Risk Stratification Affinity Group Session Four...• Activity on MyChart • 30 day • Units of Service 12 POST-ACUTE CARE DATA DASHBOARD (1) 13 POST-ACUTE CARE DATA DASHBOARD (2)

Risk Stratification Affinity Group

Session Four: Enhancing or Modifying Interactions with CJR

Patients Based on Risk Assessment Scores or Categories

June 27, 2018

Comprehensive Care for Joint Replacement Model

Audio available through device speakers OR by dialing (800)832-0736

Conference Room:*4934891#Access Code: 062718#

Welcome

Alicia Goroski, MPHCJR Learning System Team

The Lewin Group

Kathy Woods, BSN, RNCJR Learning System Team

The Lewin Group

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Webinar Agenda

• Welcome & Meeting Logistics• Review Affinity Group Goals• Northeast Georgia Medical Center Presentation• Reflections & Open Discussion• Summary• Announcements & Reminders

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Meeting Logistics

• All telephone lines are muted and will be unmuted during the discussion session

• Please dial in using a telephone to enable open discussion• We encourage comments, questions, and reactions via Chat• Participate!

– Chat– Polls– Telephone (During Group Discussion)– Post-Event Survey

Comprehensive Care for Joint Replacement Model 4

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Download Available Resources

Closed Captioning


To Ask Questions

or Send Messages

To Dial In Via

Telephone

To Raise Your Hand

Introduction to Adobe Connect

Introduction to Adobe Connect (2)

• Use the Chat pod to submit any questions or comments

• Please use “@” if your question/comment is directed to a specific presenter

• Submit your question/comment by clicking the chat bubble icon

• Please share in Chat now:– Name– Organization– One success or challenge you have

had related to risk stratification this month

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Where Are You Located?

To add yourself to the map: scroll to your location on the map, zoom in to your location, and drop the purple pin from the toolbar at your location • To Scroll: click and hold the mouse button to scroll the map left, right,

up, or down• To Zoom:

– use the mouse wheel or trackpad to move in;– double click; or – use the on screen zoom control (top right hand corner)

• Drag and drop the purple pin from the toolbar on the left to mark your location (the bottom of the pin should point to your location).


Risk Stratification Affinity Group Goals

Convene on a monthly basis to:– Share risk stratification tools and resources– Discuss successful strategies, challenges, and

lessons learned– Learn from each other


Northeast Georgia Medical Center Presentation


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Julie Abernathy, RN, BSN, CMSRNOrthopedic Program Nurse Manager

Julie Abernathy, RN, BSN, CMSRNOrthopedic Program Nurse Manager

NORTHEAST GEORGIA MEDICAL CENTER• 3 locations in Georgia

Ø Gainesville§ 557 beds§ 30 patients per week

Ø Braselton § 100 beds§ 12 patients per week

Ø Barrow • 56 beds

• Orthopedic Program Nurse Manager

• Orthopedic Council

• Orthopedic Service Line

• Physician Champion

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JOINT CARE CENTER POST-ACUTE CARE DATA DASHBOARD

Elements included are:• PRO Medicare status• Joint Class attendance• Calls Made (and by whom)• Pain Control (at post-op calls weeks 1 and 2)• Physical Therapy (at post-op calls weeks 1 and 2)• Post-op appointment scheduled (at post-op calls weeks 1 and 2)• Anticoagulant type (post-op week 1 call)• Taking Anticoagulant (at post-op calls weeks 1 and 2)• Activity on MyChart• 30 day• Units of Service

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POST-ACUTE CARE DATA DASHBOARD (1)

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POST-ACUTE CARE DATA DASHBOARD (2)

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SEARCHING FOR THE RIGHT RISK ASSESSMENT/ STRATIFICATION TOOL

• Tools Researched:– RAPT Tool– Epic Built-in Tool– ASA Physical Status Classification System Tool

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Reactions & Insights


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Poll 1

Have you experienced challenges while researching a new risk stratification tool or modifying your current risk stratification tool over the past 3 months? [Select one option]• Yes• No• I don’t know


Open Discussion


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1. How do you tailor, modify, or enhance your interactions with your CJR patients based on risk categories/scores?

2. What barriers or challenges have you experienced regarding your risk stratification process? How did you overcome those?

3. What outcomes have you observed as a result of modifying or enhancing your interactions with CJR patients based on your risk stratification?

4. How are you using risk assessment results to identify areas for pre-operative patient optimization?

5. What, if any, advice would you give to hospitals that are just beginning to implement, enhance, or modify their risk stratification process?

Let’s Discuss!

• Use the Chat pod to submit any comments or questions

• Please use “@” if question/comment is directed to a specific individual

• “Raise your Hand” or speak up to share verbally

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Summary

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Announcements & Reminders

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Poll 2

Are you interested in participating in additional calls to discuss risk stratification and care navigation? [Select one option]• Yes• No• Maybe

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Leaving in Action

• Please type into Chat:– Based on the presentations from this Affinity Group, what

specific actions, enhancements, or changes have you made at your organization?

– How do you plan to continue those actions, enhancements or changes?


Risk Stratification on CJR Connect

• Request to join the “Risk Stratification” group– Go to the “Groups” tab on CJR Connect– Click on the green plus sign to join the “Risk Stratification”

group • Post a comment in the group, share resources with your

peers, or just respond to others!• To request a CJR Connect account, go to:

https://app.innovation.cms.gov/CJRConnect/CommunityLoginand click “New User? Click Here”

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https://app.innovation.cms.gov/CJRConnect/CommunityLogin

Upcoming CJR Learning System Events

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If you have any questions about these events, send an email to [email protected]

mailto:[email protected]

Reminders

• If you have any questions related to this Affinity Group, send them to [email protected]

• Send any technical or programmatic questions to [email protected]

• Please take a few minutes to complete the Post-Event Survey

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mailto:[email protected]:[email protected]

Risk Stratification Affinity GroupWelcomeWebinar AgendaMeeting LogisticsIntroduction to Adobe ConnectIntroduction to Adobe Connect (2)Where Are You Located?Risk Stratification Affinity Group GoalsNortheast Georgia Medical Center PresentationNortheast Georgia Medical CenterJoint Care Center Post-Acute Care Data DashboardPOST-ACUTE CARE DATA DASHBOARD (1)POST-ACUTE CARE DATA DASHBOARD (2)SEARCHING FOR THE RIGHT RISK ASSESSMENT/ STRATIFICATION TOOLReactions & InsightsPoll 1Open DiscussionLet’s Discuss!SummaryAnnouncements & RemindersPoll 2Leaving in ActionRisk Stratification on CJR ConnectUpcoming CJR Learning System EventsReminders

Documents

Risk Stratification Affinity Group Session Four...• Activity on MyChart • 30 day • Units of Service 12 POST-ACUTE CARE DATA DASHBOARD (1) 13 POST-ACUTE CARE DATA DASHBOARD (2)