Showing posts with label community discussion. Show all posts
Showing posts with label community discussion. Show all posts

Wednesday, October 26, 2022

Safety Practices for LAcs: The Autumn 2022 Presentations from the HHP's Safety Practices Workgroup (Sept, Oct, Nov.)



HHP is the nonprofit collaborative learning network for healthcare system-based LAcs and program managers.

We are the home of the healthcare system-based acupuncturist community network

Help us keep the HHP's work going this year (2022) and into 2023.





Safety Practices for LAcs, a new set of resources from the HHP

Updates on this past year’s progress with the HHP’s Safety in Practice Workgroup


For the latest information on this workgroup and its work, from presentations to publications, go to these pages on the HHP's website:

Safety Practices for LAcs, an article getting updated with event info Sept - Nov 2022.

September public presentation, the event page.

October public presentation at the IM4US 2022 conference, "Speaking the Language of Safety in HROs for LAcs." The presentation landing page.



November 12th, 2022, "Introduction to Safety Practices for LAcs in Healthcare System Practice. For Acupuncturist clinicians, safety leads, and program managers." public presentation, the event page.


The Hospital Handbook Project for Acupuncturists and Their Hospital Sponsors is a program of Free Range Health®, a 501(c)(3) public charity. All or part of your donation may be tax-deductible as a charitable contribution. Please consult with your tax advisor. Federal Tax ID #45-4395933

Monday, July 20, 2020

The Telehealth Roundtable for Hospital-based Programs Event Recording with Time Stamp Notations

keywords: telehealth, hospital-based acupuncture programs, remote work options for clinicians, policy and procedures, hospital-based acupuncture & telehealth programs, telehealth & Chinese Herbal Medicine (CHM), VA acupuncture telehealth program, inpatient telehealth acupuncture, new program creation, wisdom-sharing, billing & reimbursement, coding for hospital-based acupuncture work, hospital-based acupuncture program manager, hospital-based acupuncturist, hospital-based integrative health programs, telehealth programs and policy for hospital-based integrative health providers, pandemic prep & response for integrative health care providers

Event recording linkhttps://youtu.be/tf-wAYHk-Ns



Timestamps and Notes--a pdf of this document is available in the event's online resource module here: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020

Recording made public July 11th, 2020, and is available here: https://youtu.be/tf-wAYHk-Ns

For all the event resources, go to the event’s online resource module: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020

Time Stamps and Notes from the 6.20.2020 Telehealth Roundtable Event

Revised with the edited event recording
You can help offset the outgoing costs of this resource (video editing, transcript creation, etc.) in these ways:
·        Buy access to the event's online resource module: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
·        Encourage your organization to sponsor this resource (if this work aligns with their work)
·        Support via the virtual coffee option
·        Buy access to another resource via our website
o   Support a community discussion
o   Paths to Practice: Interview with Dr. Annie Budhathoki (Huntsman Cancer Institute, outpatient and inpatient integrative acupuncture and oncology in hospital-based practice)

Thank you.

Time Stamps and Short Notes for the Recording


Introduction (Megan)

0:00 start

Minute 2:10 review of agenda

Minute 3 – 5 Where to find extra content for this event

Minute 4:50 – 8:20
Review of what the Hospital Practice Handbook Project is

Minute 08:30
Why Telehealth?

Minute 09:30 – 1140
Why this Event?
“Do not follow where the path may lead. Go instead where there is no path and leave a trail.” -Ralph Waldo Emerson

Minute 11:20
Defining Telehealth

Minute 12:20 – 14:30
Introduction of Panelists

Paul Magee’s presentation

Start at Minute 14:30

Minute 17:20 – 17:50
Paul mentions the metrics his program is tracking

Minute 22:30 – 23:20
I mention Paul’s other video recorded in May 2020 on the “The Allina Inpatient Telehealth pivot”.


End 24:35

John Burns’ presentation

Starts at 24:45
14 LAcs in the integrative medicine department

Minute 30
Telehealth for oncology patients receiving treatment at the infusion center(s)

Minute 31 -32
John discusses how the acupuncture team collaborated on the development of a training/competency program to deliver “TCM Acupuncturist Directed Therapeutic Strategies”.

Minute 32 -33
Setting up reimbursement for telehealth services by LAcs.
Coding, billing, reimbursement agreement with third party payors (3PP)
Getting LAcs the access to tech for virtual visits and the system’s EHR compatibility


End minute 34:00

 

Juli Olson’s presentation

Starts at minute 34:15
Currently, there are 71 LAcs in the VHA. Most hired within the last 2 years.

