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February 23, 2015

From the CEO's Office (where the snow just keeps piling up outside my office window)

FY2016 AHEC Program Federal Funding

I'll be on the Hill next week and making visits with Congressional Members to push for AHEC funding to be restored in the FY2016 Federal budget. I've been in contact with our NAO Public Policy Co-chairs and they will both be helping to make calls to AHEC state advocacy leaders to encourage them to make calls to their Congressional Delegation in advance pf my ​meetings to set the stage and give a 'local flavor' to the meetings. I'll share the outcome of my meetings with you all here the week of March 9th. As in past years, it i​s imperative that we have a good level of activity and many calls made prior to my visits. Many thanks to our public policy leadership team and to those of you making calls​; it truly does take a village!

"Tuesdays with Trachtenberg"

Last week we had an outstanding call with more than a dozen AHECers on the line representing Programs and Centers and nearly every part of the country. The next "Tuesdays with..." call will be tomorrow Tuesday March 10th from 12:30-1:30 EST: Please dial in at 1-605-475-3220: Passcode: 245171#. Please join us to see where the dialogue will go! We have lots to discuss; join us!​

Career Opportunities

The National AHEC Organization reminds you to check our employment section of our website for job opening announcements.  Current openings include:

Executive Director
Big Bend Area Health Education Center, Tallahassee, FL

Executive Director
North Alabama Area Health Education Center, Huntsville, AL

Youth Mental Health First Aid Corps

Northwestern CT AHEC (NWCTAHEC) is requesting proposals from AHECs interested in participating in the Youth Mental Health First Aid Corps.

Follow this link for a copy of the Request for Proposals.

http://www.nwctahec.org/mental-health.html

NWCTAHEC seeks AHECs to serve as the host site for a full-time AmeriCorps member during the program year September 2015 to August 2016. AmeriCorps members will be trained as Youth Mental Health First Aid (YMHFA) Instructors and will implement YMHFA trainings for a wide cross section of community members who work with young people. Host site staff is also able to be trained as a YMHFA instructor to help build sustainability for the YMHFA program.

YMHFA is an evidenced based training program that helps individuals and communities better understand mental health and respond appropriately to adolescents who may be experiencing a mental health issue. In the aftermath of the tragedy at Sandy Hook Elementary School in Newtown, CT, President Obama and other national, state and local leaders are calling for the widespread implementation of YMHFA as a strategy to improve access to mental health care services for young people suffering from mental illness.

Intent to Submit Proposal Due Date – January 16, 2015
Please email your intent to submit a proposal to pharrity@nwctahec.org
Intent to apply is not mandatory but is helpful to NWCTAHEC for planning purposes.

Proposal Due Date: February 27, 2015

Submit proposals to: pharrity@nwctahec.org

Direct all questions regarding this RFP to: pharrity@nwctahec.org

Have a great week, stay warm and see you at the NAO Business Summit in Orlando this coming May! Got questions? Just let me know!

Rob

HPV Regional Coordinator Application Reminder

Applications are now being accepted for HPV regional coordinator with a due date by the close of business March 11. Don’t miss out on this exciting opportunity! A total of 10 regional coordinators will be hired as part of our project with the CDC to improve HPV vaccination rates through training health professionals on the HPV vaccine. The regional coordinators’ role is a supportive one. They will be providing connections to groups and organizations, supporting AHECs on the usage of materials, and promoting promising practices on how AHECs can reach their training targets. Want to learn more? Review the Regional Coordinator Job Announcement webinar and check out the Regional Coordinator Position FAQs. Email info@atracc.org for supporting application materials.

One AHEC entity from each state will be hired to actually provide the training to primary care providers for this project. Interested in the funding opportunity for states? Save the date! Our next webinars are tentatively scheduled for March 2 and March 6. Be checking your inbox for the official invite soon.

Physical Symptoms and Mental Health: Assessment, Evaluation and Management of Common Symptoms
Date/Time:  Feb. 26, 2015, 1-2:30 p.m. (EST)

Overview

Common physical symptoms such as pain, fatigue, insomnia and gastrointestinal complaints account for half of all outpatient visits. However, numerous studies reveal that diagnostic test results are often normal and the symptoms remain unexplained. Depression and anxiety often accompany physical symptoms in which case co-management of both physical and psychological conditions is important. Understanding the epidemiology, diagnostic evaluation and clinical management of common physical symptoms can benefit both physical and psychological health.

