alyciahodgman
New Member
Posts: 4
I work at a: Healthcare Facility
My job role is: Staff
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Post by alyciahodgman on Feb 14, 2018 15:43:52 GMT -5
We have been doing Centering Pregnancy for almost two years and we are running into not having enough time to chart the day of centering with back to back groups running in the same day. Our providers are currently chart prepping and charting on their days off and do not have the time allotted to do it in the days that they are scheduled. What do other facilities schedules look like when it comes to groups? Do you have time that is blocked for this preparation and charting? Looking for any feedback and help as we about to kick off Centering Intakes and want to be as efficient as possible.
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Post by Tanya Munroe on Feb 16, 2018 11:30:55 GMT -5
Hi Alycia,
We hear that prep and charting are tough to earmark time for from many practices! It takes leadership understanding that while group may last 90-120 minutes, you need 30-60 minutes before AND after to prep and chart. In our new site MOU we have included as an expectation that all Centering provider staff be provided with a four hour block of time for each Centering session.
I'll keep checking back on this thread for strategies from sites who have figured this out... thanks for asking!
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Post by John Craine on Feb 17, 2018 11:28:04 GMT -5
I have heard that some practices will assign the actual entry of data into the EHR system to someone other than the provider. The provider uses a paper chart (sometimes referred to as a "shadow" chart) during the Centering assessments and then hands those off to a coordinator to enter.
I bet there are practices that have also developed summary templates that print from their EHR that providers can use to prep in advance of Centering group visits.
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stjoesobnavigator
PA - Pennsylvania Centering Consortium
Posts: 13
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by stjoesobnavigator on Mar 13, 2018 9:49:30 GMT -5
Hi, Alycia. Our practice allows our providers some prep time before & after each group. If we do 2 sessions in a day, they are at 0900 & 1300, which gives the provider some time before & after to prep & complete charting. Our midwives have developed a "prep sheet" where they write any notes they need for their quick assessment time (who needs labs, U/S, or any F/U testing, etc). This gets them through the busy "belly checks", allows them the ability to quickly enter orders that we need to immediately print for the patient, while having some time to enter their visit notes after the session. Occasionally, our schedule demands that the provider needs to see a few traditional patients before or after each CP group, but it is not our typical practice to do that. Maybe 1-3 patients. Productivity is always a concern with senior administration, so we do our best to keep our group size to at the very least 6.
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amydonaldson63
WA - Washington Centering Consortium
#BOOM SITE VISIT APPROVED - Thank you Centering Healthcare
Posts: 83
I work at a: Healthcare Facility
My job role is: Healthcare Provider
I am interested in Centering because: I want to make a difference in someones life for the better and help educate them about the better way of healthcare. I am passionate about what I do with our Centering Program at Kaiser Permanente. I love the lifelong friendships that I build while going thru the journey of pregnancy for all of my patients. I love the personal care that patients receive and I love to keep our groups fun and current. Coming up on being accredited for a year in Jan 2018 and we have grown so much. Already starting 2 groups a month starting Dec 2017, beat our goal to start 2 by a month. #MicDrop
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Post by amydonaldson63 on Mar 18, 2018 3:36:45 GMT -5
I have heard that some practices will assign the actual entry of data into the EHR system to someone other than the provider. The provider uses a paper chart (sometimes referred to as a "shadow" chart) during the Centering assessments and then hands those off to a coordinator to enter. I bet there are practices that have also developed summary templates that print from their EHR that providers can use to prep in advance of Centering group visits. That is what our providers do during Centering. Our Co~Facilitators will have the patient write down their BP and weight on the pre visit summary and hand back to the MA and then they will either give to the midwife during Tummy Time or they will write their info in their Centering books and they will give the pre visit paper back to the MA and the MA will make sure the vitals aren't elevated and then she will enter them after Centering. All of our midwives have their own group and the MA's all have their day during the week that they have Centering with the same midwife. I currently am Centering Coordinator, I am Co~Facilitator for our Monday daytime group, Co~Facilitator sometimes for our Monday evening group if I am needed and I have 2 Saturday groups, which consists of 12 in the morning and 11 in the afternoon. It works out well. At Kaiser Permanente in Bellevue, our midwives schedules are in clinic from 11am - 230pm for the last appt during the day and then from 3-4pm both the midwife and MA have lunch and from 4-5 they prep and get ready for Centering which is at 5-7pm for our weekday evening groups. The MA then puts away the supplies and charts and is usually clocked out by 730-745pm. So the MA schedule for Centering days is 1030am-730pm, so they also have that half hour to prep as well as throughout the day if they want to, to prep for their groups. If they have a big first group or if they are stressed we come together just like last week when we had a Session 1 of 12 people. One of the other MA's wasn't with a provider so she stepped up and printed off the pre visits for the MA and I went and put the Centering books and pens in the KP bags that we give patents as well as put all of her snacks out and her supplies, tablecloth, napkins, etc. Teamwork is always key. If someone needs to prep for their Centering or finish from the night before, we will cover for them so they can make sure they can have ample time to get it done. I have designated time during the week, away from my desk and not with a provider doing patient care and catching up on counts, outcomes, supplies, reaching out to special guests to confirm and reaching out to patients, talking to them about Centering after their new OB appt because they may have more questions.
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Cynthia CE Wade
Active Member
Posts: 69
I work at a: Professional Organization
My job role is: Healthcare Provider
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Post by Cynthia CE Wade on Jun 2, 2018 11:07:59 GMT -5
Here are my Smart Phrases for CenteringPregnancy groups for Epic. I think they could be adapted for other EMR's as well. Also, if you do different topics in different sessions you can change them around, but at least it gives you a starting place. Also have included the chart review forms I use and a sample of what one looks like. These all are shredded after the group is completed as they are nothing official.
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Post by Margie on Jun 6, 2018 8:16:51 GMT -5
Some practices are using "Scribes" to do the charting as the assessment part of the visit is actually happening. These are used in the general clinic and in groups. The Scribe is an almost invisible person who listens and does the charting. This person would not go to group. So the provider has to read over , add to and sign the charts as they go or at the end of the day. Many scribes are medical students who are paid minimal wage. Someone suggested recording the visit and having it transcribed - that may be very old school When we did Centering with Medical Students and/or Residents we either did the charting or the student learner did. I am always fascinated by the number of workarounds busy people find.
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