Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC...
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Transcript of Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC...
![Page 1: Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC Physician Elizabeth Barrett, Administration Coordinator.](https://reader035.fdocuments.net/reader035/viewer/2022062302/5a4d1b0a7f8b9ab05998a1f2/html5/thumbnails/1.jpg)
Julie Kille, Operations LeaderBrynn Grierson, MSN, Clinical Nurse Leader
Dr. Sarah Stone, IDC PhysicianElizabeth Barrett, Administration Coordinator
Neil Fowler, Program Assistant
![Page 2: Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC Physician Elizabeth Barrett, Administration Coordinator.](https://reader035.fdocuments.net/reader035/viewer/2022062302/5a4d1b0a7f8b9ab05998a1f2/html5/thumbnails/2.jpg)
What we’ve been working on:
Case management (CM)
Patient Advisory Group
Addictions Group
![Page 3: Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC Physician Elizabeth Barrett, Administration Coordinator.](https://reader035.fdocuments.net/reader035/viewer/2022062302/5a4d1b0a7f8b9ab05998a1f2/html5/thumbnails/3.jpg)
CM restructuringRestructure of CM team with more defined roles
for each team memberComplexity score created
CM form and database changed to include complexity score
Indicators Unstable In transition Stable
Housing/Food/Income □ 0 □1 □ 2
Addictions & Mental
Health□ 0 □1 □ 2
Engagement &
Adherence□ 0 □1 □ 2
Medical Complexity □ 0 □1 □ 2
Score:_______________
![Page 4: Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC Physician Elizabeth Barrett, Administration Coordinator.](https://reader035.fdocuments.net/reader035/viewer/2022062302/5a4d1b0a7f8b9ab05998a1f2/html5/thumbnails/4.jpg)
CM Restructuring: Why?IDC team retreat
Evolving mandate of clinic to see patients with higher levels of medical and psychosocial complexity
Creation of complexity score gave us an idea of overall complexity of IDC patients
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CM Restructuring: How?After the IDC retreat we realized we need more
than anecdotal/qualitative measures to evaluate CM and complexity of patients at the IDC
STOP evaluators shared with us the indicators used by the STOP outreach team.
THANKS!!
Modified these indicators to suit our needs
![Page 6: Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC Physician Elizabeth Barrett, Administration Coordinator.](https://reader035.fdocuments.net/reader035/viewer/2022062302/5a4d1b0a7f8b9ab05998a1f2/html5/thumbnails/6.jpg)
CM Restructuring: QIBeing able to quantify and measure CM. Not
just staff and patient reports
Helps determine patient care plan
Ensures appropriate team members are involved in patients care
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Other changes/new initiativesRestructuring of Patient Advisory Group
New time and new location (at clinic)More frequent meetingsLess formal settingFood available
Changes made to increase patient engagement and patient voice
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Creation of Addictions GroupDuring addiction clinic hoursLow barrier group (new members always
welcome)Support, education, and treatment options
provided by interdisciplinary teamFood available
Group created to increase engagement of our most marginalized addiction patients and to
offer alternative support and treatment options.
Other changes/new initiatives
![Page 9: Julie Kille, Operations Leader Brynn Grierson, MSN, Clinical Nurse Leader Dr. Sarah Stone, IDC Physician Elizabeth Barrett, Administration Coordinator.](https://reader035.fdocuments.net/reader035/viewer/2022062302/5a4d1b0a7f8b9ab05998a1f2/html5/thumbnails/9.jpg)
Lessons LearnedBe creative when
developing evaluation measures
Importance of ongoing evaluation of own process (current process, groups etc). We now have the tools to do it!!
Importance of engagement and including patient perspective
We are not afraid of change!