During this webinar participants will learn to:

  • Recognize when patients with physical symptoms are likely to have psychological distress as well
  • Evaluate patients with common physical symptoms, including the use of brief patient-reported measures
  • Manage physical symptoms using a generic evidence-based treatment approach

Presenters:

Kurt Kroenke, MD
Professor of Medicine, Indiana University School of Medicine
Core Investigator, VA HSR&D Center for Health Information and Communication
Research Scientist, Regenstrief Institute
Indianapolis, Ind.

Moderator:

Vladimir Nacev, Ph.D., ABPP
Senior Program Manager
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury
Silver Spring, Md.

Continuing Education

Continuing education credit is available from Duke Medicine. You must register on or before February 26, 2015, at 3 p.m. (EST) to qualify for the receipt of continuing education credit.

To qualify for receipt of continuing education credit for applicable webinars, eligible participants must create a profile in the Duke Medicine Learning Management System and register for the event on, or before, the event registration deadline. Complete responses to all pre-registration questions are required to be eligible to receive credit for attending this event. For guidance on creating a user account and event registration in the Duke Medicine Learning Management System site, please visit https://www.dcri.org/cee/education/ethosce-learning-center/EthosCE_Fundamentals.pdf

Please note:  DCoE's awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. active-duty service members, reservists, National Guardsmen, military veterans and/or their families.

For details, please visit:
http://www.dcoe.mil/Libraries/Documents/DCoE-Monthly-Webinar-Series-Continuing-Education-Accreditation-April-2014.pdf. Additionally since September 2014 for Psychology: This activity complies with all of the continuing education criteria identified through the American Psychological Association (APA) Continuing Education Requirements.

Registration
Sign up for the webinar at https://continuingeducation.dcri.duke.edu/physical-symptoms-and-mental-health-assessment-evaluation-and-management-common-symptoms-0

Upon completion of registration, a confirmation email will be sent providing webinar event details.

If your network security settings do not allow access to the Duke Medicine website, use another network or device to access the registration page. Once registered, you may use Adobe Connect or Defense Connect Online to attend the webinar.

Traumatic Brain Injury Educational Forum: Best Practices and Current Research

March 2, 2015; 1-3 p.m. (ET) Live Broadcast

March 2, 2015; 4-6 p.m. (ET) Rebroadcast with Live Question and Answer Session

According to the Defense and Veterans Brain Injury Center (DVBIC), 18,564 service members sustained a traumatic brain injury (TBI) in the first three quarters of 2014. The classification of mild TBI accounts for more than 80 percent of reported TBI to DVBIC. The vast majority of TBIs sustained are in a non-deployed setting in training exercises, motor vehicle accidents, and sports and leisure activities. These injuries directly affect the health and safety of individual service members and subsequently the level of unit readiness and troop retention.

This educational forum will include a review of best practices in the assessment and treatment of TBI, the Military Health System (MHS) TBI Pathway of Care, key research studies and findings that will contribute to the body of TBI knowledge, and TBI prevention. We invite multidisciplinary health care providers in military treatment facilities and clinics, complex polytrauma facilities and community-based VA facilities to participate in this discussion of evidence-based practice and current research.

At the conclusion of this event, participants will be able to:

  • Discuss how the MHS TBI Pathway of Care will support the services in delivering optimal TBI care through integration of evidence-based clinical practices with consistent monitoring of patient outcomes across the MHS
  • Identify the role of DVBIC research in the continuum of TBI care and its alignment with Department of Defense strategic priorities
  • Describe clinical tools for the assessment and management of TBI
  • Relate the importance of TBI prevention and prevention educational initiatives and resources

Presenters

Capt. Richard F. Stoltz
Director
Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury
Silver Spring, Maryland

Joel Scholten, M.D.
Acting National Director of Physical Medicine & Rehabilitation Program Office, Department of Veterans Affairs, Washington
Clinical Coordinator, Polytrauma/Blast Related Injury Quality Enhancement Research Initiative Associate Chief of Staff for Rehabilitation Services Washington D.C. Veterans Affairs Medical Center, Washington

Col. Sidney R. Hinds II, M.D.
National Director
DVBIC
Silver Spring, Maryland

Katherine M. Helmick, M.S., CRNP, ANP-BC, CNRN
Deputy Director
DVBIC
Silver Spring, Maryland

Saafan Z. Malik, M.D.
Director, Research Division
DVBIC
Silver Spring, Maryland

Lt. Cmdr. Cathleen A. Davies, M.S., CCC-SLP/CBIS
Chief, Office of Clinical Education and Training, Education Division
DVBIC
Silver Spring, Maryland

