Clinical Performance Improvement Network (CPIN)
Join our CPIN Online Discussion Groups
Clinical Performance Improvement Network (CPIN)
The WSMA has joined with the Puget Sound Health Alliance and the Washington Academy of Family Physicians to create the Clinical Performance Improvement Network (CPIN), an educational program designed to assist physician practices focus efforts on quality improvement. The collaborative effort is led by Lance Heineccius, WSMA's director of performance improvement and lead technical staff for the WSMA Foundation for Health Care Improvement.
The goal of CPIN is to offer opportunities for medical practices to collaborate with one another, sharing best practices, proven innovations, and resources to stimulate accelerated and efficient implementation into practice settings.
CPIN offers learning sessions bimonthly or quarterly, either in person or via webinars. Event duration ranges from 60-90 minutes, with the general format being formal presentations with ample time reserved for discussion and networking (for in-person meetings). AMA Category 1 CME credit and AAFP Preferred CME credit will be available for most sessions at no cost to participants. For additional information, please contact Lance Heineccius at Lance@wsma.org or call (206) 956-3657.
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CPIN Learning Sessions
Sessions completed or scheduled will be linked to information below. Sessions currently in development are not linked.
- Physician Leadership in Quality Improvement; Using Registries to Improve Patient Care (more)
- Managing Depression in Primary Care (more)
- Survey of Local Best Practices for Effective Patient Care (more)
- Reducing Health Disparities: Collecting Standardized Data (more)
- An Overview of Care Coordination Essentials (more)
- Effective Referral Management (more)
- Alliance Community Check-up Results and Update (more)
- Reducing Hospital Readmissions by Engaging Physicians (more)
- End of Life Conversations in Primary Care Practices (more)
- The Washington State Patient-Centered Medical Home Collaborative-Lessons Learned (more)
- Strategies for Managing Chronic Pain in Primary Care (more)
- CMS Partnership for Patients: The Washington Hospital Engagement Network (more)
- The Efficient Visit Guide to Specialty Referrals (more)
- Preventing Dental Disease in Pediatric Primary Medical Care (more)
- Using Results from Patient Experience Surveys to Improve Patient Care (more)
- Meds Reconciliation: Managing Polypharmacy
Physician Leadership in Quality Improvement; Using Registries to Improve Patient Care
The first CPIN learning session was a 90-minute in-person seminar. The session featured Ed Walker, MD, MHA, founding director of the UW Healthcare Leadership Development Alliance, speaking on the importance of physician leadership and engagement in quality improvement efforts at the practice level and Susanne Quistgaard, MD, family medicine physician at Edmonds Family Medicine Clinic, who spoke on using disease registries to improve outcomes by tracking patients with chronic conditions over time.
Click to view both presentations. [VIDEO]
Download presentations by each speaker:
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Managing Depression in Primary Care
The second CPIN learning session was an hour-long webinar addressing the topic of managing patients with depression in primary care. The presenter was Dr. Jurgen Unutzen, chief of psychiatry, University of Washington Medical Center and director of the UW AIMS Center and the IMPACT Implementation Program.
Managing Patients with Depression in Primary Care—seminar presentation [PDF]
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Survey of Local Best Practices for Effective Patient Care
This 60-minute webinar presented the results of a 2010 survey of over 50 medical groups in the Puget Sound region regarding their current use of specific tools and processes for effective patient care. Structural elements of best practices surveyed included adoption of electronic medical records, use of registries, strategies for improved access to care, collecting information on health outcomes, patient satisfaction, and health disparities, as well as care coordination resources and patient reminders. Susie Dade, director of performance improvement for the Puget Sound Health Alliance, presented.
Click to view this Effective Patient Care (Please use Internet Explorer browser) [VIDEO]
Adoption of Processes and Tools to Advance Effective Patient Care—webinar presentation [PDF]
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Reducing Health Disparities: Collecting Standardized Data
This 60-minute webinar presented a hands-on, practical approach to collecting and using standardized patient data about race, ethnicity and language to measure and reduce disparities in your practice. Although numerous focused studies have documented persistent differences in outcomes for minority patients, most medical practices are currently unable to quantify if disparities exist in health outcomes for their patients. Marcia Wilson, PhD, and Christina Rowland, MPH, of the Robert Wood Johnson Foundation’s Aligning Forces for Quality Project were co-presenters.
