vdevgan
Active Member
CHI Staff
Posts: 83
I work at a: Professional Organization
My job role is: Staff
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Post by vdevgan on Mar 10, 2020 14:12:54 GMT -5
At CHI, we are particularly aware that our Centering practices work on the front lines of health care providing medical attention to those in need. We recognize that recent concerns related to Coronavirus (COVID-19) in the country may result in a sudden influx of healthcare demands at your clinic and as a result, impact Centering at your locations. Please visit our website for more information regarding COVID-19 and Centering. Feel free to connect with us at help@centeringhealthcare.org for any additional questions. As we have often said, “wisdom comes from the group.” Please share your challenges, best practices and learnings here, as we all navigate through the evolving nature of this pandemic. We sincerely hope that you will come together as a Centering community to learn from and support one another. We are grateful for the many ways each of you are caring for your communities and will continue to partner with you as best as we can and support you amid outbreak threats.
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Jo Koumouitzes, MPH
NOCAL - Northern California Centering Consortium
Pregnancy Centering Coordinator PAMF
Posts: 54
I work at a: Healthcare Facility
My job role is: Staff
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Post by Jo Koumouitzes, MPH on Mar 10, 2020 15:02:41 GMT -5
Thank you for this! Could you please post any general recommendation for holding our groups? Or, is the situation too diverse for general guidance? Several health systems have varying responses for Centering here. Optimal health to you all! My best from California, Jo
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Post by Tanya Munroe on Mar 12, 2020 10:18:55 GMT -5
Thank you for this! Could you please post any general recommendation for holding our groups? Or, is the situation too diverse for general guidance? Several health systems have varying responses for Centering here. Optimal health to you all! My best from California, Jo Hi Jo - we have a team here that is working on general guidance that should be shared soon!
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rbaldwin
New Member
Posts: 15
I work at a: Healthcare Facility
My job role is: Healthcare Provider
I am interested in Centering because: it improves healthcare outcomes and patient satisfaction while building community.
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Post by rbaldwin on Mar 12, 2020 16:21:53 GMT -5
I was just informed by one of our providers that the CDC is recommending canceling "group healthcare activities"
The CDC also recommends exploring alternatives to face-to-face visits. Any suggestions of how to provide prenatal care without face to face visits? Our office is looking into Telemedicine.
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Post by eeblackford on Mar 13, 2020 13:53:21 GMT -5
We are cancelling all of our groups but trying to figure out how to still meet virtually. We will have prenatals individually and need to consider a time when the group can still get together for their education online. I have heard excellent things about Zoom. Is anyone going to this method? What is everyone doing?
Please share, I know some of you out there have some awesome and innovative ideas!
Erin
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Post by Rachel L on Mar 16, 2020 8:54:03 GMT -5
I was just informed by one of our providers that the CDC is recommending canceling "group healthcare activities" The CDC also recommends exploring alternatives to face-to-face visits. Any suggestions of how to provide prenatal care without face to face visits? Our office is looking into Telemedicine. Can you let me know where this is cited? We are trying to decide if we are going to continue with groups under tight screening protocol... I'm erring on cancelling groups, but that makes things complicated too.
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smerrell
CHI Staff
Posts: 243
My job role is: Staff
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Post by smerrell on Mar 16, 2020 9:03:56 GMT -5
Here is a link to the CDC guidance: www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.htmlRachel L - this week we will also be launching appointments with our Advisor team where you can talk though your clinic's situation, concerns and considerations and we can provide thought partnership on how to adjust based on what will work for your clinic. Stay tuned for more communication on this, but we anticipate appointments to be available later this week.
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Post by Marena Burnett on Mar 16, 2020 9:38:38 GMT -5
In case you did not receive the email that went out from CHI last week, here's the content:
Dear Centering partners and friends,
There is no higher priority to the CHI team than the health and safety of our staff, healthcare partners and Centering families across the country. We appreciate that you are on the front lines and are grateful for the many ways each of you are caring for your communities. We are committed to closely monitoring the latest updates from the CDC and public health experts, communicating openly with you and doing everything we can to support your Centering practice.
The decisions about how to provide prenatal and well-child care in these uncertain times are complex. We wanted to make sure that everyone is aware of the CDC guidance related to groups and minimizing the chance for exposures. CHI recognizes that some of our partners may determine the best course, for now, is to pause groups. Others are continuing, employing a variety of strategies to keep patients safe and feeling calm and connected.
Our Practice Transformation team is meeting regularly to share best practices and is here to help you explore the decisions that are right for your practice. We can facilitate conversations around the challenges you are facing, including providing thought partnership around making the case for continuing care in groups, creative ways to connect and engage your group members or planning when you’re ready to restart groups - as you discern what may be best for your clinic. We encourage you to reach out to us and are very pleased to provide no-cost 1:1 consulting time with our Implementation Advisors. Please look for more details on this next week.
