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Community Health of Central Washington. CHCW encompasses 5 sites Family Practice, Pediatrics, Hospital Service, OB, Dental, Residency Program F ocus on teaching Serve 30,000 patients, over 100,000 visits each year Agricultural Community. CHCW 5 Years Ago.
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Community Health of Central Washington CHCW encompasses 5 sites Family Practice, Pediatrics, Hospital Service, OB, Dental, Residency Program Focus on teaching Serve 30,000 patients, over 100,000 visits each year Agricultural Community
CHCW 5 Years Ago • No dental services, lack of corporate efforts • One-on-one efforts, 1 RN/team, open access scheduling • QA: Introductions to PDSA cycle • Patients: Open access scheduling, Standard clinic hours, limited same day availability • Staff: Lots of longevity, growth, attract people who want to care for the underserved • Typical patient visit
Journey to PCMH • CHCW PCMH practice transformation journey • CHCW goal: submit corporate application by March 31, 2013 • Weekly Meetings: QA/Risk Director, COO, Care Manager and Clinic Managers • Worked on bringing awareness to staff • Learned how to use the points, chapter summary spreadsheet to breakdown tasks, Meaningful Use
Chapter Summary Includes: • Description of each section of the chapter • What we have done • What we need to do by March 31st • Future Goals
CHCW Now… • Bigger, better care teams! • Using staff to their license. More tasks, more delegation, EMR Implementation • QA Projects: Meaningful Use, Cervical Cancer Screening, CINA Report, EMR documentation, • Patience: Better Access, Improved forms, Practice Teams • Staffing: Longevity, involving staff in pilot projects • Patient Visit: Patient goal setting, group classes/ visits, improved access
Challenges & Obstacles we’ve Overcome • Challenges & obstacles: • Education • Involvement and morale • understanding differences in corporate and site specific workflows and ideas • Take-Aways: • Lots of time • Educating staff early and getting them involved • Understanding NCQA standards sooner than later • Transparency and communication