PCMH Lehigh Capital PA Learning Session 2.4.21
The majority of the PCMH practices are not currently looking at their quality data by race and ethnicity, The current state of health care in the United States shows higher rates of chronic disease and premature death for racial and ethnic minorities. The PCMHs are minimally aware that our healthcare system does not allocate goods and resources equally and racism is institutionalized to the point that something needs to change in the established patterns, procedures and policies of practices.
All healthcare providers and staff will need to be aware of the current condition at their organization. The mindset will need to be shifted by understanding the population and identify changes that reduce disparities.
1. Describe your progress in achieving the 7-day post-hospital discharge requirement and the impact of telehealth visits on follow-up with patients.
2. Identify how racism and racial disparities impact health outcomes.
3. Describe how practice policies can support the understanding of, and impact, racial disparities
8:30 - 8:45am Welcome and Overview of Agenda including PCMH requirement focus
8:45 - 9:45am Report outs by practice and by MCOs:
Facilitator: Laura Line, Health Federation.
- Among your MCO members’ who were discharged from the hospital with an ambulatory sensitive condition, what % have been seen within 7 days of discharge?
- How does this vary by race/ethnicity?
- Is this measure included in the gaps in care or P4P reports that your MCO sends to PCMHs? If not, could it be included?
- What has been the impact of telehealth visits on the 7-day post-hospital follow-up percentages?
- When you receive the gaps in care and P4P reports from your MCOs, how does this feed into your quality improvement (QI) work and help you set QI priorities?
- How are you tracking the PCMH expectation and measure to see 75% of patients with ambulatory sensitive conditions within 7 days of a hospital discharge (e.g., are you able to use your own data to track this measure, or are you getting data feedback from your MCOs?)
If you have been able to track this measure:
- Among your PCMH’s patients who were discharged from the hospital with an ambulatory sensitive condition, what % has your PCMH seen within 7 days of discharge?
- How does this vary by race/ethnicity (e.g., NH white, NH black, Hispanic, and other)?
1. Among the 2021 PCMH Expectations, which topics would you like to focus on during the future learning sessions?
2. What methods are the most useful in these sessions?
- Panels of peer practices
- Panels of experts
- Breakouts tailored to specific groups
- Virtual TA office hours
- Statewide webinars
9:45am - 10:40am Assessing Racial Disparities and Implementing Practice Changes
Facilitator: Suzanne Cohen, Health Federation
Tina Ross, MS, RN, CPHQ, CCP, CPC, LSS-GreenBelt, Quality Director, Hamilton Health Center
Gloria Velazquez, Ph.D, LCSW, Director of Social Services & Integrated Behavioral Health- SUD, Neighborhood Health Centers of the Lehigh Valley
10:40am – 11:25am The Impacts of Racism and Racial disparities on health outcomes
Speaker: Winston Wong, MD, MS, FAAFP, Scholar in Residence, UCLA Kaiser Permanente Center for Health Equity, Fielding School of Public Health
11:25 - 11:30am Wrap-up
Laura Line, Health Federation.
Suzanne Cohen, Health Federation
Winston Wong, M.D., UCLA Center for Health Equity
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 3.0 continuing education credits.
- 3.00 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.
- 3.00 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 3.00 ASWB
- 3.00 Attendance