Minute 43:45 – 44:15
Slide example of acupressure visual handouts

Minute 44:20
Slide with lots of links to share with practitioners


End minute 44:50

Galina Roofener’s presentation

Starts at minute 45:00

Minute 51:43
Basic review of SOAP documentation in telehealth TCM visit

Minute 52:15 – 53:45
Obtaining and recording objective measures for a telehealth visit
Tongue photo
Pulse rate and echocardiogram (EKG)

Minute 54:00 – 56:30
CHM and telehealth at a medical center


End at minute 57:35

Mori West’s presentation

Starts at minute 57:40

minute 60
Telehealth virtual codes 99421 – 423 are time-based codes
Phone codes 99441-443 are time-based codes
Time is cumulative in a 7-day period

64:30 – 66 min
E/M codes for telehealth 99201, 99212, etc.

66-67 minutes
Modifiers

End at 70 minutes

Nancy Gahles’s presentation

Starts at 70 minutes

minute 73
Public health initiatives and telehealth
Telehealth, a tool for public health

Minute 75
Over the counter (OTC)

77 minutes
Grants are available for implementing telehealth

78 minutes
Language in federal law—IHPC is working on this

79 – 81 minutes
ICE/NCCA accreditation of national certification. Why/reasons for this standard from a federal perspective
Example: NCCAOM is an LAc’s national certification exam. NCCAOM has the NCCA/ICE accreditation

81 minutes
CMS info and May 1st date

84 minutes
FQHCs mentioned
The IHPC caucus…

End at 84 minutes, 30 seconds

Panel Discussion

Starts at 84 minutes, 40 seconds

Questions for Nancy Gahles
Socratic discussion amongst panelists
Interim rules, working with the national association (ASA)
The Act of Congress
Bundled payment for opioid treatment plans
ASA Town Halls—6/24/2020 session on Medicare Megan mentioned.

minute 90—Question on % workload in telehealth
Paul, John, Juli, Galina

Minute 94 (aka 1 hour, 34 minutes)
—Question on
1.       Sustainability of the telehealth program…
a.       What is the patient buy-in of your telehealth program?
b.       How do you know it is sustainable?
c.       What metrics are you tracking?
Paul, John, Juli, Galina

Minute 103 (aka 1 hour, 43 minutes)
Telemetry, Telehealth, & LAcs
Galina is uploading EKG (echocardiogram)
               Visual of heart rate, pulse quality
               one lead EKG…Apple watch, Cardio Life electrodes
Juli, John, Paul
               LAcs can see the data uploaded in the EHR by in-person tech or at-home blood pressure cuff and readings.

Minute 107
Coding and Billing Questions from other Panelists for Mori
John, Juli, Galina

Minute 114 (aka 1 hour, 54 minutes)
Issues and Solutions, more
1.       What was your biggest issue?
a.       Did you overcome it?
b.       If yes, how?
c.       Any other outstanding issues?
2.       Last note/lesson you want to end on.

Paul, John, Juli, Galina, Mori.

Ended at 128 minutes, 49 seconds (aka 2 hours, 8 minutes, 49 seconds)



Related blog articles


Related Playlists on our YouTube Channel



You can support this not-for-profit work virtually at our website with a virtual cup of coffee/tea ☕. Thank you.
www.thehospitalhandbook.com

Monday, June 8, 2020

Phased Opening/Closure and Remote Work Options, including Telehealth, the Summer 2020 HHP Community Survey

keywords: community survey, pandemic prep & response, telehealth, acupuncture programs, hospital-based acupuncture, FQHCs, county clinics, community health centers, phased re-opening and closing, tiered re-opening and closing, remote work options, community resource

Community Survey Summer 2020


Access the survey here


Background
As you know, I have been hosting community discussion zoom sessions since mid-March to help the hospital-based acupuncture community discuss and share ideas on the pandemic prep & response. And, all the share-able content generated from those sessions so far is (and continues to be) uploaded to the online resource module here.

Three weeks ago a colleague recommended creating a survey to capture all the information on all the changes in a format that can:

  1. Be edited by the data entrant [because things change!]
  2. Create some summaries
  3. Be a quick source of share-able community information

Situation
I finished edits on it last week and it is up and running! It is available for acupuncturists and program managers who work with acupuncturists to input their information.

Assessment & Recommendation
This could be a useful resource for the community during this time of great change if enough of us complete it.
Please complete the survey to the best of your knowledge for your program and share this link with other hospital-based practice colleagues.

