So here's a starting point. Post interests and ideas to the comments section, so if folks are gravitating towards specific issues, we'll have a centralized place to find that out and clump up!
Monday, September 24, 2012
Group Project: Interest areas?
A few of us spoke after class today about using this blog as a space to share what we may be interested in working on for the group project, since our smaller cohorts (MPH, MPH/MPP, 11-month-ere) don't routinely see each other outside of Foundations class. Perhaps that's due to schedule differences that will be difficult to work around, but perhaps not!
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19 comments:
Well hey, I'll start. :)
I'm interested in doing a project around a specific program or project to improve patient care within and between clinics/offices/hospitals. I don't have a ton of ideas yet, but here are two I've thought about:
-Adequate and standardized translation plans for non-English speakers. The lack of adequate translators and use of phone-based translation systems was definitely a problem for the patients I worked with through the Contra Costa Health Services, and I'd be interested in a process or structural improvement project. Perhaps a standard for certifying employees as translators, guidelines for when and how to use phone translation services, etc.?
-Improvement of communication between various electronic medical records programs. This would benefit patients receiving care at private offices or at non-profit clinics (La Clinica de la Raza, Planned Parenthood, Ravenswood Family Health Center, Lifelong Medical, etc.), as when they transfer to hospitals, which frequently use a different EMR system, their records are frequently inaccessible.
-?
Jess - Thanks for initiating a discussion around the group project! It'd be great if the divisions within our HPM cohort could intermix. After all, learning from each other is one of the reasons why we're in graduate school! I've listed the ideas that Kim provides on the assignment document. If anyone interested in any one of these topics, or something beyond this list, please shout it out!
- Reference pricing/episode payment/P4P
- Price transparency efforts
- EMRs/PHRs
- Care management models
- Wellness programs/patient engagement
-Innovative ways to purchase high cost items (biologics, medical devices, etc.)
- New diagnostics/companion diagnostics
- mHealth
- Telemedicine
- Use of Social Media
- Workforce innovation - extenders, scope of practice expansion, new pipeline/education models and curriculum
- PACE model, NORH, etc for care of growing elderly population
- Cultural reform (e.g. raise profile of End-Of Life planning, advanced directives)
Thanks for getting us started, guys.
I find the cultural reform to be a very interesting topic. As a culture, there seems to be a high level of discomfort with end-of-life care and planning. However, when it is done properly, it can lead to higher patient and family satisfaction and may even, contain health care costs in the future. It seems as if end-of-life planning is somewhat haphazard - and I would seek to explore the tangible ways to make it less so. Some examples may be pursuing a central electronic registry for Advance Directives AND POLST forms, standardizing processes for end-of-life care discussions between physicians and patients across all health care settings (and not just hospitals), etc.
I'm also generally interested in wellness programs/patient engagement and workforce innovation, if others have ideas there as well...
Thanks, Jess!
In the context of what might have meaningful impact in improving health, I'm interested in three buckets of work...
1. aligning provider/system financial incentives with better health
2. reducing disparities/poverty in the US (ha - sorry. this isn't technically a healthcare project, but I'd like to figure out ways healthcare can have a role here, since this impacts health so heavily)
3. use of technology (access to own health record, transparency)
Anyone want to brainstorm one of these? I'm open to how these might play out for a specific project. Jess, my #3 might align w/ your second interest (EMR communication improvement).
Looking forward to seeing what else people are interested in.
I'd like to work on something patient focused for this class. Something like increasing cultural competent care for any of a number of marginalized communities (African Americans, Latinos, LGBT, low-income).
Case management might also be something interesting to look at along similar lines.
So many good ideas!
Jess, I'm interested in your suggestions, particularly the first one on translation issues.
Somewhat related, I'm also interested in health literacy, exploring ways to improve patients' understanding of medical information they receive that can affect their health (e.g.doctor instructions, prescription labels, information from their insurer).