We know that flexibility is what our partners are looking for right now. Some practices in the early stages of implementation may need to postpone their steering committee work and scheduled facilitation training as other critical priorities are demanding your time and attention. We have adjusted our workshop policies and have cancelled all in-person events until April 15. Given the evolving nature of the pandemic, we will carefully reassess the situation in the coming weeks and share updates as they become available.
You have heard us say before that “wisdom comes from the group.” We sincerely hope that you will come together as a Centering community to learn from and support one another. We have created a thread in CenteringConnects and are hosting a special Circle Up on March 31, at 3pm ET. Please join us.
We appreciate all that you do and wish you, and your communities, our very best.
Angie
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Jo Koumouitzes, MPH
NOCAL - Northern California Centering Consortium
Pregnancy Centering Coordinator PAMF
Posts: 54
I work at a: Healthcare Facility
My job role is: Staff
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Post by Jo Koumouitzes, MPH on Mar 16, 2020 15:34:50 GMT -5
Hello All, Yes, I hear Zoom is HIPAA compliant and works well. Our foundation uses Adobe Connect, so I will be exploring that format this week. My understanding is we have to pay a license fee (likely under my name), and attend all the Centering meetings on Adobe Connect. (That sounds like a joy!) There are fees for this, however, we won't be buying snacks, so I think it is a potential cost savings. It is a great opportunity for us all to get a playbook ready for this challenging time and for future disruptions. I am not the most tech savvy and will share what I can! All the best to everyone! Be well, Jo
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Wenonah (she/they)
In-House Trainers
Posts: 48
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ...it's about relationships and support being recognized as an essential component of health & Healthcare. The lasting connections created during the transformational year of pregnancy is an invaluable asset for new parents.
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Post by Wenonah (she/they) on Mar 16, 2020 17:55:31 GMT -5
Our Health Center today has cancelled all groups, until further notice. From our Clinical Chief : Providers at the midwifery centers are hopeful that telehealth will be employed for appropriate use. We already have these services in place, it is just not usually used for OB, as far as I know. I have heard of midwives using it elsewhere for contraceptive counseling and such. I am looking into using Zoom Meetings to connect patients for a virtual group for Centering teaching, but I do not think it would count as a billable encounter.
Our hospital has implemented restrictions on who can accompany patients at Labor & Delivery. They are allowed 2 support people and no children under age 13. It was first stated that the 2 people included the doula but it looks like they revised that and are allowing the doula to be considered part of the birth care team
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Post by ejohnsonhofhc on Mar 17, 2020 9:21:00 GMT -5
Hello,
My organization has cancelled centering for at least the next 4 weeks. This question is for the Centering Institute. I am curious how I should document the attendance in Centering Counts for the groups that will not be able to attend the sessions under this time of cancellation without affecting my groups attendance rates?
Thanks, Emily Johnson of Heart of Ohio Family Health Center
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wclavijo
NC - North Carolina Centering Consortium
Posts: 11
I work at a: Healthcare Facility
I am interested in Centering because: It's a great new way of providing care to our patients.
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Post by wclavijo on Mar 17, 2020 10:05:09 GMT -5
Hello,
My organization has also canceled groups for the next two weeks in spite of COVID-19. I know that the leaders of the consortium have suggested using Zoom to keep the Spring Consortium meeting in April, and now I'm reading on here that it can possibly be used for Centering too. I am wondering how and what will we do as far as data for the weeks that the groups are canceled thus far. My other concern is that schools are out for the next two weeks, which now they are saying it could be longer. I am worried that even if I am able to set up Zoom my patients won't be able to attend because of their children being at home and now parents are trying to keep with all the online classwork and homework.
Wendy
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Post by Marena Burnett on Mar 17, 2020 10:11:23 GMT -5
Hi everyone, Telemedicine and Pregnancy Care, published by Kaiser Family Foundation (2.26.2020) offers a comprehensive list of resources and information for sites that are interested in supporting their Centering groups virtually. There is a version of Zoom that is HIPAA compliant, but please note the free and regular paid versions of Zoom (like CHI uses for Circle Ups) are not. Here are a few links that may be helpful: Zoom for healthcare datasheet: zoom.us/docs/doc/Zoom%20for%20Healthcare.pdfHIPAA datasheet: zoom.us/docs/doc/Zoom-hipaa.pdfPricing: www.zoom.us/healthcareWe will continue to post - and invite you all to share - as we learn more about other offerings.
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Deleted
Deleted Member
Posts: 0
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Post by Deleted on Mar 17, 2020 10:44:27 GMT -5
We will be sharing CenteringCounts guidelines for how to record attendance while groups are suspended very shortly! It will be possible to do this without affecting attendance rates.
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Post by Tanya Munroe on Mar 17, 2020 10:58:47 GMT -5
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