michelle
NY - New York State Centering Exchange
Posts: 2
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Post by michelle on Nov 30, 2015 22:33:00 GMT -5
Hello there...trying to start up our first centering group. Would love some feedback about how many sessions most groups end up having, and if they plan for going past 40-41 weeks? Thanks!
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Post by Molly Ryan on Dec 2, 2015 13:38:33 GMT -5
Hi Michelle!
Hopefully more people chime in, but I'd say that practices end up doing 10 or 11 sessions. If women deliver earlier, they can be encouraged to come back to group so your attendance doesn't dwindle in the 9th and 10th sessions. Usually the 11th session is the reunion group and everyone's babies have arrived by then.
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michelle
NY - New York State Centering Exchange
Posts: 2
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Post by michelle on Dec 3, 2015 8:57:58 GMT -5
Thanks so much!
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christinehost
In-House Trainers
Coordinator
Posts: 10
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: ... it has changed the way I interact with patients and I find it much for challenging, rewarding and effective.
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Post by christinehost on Dec 4, 2015 16:49:53 GMT -5
Aloha from Hawaii! We have 10 prenatal sessions (ending early in the calendar month due) and one postpartum reunion session. All sessions are pretty busy, too! We end up mostly following the guide, but have changed our plans for Labor & Delivery discussion to sessions #5, #6 AND #7 due to patient comments about wanting more discussions about childbirth. Since session #10 is now closer to 36 weeks, we don't lose as many towards session #10. Good luck! I hope you will find it as rewarding and effective as we have! Christine Host, Centering Pregnancy Coordinator Tripler Army Medical Center Hawaii
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Cynthia CE Wade
Active Member
Posts: 69
I work at a: Professional Organization
My job role is: Healthcare Provider
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Post by Cynthia CE Wade on Dec 10, 2015 9:47:51 GMT -5
We also have 11 Sessions. Ten are prenatal visits and the Reunion PP visit. Our groups also end the week before the due date month or the first week of the due date month. So this keep attendance up through the 10th session. Then the women go back to regular prenatal care until they deliver. This is at Harris Health System, Casa de Amigos Community Center, Houston, TX.
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Post by Andrea CCFT on Feb 27, 2016 15:25:55 GMT -5
Hi Michelle! Hopefully more people chime in, but I'd say that practices end up doing 10 or 11 sessions. If women deliver earlier, they can be encouraged to come back to group so your attendance doesn't dwindle in the 9th and 10th sessions. Usually the 11th session is the reunion group and everyone's babies have arrived by then. Do you bill for the eleventh session and how? How about the girls who have delivered and are still coming to sessions 9 and 10 can you bill for them?
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Post by Molly Ryan on Feb 29, 2016 12:45:25 GMT -5
Hi Andrea,
Yes, practices usually are able to bill the 11th session as a postpartum visit for many patients. You could also bill for family planning or breastfeeding.
If you don't already, we definitely recommend including billing/coding folks on your Steering Committee to help with these specifics as well.
Molly
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Post by Margie on Mar 15, 2016 8:04:14 GMT -5
I have seen sites adapt the number of sessions in a variety of ways that worked for them. 1. Adding additional groups so that the group met every week in the last month or so. This is usually to accommodate the moms without putting them back into the general clinic (Clinic too busy - not enough available open appointment slots). It means adding content to their planning, but the groups are usually bonded and happy to meet together. 2. Doing fewer groups - for example a site that only gets referrals after 26 -28 weeks. These moms are assigned to groups together and they only have six or seven sessions. This is more difficult, as the material covered in each group has to be carefully planned - something is not covered, or not as well, and it takes some prework. 3. When I was doing groups, we could not get enough moms to start a group early, so we only did 9 sessions and a reunion. We dropped the content from session 9 or 10, but did the early groups as outlined in the facilitators guide.
The reunion group can usually be billed as a PP visit, But other options to consider are: Contraceptive counseling, depression screening or breastfeeding consult. These depend on what you discuss.
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kathleencnm
New Member
The Centering Pregnancy Model The Power of Group Health Care Excellent content, a joy to read
Posts: 6
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Post by kathleencnm on Mar 28, 2016 20:12:02 GMT -5
We provide Centering to women with Pre-gestational diabetes.
We try to start Centering around 16 – 20 weeks, with about 6 moms in each group. We are a referral center so often don’t get the referral until second trimester. We have changed the schedule to promote continuity and see moms every 2 weeks in Centering. We eliminated the every 4 weeks because it caused confusion with moms being seen in the clinic one visit and in Centering the next. Most of these moms with diabetes need visits every 2-weeks .
Some of our groups have had 11 prenatal sessions and some as few as 7, depending on what the gestational age is and if they are hospitalized with complications (often PEC or other PPROM). We will keep the group together as long as there is a group. Even with moms hospitalized, we have offered them the option to Face-time or Skype in for the session. It helps to keep the group together.
Kathleen Dermady DNP CNM
Regional Perinatal Center
Syracuse, NY
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ljurkiewicz
New Member
Posts: 14
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by ljurkiewicz on Apr 2, 2016 0:29:36 GMT -5
I normally have 10. Often some will deliver before the end of the 10 sessions. I invite the delivered women back with their babies and do postpartum visits in group. It is really lovely. The energy is amazing when they start and see their friends come back with their babies. Then we have live models for breastfeeding. They tell their birth stories, which are fresh in their minds. Because I am committed to the pp visits in group, I usually have 10. A few times over the past 14 years, I have had 11, but it is not common. I hope that is helpful.
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