Previous Projects
Chronic Disease Management
Compliance with State and CDC Opioid Prescribing Guidelines
Revision of prescribing standard
Revision of visit standard including pre-visit work, documentation, problem list management, visit summary
Development of patient-facing documents (medication agreement, notice to patients)
Opioid Standard Compliance Audit development and analysis
Revisions of Medication-Assisted Treatment Protocol for Opioid Use Disorder Treatment using suboxone
Lead for Opioid Prescription Case Review Committee
Crafted a separate standard for benzodiazepine/z-drug prescribing
Chronic Medication Management
Transformational research project on determining patient-oriented outcomes for those taking multiple chronic medications
Performed a needs assessment of patients taking at least 5 medications daily for chronic diseases using survey, interview and group discussion
Developed a patient journey map describing the care path for patients with polypharmacy and associated patient-oriented outcomes
COVID-19 Telehealth Visit Protocol
RN-based triage system for those qualifying for antivirals
Standardized documentation
Piloted virtual health platform and workflow development
Overhaul of outpatient policy and RN-led visit standard
EMR workflow optimization
Development of adverse event tracking system and case review
Anticoagulation Program
Supported implementation of the University of Washington-based Collaborative Care model for mental health treatment with a behavioral health specialist, psychiatric specialist, and primary care
Integrated Behavioral Health Model
Preventive Care
Collaborated effort with pediatrics department to create standard of well child care within organization
Standardized visit content, documentation, offered screenings
Well Child Checks
Developed pre-visit worksheet, explanatory letter of visit to patient
Designed RN-led visit, devised training, and implemented new visit workflow
Medicare Wellness Visits
Practice Management
Case Study: Consolidating Primary Care Clinic Sites
A rural, hospital-owned primary care practice with a large Medicare population delivered care at three locations. Disparate distribution of resources led to accessibility, coverage, and reimbursement issues.
Consolidating two of the clinic sites facilitated sharing of staff and resources, a more unified culture, as well as recouped lost income from the CMS site-neutral policy.
Read the entire case study here.
Primary Care Panel Management
Analyzed and provided ongoing optimization of panel sizes based on multiple practice variables
Developed department-level practice panel management
Managed internal PCP transfer requests to avoid over/under empanelment
EMR Inbasket Project
Standardized routing to team-members integrated with EMR workflows
Created training module for RNs on triage of patient portal messages
Standardized refill request documentation
Mapped flow and documentation of physical paperwork
Increased established patient access by 20% through template change, reducing wait times for chronic disease management while improving continuity
Created reliable and consistent access for new patients to the practice
Expedited access for new patients with an urgent medical condition
Template Standardization
Advanced Practice Clinician (APC) Integration
Revised practice model for APCs, including clarification of roles and supervision
Supervised early-career APCs in medical knowledge and practice management through regular oversight and implementation of a practice development checklist
Developed standardized chart review tool and performed regular cadence of chart reviews
Team Documentation (MAs as scribes)
Created knowledge-based and experiential training module with EMR involving clinicians and MAs learning together for team documentation
Scheduled staff to balance continuity between scribe and clinicians and staffing needs
Locums Management
Hired locums tenens and defined roles
Created orientation tools
Onboarded/offboarded inbasket work
Managed patient expectations
Clinician Evaluations
Created rubric for objective job performance evaluation to reduce bias
Created individualized job performance improvement plans based on evaluations