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In this SNI Bulletin:
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SNI
and Partners Launch Palliative Care Initiative
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Patient
Visit Redesign at Comarr Clinic Achieves Revenue Gains
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SEED
Teams Improve Diabetes Care: Year One Clinics Show the Way for 19 New Teams
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CAPH
Organizations Recognized on National Stage for Spreading Excellent
Diabetes Care at Institute for Healthcare Improvement Summit
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SFGH Physician to Lead California Diabetes Program
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UCSF
Program Improves Medication Safety in California
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Studies
Find Links between Health Care Experience and Race/Ethnicity
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Kaiser
Permanente Offers Discount for CAPH Members to Attend KP National Quality Conference
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Upcoming
Events
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SNI
Hiring Senior Program Associate: Position Open Now
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SNI
and Partners Launch Palliative Care Initiative
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SNI is collaborating with the
California HealthCare Foundation on a $2.5 million, 3.5 year initiative to develop new sustainable
palliative care (PC) programs in two-thirds of public hospitals by 2011. Activities will
include planning, implementation, and expansion grants for new and existing palliative care
programs, as well as trainings, convenings, and consultation with palliative care experts.
CAPH members will be able to apply through an RFP process from Summer 2008 through Spring
2009. UCSF’s Palliative Care Leadership Center will also provide technical assistance
related to program development (PC trainings are also available now; visit their website for more information.)
Contact: Wendy Jameson |
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Patient
Visit Redesign at Comarr Clinic Achieves Revenue Gains |
Rancho Los Amigos National Rehabiliation Center's Comarr
Clinic in Los Angeles County is experiencing great success in the current Patient Visit Redesign
collaborative, projecting more than $300,000 in additional revenue from their three redesign
patient care teams. Through the collaborative, Comarr Clinic has achieved an average patient
visit time of 32 minutes, seeing 2.4 patients per hour. Recognizing the work and achievement
at Comarr, administration also provided a grant for $80,000 that enabled them to hire a nurse
manager to support their redesign efforts and also obtain much-needed equipment, like lift
machines and new computers. With plans to spread to four more clinics throughout
Rancho's network, there's no stopping them!
Contact: Hunter Gatewood
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SEED
Teams Improve Diabetes Care: Year One Clinics Show the Way for 19 New Teams |
As the SEED diabetes improvement program enters its
second year, SNI has already seen great results from the Year One’s improvement teams.
San Mateo Medical Center ’s Fair Oaks Clinic has
seen improvements in all 10 patient care and outcome measures they are tracking. For example,
85% of their pilot population has received a foot exam in the past year, and 90% are on medication
for cardiovascular risk reduction. Team leader Sona Aggarwal, MD, says, "It has been
inspiring to see that simple practice changes actually produce results for our patients. It
has motivated us to continue to look for potential improvements in our day-to-day work."
The team from Long Beach Comprehensive
Health Center in LA County ’s Harbor-UCLA network has also shown great success. Team
leader Peter Chen, Pharm D, says, "With the utilization of our registry and process changes
in place, it is much easier to identify and perform needed care…. Implementing a Self-Management
tool has also assisted with our success in that it invites the patient to be an active part
of the team."
Contact: Hunter Gatewood or visit
the SEED webpage |
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CAPH
Organizations Recognized on National Stage for
Spreading Excellent Diabetes Care at
Institute for Healthcare Improvement Summit
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SNI’s Hunter Gatewood was
invited to speak April 1 at IHI’s 9th Annual Summit on Redesigning the Clinical Office
Practice as a co-presenter with Diane Stewart of the Pacific Business Group on Health on “Spreading
Better Care Across California." The Summit was a great opportunity to showcase the
achievements of CAPH-member primary care clinics in improving care for patients with diabetes. The
dedicated work of SEED Spread Leaders in each county, challenge grants to achieve county-wide
registry solutions, and structures to engender active senior leader support were some of
the spread structures discussed. The presentation slides are available on the IHI website. Contact: Hunter Gatewood |
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SFGH
Physician to Lead California Diabetes Program
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Dean Schillinger, MD, primary
care physician at San Francisco General Hospital and faculty member at UCSF, has been named
chief of the California Diabetes Program.
In his new role, Schillinger will guide policy and be the leading diabetes expert for the
state of California. He will continue to carry out his clinical work and research to improve
the health of vulnerable, low-income populations at SFGH and UCSF.
“The opportunity to lead
the California Diabetes Program, while continuing to treat high-risk patients with diabetes
and pre-diabetes in a general county hospital, is exactly the kind of connection needed to
improve communication, prevention, treatment, and policy for the populations most affected
by this disease and to help more than one person at a time,” says Dr. Schillinger. SNI
extends a warm congratulations to Dr. Schillinger on his appointment to this well-deserved
position and looks forward to continued work with him.
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UCSF
Program Improves Medication Safety in California
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Developed
by University of California San Francisco’s Integrated Nurse Leadership Program, an
initiative to teach nurses to follow six best practice procedures has resulted in improved
medication administration and reduced errors by 56.8%, UCSF announced. “Our research shows that they [front-line clinical
staff] can deliver tremendous results when equipped with the right skills, authority and
executive support,” said INLP Director Julie Kliger. Participants included CAPH member,
San Francisco General Hospital. These results were published in a recent issue of AHA News Now. |
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Studies
Find Links between Health Care Experience and Race/Ethnicity |
Researchers at Harvard University
and the Robert Wood Johnson Foundation found that minorities are more likely than white patients
to rate their health care experience as fair or poor. The study used granular racial/ethnic
categories versus the broad categories typically found in disparities research to capture
the unique experiences of minority groups. To view the article in its entirety, click here.
In another study presented at
the American Heart Association’s Annual Conference on Cardiovascular Disease Epidemiology
and Prevention, findings show that Black and Hispanic patients with diabetes, in addition
to those with lower economic status, are less likely than whites or those with higher incomes
to monitor their blood glucose levels. The full article can be found here. |
Kaiser
Permanente Offers Discount for CAPH Members to Attend KP National Quality Conference |
Kaiser Permanente is offering CAPH members a reduced
conference fee of $200 to attend the Second Annual KP National Quality Conference that will
be hosted June 2-5 in San Jose. The theme this year is “Transformation – Harnessing
Talent, Tools, & Technology for Total Health.” To see the conference agenda, click here. For registration information, visit the SNI Calendar.
Contact: Afiya Palmer
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Upcoming Events |
May 15 Application
deadline for the The
California HealthCare Foundation’s Health
Care Leadership Program. Access
the RFA here.
June 17 The Specialty Care Access Initiative Roundtable on Protocols
and Guidelines will be held in Sacramento at the Holiday Inn Capitol Plaza. For more information,
contact Sarah Brooks.
August 8-9 Addressing
Health Disparities, UCSF’s Network for Multicultural Health cultural competence
workshop, will be held in San Francisco.
September 8-9 IHI’s
Engaging with Physicians in a Shared Quality Agenda seminar. To apply for a
Kaiser Permanente/SNI-CAPH scholarship for this conference, click
here. |
SNI
Hiring Senior Program Associate: Position Open Now |
SNI is looking to hire a new full-time Senior Program
Associate. The new position will require close work with SNI staff, clinicians, and administrators
at California’s public hospital systems and will manage grant-funded programs focused
on improving quality and efficiency in areas including specialty care access, as well as,
potentially: inpatient quality, health information technology and the patient-centered medical
home. For more information or information on how to apply, visit the SNI homepage.
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