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A Note to Facilitators

A Note to Facilitators. Dear Facilitator, Thank you for using Rural PREP’s materials to create an active learning experience for your site.

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A Note to Facilitators

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  1. A Note to Facilitators • Dear Facilitator, • Thank you for using Rural PREP’s materials to create an active learning experience for your site. • Use this slide deck, along with the Facilitator Lesson Plan, to facilitate a Grand Rounds event at your site. Many of the slides contain additional information in the presenter notes area, so be sure to review the presentation and the notes prior to your active learning session.

  2. Session Overview • 5 minutes: Go over and discuss pre-assignment answers with the full group • 25 minutes: Watch the Presentation • 15 minutes: Facilitate the Team Activity • 10 minutes: General Discussion and Social Charge • 5 minutes: Evaluation of the Learning Materials as a Group

  3. Group medical visits: An innovative solution for chronic pain management in a rural context Presented by: Jaclyn Thatcher, RN, DNP/FNP-S, Washington State University & Jacob Thatcher, OMS IV, Pacific Northwest University

  4. Objectives • After this presentation, participants will be able to: • Identify the challenges and opportunities to treat opioid misuse and chronic pain in rural primary care settings. • Define group medical visits, their process and unique considerations in the rural setting. • Plan and execute group medical visits in their respective practice.

  5. Team Readiness Quiz

  6. Team Readiness Quiz • According to the “Shared Medical Appointments” video, shared medical appointments have the following benefit/s for patients: • Education and communication • Personal support • Sharing tips for success • Wellness • All of the above • None of the above

  7. Team Readiness Quiz • According to the “Shared Medical Appointments” video, shared medical appointments have the following benefit/s for patients: • Education and communication • Personal support • Sharing tips for success • Wellness • All of the above • None of the above

  8. Team Readiness Quiz • According to Schatman (2012), the incidence and prevalence of chronic pain is higher in rural areas. Which of the following is NOT a contributing factor to this phenomenon? • Rural occupations tend to be physically demanding and hard on the body over time • Older populations • Nuclear families • Limited access to health insurance and transportation issues • Stigma about seeking mental health services for chronic pain management

  9. Team Readiness Quiz • According to Schatman (2012), the incidence and prevalence of chronic pain is higher in rural areas. Which of the following is NOT a contributing factor to this phenomenon? • Rural occupations tend to be physically demanding and hard on the body over time • Older populations • Nuclear families • Limited access to health insurance and transportation issues • Stigma about seeking mental health services for chronic pain management

  10. Team Readiness Quiz • According to Jaber, Braksmajer, & Trilling (2006), group medical visits are a useful adjunct to the usual chronic care model because of all of the following except: • increased physician satisfaction and financial productivity • better quality of care and quality of life for patients • decreased health care utilization • encouraging unmotivated patients

  11. Team Readiness Quiz • According to Jaber, Braksmajer, & Trilling (2006), group medical visits are a useful adjunct to the usual chronic care model because of all of the following except: • increased physician satisfaction and financial productivity • better quality of care and quality of life for patients • decreased health care utilization • encouraging unmotivated patients

  12. Team Readiness Quiz • According to Jaber, Braksmajer, & Trilling (2006), it is ok to bill Group Medical Visits as an individual office visit, as long as the CPT codes are chosen based on the level of complexity of the individual visit, and not on the length of time spent with the patient. • True • False

  13. Team Readiness Quiz • According to Jaber, Braksmajer, & Trilling (2006), it is ok to bill Group Medical Visits as an individual office visit, as long as the CPT codes are chosen based on the level of complexity of the individual visit, and not on the length of time spent with the patient. • True • False

  14. Team Readiness Quiz • According to Wong and colleagues (2013), The most common cause for patients declining an invitation to attend a group medical visit is due to: • The hassle of coordinating with other group members during the session • Their preference to individual office visits due to greater time with the provider • Billing issues • Concerns with confidentiality

  15. Team Readiness Quiz • According to Wong and colleagues (2013), The most common cause for patients declining an invitation to attend a group medical visit is due to: • The hassle of coordinating with other group members during the session • Their preference to individual office visits due to greater time with the provider • Billing issues • Concerns with confidentiality

  16. Team Readiness Quiz • According to Wong and colleagues (2013), Which of the following best describes the concept of the relational autonomy lens: • Individuals exercise their autonomy in choosing to attend what health information others share and committing to keeping their own health information confidential. • Individuals exercise their autonomy in choosing what health information they share and committing to keeping others health information confidential. • Individuals exercise their autonomy by sharing with healthcare providers, their own health information as well as the health information of other members in the group. • Individuals exercise their autonomy by not sharing any health information about anyone.

  17. Team Readiness Quiz • According to Wong and colleagues (2013), Which of the following best describes the concept of the relational autonomy lens: • Individuals exercise their autonomy in choosing to attend what health information others share and committing to keeping their own health information confidential. • Individuals exercise their autonomy in choosing what health information they share and committing to keeping others health information confidential. • Individuals exercise their autonomy by sharing with healthcare providers, their own health information as well as the health information of other members in the group. • Individuals exercise their autonomy by not sharing any health information about anyone.

  18. Group medical visits: An innovative solution for chronic pain management in a rural context Presented by: Jaclyn Thatcher, RN, DNP/FNP-S, Washington State University & Jacob Thatcher, OMS IV, Pacific Northwest University Launch the Presentation

  19. Team Activity

  20. Team Activity • Within your team, discuss the following: • How might group visits be used to address an important health issues in your community? • What barriers to implementation of GMVs exist in your community or practice? • Why might GMVs be a good or bad idea?

  21. Discussion

  22. Social Charge • What are you personally going to do with this information?

  23. Evaluation • Please evaluate these learning materials as a group: https://forms.gle/LevpobLiJohw59wNA

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