Change name of “physician strategy engagement” Do we need to ensure that DHC Appropriateness potential plans are integrated with Q Reports Dr. McCutcheon owned the either as separate work or as part of defects—“that is my problem How do we help physicians? the broader work? (re: Dr. Jabs’ PPO development Old thinking that management is comments about not seeing her Choosing Wisely follow-up by RQ against them—makes me nervous work represented). Lab and Physicians that it will never change Enforce compliance Multi-faceted approach to Compliance related to use of these “better More stringent guidelines involving care made in 2015-16 PPOs will determine the success of easier” diagnostics/lab orders Dr. McCutcheon Good work overall care made “better easier” Start educating on appropriateness Wait 1/GP to Appropriateness: interesting work MRI usage for spine issues. I during post-secondary schooling Specialist multi-year and the long term benefit could thought Spine Pathway was to fix Could start educating the plan be huge savings this? community differently (re: Engagement: recognize internist What are we doing in Regina? Appropriateness 2:55 appropriateness) burn out Appropriateness platform and multi-year plan Taking population growth and Developing PPOs to make Better work/engagement involved to make Physician increased spending into account, Care easier this happen PPOs can potentially increase Engagement ACU philosophy/work Even with a heightened awareness system spending because maybe plan MDR at bedside with family of excessive spending, equates to not every patient with one diagnosis Medicine Service present. Physicians participating no improvements needs every test/procedure. PPOs in rounds as equal members ED volumes are up Line multi-year plan could decrease critical thinking and Appropriateness of Care Program Standardization of practices individualized care roles PPOs vs. changing the Inappropriate MRI requests Review of lab/radiology practices mindset/culture of physicians. PPOs Decision support tools Provincial leadership on various actually cost more. Meet GPs where they are in their of appropriateness “studies” practices. Understand the value proposition between FFS, 6Ps, and RQHR systems for relationships, appropriateness, and outcomes. Session Notes Time Agenda Item What encourages/excites you? What makes you nervous? What needs to be done differently? Other Comments
2:55 Dr. McCutcheon Wait 1/GP to Specialist multi-year plan Appropriateness multi-year plan Physician Engagement plan Medicine Service Line multi-year plan Appropriateness potential Dr. McCutcheon owned the defects—“that is my problem PPO development Choosing Wisely follow-up by RQ Lab and Physicians Multi-faceted approach to “better care made easier” in 2015-16 Good work overall Appropriateness: interesting work and the long term benefit could be huge savings Engagement: recognize internist burn out Developing PPOs to make Better Care easier ACU philosophy/work MDR at bedside with family present. Physicians participating in rounds as equal members Appropriateness of Care Program roles Review of lab/radiology practices Provincial leadership on various “studies” of appropriateness How do we help physicians? Old thinking that management is against them—makes me nervous that it will never change Compliance related to use of these PPOs will determine the success of “better care made easier” MRI usage for spine issues. I thought Spine Pathway was to fix this? What are we doing in Regina? Appropriateness platform and work/engagement involved to make this happen Even with a heightened awareness of excessive spending, equates to no improvements ED volumes are up Standardization of practices PPOs vs. changing the mindset/culture of physicians. PPOs actually cost more. Change name of “physician engagement” strategy Do we need to ensure that DHC plans are integrated with Q Reports either as separate work or as part of the broader work? (re: Dr. Jabs’ comments about not seeing her work represented). Enforce compliance More stringent guidelines involving diagnostics/lab orders Start educating on appropriateness during post-secondary schooling Could start educating the community differently (re: appropriateness) Taking population growth and increased spending into account, PPOs can potentially increase system spending because maybe not every patient with one diagnosis needs every test/procedure. PPOs could decrease critical thinking and individualized care Inappropriate MRI requests Decision support tools Meet GPs where they are in their practices. Understand the value proposition between FFS, 6Ps, and RQHR systems for relationships, appropriateness, and outcomes. Time Agenda Item Session Notes What encourages/excites you? What makes you nervous? What needs to be done differently? Other Comments