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18 results on '"Vedovi J"'

1. Gerontology and Geriatrics Education

Author

Clarke, C, primary, McBride, J, additional, Williams, J, additional, Vedovi, J, additional, Brady, K, additional, Cannady, N, additional, Roberts, E, additional, and Pino, J, additional

Published
2018
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2. Gerontology and Geriatrics Education

Author

Vedovi J, Williams J, Ellen Roberts, Brady K, Cannady N, Clarke C, McBride J, and Pino J

Subjects
Gerontology, Geriatrics, Abstracts, medicine.medical_specialty, Health (social science), medicine, Life-span and Life-course Studies, Psychology, Health Professions (miscellaneous)
Abstract

Background Advanced Care Planning (ACP) is an ongoing process to ensure patient wishes for end-of-life care are respected. Medicare now reimburses primary care practices for ACP. Methods The UNC School of Medicine’s Division of Geriatric Medicine’s Geriatric Workforce Enhancement Program partnered with the South East Area Health Education’s Practice Support teams (SEAHEC) to increase ACP activities. ACP activities were measured in three ways:the number of conversations providers have with patients, the frequency of billing for ACP, and the completion of ACP documents. SEAHEC assessed electronic health records’ (EHR) capabilities, reviewed practice workflows, and designed and delivered educational materials. Materials included guides for practice managers and clinicians, monthly newsletters and video training. Seventeen practices with 37 providers participated. Data is reported on 14 practices. Results Following the intervention: Seven practices increased the number of ACP conversations from an average of 25% of patients to 55%. (Range 1% to 45% pre-intervention and 4% to 98% post intervention) Four practices increased the percentage of patients who have completed written Advanced Directives that are then scanned into the EHRs from an average of 8% to 12%. (Range 0% to 13% pre-intervention and 6% to 19% post intervention) Three practices improved their billing rate from an average of 1% of patients to 8%. (Range 0% to 13% pre-intervention and 4% to 98% post intervention) Conclusion Continuing education and quality improvement coaching supported by available reimbursement through Medicare can engage providers in improving rates of ACP conversations, billing and completion.

Published
2018
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6. Neutronics/Thermal-hydraulics Coupling in LWR Technology – CRISSUE-S WP1: Data Requirements and Databases Needed for Transient Simulations and Qualification

Author

D'Auria, FRANCESCO SAVERIO, BOUSBIA SALAH, A., Galassi, G. M., Vedovi, J., Reventos, F., Cuadra, A., Gago, J. L., Sjoberg, A., Yitbarek, M., Sandervag, O., Garis, N., Anhert, C., Aragones, J. M., Verd, G., Mir, R., Hadek, J., Macek, J., Ivanov, K., Rizwan, Uddin, Sartori, E., Rindelhardt, U., Rohde, U., Frid, V., and Panayotov, D.

Published
2004

9. CRISSUE-S: Neutronics Thermal-hydraulics coupling in LWR Technology – Synthesis Report

Author

D’Auria, F., Bousbia Salah, A., Galassi, G. M., Vedovi, J., Reventos, F., Cuadra, A., Gago, J. L., Sjoberg, A., Yitbarek, M., Sandervag, O., Garis, N., Anhert, C., Aragones, J. M., Verdù, G., Mirò, R., Hadek, J., Macek, J., Ivanov, K., Rizwan-Uddin, Sartori, E., Rindelhardt, U., Rohde, U., Frid, V., and Panayotov, D.

Subjects
Coupling neutron physics and thermal-hydraulics, international cooperation, EC-EURATOM, FP6, Coupling neutron physics and thermal-hydraulics, international cooperation, leadership of consortium, leadership of consortium, FP6, EC-EURATOM
Published
2004

18. Educational Interventions to Improve Advance Care Planning Discussions, Documentation and Billing.

Author

Henage CB, McBride JM, Pino J, Williams J, Vedovi J, Cannady N, Buno LR, Chatman T, Busby-Whitehead J, and Roberts E

Subjects
Documentation, Electronic Health Records, Humans, North Carolina, Quality Improvement, Advance Care Planning
Abstract

Background/objectives: To determine the impact of educational interventions, clinic workflow redesign, and quality improvement coaching on the frequency of advance care planning (ACP) activities for patients over the age of 65., Design: Nonrandomized before-and-after study., Setting: 13 ambulatory care clinics with 81 primary care providers in eastern and central North Carolina., Participants: Patients across 13 primary care clinics staffed by 66 physicians, 8 physician assistants and 7 family nurse practitioners., Interventions: Interprofessional, interactive ACP training for the entire interprofessional team and quality improvement project management with an emphasis on workflow redesign., Measurements: From July 2017 through June 2018-number of ACP discussions, number of written ACP documents incorporated into the electronic medical record (EMR), number of ACP encounters billed., Results: Following the interventions, healthcare providers were more than twice as likely to conduct ACP discussions with their patients. Patients were 1.4 times more likely to have an ACP document included in their electronic medical record. Providers were significantly ( p < 0.05) more likely to bill for an ACP encounter in only one clinic., Conclusions: Implementing ACP education for all clinic staff, planning for workflow changes to involve the entire interprofessional team and supporting ACP activities with quality improvement coaching leads to statistically significant improvements in the frequency of ACP discussions, the number of ACP documents included in the electronic medical record and number of ACP encounters billed.

Published
2021
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