in Primary Care During COVID-19 May 21, 2020 10-11am PDT 1 - - PowerPoint PPT Presentation
Managing Chronic Conditions in Primary Care During COVID-19 May 21, 2020 10-11am PDT 1 Agenda Welcome and information Polling questions OHSU Hillsboro IM and Q&A Springfield Family Physicians and Q&A
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Analyst
Network, Project Manager
Manager & Medical Home Coordinator
Administrator
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provider, 1 LCSW, 6 Certified Medical Assistants, 1 Panel Coordinator, 1 Heathplan Coordinator, 2 Medical Receptionists
(average age 75 years old)
Medicare/Medicaid Presenter: Tonya Magwood, Practice Manager & Medical Home Coordinator
– Risk tiers determined via 2 step risk stratification
– Monitor care gaps – Routine preventative care and chronic condition outreach
– Care Plan outreach – ED and IP follow-up and education
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– Restricted office hours (≈5 patients/day) – Patients chronically ill with respiratory symptoms – 30 minutes between patients
– Frontline staff to providers work with patients to set up accounts
– Medicare Wellness visits – Partnered with care facilities to assist with technology
– Identify care gaps – Checks on mental health and referrals to LCSW – Prescription refills
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– Clinicians reviewing empaneled patients’ risk scores and visit type needed (in-person, telephone, video) – Developing verbiage/script to help patients feel comfortable coming back
– TBD long-term volume – Both staff and patients enjoy benefits
– Utilizing MyChart patient self-report and tracking feature more – Discussing recent lifestyle challenges from social distancing – Updating Care Plans – Increasing use and tracking of home blood pressure monitoring
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– Patients transparency with home measurements, e.g., weight, diet – Access to and correct use of home blood monitoring devices – Resistance to in-person visits
workplaces
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POLICY AND ANALYTICS Transformation Center
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Pharmacists, 2 Care Managers, 5 Behavioral Health Specialists
– Centennial Location: 90% Medicaid – Marcola & Timber Valley Locations: Commercial, Medicare, Medicaid
Presenter: Kadie Kokkeler, Assistant Administrator
– Coordination with pharmacists and behavioral health staff – Follow-up phone calls
– Started looking into telehealth features prior COVID-19 due to pharmacist request for comprehensive medication management
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– Overall visit volume: 60%
– Screening at front door – Sanitizing all surfaces and rooms during the day – Urgent care provider designated as respiratory provider
– Performing Car/tent visits for high-risk, sick, or respiratory patients – Established 2nd phone line for car respiratory checks – When the patient arrives, they call a direct line to be checked in and the provider see’s the patient out at their car
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health specialists, and pharmacists
– ~ 20% of visits initially through telehealth
– Start visit with video but if it disconnects, then do a phone call – eCW updated to provide automatic texting of weblinks to phone to easily access telehealth visit
– Faced dilemma of proper monitoring vs exposure risk
– Behavioral health staff sent out survey to monitor staff mental health
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Abbreviated: What kind of support would you like from our BH team?
encouraged to be pay attention to these in light of social distancing.
blood pressure)
– Front door Screening – Vehicle visits – Telehealth
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– Patients will continue to expect it, but future reimbursements uncertain
– Regular check/follow up can be via phone – Other visits may need to be in-person
– Heavily focused on annual wellness visits
– Designate smaller clinic to serve patients with respiratory concerns (replace emergency car/tent structure)
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These materials will be emailed after the event:
patients with COVID-19
experiencing stress in response to COVID19 & psychiatric curbside consultations about adult and child patients
resources
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Please let us know how we can help! https://ohsu.ca1.qualtrics.com/jfe/form/SV_e2wF272LN73SqBD
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