Moderator

Maj. Pamela A. DiPatrizio, AN, MSN, CEN, CPEN
Chief, Office of Education Outreach, Education Division
DVBIC
Silver Spring, Maryland


Agenda
1-1:15  p.m.Opening Ceremony and Remarks
1:15-1:35 p.m.Keynote – VA TBI/Polytrauma System of Care: A Decade of TBI Experience
1:35-1:50 p.m.TBI Pathway of Care
1:50-2:05 p.m.Clinical Tools for Your Practice
2:05-2:20 p.m.Promising TBI Research that Will Impact Your Practice
2:20-2:30 p.m.Prevention Education for Your Patients
2:30-2:45 p.m.Question and Answer
2:45-2:55 p.m.TBI Champion
2:55-3  p.m.Closing Ceremony

Continuing Education
Continuing education credit is available from Duke Medicine. You must register by 4 p.m. (ET) March 2, 2015, to qualify for the receipt of continuing education credit.

To qualify for receipt of continuing education credit for applicable webinars, eligible participants must create a profile in the Duke Medicine Learning Management System and register for the event on, or before, the event registration deadline. Complete responses to all pre-registration questions are required to be eligible to receive credit for attending this event. For guidance on creating a user account and event registration in the Duke Medicine Learning Management System site, please visit https://www.dcri.org/cee/education/ethosce-learning-center/EthosCE_Fundamentals.pdf.

The awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. active-duty service members, reservists, National Guardsmen, military veterans and/or their families.

For details, please visit:
http://www.dcoe.mil/Libraries/Documents/DCoE-Monthly-Webinar-Series-Continuing-Education-Accreditation-April-2014.pdf.

Registration

Sign up for the webinar at https://continuingeducation.dcri.duke.edu/traumatic-brain-injury-educational-forum-best-practices-and-current-research.

Upon completion of registration, a confirmation email will be sent providing webinar event details.

If your network security settings do not allow access to the Duke Medicine website, use another network or device to access the registration page. Once registered, you may use Adobe Connect or Defense Connect Online to attend the webinar.

February 19, 2015

AHRQ’s Primary Care Practice Facilitation Forum

New & Noteworthy

 

PCMH Resource Center

The primary care medical home, also referred to as the patient centered medical home (PCMH), advanced primary care, and the healthcare home, is a promising model for transforming the organization and delivery of primary care.

We provide implementers, decision makers, and researchers with access to evidence-based resources about the medical home and its potential to transform primary care and improve the quality, safety, efficiency, and effectiveness of U.S. health care.

Please visit us at pcmh.ahrq.gov.

This electronic newsletter continues our efforts toward building a learning network for individuals with an interest in practice facilitation. We will use this listserv to share questions and answers submitted by learning forum members, as well as resources, research articles, and events of interest to the community.

Perspectives from the Field

Answering Your Webinar Questions

During our last Practice Facilitation webinar on January 29th, many attendees submitted questions, more than could be answered during the live event. Our guest speakers have graciously agreed to continue to answer these questions for our audience.

Q: My practice is in gastroenterology. There is movement to "simplify" pre-procedure instructions and I feel this leaves out important points which will cause issues with completing the procedures. Any advice how to convey the message for clear instructions?

Cindy Brach, MPP, Senior Health Policy Researcher, AHRQ: Simplifying does not necessarily mean shortening.  It often takes longer to say something clearly. For example, instructions to, “Take 1 pill in the morning and 1 pill at night,” are much clearer than, “Take twice a day.” Also, formatting such as bullets and white space that make instructions clearer also make them longer. Remind your practice that the goal is to increase understanding, not make the documents shorter. Another approach is to layer information. For example, you can briefly give an instruction, and then specify they can look at the next page for additional information.

Q: Did you engage with patients that had limited resources? If so, what was your strategy?

Jessica Osborne-Stafsnes, MSHS, CPHQ, Project Co-Director and Patient Engagement Specialist - Aligning Forces Humboldt, California Center for Rural Policy at Humboldt State University: Currently we are working with patients who are being referred by our pilot practices or patients who have self-referred into the program.  One of our pilot sites is a Federally Qualified Health Center which serves a high population of patients with limited resources.  One of the factors that makes our shared decision-making services and tools so attractive to patients is the fact that services are offered free of charge.  The fact that the service is free is shared as part of the referral hand off and helps encourage individuals with limited financial resources to participate.

