PCMH Northeastern PA Learning Session - February 15, 2023

February 15, 2023

The webinar will allow the PCMH teams to share ideas and best practices, on PCMH goals, by highlighting their successes from the previous year in areas such as Social Determinants of Health and Behavioral Health integration.
We are also aware that many changes due to COVID and managed care organization realignment, have created the circumstances for needing to reengage with patients especially for hospital follow up and high risk patients. The activity will assist the PCMH teams in learning the various ways that the healthcare team can connect with patients after a hospital stay, identify high risk patients and complete appropriate follow ups.

Agenda:

8:30 a.m. to 8:45 a.m. – Welcome and Review of the 2023 HealthChoices PCMH Goals – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

8:45 a.m. to 9:30 a.m. – PCMH Report Outs on 2022 Highlights and 2023 Goals – facilitated by Pauline Taylor, CQIA, Program Specialist, PRHI

Each PCMH will report out on the following topics:

1.    Looking back on 2022, please describe your QI initiative that had the greatest impact on patient outcomes related to the HealthChoices PCMH goals. 

2.    For 2023, which HealthChoices PCMH goals is your team planning to prioritize through a QI initiative.

9:30 a.m. to 10:25 a.m. – Group Discussion on Identifying and Engaging High-Risk Patients – PRHI Facilitators

⦁    Getting access to timely information about hospital:
⦁    Doing effective outreach to patients for 7-day follow up
⦁    Innovative strategies to complete follow-up visits
⦁    Non-engaged patients

10:25 a.m. to 10:30 a.m. – Wrap Up – Pauline Taylor, Program Specialist, PRHI
 

Target Audience

Nurse

Physician

Social Worker

Learning Objectives

• Describe the 2023 HealthChoices PCMH Expectations and focus areas for the Learning Network
• Discuss examples of PCMHs’ quality improvement projects for improving patient outcomes
• Describe best practices for identifying and engaging high-risk patients, including the impact on seeing patients within 7 days of hospital discharge

 

Additional Information

Course summary
Available credit: 
  • 2.00 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.
  • 2.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 2.00 ASWB
  • 2.00 Attendance
Course opens: 
02/15/2023
Course expires: 
06/30/2023
Event starts: 
02/15/2023 - 8:30am EST
Event ends: 
02/15/2023 - 10:30am EST

The webinar will allow the PCMH teams to share ideas and best practices, on PCMH goals, by highlighting their successes from the previous year in areas such as Social Determinants of Health and Behavioral Health integration.
We are also aware that many changes due to COVID and managed care organization realignment, have created the circumstances for needing to reengage with patients especially for hospital follow up and high risk patients. The activity will assist the PCMH teams in learning the various ways that the healthcare team can connect with patients after a hospital stay, identify high risk patients and complete appropriate follow ups.

Agenda:

8:30 a.m. to 8:45 a.m. – Welcome and Review of the 2023 HealthChoices PCMH Goals – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

8:45 a.m. to 9:30 a.m. – PCMH Report Outs on 2022 Highlights and 2023 Goals – facilitated by Pauline Taylor, CQIA, Program Specialist, PRHI

Each PCMH will report out on the following topics:

1.    Looking back on 2022, please describe your QI initiative that had the greatest impact on patient outcomes related to the HealthChoices PCMH goals. 

2.    For 2023, which HealthChoices PCMH goals is your team planning to prioritize through a QI initiative.

9:30 a.m. to 10:25 a.m. – Group Discussion on Identifying and Engaging High-Risk Patients – PRHI Facilitators

⦁    Getting access to timely information about hospital:
⦁    Doing effective outreach to patients for 7-day follow up
⦁    Innovative strategies to complete follow-up visits
⦁    Non-engaged patients

10:25 a.m. to 10:30 a.m. – Wrap Up – Pauline Taylor, Program Specialist, PRHI

 

Zoom Meeting
Pittsburgh, PA
United States

Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

 

Pauline Taylor, CQIA, Program Specialist, PRHI

 

 

 

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 2.0 continuing education credits.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 2.0 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 2.0 contact hours.

Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 2.0 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

  • 2.00 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.
  • 2.00 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 2.00 ASWB
  • 2.00 Attendance
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