FAQs about the CenteringParenting model
Feb 12, 2016 16:21:32 GMT -5
ssweeny, Margie, and 2 more like this
Post by John Craine on Feb 12, 2016 16:21:32 GMT -5
The following questions were posed to me by a large integrated health system considering adoption of the CenteringParenting model of pediatric / well-woman care. I thought others might have the same questions.
How long is the group session? How long is the group care portion vs. individual assessment and immunization portion? Standard group length is 2 hours, however group visits can range from 90 minutes to 2+ hours depending on your patients' needs and your practice needs. The assessment portion should take no more than 30-45 minutes. During assessments, the other families socialize with each other and post questions to a container for the group.
What is the license level of the practitioners who conduct the physical health assessments? Physical health assessments must be completed by a billing provider, typically MDs or mid-levels.
Who provides well-baby care? The pediatric provider
Is well-woman care provided in the group care portion of the session? Who provides this care? It can be but it isn't required, CenteringParenting can be a strictly pediatric model. However, for Family Medicine or multi-specialty practices there is an opportunity to integrate well-woman care into the pediatric visit. In such cases we recommend that the well-woman care be conducted contiguous to the pediatric assessment. A mid-level OB/GYN provider could handle the well-woman assessment. In all cases the pediatric provider can conduct a post-partum depression screening on moms.
Education is conducted in a facilitative style. What does this mean? Brief lectures followed by facilitated discussion or parents asking questions followed by facilitators leading the discussion and providing information? Facilitation is the heart and soul of Centering. We train providers in specific facilitation techniques designed to engage the group, promote group interaction, learning and dynamics. Brief lectures and didactic teaching are generally frowned upon. Providers are taught to step back and allow the collective wisdom of the group to emerge. Providers are there to ensure that the conversations between patients remain relevant and accurate.
What is the license level of the facilitators? Facilitation is managed by two-person teams. One team member must be the billing provider. The second team member can be anyone who has been trained to be an effective Centering facilitator. Many practices use MAs, social workers, LPNs, lactation consultants.
Are there any resource implications besides care provider time during the sessions? What is provider prep and follow-up time requirements? The amount of provider prep and followup time should not be impacted but the allocation of that time may be different. For example, providers will need blocks of time to prepare for the patients they will see in group. Likewise, providers will not be updating EMRs during group encounters. You absolutely need a group space large enough to accommodate your 6-8 patient dyads/triads and your provider team. In the same space there also needs to be the semi-private assessment area and a check-in area where patients will take and record their babies' vitals You will need Centering curriculum materials for your families and some healthy snacks. You will also want to budget for ongoing training for your facilitators in the event of staff turnover.
What are CHI's start-up costs to implement CenteringParenting? Are they comparable to CenteringPregnancy? The startup costs are comparable to CenteringPregnancy. Sites that are already running CenteringPregnancy can very easily implement CenteringParenting at little additional cost.
Is there patient/provider satisfaction or quality data? To date, there is not. Our CenteringCounts QA program was rolled out in 2012 for CenteringPregnancy. We are now in the process of developing online tools that will expand our QA program to CenteringParenting. We expect these tools to begin rolling out in the Fall of 2016.
How long is the group session? How long is the group care portion vs. individual assessment and immunization portion? Standard group length is 2 hours, however group visits can range from 90 minutes to 2+ hours depending on your patients' needs and your practice needs. The assessment portion should take no more than 30-45 minutes. During assessments, the other families socialize with each other and post questions to a container for the group.
What is the license level of the practitioners who conduct the physical health assessments? Physical health assessments must be completed by a billing provider, typically MDs or mid-levels.
Who provides well-baby care? The pediatric provider
Is well-woman care provided in the group care portion of the session? Who provides this care? It can be but it isn't required, CenteringParenting can be a strictly pediatric model. However, for Family Medicine or multi-specialty practices there is an opportunity to integrate well-woman care into the pediatric visit. In such cases we recommend that the well-woman care be conducted contiguous to the pediatric assessment. A mid-level OB/GYN provider could handle the well-woman assessment. In all cases the pediatric provider can conduct a post-partum depression screening on moms.
Education is conducted in a facilitative style. What does this mean? Brief lectures followed by facilitated discussion or parents asking questions followed by facilitators leading the discussion and providing information? Facilitation is the heart and soul of Centering. We train providers in specific facilitation techniques designed to engage the group, promote group interaction, learning and dynamics. Brief lectures and didactic teaching are generally frowned upon. Providers are taught to step back and allow the collective wisdom of the group to emerge. Providers are there to ensure that the conversations between patients remain relevant and accurate.
What is the license level of the facilitators? Facilitation is managed by two-person teams. One team member must be the billing provider. The second team member can be anyone who has been trained to be an effective Centering facilitator. Many practices use MAs, social workers, LPNs, lactation consultants.
Are there any resource implications besides care provider time during the sessions? What is provider prep and follow-up time requirements? The amount of provider prep and followup time should not be impacted but the allocation of that time may be different. For example, providers will need blocks of time to prepare for the patients they will see in group. Likewise, providers will not be updating EMRs during group encounters. You absolutely need a group space large enough to accommodate your 6-8 patient dyads/triads and your provider team. In the same space there also needs to be the semi-private assessment area and a check-in area where patients will take and record their babies' vitals You will need Centering curriculum materials for your families and some healthy snacks. You will also want to budget for ongoing training for your facilitators in the event of staff turnover.
What are CHI's start-up costs to implement CenteringParenting? Are they comparable to CenteringPregnancy? The startup costs are comparable to CenteringPregnancy. Sites that are already running CenteringPregnancy can very easily implement CenteringParenting at little additional cost.
Is there patient/provider satisfaction or quality data? To date, there is not. Our CenteringCounts QA program was rolled out in 2012 for CenteringPregnancy. We are now in the process of developing online tools that will expand our QA program to CenteringParenting. We expect these tools to begin rolling out in the Fall of 2016.
