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  News and Updates

Collaborative Care Network Update

by Medical Staff Office on April 19, 2017

Chaired by Robert Hanley, MD, of Anne Arundel Urology, the Collaborative Care Network (CCN) is our local, physician-led platform that allows the health system to join forces with independent and employed physicians to share data, resources and opportunities to improve care, create efficiencies, and demonstrate the value that an integrated, cohesive medical community can deliver. The CCN is the platform that helps practices prepare for voluntary, local Advanced Alternative Payment Models (AAPMs) as they become available over time.

The CCN’s board, committees and staff have worked tirelessly to build our foundation. In the past year we have:

  • Signed 630 members, representing 73 primary care and specialty practices within our community.
  • Hosted educational events to prepare our medical community for MACRA, MIPS and AAPMs.
  • Provided care coordination resources to our membership such as:
    • On-call care management.
    • Behavioral health navigation.
    • Care alerts.
    • Community-based care management.
    • Home-based primary care services.
  • Engaged in conversations with commercial insurers to discuss value-based and shared savings contracts for CCN members.
  • Developed clinical integration measures to help us learn about the populations we serve, set the foundation for and identify opportunities for clinical transformation, and demonstrate the value of our network.
  • Created data analytics tools and processes for collecting shared data.
  • Prepared for participation and success in AAPMs being developed at the federal and state levels.

The CCN will continue to aggressively move forward to accomplish our objectives:

  • AAHS and clinicians together taking responsibility for the cost and quality of care for populations.
  • Better coordination of care across settings and clinicians.
  • More effective management of chronic disease by both clinicians and patients.
  • Measurable improvement in health outcomes.
  • Successful performance in pay-for-value programs.
  • Building a “community of practice” recognized and preferred by patients.

 

For more information on the CCN, or to learn how your practice can join, please contact Renee Kilroy at rkilroy@aahs.org or 443-481-6619.

Introduction to AAMG Neuropsychology Specialists

by Medical Staff Office on March 28, 2017

Dear colleagues,

I am writing to introduce myself and my practice, AAMG Neuropsychology Specialists, as a new resource for your respective practices. The focus of my practice is assessment of acquired cognitive impairment or cognitive complaints in the context of established medical and neurologic illness. Referrals most commonly involve:

  • Differential diagnosis of mild cognitive impairment, other memory disorders and dementias
  • Characterization of cognitive impairment in the context of:
    • Stroke or other cerebrovascular conditions
    • Epilepsy
    • Parkinson’s disease or other movement disorders
    • Multiple sclerosis
    • Cancer, both brain and non-brain
    • Traumatic brain injury
    • Cardiovascular disease/diabetes
    • Post-surgical cognitive changes

My practice is limited to adults/geriatrics ages 18 and up. Referral questions regarding new-onset or acquired cognitive impairment, meaning that when the referral reason is developmentally focused (e.g., learning disability, ADHD, autism, or pervasive developmental disorders) or psychiatrically focused (e.g., differential diagnosis of personality or psychiatric disorder), these referrals are best directed to a pediatric/lifespan neuropsychologist or general clinical psychologist, respectively. Below I have listed resources for both of these referral types:

  • Pediatric neuropsychologist:
    • Kennedy Krieger Neuropsychology Department: 443-923-9400. Locations in Columbia and Baltimore.
    • Thinking Tree Psychology: 443-906-1132. Located in Severna Park, does not accept insurance.
  • General clinical psychologist and lifespan neuropsychologist:
    • PsychCare Psychological Services: BaltimorePsychologist.com. Locations in Columbia, Silver Spring and Baltimore.

I look forward to assisting with any patients you send my way. If you have any questions, please do not hesitate to contact me directly at cwendell@aahs.org or 443-481-1994.

 

Sincerely,

Carrington R. Wendell, Ph.D.

Neuropsychologist

Anne Arundel Medical Group

Belcher Pavilion, 5th Floor

www.MyAAMG.org/neuropsychology-specialists

Appointments: 443-481-1270

Fax: 443-481-1480

 

CCN Partners with Health Visions Delmarva – a Practice Transformation Network

by Medical Staff Office on March 28, 2017

The AAMC Collaborative Care Network (CCN) has partnered with Health Visions Delmarva Practice Transformation Network in order to help our network accomplish our goals. Health Visions Delmarva (HVD) is able to provide support to our member practices with 2017 MIPS reporting, but that is just one small part of why the CCN chose to work with HVD. HVD will assist our clinicians in changing the way care is delivered by integrating quality and process improvements to build on and spread existing change methodologies, practice transformation tools, published literature, key learnings, and technical assistance programs. HVD is not a quality data or registry vendor. They will not do your MIPS reporting for you. They are 1 of 29 organizations that CMS has funded to provide support to clinicians across the country to prepare for payment reform.

