMH Learning Network.docx | 54.17 KB |
 HSX-TCIN Platforms- Levyn PCMH.pdf | 430.29 KB |
| UPMC CENTRAL PA MEDICAL GROUP_PCMH TOC.pdf | 267.8 KB |
Session will include a comprehensive review of the sprint, and participants will engage in peer-to-peer learning around implementation of key interventions, including successful tactics and challenges and barriers. Participants will learn and share about next steps for continued work on key interventions and sustainment of progress made to date.
Session will include a comprehensive review of the sprint, and participants will engage in peer-to-peer learning around implementation of key interventions, including successful tactics and challenges and barriers. Participants will learn and share about next steps for continued work on key interventions and sustainment of progress made to date.
Agenda:
10:30 a.m. to 10:40 a.m. – Welcome & Recap – Suzanne Cohen, MPH, Senior Director of Population Health, The Health Federation of Philadelphia
Focus on the overall plan for the 2025 sprint, including goals, the description of the measure, and the quality improvement framework
10:40 a.m. to 11:00 a.m. PCMH Spotlights: Scheduling Follow-Up Appointments
- Leticia Martez, Office Administrator, Jonathan B. Levyn, DOPC
- Andrew Eckert, DO, MPopH, FACOI, Medical Director, Population Health Management, Value-Based Care, and Clinical Call Services, UPMC Central PA
11:00 a.m. to 11:45 a.m. – PCMH Report Outs and Discussion, sharing:
- In choosing this sprint, what were your team’s goals for improving post-hospital follow-up?
- Which key intervention(s) made a difference?
- Describe how each relevant key intervention made a difference.
- How did you decide which root causes to address?
- Why did you choose this key intervention?
- How did the process go?
- What changes did you see as a result?
- What are your next steps for improving follow-up and preventing readmissions?
11:45 a.m. to 12:00 p.m. – Sprint Process Feedback, Timeline, Next Steps & Evaluation
Suzanne Cohen, MPH, Senior Director of Population Health, The Health Federation of Philadelphia
Leticia Martez, Office Administrator, Jonathan B. Levyn, DOPC
Andrew Eckert, DO, MPopH, FACOI, Medical Director, Population Health Management, Value-Based Care, and Clinical Call Services, UPMC Central PA
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 1.5 continuing education credits.
Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.5 contact hours.
Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.5 contact hours.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 1.50 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.
- 1.50 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 1.50 ASWB
- 1.50 Attendance