alisont
OH - Ohio Centering Network
Posts: 21 
I work at a: Healthcare Facility
My job role is: Administrator
I am interested in Centering because: I am the Centering Pregnancy and Parenting Manager and Midwifery Program Manager. I am also the Centering Community Coordinator for Cuyahoga County.
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Post by alisont on Aug 8, 2018 15:24:46 GMT -5
I have a midwife that is unhappy with the amount of time that she is given for prepping for Centering and for charting. I am wondering how much time other sites give their providers before and after a group. Thanks for your input!
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Post by Rachel L on Aug 9, 2018 9:21:39 GMT -5
I give my provider 1 hour prior to groups to prepare. (She runs two groups back to back, one in spanish, one in English) and can see up to 16-20 patients in a morning. If she has a full morning like that, I will shut down her afternoon, or only give her 2-3 patients in the PM to be seen individually so she can maximize her charting time. On slower mornings, she has an hour prior to group and at least 1 hour after group to chart (plus 30 minutes lunch - so if she charts through lunch she gets 1.5 hours). It's not ideal as she is charting on TWO groups, but it's what we do to make our clinic efficient and use our time wisely.  |
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Post by Tanya Munroe on Aug 9, 2018 12:22:57 GMT -5
There are many practices that give an hour before and an hour after group for prep and charting, I will try and remember who they are... hopefully they will chime in here, though!
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alisont
OH - Ohio Centering Network
Posts: 21
I work at a: Healthcare Facility
My job role is: Administrator
I am interested in Centering because: I am the Centering Pregnancy and Parenting Manager and Midwifery Program Manager. I am also the Centering Community Coordinator for Cuyahoga County.
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Post by alisont on Aug 14, 2018 11:06:42 GMT -5
She would like to have an hour before and after, but we are an FQHC and cannot fiscally afford to block that much time in her schedule. What are other FQHC's doing for prep and charting time?
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starrrivera
GA - Centering Georgia
Posts: 23
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: As a military spouse myself, I can see the HUGE benefit Centering has to our expectant moms who are often many miles from home with no friends or family nearby! I feel like the Centering model is a perfect fit for our environment!
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Post by starrrivera on Aug 17, 2018 9:20:36 GMT -5
We arrive at 0730 and our Centering groups start at 0900. The providers usually get the whole afternoon off to chart from the morning, but lately they have been seeing patients from 2-3pm. (so they have 1-2pm and 3-4:30pm to catch up)
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Post by dawn1822 on Aug 17, 2018 14:23:28 GMT -5
We do not get prep time for centering, it is included with our regular chart prep for the day and our providers have to basically prep where they can fit it in. We run groups 2:30-4:30pm and have regularly scheduled patients until 2 pm (last pt scheduled 2pm). We as co-facilitators also have to set up the room so yes I get the frustration.
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lhallibu
NY - New York State Centering Exchange
Posts: 5
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Post by lhallibu on Oct 5, 2018 12:55:21 GMT -5
We are an FQHC and allow 1 hour before and 1 hour after for prep/charting. Each Centering session is considered a half day panel. So if we have a Centering group from 2pm-4pm, 1-2pm is considered prep time, and 4-5pm is considered charting time. This is still not enough time for most providers, but we do our best. As the Centering Coordinator and staff midwife, I am able to assist with some time consuming tasks such as submitting breast pump prescriptions, completing disability/WIC forms, etc.
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Post by Rachel L on Oct 8, 2018 8:16:37 GMT -5
She would like to have an hour before and after, but we are an FQHC and cannot fiscally afford to block that much time in her schedule. What are other FQHC's doing for prep and charting time? We are an FQHC as well, but we try to average out provider's days to seeing between 18-20 patients a day. On full centering mornings, she is seeing anywhere from 12-20 patients in the AM alone. Because of that high AM volume, I actually can afford to block part of her afternoon schedule to allow for charting time and also just a moment for mental rest. (I don't want my provider's to burn out.) I still leave a few individual visits in the afternoon for sake of accessibility, but the number available in the afternoon depends on how big the groups are. If she has two FULL groups in the morning (we do two back to back visits - English and Spanish), we only leave 3-4 visits in the afternoon and she has more charting time. If she has scarce groups, we leave more like 8 visits open in the afternoon. I have daily patient goals for my provider's and I try to make sure the schedules achieve those goals. |
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