Care redesign – this is how we will accomplish our CCN aims and be successful in future Advanced Alternative Payment Models (AAPMs) and value based contracts.  This is how we will build and sustain a thriving medical community.

Participation with HVD is an opportunity available to CCN member practices. If you are a member, please complete the CCN – Practice Transformation Enrollment Form and return it to aamccollaborativecarenetwork@aahs.org. If you are not yet a CCN member, but would like more information about how to join, please contact Renee Kilroy at rkilroy@aahs.org or 443-481-6619.

AAMC Women’s Center for Pelvic Health recognized and certified by ACOG for patient safety

by jmiller on March 7, 2017

AAMC Women’s Center for Pelvic Health Recognized as Leaders in Women’s Health Care

(Annapolis, MD) March 7, 2017—Anne Arundel Medical Center (AAMC) Women’s Center for Pelvic Health has been awarded the Safety Certification in Outpatient Practice Excellence (SCOPE) for Women’s Health. They are one of only two OB-GYN offices in the state of Maryland, and among only 95 in the country, to receive this designation.

The certification, awarded by the American Congress of Obstetrics and Gynecology (ACOG), recognizes medical practices that are leaders in women’s health care. The ACOG affirms that patient safety is essential to providing optimal health care for women, and implementation of patient safety measures can reduce medical errors and risk, and lead to positive patient outcomes.

“Every day people are faced with the important decision of where to receive medical care,” says Briana Walton, MD, director of Female Pelvic Medicine and Reconstructive Surgery at Anne Arundel Medical Center and urogynecologist with AAMC Women’s Center for Pelvic Health. “We are pleased to say, as evident by this designation, that patient safety is ingrained in our office culture. Patients can trust that when choosing the Women’s Center for Pelvic Health they are receiving the best care possible.”

To achieve the recognition, the center underwent a rigorous review process, which included an on-site visit. Surveyors gathered real-time data and analyzed patient-safety concepts and techniques in the office. Satisfying all criteria, the center was granted the three-year SCOPE certification.

AAMC Women’s Center for Pelvic Health is located in Annapolis, Bowie, Odenton and Easton. The center’s team of urogynecologists and nurse practitioners specialize in the diagnosis and treatment of pelvic floor conditions. Team members collaborate and develop care plans for patients of all ages, from those with minor issues to individuals suffering from complex conditions requiring advanced surgery and care.

For more information or to schedule an appointment, visit www.askAAMC.org/pelvichealth or call 443-481-1199.

The Collaborative Care Network: Preparing for Participation in Advanced Alternative Payment Models

by Medical Staff Office on January 31, 2017

Looking for an Advanced Alternative Payment Model (AAPM)? The CCN’s primary focus is to offer a portfolio of AAPMs to as many CCN-member clinicians as possible. Being in an AAPM provides several benefits: 1) automatic five percent Medicare bonus 2) significant relief from reporting burdens 3) opportunities to achieve greater incentive payments 4) a larger Medicare rate increase in 2026 and beyond and 5) resources to improve patient outcomes.

AAMC has recently submitted a Letter of Intent to participate in the state’s Hospital Care Improvement Program (HCIP) in 2018. HCIP is expected to be approved by Medicare as an AAPM for hospital-based clinicians, meaning it will offer the benefits listed above. Clinicians interested in participating in AAMC’s HCIP will need to be members of the Collaborative Care Network. The HCIP applies to inpatient care and has the following objectives:

  • To enhance the quality of patient care by adoption of evidence- based and other standardized practices
  • To improve physician and organizational efficiencies in providing patient care
  • To reduce the cost of care and eliminate medically unnecessary services

Providers participating in HCIP will benefit through:

  • Participation in programs designed to meet Medicare Access and CHIP Reauthorization Act (MACRA) requirements
  • Potential financial incentives from the hospital for performing activities that will improve care, reduce potentially avoidable utilization (PAU) and reduce the total cost of care (TCOC)
  • Access to detailed reports to allow physicians to improve their individual performance, and achieve greater incentive payments and improved patient outcomes over time

There are more Care Redesign Programs currently in development at the state levels that will include outpatient care. The CCN will support local practices in these programs as well. We are building the infrastructure to be successful together in the era of payment reform and care transformation.

For more information on the CCN, or to learn how your practice can join, please contact Renee Kilroy at rkilroy@aahs.org or 443-481-6619.

Essentials for a Culture of Safety

by Medical Staff Office on January 31, 2017

The Institute of Medicine’s groundbreaking report, “To Err Is Human,” highlights the importance of patient safety in health care organizations. This report, along with emphasis from many health care improvement entities such as the Joint Commission, triggered a renewed effort among health care organizations nationwide to eliminate medical errors and improve patient safety.