You can listen to a recording of the entire webinar and access the resources here.  If you have already registered for this event, simply sign in, otherwise once you register you can access the webinar and resources.

Upcoming Event

Introducing AHRQ’s Expanded Practice Facilitation Training Curriculum

Register Now! Thursday, February 26 from 3:00 – 4:30 p.m. ET

This is the fifth and final webinar in a series designed to share AHRQ’s development of tools and resources for training primary care practice facilitators (PFs). During this webinar, speakers will provide insights on the development of AHRQ’s new and expanded primary care practice facilitation training curriculum. The curriculum’s authors will provide information about the expanded content and potential instructional methods. In addition, participants will have an opportunity to discuss how the curriculum might be used to expand the practice facilitation workforce.

To register, please click here.

If you would like to listen to any of our first four webinars in the series, regarding PF Case Studies, Use of Health IT, Supporting Patient Safety, or Patient Engagement, respectively, please click the appropriate link and register for the event you wish to listen to. If you have already registered for these events, simply sign in. This will bring you to all of the resources available during the live event, including audio and a slide deck.

Upcoming Event

Advanced Methods for Primary Care Research: The Stepped Wedge Design

Register Now! Friday, February 27 from 1:30 – 3:00 p.m. ET

The AHRQ’s Practice-Based Research Network Resource Center is hosting a webinar based on a NAPCRG 2014 workshop presentation that will outline key features of the stepped wedge design; discuss issues and challenges around implementing stepped wedge designs in primary care-based studies; and offer creative applications of methods and solutions to these unique challenges. Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Presenters include:

  • Miriam Dickinson, PhD, University of Colorado
  • Bethany Kwan, PhD, MSPH, University of Colorado and CaReNet PBRN
  • Christopher Meaney, MSc, PhD, University of Toronto
  • Moderator: Rebecca Roper, MS, MPH, Director, Practice-Based Research Network Initiative, Agency for Healthcare Research and Quality.

To register, please click here.

Upcoming Event

TeamSTEPPS Implementation: Fostering Buy-in from the Front Lines to the C-suite

Register Now! Wednesday, February 25 from 1:00 – 2:00 p.m. ET

AHRQ is hosting a webinar on the use of the Agency's teamwork training program, TeamSTEPPS. In this webinar, Robert Smith, PhD, Director of the Medical Staff Assistance Program at MetroHealth Medical Center, will present strategies for gaining buy-in for TeamSTEPPS from executives, physicians and other front-line staff, based on MetroHealth's experiences. This presentation will seek to:

  1. Describe strategies for gaining buy-in for TeamSTEPPS from executive staff
  2. Discuss the engagement of physicians and other staff
  3. Discuss how buy-in and other factors are used to determine the readiness of a unit or department for TeamSTEPPS

There is no cost to participate but space is limited. Register for the webinar here.

Publication of Interest

Unlocking the Black Box: Supporting Practices to Become Patient-Centered Medical Homes.

Despite widespread interest in supporting primary care transformation, few evidence-based strategies for technical assistance exist. The Safety Net Medical Home Initiative (SNMHI) provided: “(1) individual site-level coaching provided by local medical home facilitators and supplemented by expert consultation; (2) regional and national learning communities of participating practices that included in-person meetings and field trips; (3) data monitoring and feedback including longitudinal feedback on medical home implementation as measured by the Patient-centered Medical Home-A; (4) written implementation guides, tools, and webinars relating to each of the eight Change Concepts for Practice Transformation; and (5) small grant funds to support infrastructure and staff development.

 

Overall, practices found the technical assistance helpful and most valued in-person, peer-to-peer-learning opportunities. Practices receiving technical assistance from membership organizations with which they belonged before the SNMHI scored higher on measures of medical home implementation than practices working with organizations with which they had no prior relationship.” This suggests that “[h]ow (in-person, between-peers) and by whom technical assistance is provided may be important to consider.” Subscription required.

Citation: Coleman, Katie, Kathryn E. Phillips, Nicole Van Borkulo, Donna M. Daniel, Karin E. Johnson, Edward H. Wagner, Jonathan R. Sugarman. Unlocking the Black Box: Supporting Practices to Become Patient-Centered Medical Homes. Medical Care. Vol. 52, No. 11 Supp 4, November 2014, pp. S11-17.

If this information was forwarded to you and you would like to subscribe, please email PracticeFacilitation@mathematica-mpr.com and include “subscribe” in the subject heading

This service is provided to you at no charge by the Agency for Healthcare Research and Quality.

To unsubscribe, please click here.

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