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Shared Medical Visits Practice Improvement Series Meeting MaineHealth

Shared Medical Visits Practice Improvement Series Meeting MaineHealth. Mary McDonough RN Jeff Aalberg MD September 20, 2007. THIS PRESENTATION WILL HELP YOU…. Learn about Shared Medical Visits (SMVs) Participate in a mock SMV Consider tools and preparation Start a Shared Medical Visit!.

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Shared Medical Visits Practice Improvement Series Meeting MaineHealth

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  1. Shared Medical VisitsPractice Improvement Series MeetingMaineHealth Mary McDonough RN Jeff Aalberg MD September 20, 2007

  2. THIS PRESENTATION WILL HELP YOU… • Learn about Shared Medical Visits (SMVs) • Participate in a mock SMV • Consider tools and preparation • Start a Shared Medical Visit!

  3. WHO WE ARE Maine Medical Center Family Medicine Residency Portland, Maine 19,000 patients 55,000 visits 40 Providers

  4. WHAT ARE SHARED MEDICAL VISITS? A visit designed for a group of patients rather than individual provider-patient appointments

  5. WHYDO PEOPLE LIKE SHARED MEDICAL VISITS? • Additional support for “me” from people like “me” (peer support) • Learn new things through education and discussion • Socialize, make new friends • Enhance relationship with their care team (patient centeredness) • Providers renew their joy of medicine It’s fun

  6. ADVANTAGESLet’s get concrete… • Efficient model of care • Maximizes educational time • Billable service • Improved clinical outcomes

  7. Let’s do a Shared Medical Visit!

  8. What have we done to prepare? • 3 months ago • Determined the SMV theme: Cardiovascular disease • 2 months ago • Established a team, each member having an identified role and responsibility • 1 1/2 months ago • Found appropriate patients • 1 month ago • Set the date, time and duration of the group

  9. What do we prepare for every SMV? • Gather materials needed: • Name tags • Easels • Patient notebooks • Group handouts • Medical tools: BP cuffs, scale, vaccines & etc. • Solidify the agenda • Review documentation and charts • Huddle after the SMV

  10. What do we do at the first SMV with a new group? • Introductions • Description of a SMV • Confidentiality, HIPPA forms, medical waiver

  11. Let’s Get Started!!! Today’s agenda: • Welcome • The topic of the day (educational presentation) • Reporting self management plans • Individual clinical visits • New self management action plans • Wrap up

  12. Topic of the day:What is Heart Disease?

  13. Why you were invited You have a risk for blood vessel disease (cardiac disease or stroke) Perhaps you have: • High blood pressure • Increased cholesterol • A history of heart problems • Less than optimal conditioning

  14. Why a cardiovascular SMV? America Causes of death in the US

  15. Let’s look at the heart(or Jeff’s anatomy) • Plumbing • blood vessels • valves • Electric: (the heart beat) • Pump: (Muscle)

  16. Plumbing

  17. Plumbing:The heart’s own blood vessels bring food, oxygen and waterto the heart itself

  18. Plumbing:the valves

  19. Valves: keep the blood from going backward

  20. Electrical

  21. Controls the heartbeat

  22. The heart is a pump

  23. The pump is a muscle

  24. The heart muscle pumps blood through the body’s blood vessels

  25. So…why are the blood vessels so important? • The heart supplies ITSELF with blood • The heart and brain need more oxygen and nutrients than any other organs • There’s no rest __________________________________ (Ever had your thighs ache when climbing stairs?)

  26. So cardiovascular disease is:blood vessel disease

  27. What happens if our blood vessels are affected • Your heart (you) might tire easy • You may have heart pain (angina) • If there is a real blockage, it can cause a heart attack or a stroke __________________________________________ But the damage takes many, many years and You can always stop the damage from worsening!

  28. Report your self management plans • How did you do? • Plans for upcoming month

  29. Wrap up • Process • Next meeting • Topics for future meetings

  30. How Can We Help You Start a Shared Medical Visit? Contact us: • aalbej@mmc.org • mcdonm@mmc.org

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