OHSU – Presentation Slides

Seattle – Presentation Slides

  • 2000 pts seen quarterly
  • Multiple campuses. Diabetes care takes place in outreach clinics, primarily.
  • Started screening PAID-T, 14 item, validated in youth.
  • Changed EMR. Previous used screeners where pdfs could be uploaded.
  • Started in Feb. 2017. Linked to roll out of PHQ-9 at main campus
  • Pilot March 2018
  • EMR change 9/2020
  • Started at just 2%. Rose to 80% screening. 22% endorsed elevated distress
  • Built screeners in Epic.
  • MAs manually send messages about telemed visits
  • Positive screeners appear in red. Did not make into a BPA. Provider discussion.
  • Can look at item level data for discussions.
  • MyChart messages
  • Aim to roll out everywhere
  • Updated templates to auto assign
  • Data from flowsheet, increased in March 2024- to close to 50%.
  • Challenges: MA turnover. Trying to train to reinforce completing screeners before visit.
  • Q: retraining is important. Have flowsheet and mandate use to sign off on the encounter. Now less likely to miss.