Program Update (12.3.15)

The relaunch occurred as planned.  New referrals opened up on 12/1/15 as expected.  

Becky was at all clinic sites on Tuesday and spent time with nurses and ensured the equipment was ready to go.  Already there have been two new referrals and two more discharges.  Active patient count is 45 with one more patient in for enrollment today.  This is exciting and shows that the clean-up activities were necessary and the retraining of clinicians allows the relaunch to work.  The RN coordinators at the different clinics are excited.  There are new education materials and a new RN process to allow a decision to be made for potential patients.  One goal since the launch is to define nicer handouts, tips for the patients.  Currently they are in review by the Medical Director and in English but the goal of language translation is not far behind.  These documents are a work in progress to ensure they are useful and accurate.

Program Update (11.19.15)

Ongoing patient clean-up remains the focus as planned.  Currently there are 48 active patients.

Becky has been at the two other Mosaic clinics and talked with the nurses and trained them as some are new.  This training will prepare for the re-launch of referrals on December 1.  The goal is for Becky to spend Tuesdays at Madras, Thursdays at Redmond while still being based at the Prineville Clinic.  This change will allow her to support clinician questions immediately and ensure inventory at the clinics is available.  

Jessica continues to focus on inventory and equipment recovery.

Program Update (11.5.15)

As the team continues to clean things up in preparation for relaunch of referrals we are currently at 61 patients.  There were 5 discharges last week – patients were stable and providers agreed to discharge them as recommended. 

The team is organizing kits to get them together to allow for the enrollment of new patients beginning in December 2015.  Everyone is fine with the numbers going down to get exactly which patients should be on the program enrolled and supported while inventory is managed to allow the team to take on more patients in a month.

The presentation at the Oregon Rural Health conference received good feedback and questions. There were about 70 people in attendance and a lively discussion, questions and feedback occurred.  One of the St. Charles administrators was in attendance at the conference – and she will be present on Wednesday when the team meets with St. Charles to discuss potential opportunities.  

Program Update (10.8.15)

As of today there are 69 actively enrolled patients.  The per diem RN’s are supporting alerts while Becky catches up with two week reports for each patient and prepares to meet with the providers with program changes and to relaunch the RPM program.

Program Update (09/24/15)

The RN open position has been filled and Becky will fill the role full-time on 10/5/15.  As part of this transition she is performing RPM activities.  The focus is on discharging patients who are not actively participating and obtaining unused equipment.  There have been a couple of referrals that have been processed but right now the focus is on “clean-up” before doing a relaunch.

Couple patients enrolled right now through the interface and we are receiving alerts within the in basket.  One little challenge but as of this afternoon we will be ready to go with training within the clinics.  Go live date October 26, 2015.  Target is enrolling all patients into Epic so they are ready to go on the go live date.

Program Update 8/27/15

The program is now in a stage of transition with resources.  A position has been posted to include re-defining the RN position differently to account for supervision of a matrixed clinical administrative assistant.   At the same time the Mosaic per diem RN’s will support the program.  For the time being, referrals are being suspended to allow the current staff to focus on the current active program patients.  A nurse outline for training will be worked through so the new resource is able to assume this role.

Update

Becky and Jessica have been drafting out a guide for inventory management.  Specifically, like the status given equipment in its different return state and what happens when the equipment leaves Mosaic’s possession along with where equipment is in the inventory workflow.  The inventory management workflow will be placed into Mosaic’s workflow in the coming weeks to increase their oversight and insight into controlling the inventory 

Current enrollment is around 70 patients.  There is more equipment out than what we are receiving readings for so Aimee is going to follow-up to determine whether or not these patients graduated the program.  There has also been some conversation surrounding reading compliance to determine if there may be a better way to motivate the patients.

Lots of continued discussion surrounding changed to program delivery once integration has occurred.  Such items include whether or not data collection will change.  There has been additional conversations regarding the benefits and efficiency of having RCCHC patients use of Remote Monitoring Kiosk to take vitals at time of clinic check-in.  Initially the RCCHC would implement this process then perhaps send a kiosk to Mosaic for use if it proves sustainable and efficient.  Target would be spring 2016.

Challenges

There are still ongoing challenges regarding resource and workload management.  There will be another per diem nurse joining the team in September.  After OCHIN interface is fully integrated, Aimee will be working on refining the resource needs list.

Successes

Aimee has been making visits to the two newest sites, Redmond and Madras, based partly on feedback provided during an informal team interview.  We have a newly trained RNCC in Redmond who is fully onboard and excited about the program. We have a .3 employee who is assisting with the equipment cleaning and reset.  This is a great benefit.

Building and testing OCHIN interface is progressing.  We are looking to enroll active patient information into the system for testing purposes on or about 8/17/15.

Opportunities

Andy Eck is continuing to pursue opportunities available to expand the program.  Specifically targeting the St. Charles Medical system.  Andy has provided items to the executive for consideration and will be following-up once we have a better handle on the training manual, ideal life interface, etc.

While both Prineville and Madras demographics reflect similar percentages of patients aged 60-69, Redmond's data reflects the highest percentage in the 50-59 age range.  

All three site demographics reflect the ethnic diversity of the patients support by each clinic.  Notably the Non-Hispanic/White population is the majority in all three; however, Madras' patient population is largely Spanish speaking in nature.