Who can take the survey?
Anyone who works in an organization or facility that is accredited by or eligible for accreditation by The Joint Commission.

What is "hospital-based"?
For purposes of this survey, I define "hospital-based" as any organization or workplace that is accredited by or eligible for accreditation by The Joint Commission. This definition includes FQHCs, county clinics, community health centers, and other federal health care spaces.

The survey is available here

Wednesday, June 3, 2020

Telehealth Roundtable for Hospital-based Acupuncture Programs--the Event

keywords: telehealth, pandemic prep & response, virtual health care, hospital-based acupuncture programs, coding and reimbursement for telehealth services for integrative health practitioners, acupuncture employee, acupuncture program manager, program examples, online event


You need a ticket to attend--looking for a ticket?

Join our experienced panel of hospital-based acupuncture program leads and managers to discuss setting up a telehealth program in medium to large healthcare systems and pivoting the work during the pandemic as part of phased re-opening/closing plans 


Get your ticket to the “Telehealth Roundtable on Hospital-Based Acupuncture Programs”, an online conference scheduled for Saturday, June 20th, 2020, starting at 0900 Central.

Theme for this Event
Telehealth Programs in Hospital-based Acupuncture Practice: Pivoting in the Pandemic
Lessons Learned, Benefits (patients, providers, system), Issues, Examples of Innovation, and Discussion

Why this online event?
The Hospital Practice Handbook Project has been hosting community discussion space online and in live zoom sessions at least weekly since mid-March for the hospital-based community to provide space for discussion, problem-solving, and sharing examples of innovation as we all respond to the pandemic in our various programs and through different stages of closing and re-opening.
The content approved to share with the community from those discussions are located in this online resource module.
Out of these sessions came a consistent need to do even more, particularly to host our own conference on telehealth.

Why a telehealth event specific to hospital-based acupuncture programs?
Telehealth capability is critical for all clinicians in the phased clinic opening/closing as communities respond to the pandemic. Some organizations had a telehealth program in place before the pandemic, but many stood theirs up during the pandemic as a way to support and protect both provider personnel and patients during a respiratory-based pandemic. Some are still in the process of standing theirs up and looking to the community for examples that match their system.
However, not all systems have been supportive or understanding of how acupuncturists can work via telehealth (vs. in-person), citing “lack of access to current examples”.
So, here we are, presenting current examples of telehealth programs in hospital-based acupuncture practice. And, having a professional Socratic discussion on the related topics.

You can't attend without a ticket.
Choose the type of event ticket that fits you here


How to engage in or support this event
Buy a ticket and share these links. 😊
Per community request, there are 3 ticket options:
  1. Basic Ticket—access to the live event
    1. https://www.thehospitalhandbook.com/support-the-project/basic-ticket
  2. Ticket Plus—basic ticket plus access to the online resource with all the recordings and other content created for this event
    1. https://www.thehospitalhandbook.com/support-the-project/telehealth-roundtable-ticket-plus
  3. Recordings only—just access to the online resource with the recordings. No access to live event.
    1. https://www.thehospitalhandbook.com/support-the-project/telehealth-roundtable-recordings-only

I hope you are able to attend or if you are otherwise engaged that day, consider supporting via the “recordings only” ticket and submitting your questions to the panelists in your ticket form.

All ticket revenue goes directly toward the outgoing costs of this event (platform hosting, data, recordings, video editing, etc.). My time and work are 100% volunteer.

For more information on confirmed panelists and updates
Go to our Facebook Event page and choose “interested” or “going” to see social media updates on this event.

Event Agenda
Introduction
Panelists each give short summaries of their programs
Socratic discussion of the topic by panelists
Some Qs from attendees posed to the panel for more discussion

Panelists include (confirmed to date)
  • Paul Magee, lead acupuncturist, Penny George Institute of Health and Healing, Allina Health, Minnesota
  • Christine Kaiser, acupuncture program manager and quality assurance, University Hospitals Connor Integrative Health Network, Cleveland, Ohio
  • John Burns, acupuncture program manager, Advocate Aurora of Wisconsin and Illinois
  • Juli Olson, National Lead, Acupuncture, Integrative Health Coordinating Center, Veterans Health Administration
  • Galina Roofener, acupuncturist, Cleveland Clinic, Cleveland, Ohio
  • Mori West, C.P.C. of AcuClaims, coding & billing expert
  • Nancy Gahles, Integrative Health Policy Consortium, IHPC

Please buy a ticket and share this event with anyone who may benefit from it or enjoy attending and supporting. Thank you.