Reducing Disparities: The Importance of Collecting Standardized Data on Patient Race, Ethnicity and Language—webinar presentation [PDF]
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An Overview of Care Coordination Essentials
This 60-minute lunchtime webinar presented an in-depth overview of the essentials for effective care coordination, giving participants a practical, four-part framework for improving how care is coordinated among clinical partners. Focused on the patient-centered medical home model of care delivery, the framework begins with taking responsibility for the care your patients receive regardless of setting and includes identifying the best practice service partners, building relationships with these partners, providing patient logistical support, and developing formal agreements and connections to improve care coordination. Ed Wagner, MD, MPH, FACP, a general internist/ epidemiologist and Director of the MacColl Institute for Healthcare Innovation at the Group Health Cooperative Center for Health Studies presented.
Click to view An Overview of Care Coordination Essentials (Please use Internet Explorer browser) [VIDEO]
The Patient Centered Medical Home: Care Coordination—webinar presentation [PDF]
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Effective Referral Management
This 60-minute lunchtime webinar presented an in-depth discussion of effective, bi-directional referral management, giving participants a practical framework for improving how care is coordinated among clinical partners. Focused on the patient-centered medical home model of care delivery, the framework begins with understanding why formal referral arrangements are now a necessity, and then describes how to develop and implement formal agreements that improve care coordination and outcomes while reducing costs. Practical case studies of what works, and how to correct things that are not working, were part of this webinar. strong>Scott Kronlund, MD, of the Northwest Physicians Network and Alan Glaseroff, MD, of the Humboldt (California) Independent Practice Association will present.
Click to view Effective Referral Management (best viewed in Windows OS using Internet Explorer browser) [VIDEO]
Effective Referral management: Building Accountable Care Coordination—webinar presentation [PDF]
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Alliance Community Check-up Results and Update
The 2011 Alliance Community Checkup is the fifth annual comprehensive report on health care performance in the Puget Sound region including medical groups, clinics and hospitals in King, Kitsap, Pierce, Snohomish and Thurston counties. This one-hour lunchtime webinar summarized how well care is delivered at the medical group level on over twenty measures of quality and appropriateness, and was presented by Peter McGough, MD, UW associate clinical professor of family medicine and chief medical officer of the UW Medicine Neighborhood Health Centers, and Susie Dade, Deputy Director of the Puget Sound Health Alliance.
You Can’t Manage What You Don’t Measure—Puget Sound Health Alliance webinar presentation [PDF]
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Reducing Hospital Readmissions by Engaging Physicians
Improving effective patient handoffs back to community physicians at time of discharge has been identified as a top priority by the National Quality Foundation, Medicare, and many other quality improvement organizations. This webinar presented practical tips and strategies that have been successful at local hospitals in engaging community physicians in this critically important transition.
Presenters included Larry Schecter, MD, FACS, chief medical officer at Providence Regional Medical Center in Everett, Amy Hoing, MD, a primary care physician at Evergreen Healthcare in Kirkland, and Carol Wagner, vice president for patient safety at the Washington State Hospital Association and a national leader in the effort to reduce hospital readmissions.
Click to view Reducing Hospital Readmissions (Please use Internet Explorer browser) [VIDEO]
Rehospitalization in Washington—Carol Wagner's webinar presentation [PDF]
Reducing Hospital Readmissions by Engaging Physicians—Dr. Schecter's webinar presentation [PDF]
Clinic Perspective on Reducing Readmissions—Dr. Hoing's webinar presentation [PDF]
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End of Life Conversations in Medical Care
Some of the most important, and challenging, conversations physicians can have with their patients involve planning for, and clarifying patients values about, end-of-life care decisions. The timing and structure of these conversations, and the ways to successfully engage the patient (and family members as appropriate) in what are often difficult and emotional decisions, was the subject of this webinar, presented by Linda Wrede-Seaman, MD, FAAFP, FACEP, FAAHPM, a Yakima palliative medicine specialist.