Also like these topics from Kim's list:
1 - Care for growing elderly population
2 - Price transparency
3 - mHealth and telemedicine
Thanks for initiating this discussion, I am interested in
- Reference pricing/episode payment/P4P
- Telemedicine
- Mental Health Delivery in Emergency departments
No surprise here, but I'd also like to address the end-of-life/advance directive theme. Maybe we could look at how those conversations could be reimbursable under the ACA using more creative methods or compare outcomes (both medically and financially) for patients who were able to have those discussions with their physician versus those who weren't. But really, do we have to be in all the same group projects Samantha? :)
Thanks for getting the ball rolling on this Jess! As an aside, though I don't want to work on it as a project, I'd be happy to talk about EMRs and the difficulties associated with cross-platform communication. I spent about 5 years working for a medical billing/EMR company, specifically around creating data connections with payers--not exactly the same but some overlapping paradigms.
Justin--I'm also interested in increasing culturally competent care for marginalized communities.
Thanks for getting this started everyone! I'm interested in exploring more care management models, specifically:
- Shared-decision making and improvement in maternity outcomes,
- Chronic disease management in Medicaid and patient incentives to participate,
- Other case management models?
Not to be repetitive, but thanks for setting this up, Jess!
I am interested in a fairly broad range of topics around the area of quality of care, access to care, and patient education/advocacy.
One idea I'd be particularly interested in following up on was the model described in the articule Noemi posted, about adapting the Irani medical system in rural Mississippi. I'm curious where else this is being tried in the US, and what kind of results they have experienced.
A second idea I have been toying with is around how to enact a cultural change within the medical establishment where teams or individuals can evaluate mistakes and learn from them, rather than being punished and/or sweeping things under the carpet. [I'm certain there is far more business-like vernacular to describe this but it's a new area for me!]
Any takers? If not, I'm open to any of the other patient-centric ideas above.
You guys have pretty much said it all, so I'll just indicate what's of interest to me:
- Aligning incentives with better outcomes (Michele)
- Improving communication between ERMs (Jess T.)
- Telemedicine (Jess F.)
Good work, Jess and Danielle!
I'm interested in the POLST and EOL discussions between providers and patients. Samantha and Michael, maybe one more group together won't hurt? LOL. I'll let you guys duke it out.
Jasmine and Brittany -
I don't think Noemi has commented on this thread but we were talking the other day about case management stuff. Maybe Brittany, you and Noemi could look at that and Jasmine, you and I could look at culturally competent care more closely? Or the four of us could work together on one thing? Thoughts?
Lots of interesting ideas on here. I'd be interested in the following:
- Integration of Primary Care and Mental Health services. (I am working on doing this in Solano County Clinics)
- Use of social media. (I'd like to learn more about this)
- Use of the Stanford Chronic Disease Self-Management Program. (We are implementing this in Solano County with Community Transformation Grant funding)
I am interested in:
-Case Management/Chronic Disease Management/ Other Care Management Models (Brittany, Michael S., Justin)
- Reference pricing/episode payment/P4P (Amar)
- Telemedicine (Amar, Jess F.)
-Health Literacy (Jess F.)
- Mental Health Delivery in Emergency departments (Amar)
-Integration of Primary and Mental Health Services (Michael S.)
Hey folks,
Appreciate the discussion here. My interests include:
- Case Management Models
- Wellness programs/patient engagement
- Workforce Innovation
- Cultural Reform
Looking forward to forming groups soon!
Danielle
I'm leaning toward either:
Adequate/standard translation plans - Jess. T if you're still considering this one
Telemedicine - Amar., Vishaal, Keith you all said you're interested in this, anyone want to form a group?
So many awesome ideas, and a lot of overlap. After reading all of the above ideas, and thinking more about mine, my strongest interests are:
-translation efforts (Jessica F. and... anyone?)
office visits, forms, hospitalization, personal access to electronic medical records, etc.
or perhaps this as an offshoot of cultural competency (Justin, Jasmine)
- Shared-decision making and improvement in maternity outcomes (Brittany and... anyone?)
Group prenatal care, or "centering" is one model I'm really interested in as it improves quality and cost, and there are local orgs and coalitions working on implementation. We could look at that as well as other efforts!
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