More resources on telehealth


University of WA Survey of Acupuncturists during the COVID-19 Pandemic
  • For those of you practicing as acupuncturists, check out this IRB-approved survey from a colleague who is doing this research through the University of Washington. Looks like she is collecting data on how the pandemic is affecting practice, from direct clinical care to pivots in online resources including the use of telehealth: https://redcap.iths.org/surveys/?s=7FTTYN73X9& 
    • suspension date: the survey closes June 8th, 2020
  • More info: 
    • The survey is intended for ALL licensed acupuncturists. You don't need to have a telehealth service in place to respond to the survey. One of the aims of this survey is to set the stage for larger survey studies of profession-wide effects similar to the benchmark studies in other healthcare professions. 
    • The estimated time to complete the survey is 5 minutes.
    • Principal Investigator: Tamsin Lee, DAOM
New Research Paper on Relevance of Telehealth Programs During Pandemic and Beyond, from a Duke University Team
  • At a time when I hear disagreement in the definition of "telehealth", I offer this very useful definition they published, which dispels all previous confusing terminology I have heard in the medical field the last year or so:
"The term 'telehealth' refers to the entire spectrum of activities used to deliver care at a distance--without direct physical contact with the patient. Telehealth encompasses both provider-to-patient and provider-to-provider communications and can take place synchronously (telephone and video), asynchronously (patient portal messages, e-consults), and through virtual agents (chatbots) and wearable devices."
  • The article was published May 17th, 2020, by a team from Duke University, "Telehealth transformation: COVID-19 and the rise of virtual care" in the Journal of the American Medical Informatics Association
    • citation
      • Jedrek Wosik, Marat Fudim, Blake Cameron, Ziad F Gellad, Alex Cho, Donna Phinney, Simon Curtis, Matthew Roman, Eric G Poon, Jeffrey Ferranti, Jason N Katz, James Tcheng, Telehealth transformation: COVID-19 and the rise of virtual care, Journal of the American Medical Informatics Association, https://doi.org/10.1093/jamia/ocaa067 


More Community Resources on Pandemic Prep & Response
You can support this community-wisdom-sharing work by buying me a coffee
or other support option via our website.
Thank you.

Monday, May 18, 2020

A Review of the Hospital Practice Handbook Project's Community Discussions on Pandemic Prep & Response

keywords and topics: community discussions, COVID-19 pandemic, integrative health programs, acupuncturists in hospital-based practice, telehealth in hospital-based acupuncture programs, what does tiered re-opening look like for outpatient integrative health programs?

www.thehospitalhandbook.com


The HHP-hosted Community Discussions on Pandemic Prep & Response, a review of the work & resources so far


This video is a review of my past 3 months of work supporting the hospital-based acupuncture community with community discussion space to share ideas, concerns, and issues on the pandemic prep & response.



Included in this video:
·        How you can support this community-building work 
·        How to access the resource content created
·        How you can join in future discussions
·        Review of the work so far
·        Short review of resources for the two currently most common topics
o   telehealth and
o   what does tiered re-opening look like?
·        Announcing the future telehealth roundtable panel:
o   how to participate, submit questions, and space for sponsorships

What is "hospital-based practice"?
I define this as working at a facility or organization that is accredited by or eligible for accreditation by The Joint Commission. This includes FQHCs, some county clinics and hospitals, and hospice.

The Hospital Practice Handbook Project has multiple platforms (website, blog, and social media page & closed discussion groups) to connect hospital practice East Asian Medicine Practitioners (Acupuncturists) with each other (living resources) and to published resources. Learn more about this community resource project at http://www.thehospitalhandbook.com/


How to participate in the virtual community discussions
  1. First, you must be a hospital-based acupuncturist or a program manager of hospital-based acupuncturists.
    • see definition above for "what is "hospital-based practice"
  2. Then, contact me via the website about your interest, where you work, and how you heard about this work.

Frequently Asked Questions (FAQs)


  • This work sounds valuable, how can I support it? I am not a hospital-based acupuncturist.
  • I am interested in this content as a clinician. However, I am not a hospital-based acupuncturist. How can I support this work and get access to the content?
  • I am a philanthropist or I work with a philanthropic organization or school. I am interested in this work. How may I learn more about it? 
  • I am a hospital-based acupuncturist or program manager of hospital-based acupuncturists. I am not able to attend all the sessions due to my schedule. How may I access the content?

More resources



www.thehospitalhandbook.com