Presentation on theme: "Taber Clinic Group Visits September 11, 2007 Audrey Wiebe, RN Mike Brand, Clinic Manager."— Presentation transcript:
Taber Clinic Group Visits September 11, 2007 Audrey Wiebe, RN Mike Brand, Clinic Manager
Why Group Visits? Busy, part-time physician with a large population of elderly pts Interested physician Interested team!
Identifying the population for the group visit Physician panel profile > 60 y of age > 5 office visits per year From this list, the doctor selected pts he thought would benefit. 14 pts chosen Avg age 78.8 yrs # of dx 4.7 # of visits in last year 17.9!!!!!
Selecting the group visit content Group Starter Kit from Improving Illness Care Program in Seattle www.newhealthpartnerships.org Followed outline from the kit Topics were solicited from the group cardiac issues, sleep, depression, falls prevention, medications & side effects, community services
The group visit team and their roles Each team member has roles before, during and after the visit: Office Assistant RN Physician
Office Assistant Role Before Confirms pt attendance Gathers labs and tests for dr to review During Greets pts as they arrive Obtains vital signs Updates medication changes After Collects information from debrief Enters info into EMR Completes new physician orders Advises front desk of next appt
RN Role Before Coordinates time/date with MOA & dr. Recruits speakers to present content Coordinates materials and information During Greets pts Facilitates meeting Facilitates question/answer period Presents on a topic, or introduces speaker Assesses pts 1:1 during break After Debriefs with team Assists with following up Prepares for next meeting
Physician Role Before Reviews pt list Provides input about topics During Assesses pts 1:1 Communicates new orders to team Participates in question/answer period After Debriefs with team Suggests further topics
Measuring the effect of Group Visits Pt evaluation sheet # of office visits Group visit attendance
Hearing what staff, pts, and doctors say Staff Builds more trust among team members Pts See and hear people with similar experiences Doctors Changed the traditional roles and challenged each of us as team members in these roles
Experiencing Challenges Choosing relevant topics Adjusting the agenda Developing the team Focussing on group visit, not just social component Keeping physician on time
Celebrating Successes Great attendance Builds trust with pts in the team Positive group relationships Decrease in office visits
Preparing Next Steps Continue improving as we go along Add more groups
Sharing Resources Group visit sample pt package Agenda Pts medication list Pts labs Confidentiality sheet Consent form Group norms sheet Action plan
Questions & Discussion Lets hear from the participants and the faculty!