Transcript Next Steps Robert A. Gabbay, MD, PhD Professor of Medicine, Penn State College of Medicine.

Next Steps
Robert A. Gabbay, MD, PhD
Professor of Medicine, Penn State College of Medicine
Until we meet again…
 Use your practice facilitator as a resource.
 Meet with and call Patty/Sharon: Pick a date today!
 Reflect on and respond to their feedback
 Continue (or start) holding weekly team meetings.
 Develop a plan to collect any data you don’t have
or correct any data you know is wrong.
 Identify diabetes patients overdue for visits and
reach out to them to schedule a visit and provide
follow-up care.
Until we meet again…
 Continue implementing critical changes on
monthly reporting form.
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Population alert
Template/flow sheet
Standing orders
Huddles
Planned care at every visit
Patient report cards
Patient self-mgmt goals
Risk assessment at every visit
Follow-up care for high-risk
Until we meet again…
 Show significant and sustained improvement in
at least 1 outcome measure and 3 process
measures.
 Keep on reporting PDSAs, data, status reports.
 Participate in webinars: 12pm-1pm
 Feb. 21
▪ March 28
 April date tba
 Tell us what you need!
Monthly Report Due Dates
• February 5
• March 5
• April 5
• May 6
• June 5
Learning Session #4
South Central
• May 9: 5-9pm at PSU College of Medicine, Hershey
Northwest
• May 16: 5-9pm at Cross Creek Resort, Titusville
Practice Facilitators
• Northwest
Patricia J. Stubber, MBA
Executive Director
Northwest PA AHEC
8425 Peach Street
Erie, PA 16509-4788
814-217-6029 (phone)
814-594-4740 (cell)
814-864-4077 (fax)
[email protected]
• South Central
Sharon M. Adams RN, BA
Executive Director
Southcentral PA AHEC
PO Box 509
Carrolltown, PA 15722
814-344-2222 (phone)
814-344-2221 (fax)
[email protected]
Web: www.paspread.com
Email: [email protected]