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Post by Margie on Oct 25, 2018 12:51:26 GMT -5
Here are the attachments for the Circle UP on Continuous Enrollment groups |
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Post by kellymasters on Jun 10, 2019 9:42:01 GMT -5
Not sure where to post my question... At our center, we are not allowed to schedule more than one provider to facilitate if there are less than 5 babies in the group due to budget constraints. This translates to a considerable amount of work for that one provider, especially if a problem arises. Wondering what other centers do to help support a single facilitator situation? We have a social worker that is interested in being trained and would be a less expensive option (to be a supportive role, not conduct evaluations), but unsure this would be a viable solution and whether administration would even allow funds to be allocated for this purpose. Thank you, in advance, for your feedback.
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smerrell
CHI Staff 
Posts: 243 
My job role is: Staff
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Post by smerrell on Jun 11, 2019 8:15:30 GMT -5
Hi Kelly,
Centering is always conducted with two facilitators. Typically one is a clinical provider (billing for care), and the second facilitator is a staff person (could be a nurse, MA, or like you mention, a Social Worker). Having two facilitators (not necessarily two providers) in a group is essential, especially if like you describe an issue arises. That allows the provider to deal with medical needs and the staff facilitator to continue the discussion portion of the group. Do you have other staff you could consider for facilitators in addition to the interested social worker?
Best,
Shannon
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Post by Tanya Munroe on Jun 11, 2019 8:41:28 GMT -5
Not sure where to post my question... At our center, we are not allowed to schedule more than one provider to facilitate if there are less than 5 babies in the group due to budget constraints. This translates to a considerable amount of work for that one provider, especially if a problem arises. Wondering what other centers do to help support a single facilitator situation? We have a social worker that is interested in being trained and would be a less expensive option (to be a supportive role, not conduct evaluations), but unsure this would be a viable solution and whether administration would even allow funds to be allocated for this purpose. Thank you, in advance, for your feedback. How long are your group sessions? If they tend to be on the smaller size, you could shorten the time to make sure productivity is met (60 or 90 mins. vs. two hours). There shouldn't be an single facilitator sessions, Centering was designed (as Shannon mentioned) to be led by two co-facilitators. Thanks for asking! |
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Post by Margie on Jun 11, 2019 14:24:36 GMT -5
I have put my thoughts down and may have added little to Shannon and Tanya responses. My first question is how is the steering committee supporting Centering? Are the meeting regularly and how are they addressing this issue?
My thoughts - As it is a parenting group, the ideal size of the group is 5-6 babies and their parent(s) with one provider facilitator and one staff facilitator. may sites have a MA who helps the parents weigh and measure their babies during the assessment period. This person might return to clinic when the circle up starts. Most of the questions will be covered in the group discussion, which usually limits the assessment times. So 40 minutes of assessment time and then circle up. If needed cut the conversation time and do follow up after the group ends. This can only really work well if the charts have been prepped before group and the documentation is done after the circle up. We suggest that a full group ( 6+ babies) would replace a 4 hour clinic. This might be adapted down and allow time for the provider to see walkin's after group if less than 5 babies come to group.
The steering committee must agree that these numbers are important and create the protocols to cover volume changes.
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Post by kellymasters on Jun 12, 2019 12:22:52 GMT -5
Thank you both for your time. I would like to clarify that there is always a nurse to assist the provider with evaluations and vaccinations; however, she/he isn't always able to participate in the discussions due our nursing shortage. Adding a third person (e.g., social worker) to help with set up/discussions/take down of room would be an extra cost that is not currently budgeted. Shortening the duration of the sessions for smaller groups makes sense assuming that all the participants arrive on time (which is also a challenge). If I understand you both correctly, it is not uncommon for the second facilitator to be someone other than a provider or nurse, correct? Again, thank you for your time and expertise.
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smerrell
CHI Staff
Posts: 243
My job role is: Staff
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Post by smerrell on Jun 12, 2019 12:56:44 GMT -5
The staff facilitator can be any kind of staff person appropriate to work with your patient population. Expectations for the staff facilitator are that they are consistent, meaning they attend all the sessions for a given group, and that they are part of the each session for the whole time they are meeting. They should attend the Centering Basic Facilitation Workshop as well.
Common positions that are staff facilitators include nurses, medical assistants, social workers, nutritionists, doulas, lactation consultants. Some practices partner with community groups who have staff that fill the co-facilitator role. It really depends on your clinic structure, who is interested and able to be a facilitator, and how it impacts your workflows and budget.
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