Using self-monitored blood pressures in your practice
Sep
25
12:00 PM12:00

Using self-monitored blood pressures in your practice

Self-monitored blood pressures are now an official recommendation from ACC/AHA and others for the routine care of our hypertensive patients. How comfortable are you incorporating them into your practice? We'll discuss the rationale for using them, the best places to get accurate numbers, and ways to "close the loop" with patients in terms of med adjustments and lifestyle changes. 

This is a webinar: https://khconline.adobeconnect.com/selfmonitor/event/event_info.html

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Stories from the Field: Innovative Approaches to Reduce Blood Pressure
Sep
12
1:30 PM13:30

Stories from the Field: Innovative Approaches to Reduce Blood Pressure

  • Rolling Hills Zoo and Conference Center (map)
  • Google Calendar ICS

This is part of the Kansas Practice Transformation Network's Compass PTN learning event Creating a Culture of Engagement and Transformation. I'll be facilitating a round table with clinics who have attempted to initiate team-based care of hypertension as part of the Blood Pressure Reduction Challenge: McPherson Medical & Surgical Associates (a nurse led care protocol), Family Health Center in Lakin (a collaborative practice agreement), and FreeState Healthcare (self-measured blood pressure readings automatically uploaded to the EHR with physician notification).

 

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Diabetes Care as a Team Sport
May
16
12:00 PM12:00

Diabetes Care as a Team Sport

The discovery and purification of insulin in 1921 transformed diabetes mellitus from an almost universally fatal illness into a chronic disease. Seventy years later, tightening standards of control of blood sugars, blood pressures, and cholesterol levels dramatically extended and improved the lives of people with diabetes. Now diabetes care is in the midst of its third great paradigm shift, toward primary prevention of diabetes and team- and community-based strategies for control. This webinar will discuss strategies from the community into the clinic for preventing high-risk patients from developing diabetes and for improving the care of patients already diagnosed with diabetes. 

We're going to work by webinar to:

  • Understand that the diagnostic paradigm of diabetes has shifted from clinical to laboratory-based
  • Understand that the treatment paradigm of diabetes has shifted from treatment of complications to prevention of disease
  • Identify resources in the clinic that may simplify diabetes care
  • Identify resources in the community that may improve diabetes care
  • Propose team-based workflows for implementing and sustaining the prevention and care of diabetes

CME will be provided by the Medical Society of Sedgwick County

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2018 Healthy Congregations Retreat
Apr
27
10:30 AM10:30

2018 Healthy Congregations Retreat

Two sessions at the Healthy Congregations Retreat: first, I'll be giving a keynote at 10:30 am: Connected, but not Connected: Social Isolation and Health Outcomes.  I'll discuss the health implications of loneliness and how electronic communication does not necessarily fix them. Then I'll talk further about potential interventions, both clinical and social, for our patients or congregants who may be socially isolated.

Then, in the afternoon, I'll be giving a workshop on diabetes care for the layperson: More than Pills and Scalpels: Care of the Diabetic Person Outside Clinic Walls. Over 80 percent of health outcomes are determined by social determinants of health, like wealth, access to quality food, and our zip code. I'll workshop interventions for diabetic patients that can happen in the 99% of their lives that aren't spent in doctors' offices.

I'm really looking forward to this one. 

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Applying Hypertension Guidelines in the Real World
Apr
20
12:00 PM12:00

Applying Hypertension Guidelines in the Real World

Care of hypertension has the greatest potential for lives saved of any intervention in medicine, yet only about half of Americans with hypertension have well-controlled blood pressures. This webinar will work through the 2017 ACC/AHA guideline toward evidence-based strategies to improve detection of elevated blood pressures, speed initiation of treatment, and propose team-based strategies for the long-term management of hypertension.

We're going to work by webinar to:

  • Define hypertension by the 2017 ACC/AHA guideline
  • Identify treatment cut-points for lifestyle modification and drug initiation
  • Identify patient barriers to medication adherence
  • Identify community resources for improved hypertension care
  • Propose team-based strategies for implementing and sustaining quality hypertension care

CME will be provided by the Medical Society of Sedgwick County

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Kansas Governor's Public Health Conference: The Latest in Diabetes, from Drugs to Delivery
Apr
4
12:30 PM12:30

Kansas Governor's Public Health Conference: The Latest in Diabetes, from Drugs to Delivery

Drug therapy options for the treatment of diabetes continue to increase. But some of the most exciting developments in diabetes care are related not to drugs, but to the built environment and the clinic visit itself. I'll discuss the American Diabetes Association's revised Standards of Care that newly emphasize choices of drugs to specifically promote heart health. From there, I'll move to a discussion of changes to the structure of the clinic visit itself, incorporating strategies such as team-based care and remote monitoring. Finally, I'll discuss the evidence to support strategies in urban planning to prevent diabetes.

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Pathways to a Healthier County
Oct
24
5:30 PM17:30

Pathways to a Healthier County

More than Pills and Scalpels: the Future of Healthcare in Kansas

We'll be talking about the intersection of public health and clinical practice in three broad areas: 1) the effect of the built environment on health, 2) the utilization of artificial intelligence and physician extenders in healthcare, and 3) the effect of isolation or "neighboring" on health.

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 Kansas Practice Transformation Network Annual Learning Event
Oct
18
8:00 AM08:00

Kansas Practice Transformation Network Annual Learning Event

  • Rolling Hills Zoo Conference Center (map)
  • Google Calendar ICS

"Redesigning Clinical Work-Flows to Support Hypertension and Diabetes Management"

I'll try to: 

  • Describe the benefits of team-based care
  • Describe an approach to completing work-flow analyses: stakeholder analyses, Ishikawa diagrams, chart reviews, literature reviews, and financial projections
  • Describe community partners that might be included in care outside the clinic’s walls.
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Medical Society of Sedgwick County Membership Meeting
Apr
4
6:00 PM18:00

Medical Society of Sedgwick County Membership Meeting

We're all diabetes doctors, whether we want to be or not. The prevalence of type 2 diabetes has roughly doubled since 1994, with 29 million Americans now carrying the diagnosis and another 86 million at risk. Over that same time period, type 2 diabetes has become the primary driver of health care expenditures, accounting indirectly for over $250 billion and directly for over $100 billion in healthcare expenditures in 2015 alone. It remains the leading cause of blindness, foot amputations, and dialysis. But there's hope. Starting in 2018, CMS will begin paying for patients with pre-diabetes to go through the Diabetes Prevention Program, a behavior change program proven to reduce the risk of diabetes by 60%. We're now empowered to stop diabetes before it starts. Learning how to prevent diabetes at the individual patient level and not just treat its complications: it's Diabetes Done Differently. 

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