VA/DC/MD Peer to Peer Network Meeting 4-15-16
Apr 16, 2016 10:52:43 GMT -5
ColleenSenterfitt, Margie, and 1 more like this
Post by John Craine on Apr 16, 2016 10:52:43 GMT -5
We had a very nice and productive meeting hosted by March of Dimes and Providence Hospital in their spacious and comfortable CenteringPregnancy room. Other sites in attendance included Mary's Center, Inova, Community of Hope, Nelson Clinic at VCU (including Saba Masho and her Strong Start evaluation team) and Baltimore Washington Women's Health Associates.
AGENDA
update from Saba Masho on Strong Start activities - recruitment activities are winding down and the project team is focusing mostly on outcomes data collection; there was discussion about how to help sustain Centering practices once Strong Start funding disappears.
March of Dimes Survey - Josh Wansely, a graduate student intern with the March of Dimes, presented results from a survey conducted among network members earlier this year to identify leading topics of interest for future meetings. The top three challenges identified were:
CenteringCounts Updates - John Craine discussed the upcoming shift to the online version of CenteringCounts. There was extensive discussion about the overall burden of data collection from Strong Start, March of Dimes, and CHI. Most of those in attendance have limited support staff and are under significant productivity pressures and were relieved to learn that Strong Start would be winding down and that the online version of CenteringCounts will facilitate data entry into March of Dimes CPOD.
During lunch the group discussed enrollment strategies. Olimpia from Mary's Center provided an excellent recap of how they transitioned from an opt-in to an opt-out model with a few simple changes to their process flow. Centering enrollments are up 60% as a result. Many network members shared their frustrations around the time lag between initial enrollment and the first group meeting, saying that the patients were exceedingly difficult to reach by any communication method. Patients are often lost to individual care because they begin to bond with their IPC providers in their first trimester and are less inclined to transition to group care. Mary's Center resolved this problem by assigning patients to their Centering group provider for the first trimester care.
There was extensive discussion about staffing challenges. Many of the network sites are safety net hospitals and provide uncompensated care. The Centering practices are understaffed and Coordinators then become responsible for all Centering roles. Everyone agreed that we needed to hang on until payment systems begin valuing quality of care.
Each member of the group shared their favorite facilitation activity and there were some excellent and creative ideas. Facilitators all expressed the desire /need for new and interesting activities so as to keep their facilitation experiences fresh and interesting. All were encouraged to share their favorite activities on CenteringConnects. In the future CHI will collect these ideas and pull them into a supplementary volume for the Facilitator's Guides.
As a closing activity, each member of the group was asked to state something they learned during the meeting.
AGENDA
update from Saba Masho on Strong Start activities - recruitment activities are winding down and the project team is focusing mostly on outcomes data collection; there was discussion about how to help sustain Centering practices once Strong Start funding disappears.
March of Dimes Survey - Josh Wansely, a graduate student intern with the March of Dimes, presented results from a survey conducted among network members earlier this year to identify leading topics of interest for future meetings. The top three challenges identified were:
- Recruitment (Moving towards getting 60% of your eligible clients in Centering)
- Data collection and determining outcome improvement goals
- Centering Counts
CenteringCounts Updates - John Craine discussed the upcoming shift to the online version of CenteringCounts. There was extensive discussion about the overall burden of data collection from Strong Start, March of Dimes, and CHI. Most of those in attendance have limited support staff and are under significant productivity pressures and were relieved to learn that Strong Start would be winding down and that the online version of CenteringCounts will facilitate data entry into March of Dimes CPOD.
During lunch the group discussed enrollment strategies. Olimpia from Mary's Center provided an excellent recap of how they transitioned from an opt-in to an opt-out model with a few simple changes to their process flow. Centering enrollments are up 60% as a result. Many network members shared their frustrations around the time lag between initial enrollment and the first group meeting, saying that the patients were exceedingly difficult to reach by any communication method. Patients are often lost to individual care because they begin to bond with their IPC providers in their first trimester and are less inclined to transition to group care. Mary's Center resolved this problem by assigning patients to their Centering group provider for the first trimester care.
There was extensive discussion about staffing challenges. Many of the network sites are safety net hospitals and provide uncompensated care. The Centering practices are understaffed and Coordinators then become responsible for all Centering roles. Everyone agreed that we needed to hang on until payment systems begin valuing quality of care.
Each member of the group shared their favorite facilitation activity and there were some excellent and creative ideas. Facilitators all expressed the desire /need for new and interesting activities so as to keep their facilitation experiences fresh and interesting. All were encouraged to share their favorite activities on CenteringConnects. In the future CHI will collect these ideas and pull them into a supplementary volume for the Facilitator's Guides.
As a closing activity, each member of the group was asked to state something they learned during the meeting.
