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Big Swamp Wheezers

Big Swamp Wheezers. physicians . Big Swamp Wheezers. Team Members. Dr. Linda Anz. Leigh Ann Brogdon. Summer Galloway. Physician. Front Office Manager. Licensed Practical Nurse. Opelika – Auburn MSA.

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Big Swamp Wheezers

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  1. Big Swamp Wheezers

  2. physicians

  3. Big Swamp Wheezers Team Members Dr. Linda Anz Leigh Ann Brogdon Summer Galloway Physician Front Office Manager Licensed Practical Nurse

  4. Opelika – AuburnMSA • The Opelika-Auburn Metropolitan Statistical Area (MSA) is Alabama’s newest and fastest growing MSA. • Comprised solely of Lee County, the Opelika-Auburn MSA’s population grew by 32% from 1990 – 2000. • Our growth ranks 19th nationally among all MSA’s. • Opelika named one of the top six places to retire by Kiplinger’s Magazine. • Auburn named to U.S. News & World Report’s list of the Best Places to Live 2009

  5. Pediatric Clinic, L.L.C. • Founded in March 1968 by Dr. B. D. Curry. • Physician-owned medical clinic serving Lee and surrounding counties in the East Central Alabama and West Georgia region. • Open every day of the year. • Regular Office Hours - Monday through Friday 8 a.m. to 5 p.m • After-hours Clinic - Monday through Friday 5 p.m. to 9 p.m. / Saturdays 8 a.m. to 5 p.m. / Sundays & Holidays 12 p.m. to 5 p.m.

  6. Team Aim Statement • Standardization of patient care • Quality Improvement in the Office Setting • Achieve measurable improvement in asthma outcomes within our clinic • Providing optimal care to our asthma patients • To have greater than or equal to 90% of our patient’s asthma well controlled

  7. Interventions And Changes • Diagnosing asthma by using the asthma key indicators • Recommendation of flu shots to all of our asthma patients • Restricting the refill of asthma medicines unless patient has had an asthma recheck within the last three months • Giving asthma education handouts, as well as, having the nurses show the parents and patients the proper use of their inhalers • Identifying all of our asthma patients by labeling their charts and keeping an Excel list of them • Asthma Action Plans

  8. Pediatric Clinic, LLCAsthma Flow SheetOpelika, Alabama Unable to ID Asthma patients at front desk Asthma Patients identified by nurse during office visits. Having the nurse keep the asthma log: Excel log At Office visit nurse gives an encounter form to parent for completion. Tags the chart with blue sticker to reflect “asthma patient” and add patient to “asthma log”. If sick visit, nurse tags the chart with blue sticker to reflect “asthma patient” and adds patient to “asthma log”. Having nurse to ID and give encounter form before MD enters room If AfterHour clinic or a busy day with multiple patients waiting, Doctor will evaluate and treat patient for present illness. Doctor examines patient, fills out Asthma Action Forms and adjust medicines if needed. Doctor fills out prescription and Asthma Action Plan if needed. Nurse copies Asthma Action Form and provides patient education if needed. Nurse copies Asthma Action Plan for chart copy. Patient discharged to check out with orders to make an asthma recheck visit with appropriate time slot. Patient is discharged to check out with orders to make an appointment for an asthma recheck with appropriate time slot. Doctor gives completed encounter form and chart to nurse.

  9. OFFICE FLOW WEAK POINTS • Our front office staff is not able to identify our asthma patients for our back staff • Having the nurses identify the asthma patient and giving the encounter form before the Dr. enters the room for the exam • Making sure that the nurses are putting the names on our Excel list

  10. Our Asthma Action Form • WILL BE ADDED BY THE TIME WE GET THERE….FINGERS CROSSED!

  11. Our Encounter Form • Will be added by the time we get there

  12. Our Excel Patient Log Sheet • Will be added by the time we get there

  13. Percentage of patients with optimal asthma care

  14. Percentage of patients with key asthma indicators used when considering an asthma diagnosis

  15. Percentage of patients ages 5 and older where spirometry is scheduled to be tested or results have been obtained within the last 1-2 years

  16. Percentage of patients in which a validated instrument is used to determine the current level of asthma control

  17. Percentage of patients who have a current written asthma action plan explained to them at this visit

  18. Percentage of patients with asthma ages 6 months and older who have received a flu shot or flu shot recommendation within the past 12 months

  19. Lessons Learned Twelve different Doctors; twelve different opinions ~RESISTANCE~ Parents LOVE the action plans and education Having the nurse identify the asthma patient prior to the Doctor entering the exam room makes the flow of having the encounter form filled out much more time effiecient

  20. ENCOUNTER FORMSPDSA

  21. ACTION PLANSPDSA

  22. PATIENT EDUCATIONPDSA

  23. Future Plans • Spriometer that interfaces with our new EMR program • Building a registry within our EMR program • Having our asthma patients perform a base line spirometer at asthma rechecks

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