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This 1-page worksheet is an important tool for site to utilize during the Plan-Do-Study-Act (PDSA) cycle to test the impact and utility of changes being implemented.

Part 2 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: April 2, 2014
PRESENTED BY:  Hans Dethlefs, MD and Ed Zuroweste, MD

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 Participant Evaluation  

 Presentation Slides (PDF)

If you have any follow up questions for this webinar, feel free to contact Dr. Ed Zuroweste at kugelzur@migrantclinician.org or 512.579.4540 .

To receive CME* or CNE credit after viewing any of these webinars you must complete the Participant Evaluation associated with each webinar. If you have any questions, contact our Continuing Education Assistant at contedu@migrantclinician.org

At their best, clinical core measures serve as an important window to examine the impact and quality of care being delivered at health centers. However, without an effective system in place clinical core measures can require a great deal of time and effort without yielding important quality improvement. This session will examine both short and long term strategies health centers can employ to make the best use out of the clinical core measures to improve care for patients. Drs Zuroweste and Dethlefs will examine the building blocks health centers need for an effective quality improvement system. Through a series of case studies, this session will explore the role of clinical leadership, technology and strategies for building a short and long term quality infrastructure that works.

Learning Objectives:

  1. Identify common pitfalls health centers encounter related to the clinical core measures.
  2. Discuss strategies for assessing a health center’s current capacity to engage in meaningful quality improvement.
  3. Through case studies, evaluate different approaches to clinical quality improvement using the clinical core measures.

FURTHER READING

Approved Uniform Data System (UDS) Changes for Calendar Year 2014 Program Assistance Letter

New Clinical Measures 2014

Effective Data Management for the Pursuit of Quality Health Care: OneWorld Health Center. MCN's Streamline. Winter 2014 Issue 1.

330 Clinical Grant Requirements

Program Assistance Letter

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This is the final webinar in a series of seven in our Clinician Orienatation to Migration Health.

DATE RECORDED: Wednesday, August 7th, 2013
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network

To view the recorded version of this webinar, click here

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Migrant Health Newsline, Issue 1, 2013 by the National Center for Farmworker Health

How much do you know about your health center's Board of Directors? Do you know who makes up your health center board and what populations are represented? Your health center plays a vital role in the community it serves. Therefore, the members of a health center board should be a reflection of that community. As part of the Health Resources and Services Administration (HRSA) Program Requirements, migrant and community health centers must have a farmworker representative on the board if that health center serves the farmworker community. Many benefits exist to having a farmworker board member. Although finding, recruiting, and keeping a farmworker representative on the board may sound like a difficult task, in this issue of Migrant Health Newsline, you will learn why this is so important, how it can be done successfully, and you will read about a health center's efforts to do just that. 

This is a nice example of a screen shot for documenting self-management goals in EHR and the kind of thing centers want to see as they develop their tools. This can be adapted any number of ways. 

OneWorld Community Health Center created a demographic extended table and put it in on a medical record pop-up template for tracking self management goals.  This grid can be displayed on other templates or the popup can be launched from other templates depending on the workflows.   

OneWorld Community Health Center created a demographic extended table and put it in on a medical record pop-up template for tracking self management goals. This grid can be displayed on other templates or the popup can be launched from other templates depending on the workflows.   

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Migrant Clinicians Network and Migrant Health Promotions recommend strategies for increasing clinician involvement in consumer board member recruitment.

"What is your role in recruiting consumer board members?" is an Implementation Plan for Increasing Consumer Board Members at FQHCs.

Additionally, MCN and MHP have created a template for a recruitment poster to hang in your clinic. Feel free to take this tool and adapt it for the unique needs of your site.

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This poster was created for use by any Community Health Center wanting to increase the involvement of Migrant/Seasonal Farmworker consumers on the board of directors. The poster is designed to be customized to individual sites.

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The scope of the quality improvement program is organization wide and includes activities that monitor and evaluate all phases of the health care delivery system through objective, criteria-based audits, outcome audits, tracking tools, and reporting systems.

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To establish processes and mechanisms that will help assure the provision of high quality health care as well as an ongoing process of performance improvement.
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“Quality Improvement” (QI) refers to the betterment or enhancement of programs or services. QI develops solutions to the problems noted in the quality reviews and progress reports. Tools used to improve quality include referencing clinical standards, tracking defined programs and measuring outcomes and key indicators, and benchmarking against programs with high levels of performance.

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The objectives of the program are to improve employee and patient experiences, to improve health care processes and documentation.

A sample written quality improvement plan for a health center.
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A sample written quality improvement plan for a health center.
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A sample written quality improvement plan for a health center.
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A homeless patient chart audit form in Excel.
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Perinatal chart audit form in Excel.
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Audit system includes purpose and procedure
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Seperate chart audit tools in Excel for general clinical, prenatal and outreach programs.
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A sample hypertension chart audit form.
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An overview of key chart audit considerations by lifecycle.
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A chart audit form that addresses required chart items by lifecycle.
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A sample diabetes chart audit form.
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A sample diabetes chart audit form.
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A sample pediatric asthma chart audit form.
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A sample asthma chart audit form.
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Setting goals with patients is an important step in helping them self-manage their own health-related behaviors. Experienced healthcare teams find that following the two basic principles described below helps patients have more early success, and small successes one after the other builds confidence and effective self-management.

High quality goals are patient-centered and behaviorally specific. Developing high quality goals increases the likelihood of early and sustained self-management success. Modeled after one team’s efforts, the rating scale below represents a simple way to assess if the goals we set are behaviorally specific.

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Quality review form for use in family planning programs.
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A sample of one form of quality council minutes that can be adapted for use in other health centers.
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