PCMH Western PA 2.17.21

February 17, 2021

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.

Target Audience

Nurse

Physician

Social Worker

Learning Objectives

• Describe how the 7-day hospital follow-up measure varies by race and ethnicity

• Discuss how the MCOs’ gaps in care or P4P reports to your PCMH feed into your PCMHs’ quality improvement priorities and cycles

• Identify learning topics for future PCMH Learning Network sessions in 2021

• Describe the impact of racial/ethnic disparities on health and why the disparities exist

• Describe a framework for pursuing with health equity

• Discuss examples of how PCMHs are starting a journey to pursue health equity

Course summary
Available credit: 
  • 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 ANCC
    UPMC 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
Course opens: 
02/17/2021
Course expires: 
04/30/2021
Event starts: 
02/17/2021 - 8:30am
Event ends: 
02/17/2021 - 12:00pm

8:30 a.m. to 8:40 a.m. – Welcome and 2021 HealthChoices PCMH Expectations – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

8:40 a.m. to 9:30 a.m. – MCO and PCMH Report Outs – Facilitated by Pauline Taylor, Program Specialist, PRHI

1. MCOs report out on:

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?

2. PCMHs report out on:
 
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?
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)?
What has been the impact of telehealth visits on the 7-day post-hospital follow-up percentages?


3. Polling questions
Among the 2021 PCMH Expectations, which topics would you like to focus on during the future learning sessions?
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

9:30 a.m. to 10:30 a.m. – Health Equity Roadmap – Marshall Chin, MD, MPH, Richard Parrillo Family Professor of Healthcare Ethics in the Department of Medicine, University of Chicago and Co-Director of the National Program Office for Advancing Health Equity; 
Amy Reid, Director, Institute for Healthcare Improvement (Amy directs the IHI Pursuing Health Equity Collaborative) 

The national speakers will review the “why” and provide a roadmap with strategies, with a focus on one or more of the following health equity learning opportunities identified during the November sessions:
understanding the impact of racism and racial disparities on health outcomes
collaborating with community resources in racial/ethnic communities 
analyzing the impact of practice policies on racial disparities
shifting the mindset/narrative from “we care for all patients the same across the board” or “we don’t have a lot of diversity” to “we looked at our data to understand our population and identified changes that reduced disparities”
knowing how to help patients self-select their race/ethnicity during registration who may not feel comfortable selecting one of the OMB/UDS-defined race/ethnicity categories 

10:30 a.m. to 11:25 a.m. – Peer-to-Peer PCMH Panel and Virtual Breakouts: Health Equity Journey and Emerging Best Practices  

Lynda Nester, BSN, MS, NE-BC, Executive Director, Community Care Network, Monongahela Valley Hospital - Vale-U-Health, will present why and how they created a health coaching program for African American communities. 

11:25 a.m. to 11:30 a.m. – Wrap-Up & Next Steps – Pauline Taylor

Virtual Meeting
Pittsburgh, PA
United States

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

Pauline Taylor, Program Specialist, PRHI

Marshall Chin, MD, MPH

Richard Parrillo, Family Professor of Healthcare Ethics in the Department of Medicine, University of Chicago and Co-Director of the National Program Office for Advancing Health Equity

Amy Reid, Director, Institute for Healthcare Improvement (Amy directs the IHI Pursuing Health Equity Collaborative) 

Lynda Nester, BSN, MS, NE-BC, Executive Director, Community Care Network, Monongahela Valley Hospital - Vale-U-Health

 

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

Available Credit

  • 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 ANCC
    UPMC 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
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