• Biannual Meeting Information

  • Initiative Update: Advance Care Planning

  • In the Spotlight: Meet the New Staff of MOQC  

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Michigan Oncology Quality Consortium
2016 Spring Newsletter

From the Coordinating Team . . .

Please take a minute to look at the new format for MOQC’s newsletter.  We have intentionally abbreviated the content since we will be convening for our combined Biannual and Advanced Care Planning meeting on June 17th at Shanty Creek Resort, Bellaire, MI, and will be sharing information with you there.  

Since our last Biannual meeting, we have three new members whom you will meet in person in June.  We expect that our expanded team will allow us to support your practices in concrete, timely and effective ways. 

Finally, we are excited about the upcoming meeting and want to highlight two of our agenda topics:
  • Arif Kamal, MD, a member of Duke's Cancer and Clinical Research Institutes, will be presenting “Building Resilience in Oncology Practice – Addressing Burnout and Thriving at Work” and
  • Dr. Tallat Mahmood from McLaren Healthcare System, will introduce a panel discussion on “Faith and Culture” with six faiths represented
Enjoy the rest of your Spring.  We look forward to seeing you in a month and to any recommendations for information you would like to see in the future newsletters.

Jennifer J. Griggs, MD, MPH
MOQC Program Director

June Biannual Meeting

Leading Change: Advance Care Planning

Arif Kamal, MD, Duke University

Building Resilience in Oncology Practice: 
Addressing Burnout and Thriving at Work


Date: Friday, June 17, 2016

Location: Shanty Creek Resort, Bellaire, MI

Time: 9 am – 4 pm

Click Here To Register

SUBMIT: Faith and Culture Case Study
We would like to invite you to submit a specific case, general situation, or concept that you would like discussed during the panel. Please use this form to submit your request by June 1st

Advance Care Planning Initiative Meeting #1

On April 14th, the Advance Care Planning initiative kicked off at the Crowne Plaza, Lansing. It was widely attended by multiple practices across the state.  The day started with a warm welcome from MOQC's Program Director, Dr. Jennifer J. Griggs. Dr. Griggs provided background on the role oncology practices have with identifying a patient advocate and documenting an Advance Care Plan.

Denise Winiarski, JD, discussed the definition of a patient advocate, the common problems practices face when identifying a patient advocate, and how to appoint or invoke a patient advocate according to Michigan law.

The key takeaways for a Patient Advocate document are that it must:
  • Be in writing
  • Meet specific elements (see page 6 of Michigan Department of Health and Human Services), but does not require a specific form 
  • Be signed by the patient and chosen patient advocate, but does not require the signature of an attorney or a notary public
  • Be present in the medical record and accessible to the healthcare team
A Patient Advocate document is challenging to maintain because patients do not always want to document their wishes, their wishes change, or there are multiple versions of the document.

All Michigan practices need to strive to have a process for patients, when necessary, to identify an advocate, and ensure that the documentation of this role and their wishes are current and available in the medical record.

The meeting had a special lunch hour discussion from a patient panel, facilitated by Ann Fitzsimons and part of the advisory board. The patient panel shared their personal experience with Advance Care Planning and their interaction on the topic with their healthcare teams.  Hearing the response of patients' and how they perceived and reacted to the topic and their professional team was insightful and thought provoking to the audience. Clearly, there is no "one correct" way to have this conversation.

The patient panel did agree that the healthcare teams should not back away from the subject. They made these points:  

  • Take time to talk about this with your patients and do not rush the discussion
  • Use several visits to ensure a thoughtful process and do not let your patients "off the hook"
Patients are looking for and need the guidance from the healthcare team to complete this task.  
In the afternoon, MOQC addressed how to implement change in a practice, presented by Jamie Lindsay.  She focused on how a change is made, the hurdles and pitfalls of change, and how to navigate through these obstacles to a successful result.  

The second portion of the presentation was the delivery of concrete implementation strategies.  She presented how to use the Quality Improvement toolkit for Advance Care Planning.  This toolkit steps a practice through the "Plan Do Check Act" cycle of change, and guides a practice from start to finish on how to assign a patient advocate. 

     If you were unable to attend and would like the materials offered or are interested in taking part in the Advance Care Planning initiatives, please visit the initiative link or contact Mary at (734) 232-0043.
                    Spotlight on the MOQC Team

Please welcome the newest members of the MOQC team:
Louise Bedard, MSN, MBA
Program Manager
Louise is a RN with a graduate degree in nursing and business administration from the University of Michigan.  She worked for ten years as a bedside nurse, manager and director at an academic medical center, and for the last twenty years, has worked with health systems and large physician practices on clinical quality and performance improvement projects as a Director consultant with a national firm. 
Melissa Dymond, BBA
Project Manager

Melissa joins the MOQC team with a strong medical background, 12 years in the oncology setting that has focused on infusion, clinical operations and patient education. She is also LEAN certified and has participated in numerous process improvements across the oncology disease teams. 
Stacie Myers, BS
Project Manager

Stacie joins MOQC with extensive data and project management in collaborative quality initiatives. Her work has focused on increasing the value of healthcare delivery through improved patient outcomes, implementation of provider-led quality care processes, and increased cost efficiency.
Connect with us

Our address is:
North Campus Research Complex
2800 Plymouth Road
Bldg 14, G210-33, SPC 2800
Ann Arbor, Michigan 48109
Phone: 734-232-0043

Copyright © 2016, University of Michigan. All rights reserved.

Although Blue Cross Blue Shield of Michigan and MOQC work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.
Support for MOQC is provided by Blue Cross and Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program.

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Michigan Oncology Quality Consortium · 2800 Plymouth Rd · Bldg 14, G210-33, SPC 2800 · Ann Arbor, MI 48109 · USA

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