Dayton, Ohio | Discussion Forum

3/30/2018

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13 Comments

Bevin K. Shagoury, Communications Director, NaRCAD link

3/30/2018 01:10:11 pm

Hi, @Ohio trainees and supporters! We can't wait to kick off the 2-day training with you next week, and we hope you're just as excited as we are to help improve care in Dayton. Please use this space as a place to stay connected, ask questions, and get the support you need as you prepare to take your academic detailing adventure from theory and practice to actual 1:1 visits. More to come!

Julie Goode link

4/5/2018 02:03:51 pm

Thanks for coming to Dayton and sharing your wealth of knowledge and skills with us to hopeful help move the needle on the opioid epidemic. I can't wait for our team to get together and discuss on game plan for implementing the skills we have learned.

Bevin K. Shagoury, Communications Director, NaRCAD link

4/9/2018 12:06:58 pm

Thank you, Julie--we really loved working with all of you and appreciated your eagle eye for detail and your feedback on our materials. Please let us know how we can help as you get closer to some more targeted role-play/practice with clinicians within the Dayton system!

Mike Fischer, MD, MS link

4/9/2018 12:08:02 pm

Excited to have spent last week with all of you to get this intervention ready to help Ohioans. As always, let me and Bevin know how we can get you what you need.

Michael Dohn link

4/20/2018 01:45:55 pm

Hi ~

Please send me your suggestions for providers to visit. I will be gathering a set of materials that you may want to consider for the detailing visits, I will send you all a doodle poll to find a time that we might gather or arrange a call to decide about the materials and contacting providers.

Have a good weekend.
~ Mickey

Bevin K. Shagoury link

4/25/2018 09:52:23 am

Thanks, Mickey! Looking forward to chatting at some point with the whole team about materials, and I sent along a starter kit for printing. Let me know how the May 4th kick-off materials meeting goes and how I can help from there on out.

Michael Dohn link

5/22/2018 01:26:21 pm

Sending out the list of providers today (finally).

As this is a Pilot Project, gathering information on how receptive the providers are to your contacts will be interesting to see. Keeping a record for each physician that you contact and noting what happened on the Tracking Form should give us a good picture of the response that you get.

MIchael Dohn link

5/22/2018 01:28:36 pm

Logan, you've already done one (or two?) AD visits.
Anything that you can share that might help the others?

Bevin K. Shagoury, Communications Director NaRCAD

5/30/2018 09:01:32 am

Hi everyone,

Great ideas and questions being sent via e-mail thread from last Friday, and I want to include it here in case anyone's checking the discussion board as well. Here are my suggestions for some challenges that Laura brought up:

CHALLENGE: Clinics are much too busy is the biggest reason./The “Gatekeeper”
IDEAS: Any way to say that even 5 minutes would make a difference? Offer to come at a staff meeting? Before/after clinic starts up/winds down? That it's an initiative approved by the public health department? It's tough to know where the line is in respecting that they're busy and pushing back without being too busy--are others finding ways to do this artfully? What are the biggest personality types/challenges coming from Gatekeepers, and what have been some successes/dead ends?

CHALLENGE: No incentives for practices (they like full tummies even if it’s only 10 mins of their time or something tangible to hold in their hand) 😉

IDEAS: We hear this all the time, and unfortunately it's hard to work around! Not sure what funding covers, but is there the possibility to bring coffee or pastries? Mickey, what do you think? (I bet that Yevetta probably brings all kinds of snacks with her everywhere! 😊)

CHALLENGE: Not a clear understanding of the “teaching” we want to provide

IDEAS: This is always challenging and where a succinct intro with the right framing can really do the trick. What happens if you say that you're less there to "teach" and more that you're providing a service to help things run more smoothly within the practice? (e.g. phrases like "streamlining efficiency", "providing new tools from the CDC to help primary care doctors work 'smarter' not 'harder' ", that sort of thing). Anyone else have ideas that help explain who you are/why you're there succinctly and in a way that helps you gain clearance to access the clinician(s)?

Question for the group: Is anyone getting in via a staff meeting?

Looking forward to your responses, and happy to lead a group technical assistance call!
B

Michael Dohn

5/23/2018 09:09:00 am

Hi ~
Just a quick note this morning. I will need to collate all the Tracking Forms. You can get copies to me as you go along - either hard copies or text me photos at my PHDMC cell phone: 937-716-6493

Bevin (Yevetta)

5/31/2018 11:32:34 am

Hi all, I'm sharing a great comment from Yevetta via e-mail:

Hello everyone,

That is correct Ms. Bevin😊 there is power in food!

Also,

One aspect I picked up on is the apprehension; apprehension that we may have been sent as a pair of eyes.

The physicians definitely “feel” the pressure not to prescribe, what they don’t feel is empowered to improve their current practices. Although our physician did share that many don’t have a mind to change much either. Just stay below the radar long enough….wait it out ….and this too shall pass. This was not our physician today, but she understands the level of challenge and apprehension just “talking” brings about. Yet the physicians want help. They want guidance, they want answers and tools.

Yevetta

Bevin (Julie)

5/31/2018 11:35:46 am

Great ideas/thoughts from Julie via e-mail, sharing here:

"Good afternoon detailers-

I have attached a referral list from ADAMHS for Alcohol/Drug Treatment and Mental Health Services. I picked up several pads of tear sheets at ADAMHS today or you can make copies of the attached. I think the providers might like this.

Also when making calls today I got some pushback with a couple office managers saying we already get this information from CMS or internally as an excuse not to schedule. I continued to push for an appointment saying our partners from Premier and KHN participating on the COAT felt this information complimented/further supported that information (which is true as relayed by Yevetta). They at least took my name and number and said they would get back to me. If I don’t hear from them, I will call them back next week."

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opioid pilot site PROJECT

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