“One of the first steps in creating a safer health care organization is establishing a culture of safety. High reliability organizations emphasize safety as a fundamental priority that we continually strive to improve upon. A safety culture flourishes when…”

  • We learn about patient safety from the successes and positive events that occur in health care every day to build strong patient safety programs.
  • We examine our approaches and, therefore, increase safety and actively prevent harm.
  • We report events and, ultimately, seek understanding and value through other experiences that lead to safer care and practices.
  • We think and act in the manner necessary to develop successful solutions, find answers, overcome obstacles, and deliver results to ensure safety.
  • We provide a learning environment that is constantly improving and focused on patient safety.

AAMC has been pursuing a culture of safety, in which front-line operators and others are not punished for actions, omissions or decisions that commensurate with their experience and training where gross negligence, willful violations and destructive acts are not tolerated. A culture of safety safety is created through the collective attitudes and values of a group of people. To achieve a safety culture, each one of us in the organization must embrace a safety mindset and support each other in our safety efforts.

Patient safety affects everyone at AAMC. Building a safer culture depends on our ability to listen and learn from all members of the health care team.

Beginning Feb. 6 through Feb. 20, we are once again participating in the Agency for Healthcare Research and Quality AHRQ Safety Culture Survey. This survey will enable AAMC to assess how staff and medical staff perceive various aspects of our patient safety culture, and will also:

  • Raise staff awareness about patient safety.
  • Diagnose and assess the current status of our patient safety culture.
  • Identify strengths and areas for patient safety culture improvement.
  • Examine trends in patient safety culture change over time.
  • Evaluate the cultural impact of patient safety initiatives and interventions.

Our goal is to get a response rate of at least 80 percent of all employees. The survey is very easy to complete. We encourage all staff to participate in this essential initiative, so that quality and patient safety remain high priorities here at AAMC.

2017 Medical Staff Photography

by Medical Staff Office on January 9, 2017

To support the marketing and promotion of our practices and programs, we like to have a professional photography of each member of our medical staff.  For 2017, we have arranged for a photographer to be onsite from 4-6 pm for each of the quarterly Medical Staff Meetings to take photographs of our new providers, as well as any existing provider who would like a new photograph for marketing or Find-A-Doc on our website.

Dates

  • January 11th
  • April 12th
  • July 12th
  • October 11th

Location

Belcher, 7th Floor

Time

4-6 pm

Wardrobe

  • Men: Suit in a solid color of dark blue, black or dark gray with a solid colored shirt and conservative tie. Please bring a freshly pressed lab coat— either embroidered with your current practice, or no embroidery.
  • Women: Solid color dress or suit. Please bring a freshly pressed lab coat— either embroidered with your current practice, or no embroidery.

Questions

Contact Carrie O’Meara, marketing strategist comeara@aahs.org or 410-961-3041.

Pathology Update: New PCR Testing Available for Routine Antepartum Screening Available Jan. 9; New Group B Streptococcus LIM Broth-Enriched Molecular Test

by Medical Staff Office on January 9, 2017

From Sanford Robbins III, MD, Chief Pathologist, and Jacqui Kozireski, Microbiology Lab Manager

We are pleased to announce that the Cepheid Xpert GBS LB (Group B Strep LIM broth enriched) is a qualitative real-time PCR test used to detect GBS DNA from LIM broth culture of vaginal/rectal swabs after 18 to 24 hours of incubation. This test is for antepartum testing (35-37 weeks).

Conventional methods of culturing are less sensitive and can take up to 72 hours from collection to reporting. The combination of LIM broth enrichment and PCR provides reduced turnaround time with an extremely sensitive and specific method to detect GBS colonization in antepartum women, which fulfills the CDC (November, 2010) recommendations for testing.  Results will be reported in 20 to 24 hours as compared to the three-day turnaround of current culture methods.

Routine susceptibility testing will only be performed on those patients who are penicillin-allergic at the request of the physician, and can be requested up to three days post collection or indicated when the test is ordered. Susceptibility testing will require an additional two to three days when requested.

Specimen collection: Use Remel BactiSwab (double swab) provided by the lab as long as testing is sent to us. PAR levels will be monitored periodically. We will no longer accept gel swabs as this is incompatible with PCR testing.

Store specimens refrigerated and transport to the lab within 24 hours of collection. Patients who have used systemic or topical (vaginal antibiotics in the week prior or patients with placenta previa should not be tested.)

On written/printed orders, please specify:

  • Group B Strep, Lim Broth PCR (Antepartum Only)
  • Group B Strep Lim Broth, PCR w/Sens (Antepartum Only) for Penicillin Allergy

 

Contact the Microbiology Laboratory at 443-481-4232 with questions or if further testing is needed.

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