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ForwardPCMH Lehigh Capital PA Learning Session 5.10.23
The activity will provide a follow up for the PCMH Healthcare teams who have initiated Social Determinants of Health screenings and are now progressing into improving their processes and follow up, particularly educating patients and providers.
Agenda
8:30 a.m. to 8:45 a.m. – Welcome & Overview – Suzanne Cohen, MPH, Senior Director of Population Health, The Health Federation of Philadelphia
8:45 a.m. to 9:00 a.m. – Introductions & Networking
9:00 a.m. to 9:30 a.m. – Update on PA NAVIGATE – Presenter: Bill Marella, Vice President, Value Based Care and Data Analytics, HealthShare Exchange
9:30 a.m. to 10:15 a.m. – MCO Panel: Representatives Discuss SDOH Data and Needs
10:15 a.m. to 10:30 a.m. – Break
10:30 a.m. to 12:00 p.m. – PCMH Panel and Breakouts: SDOH Screening and Coding
Facilitator: Suzanne Cohen, Health Federation of Philadelphia
Panel: Nicole Belote, Berks CHC, Michelle George, Penn State Health, and Kathy Huska, WellSpan
Breakouts
Topics:
1 A. EPIC documentation and coding – B. other EHR documentation and coding?
2 Training staff on how to ask questions/screen
3 Patient entered data: Using a portal and/or tablets
12:00 p.m. to 1:00 p.m. – Lunch and Networking
1:00 p.m. to 2:30 p.m. – PCMH Panel and Breakouts: SDOH Referrals and Follow-up
Panel: Nicole Belote, Berks CHC, Denise Duchan, Marnita Hartline, Tower Health, Brooke Griffiths, Lehigh Valley Health Network
2:30 p.m. to 3:00 p.m. – Action Planning for Addressing SDOH
3:00pm - Wrap-Up and Evaluation
Target Audience
Nurse
Physician
Social Worker
Learning Objectives
- Describe what the MCOs are learning about their members’ social needs through PCMH screening and coding, as well as their own member outreach, and how they are using this information.
- Discuss tactical, how-to information on SDOH screenings, coding, and follow-up best practices .
- Describe the state’s initiative for resources and referrals: PA Navigate.
Additional Information
| Attachment | Size |
|---|---|
 Referrals and Follow Up Nicole Belote .pdf | 548.14 KB |
| SDOH Brooke Griffiths Lehigh Valley.pdf | 915.89 KB |
| Health Equity Michelle George Penn State.pdf | 1.02 MB |
| PA Navigate.pdf | 1.16 MB |
| SDOH - Wellspan.pdf | 362.92 KB |
| SDOH Screening and Coding Nicole Belote .pdf | 737.64 KB |
| SDOH Tower Health .pdf | 919.64 KB |
 Audience Disclosure slides (006).pptx | 459.31 KB |
| Michelle George SDoH_PCMH Presentation_COI Form 2023.pdf | 293.85 KB |
 PCMH Lehigh Capital 5.10.23 Agenda (003).docx | 36.99 KB |
The activity will provide a follow up for the PCMH Healthcare teams who have initiated Social Determinants of Health screenings and are now progressing into improving their processes and follow up, particularly educating patients and providers.
Agenda
8:30 a.m. to 8:45 a.m. – Welcome & Overview – Suzanne Cohen, MPH, Senior Director of Population Health, The Health Federation of Philadelphia
8:45 a.m. to 9:00 a.m. – Introductions & Networking
9:00 a.m. to 9:30 a.m. – Update on PA NAVIGATE – Presenter: Bill Marella, Vice President, Value Based Care and Data Analytics, HealthShare Exchange
9:30 a.m. to 10:15 a.m. – MCO Panel: Representatives Discuss SDOH Data and Needs
10:15 a.m. to 10:30 a.m. – Break
10:30 a.m. to 12:00 p.m. – PCMH Panel and Breakouts: SDOH Screening and Coding
Facilitator: Suzanne Cohen, Health Federation of Philadelphia
Panel: Nicole Belote, Berks CHC, Michelle George, Penn State Health, and Kathy Huska, WellSpan
Breakouts
Topics:
1 A. EPIC documentation and coding – B. other EHR documentation and coding?
2 Training staff on how to ask questions/screen
3 Patient entered data: Using a portal and/or tablets
12:00 p.m. to 1:00 p.m. – Lunch and Networking
1:00 p.m. to 2:30 p.m. – PCMH Panel and Breakouts: SDOH Referrals and Follow-up
Panel: Nicole Belote, Berks CHC, Denise Duchan, Marnita Hartline, Tower Health, Brooke Griffiths, Lehigh Valley Health Network
2:30 p.m. to 3:00 p.m. – Action Planning for Addressing SDOH
3:00pm - Wrap-Up and Evaluation
Suzanne Cohen, MPH, Senior Director of Population Health, The Health Federation of Philadelphia
Bill Marella, Vice President, Value Based Care and Data Analytics, HealthShare Exchange
Nicole Belote, Berks CHC
Michelle George, Penn State Health
Kathy Huska, WellSpan
Denise Duchan
Marnita Hartline, Tower Health
Brooke Griffiths, Lehigh Valley Health Network
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 6.0 continuing education credits.
Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 6.0 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 6.0 contact hours.
Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 6.0 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
- 5.50 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.
- 5.50 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 5.50 ASWB
- 5.50 Attendance