Primary Care Practice Redesign Newsletter
Cohort 1 | Issue 9
May 15, 2019
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This newsletter is a biweekly forum to keep practices
connected and informed on the Cohort 1 Redesign efforts.
Be sure to right-click to download pictures.
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We’re in the final stretch of Primary Care Redesign!
As the first “class” to complete the Redesign program, Cohort 1 demonstrated flexibility, creativity, and steadfastness in reaching our goals. Thank you!
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Transitional Care Management for Patients with High Medical Complexity
Cohort 1 practices are currently working on creating workflows for Transitional Care Management (TCM). TCM services should be offered to patients with medical and/or psychosocial problems requiring moderate or high-complexity medical decision making. These services are performed after transitioning patients from various hospital settings, including inpatient acute care hospital, inpatient psychiatric hospital, long-term care hospital, and more.
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Click here
to find out if your patients qualify for TCM and how you can bill and code for TCM services appropriately
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Save the Date! Final Learning Collaborative on June 14th
Join us in a celebration of all of your accomplishments as part of the Primary Care Redesign!
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Practice Management Panel Discussion
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Hear what your colleagues had to say about running a primary care practice
Michelle Bekman, MHA, Director, Ambulatory Operations, Brooklyn Heights
Lisa Renaud, Practice Manager, 1090 Amsterdam Avenue
Dominique Stennett, MHA, Practice Manager, West 14th Street
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Michelle Bekman, MHA, Director, Ambulatory Operations, Brooklyn Heights
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Lisa Renaud,
Practice Manager, 1090 Amsterdam Avenue
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Dominique Stennett
, MHA, Practice Manager, West 14th Street
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On April 23rd, our practice administrator colleagues participated in a panel discussion led by Dr. Stella Safo on Clinical Transformation in Population Health Management. This panel was part of Mount Sinai Health Partner’s all-staff meeting, where staff were excited to hear from Michelle, Lisa, and Dominique about health care delivery on the front lines of care. Here are some highlights:
What core competencies make a good practice manager?
- Michelle commented that it’s not just technical skills, but “soft skills” that are important. “Things change a lot in health care and we want to instill a just culture. I let members of the team and patients know that my door is always open to them.”
- Lisa mentioned that she hones in on the strengths of her staff, making all staff her business partners. “You can’t do it all,” she said. “It’s important to hold the team accountable for growing the practice.”
- Dominique echoed this sentiment, adding “We need to look at workflows and ask ourselves what can be done better and more efficiently, also ensuring that our staff have all the resources they need to succeed.”
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What do you do to keep patient experience and staff experience top of mind?
- Lisa commented, “You need to be at the front desk and do a figure eight! Talk to staff, talk to patients, look at workflows, and ask your staff questions. I am nothing without the people I work with. They know more than you know and they will share information on how they feel things could be done differently.”
- Dominique discussed the patient review tools her practice uses to text patients after check in. If the patient is dissatisfied, they can capture this information prior to the patient leaving the practice. “We approach them in the moment and try to offer solutions. Actively listening helps mitigate issues and turn negative experiences into positive ones.”
- Michelle discussed both patient satisfaction and employee appreciation committees: “We give everyone a voice to disclose their concerns and we can learn from dissatisfied patients.”
What can MSHP do to help your practice deliver on population health goals?
- Michelle mentioned on the operations side, her practice is always looking to optimize and operationalize things – one example is implementing standardized workflows for vaccine tracking.
- Lisa commented on the importance of ensuring her practice understands the analytics they are receiving and how to use these reports to evaluate/measure how the practice is doing.
- Dominique commented that it is crucial that her practice has a solid level of understanding of the metrics we are looking at and what impact each team member can make on the patients’ health outcomes.
Thank you to Michelle, Lisa, and Dominique for sharing their insights with Mount Sinai Health Partners’ population health management team!
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Dr. Fields welcomes Dr. Kevin Munjal, Medical Director for Mount Sinai’s Community Paramedicine program, to discuss how community paramedicine programs are central to population health goals, some of the challenges in launching the Mount Sinai program, and some directions it may go in the future. As Dr. Munjal explains, EMS services are an amazing field of applied population health: the regionalization of care, what response modality is sent to given complaints, options for providers, training, equipment, payers, and more. The interplay between all of those decisions sets the framework for Dr. Munjal’s alternative model, the “beginning of a virtual emergency department” that is potentially game changing from a population health perspective.
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Dr. Fields returns to the frontlines in this episode with Dr. Greg Dodell, an endocrinologist in private practice on the Upper West Side. Dr. Dodell shares how he creates a family atmosphere with staff and patients and why he thinks meaningful personal relationships with his patients are important to positive health outcomes. He also discusses his interest in mindfulness and meditation as a doctor and a business owner dealing with stress and how mindfulness helps him be present in the moment with his patients.
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Study Finds Medically Tailored Meals (MTM) Reduce Inpatient and SNF Admissions
Medically tailored meals (MTM) were found to reduce inpatient and skilled nursing admissions in Massachusetts, according to a new study published in
JAMA Internal Medicine
. The authors estimated that the intervention brought down health care costs ~$750 per month in this cohort.
Read more
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