1. 1. Webinar #1 July 15, 2015 Bringing Basic Orthopedic and Concussion Care to the Pediatric Medical Home: A PPOC/CHICO Learning Community & Advanced Primary Care Initiative 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
2. 2. 2 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu 1. Welcome and Course Updates 2. How to Utilize Blackboard: Finding Content & Uploading Assignments 3. Concussion Case Discussion and Review of Algorithm 4. Qstream Update 5. Questions, Next Steps and Wrap-up
3. 3. 3 We have no financial relationships with commercial entities producing, marketing, re- selling, or distributing health care goods or services consumed by, or used on, patients relevant to the content we are planning, developing, presenting, or evaluating. Disclosure 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
4. 4. 4 Learning Community Schedule Webinars 7:30am 8:30am Date Content Thursday, June 11, 2015 Concussion Thursday, September 10, 2015 Hand and Wrist Wednesday, January 20, 2016 Foot and Ankle Wednesday, March 23, 2016 Everything Knee Date Wednesday, July 15, 2015 Thursday, August 13, 2015 Thursday, December 10, 2015 Wednesday, February 24, 2016 Wednesday, April 27, 2016 Didactic Webinars 7:30am 9:00am 2014 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu In-Person Sessions 7:00am 9:00am, BCH Waltham Date Content Thursday, October 29, 2015 Practical Session Wednesday, May 25, 2015 Practical Session
5. 5. 5 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu Your Practice now has a group on Blackboard!
6. 6. 6 Case study: concussion
7. 7. 7 CASE #1 6:00 PM parent call Injury 2 hour ago: Possible brief LOC (seconds), then dizzy/unsteady, no recollection of collision Currently, patient is alert but tired, c/o 8/10 headache Q: How should you triage this patient?
8. 8. 8 CASE #1, What if 8:00 PM parent calls back Patient has vomited several times Patient is very tired; can be aroused but immediately falls back to sleep Q: How should you triage the patient now?
9. 9. 9 Concussion Algorithm: Suspected Concussion 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
10. 10. 10 CASE #1, continued Patient evaluated in your office day after injury Q: What evaluations should you perform?
11. 11. 11 Concussion Algorithm: Suspected Concussion 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
12. 12. 12 Balance Error Scoring System (BESS) NORMAL BESS SCORE 13 yrs Double Leg Stance: normal score = 0 errors Single Leg Stance: normal score < 5 errors Tandem Stance: normal score < 3 errors 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu 12 years and Younger No Norms For Internal Control Only
13. 13. 13 Post Concussion Symptom Scale (PCSS): 13 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu Download this form from Blackboard by visiting: Blackboard/Content/Concussion/Concussiontools
14. 14. 14 Post Concussion Symptom Scale (PCSS): 12 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu Download this form from Blackboard by visiting: Blackboard/Content/Concussion/Concussiontools
15. 15. 15 CASE #1, continued Q: What are your treatment recommendations?
16. 16. 16 Concussion Algorithm: Suspected Concussion 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
17. 17. 17 Return to School 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
18. 18. 18 Return to Play 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
19. 19. 19 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu Download this form from Blackboard by visiting: Blackboard/Content/Concussion/Concussiontools/Patientforms
20. 20. 20 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
21. 21. 21 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
22. 22. 22
23. 23. 23 Concussion Algorithm: Suspected Concussion 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
24. 24. 24 Concussion Algorithm: Follow-Up 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
25. 25. 25 CASE #1, Follow-Up Q: What are your treatment recommendations now?
26. 26. 26 Concussion Algorithm: Follow-Up 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
27. 27. 27 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu Download this form from Blackboard by visiting: Blackboard/Content/Concussion/Concussiontools/Patientforms
28. 28. 28 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
29. 29. 29 CASE #1, What if Q: What are your treatment recommendations now?
30. 30. 30 Concussion Algorithm: Follow-Up 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
31. 31. 31 Concussion Algorithm: Follow-Up 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
32. 32. 32 ONLINE COURSES (Physician Online Training) www.cdc.gov/concussion/HeadsUp/online_training.html www.nfhslearn.com/electiveDetail.aspx?courseID=38000 Resources for Training 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
33. 33. 33 Algorithm Patient/Family Handout Teacher Letter Advice Line Flyer Materials for Practice 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
34. 34. 34 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
35. 35. 35 Additional Questions & Discussion 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
36. 36. 36 Participate in August Webinars! 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu Due Date Coursework CME Performance Improvement (PI) Stages PI ToolsCONCUSSION Friday, August 7, 2015 Understand current practices trends for caring for concussion by completing Concussion Case Reviews. Submit completed cases on your Blackboard Group page. Stage A & B: Baseline Measurement, Assessment and, Intervention Case Review Root Cause Analysis Test of Change Identification Friday, Sept. 4, 2015 Build process for implementing concussion algorithm and advice processes that fit your practice Submit PD of PDSA worksheet on to your Blackboard Group page. Process Map: PDSA Cycle - Plan - Do Ongoing Participate in and Complete Concussion Qstream Course Spaced Learning
37. 37. 37 Concussion Coursework Download your case review forms from Blackboard: 1. Select 3 case reviews/participating provider 2. Complete the case review form using information from: Your EHR MyPatients (if applicable) Other visit documentation you may have access to 3. Submit on Blackboard Group page by Friday, August 7th 4. For instructions on how to fill out assignments on blackboard visit: Content/Blackboard How tos/How to Assignment on Blackboard 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
38. 38. 38 Meeting Evaluation We want to make this community as useful as possible for you! You will be receiving a meeting evaluation via email (sent to the email that you provided on the demographic form) by 4:00 pm tomorrow. Please take a moment to fill out the session evaluation form and provide us with your feedback so that we can continue to improve and meet your expectations! 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu
39. 39. 39 Learning Community Schedule Webinars 7:30am 8:30am Date Content Thursday, June 11, 2015 Concussion Thursday, September 10, 2015 Hand and Wrist Wednesday, January 20, 2016 Foot and Ankle Wednesday, March 23, 2016 Everything Knee Date Wednesday, July 15, 2015 Thursday, August 13, 2015 Thursday, December 10, 2015 Wednesday, February 24, 2016 Wednesday, April 27, 2016 Didactic Webinars 7:30am 9:00am 2014 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu In-Person Sessions 7:00am 9:00am, BCH Waltham Date Content Thursday, October 29, 2015 Practical Session Wednesday, May 25, 2015 Practical Session
40. 40. 40 Thank You! 2015 Pediatric Physicians Organization at Childrens (PPOC). For permission please contact ppoc@childrens.harvard.edu