Click to view End of Life Conversations in Medical Care (Please use Internet Explorer browser) Please note: Slides will not be available for the first 2 minutes of this presentation. [VIDEO]
Communication at End of Life—Dr. Wrede-Seaman's webinar presentation [PDF]
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Lessons Learned: The Washington Patient-Centered Medical Home Collaborative
The Patient-Centered Medical Home Collaborative is a learning process for medical teams to improve primary care for their patients. From September 2009 through September 2011, 32 teams in Washington have created and operated patient-centered medical homes, under a project jointly sponsored by the Washington State Department of Health and the Washington Academy of Family Physicians. In a medical home, the physician and care team build strong relationships with the patient and the patient’s family. The team coordinates care with specialists or other health providers. Patient-centered care makes the patient a partner in health care decisions. This webinar presents the lessons learned from this two year collaborative.
Presenters
Patricia Justis is manager of the Washington Patient-Centered Medical Home Collaborative, in the Practice Improvement Section of the Washington State Department of Health. Kimbra Wells Metz is director of practice transformation at the Washington Academy of Family Physicians. Both were actively involved in the implementation and evaluation of the Patient-Centered Medical Home Collaborative.
Click to view Washington Patient-Centered Medical Home Collaborative (Please use Internet Explorer browser) [VIDEO]
Washington Patient-Centered Medical Home Collaborative—webinar presentation [PDF]
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Strategies for Managing Chronic Pain in Primary Care
Managing chronic pain in ambulatory care settings is extremely challenging. In addition to the concerns about safety, abuse and addiction risk, and effectiveness in long-term chronic pain treatments, new legislative requirements, evolving guidelines, and co-morbid patient conditions makes this subject a difficult challenge for many primary and specialty care providers. This webinar, originally presented on December 6, gives physicians practical advice on how to meet these many challenges. Note: This webinar is intended as a clinical overview of the topic and is not designed to meet the CME training requirements for Washington HB 2876 compliance.
Presenter
David Tauben, MD, is a University of Washington clinical associate professor and director of medical student education in pain medicine, in a joint appointment with the Department of Anesthesia and Pain Medicine and the Department of Medicine. He provides specialty consultation and care at the Center for Pain Relief. He combines his specialty skills and experience as both a primary care internal medicine doctor and a pain specialist to diagnose and treat complex and continuing painful conditions. He has particular expertise in the formulation of medication management plans for pain persisting more than three months. He is also developing new programs for improved education and training necessary for long-term pain management in the outpatient primary care office setting.
Click to view Strategies for Managing Chronic Pain in Primary Care (Please use Internet Explorer browser) [VIDEO]
Strategies for Managing Chronic Pain in Primary Care—webinar presentation [PDF]
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CMS Partnership for Patients: The Washington Hospital Engagement Network
The CMS Partnership for Patients is a nationwide, billion dollar effort to dramatically reduce hospital acquired conditions and preventable readmissions within three years. Virtually all hospitals in Washington are participating in this program. This webinar, originally presented on February 23, presented an overview of the CMS Partnership for Patients, outline the specific objectives of the Washington Hospital Engagement Network, and discuss the expected role of community physicians in helping reduce preventable readmissions.
Presenters
Carol Wagner, is the senior vice president of patient safety for the Washington State Hospital Association and project director for the Washington Hospital Engagement Network. She has over 17 years leadership experience in patient safety and quality improvement, and is the creator of the Safe Table hospital quality improvement program. Lance Heineccius is currently director of performance improvement for the WSMA Foundation for Health Care Improvement, creator of the CPIN program, and physician engagement lead for the Washington Hospital Engagement Network.
