Present: Abby Crocker, Rodger Kessler, Ben Littenberg, Charlie
MacLean, Connie van Eeghen
Guests:
Wilson Pace MD, Director
of NRN, Professor of Family Medicine and the Green-Edelman Chair for
Practice-based Research at the University of Colorado.
David West PhD, the Director for
COHO (Colorado Health Outcomes) and Faculty at the School of Medicine,
University of Colorado. Associate Chair
for Departmental Affairs for the Department of Medicine. Past experience in alternatives to FFS
funding mechanisms.
Lisa Shilling, MD, University of Colorado,
Director SAFTINet project in 3 or 4 states, collecting claims and clinical data
for CE research
1.
Start Up: Introductions
and summary of common interests from the previous meeting: opiate patient
groups; geographic data, pilot data for anti-psychotics
2.
Opportunity
Development: Rodger arranged this meeting to give CROW participants a
chance to talk with Wilson Pace, Director, Dave West, and Lisa Shilling from
the largest practice based research network, sponsored by American Academy of
Family Physicians, with access to Medicaid data base.
a. Background:
SAFTINet project now includes 9 FAHC clinics, plus all FQHC clinics; other
areas of interest: patient engagement
i.
Helpful contacts to date: FAHC medical information CIO,
DIVA, Green Mountain Care Board discussion about different collaborative care
models supported by different financial models; Liz Chen and Neil Sarkar; and others.
b. Opioid
study opportunity: modeling use of urine screening to predict when its use is
helpful; how to humanize the experience for patients; how to systematize
learning and change (e.g. toolkits)
i.
Outcome measures: county-wide arrest rates for opioid
diversion? Process measure: telephone
call traffic?
ii.
Center for Implementation Science in CO, Allie Kemp
c. The
science of studying implementation – successes and failures
d. The
activation of patient engagement – a natural history experiment in the market
place
i.
Using data to identify and change patient/provider
behavior (diabetics)
ii.
The same with respect to chronic kidney disease
e. Maternal/child
health, including opioid use, disease surveillance (diabetes; funding available
through CDC)
a.
June 19: Abby: Update on data analysis of “Exploration
of analytical plan for Natural History of Acute Opioid Use” (Kairn to phone in)
b.
June 26: Connie: Manuscript review of “Integrating
Behavioral Health in Primary Care Using Lean Workflow Analysis: A Quality
Improvement Case Study” (Kairn to phone in)
a. July
3: (no Connie)
b. July
10: Marianne: Review of literature review (no Connie)
c. July
17:
d. July
24:
e. July
31:
f. August
7
g. August
14
h. August
21
i.
August 28
j.
Future agenda to consider:
i.
Peter Callas or other faculty on multi-level modeling
ii.
Charlie MacLean: demonstration of Tableau; or Rodger’s
examples of Prezi
iii.
Journal article: Gomes, 2013, Opioid Dose and MVA in
Canada (Charlie)
iv.
Ben: Tukey chapter reading assignments, or other book
of general interest
v.
Summer plan: each week, one person will send out an
article or prezi ahead for review or discussion by all. Alternatively,
if a participant is working on a key document for their professional
development, this is also welcome (e.g. K awards, F awards, etc.)
Recorder: Connie van Eeghen
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