Partnership for Patients—webinar presentation [PDF]
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The Efficient Visit Guide to Specialty Referrals
This webinar, originally presented on March 13, presents a hands-on, practical approach to help primary care practices improve the efficiency of referrals to eight types of specialists. Developed locally, based on several years of experience by specialists participating in Project Access Northwest, the guide identifies specific clinical services that should always be completed and documented prior to a specialist referral in order to make that visit as efficient and productive as possible. Checklists for orthopedics, gastroenterology, ophthalmology, dermatology and several other specialties will be presented. Using these guides not only facilitates more timely and efficient care, they result in better health outcomes for referred patients.
Presenters
Sallie Neillie, executive director for Project Access Northwest and Andrea Castell, RN, also of Project Access Northwest. In arranging for access to specialists for Medicaid and uninsured populations over several years, Ms. Neillie and Ms. Castell have worked with the specialists to identify how to make the most efficient use of their donated time. The lessons learned from these efforts resulted in the Efficient Visit Guide.
Click to view The Efficient Visit Guide to Specialty Referrals (Please use Internet Explorer browser) Due to technical difficulties, only the audio portion is available. [VIDEO]
Efficient Visit Guide to Specialty Referrals—webinar presentation [PDF]
King County Project Access Efficient Visit Guide [PDF]
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Preventing Dental Disease in Pediatric Primary Medical Care
This lunchtime webinar, originally presented on April 24, addresses childhood’s most common chronic disease, dental caries (cavities), which affects a child’s overall health in many ways (ability to eat, speak correctly, sleep, etc). A practical and simple way to reduce dental disease is by integrating oral health screening and prevention into routine well visits. Often, children will see their medical provider more than eight times for well-child care before their first visit to a dentist. Addressing oral health in young children is key to maintaining and improving their overall health. Information includes how to assess risk and screen for caries among patients as well as key oral health anticipatory guidance. The role of fluoride varnish as a means to prevent dental disease is highlighted, as well as how and when to refer patients to a dental provider.
Presenter
Russell Maier, MD is a family physician in Yakima and program director of Central Washington Family Medicine Residency, training doctors to practice in rural and underserved settings. He is a clinical professor in the Department of Family Medicine at the University of Washington, co-chair of the Group on Oral Health for Society for Teachers of Family Medicine. Dr. Maier currently serves as chair of the Washington Dental Service Foundation Board of Trustees.
Click to view Preventing Dental Disease in Pediatric Primary Medical Care (Please use Internet Explorer browser) [VIDEO]
Preventing Dental Disease in Primary Medical Care: An Emphasis on Children—webinar presentation [PDF]
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Using Results from Patient Experience Surveys to Improve Patient Care
This lunchtime webinar will present the results of the recent survey of patient experience conducted in the Puget Sound region by the Puget Sound Health Alliance, and explain how those results can be used to improve practice performance to better meet the needs of patients. Patient experience results will be publicly released on May 11 for 40 Puget Sound-area medical groups with 156 clinic locations (clinics with 3 or more primary care providers). Patient experience definitely matters to patients—it's most often how they define "quality." Patients with positive experiences return; patients with negative experiences often find a different physician. Further, positive patient experience has been shown to correlate with improved clinical outcomes.
You will learn:
- The difference between patient experience and patient satisfaction with medical care, and why this distinction is important for physicians to understand.
- Key findings from the recent survey of patient experience in the Puget Sound region.
- Specific medical practice changes that can improve patient experience in your practice.
Presenters
Susie Dade is the director of performance improvement for the Puget Sound Health Alliance, which sponsored the recent survey of patient experience in the Puget Sound region. Larry Morrissey, MD is a pediatrician with the Stillwater Medical Group in Stillwater, Minnesota. Dr. Morrissey has worked with the CAHPS Consortium on measuring patient experience and is a frequent presenter on how to use the results of patient experience surveys to improve practice performance.
WEBINAR DATE & TIME
Thursday, May 24, 12:15–1:15 pm PT
Tuition
This webinar is being presented free of charge.
Register
Register online or by sending the following information in an email titled "CPIN May 24" to kho@wsma.org: name; phone; clinic/group; and number of participants.
Questions about registration: call Kesley Howard at (206) 956-3020 or kho@wsma.org. Questions about content or CPIN: call Lance Heineccius at (206) 956-3657 or Lance@wsma.org.
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