Post by Tanya Munroe on Feb 7, 2019 9:27:14 GMT -5
This interesting idea came in via email from jessgarrett at SSM Health St. Mary’s Hospital – St. Louis | Maternal & Fetal Care Center in Missouri:
Q: "What I am doing now is, using CC online, I’m creating a new group for each person. This is because everyone’s start and finish (and in-between dates) are different. Please let me know what you think of this. It’s time consuming, but the best way I’ve found to track our enrollment, attendance and outcomes."
Reply: "Unfortunately CenteringCounts was built with only traditional cohort groups in mind but Jess I love your work-around! We had not thought of that as an option. If it's working for you even though it's a lot of data entry that is fantastic. You'll still have accurate health outcomes for your moms. Another way might be to decide a start and finish for each rolling group (could be one year at a time) and some groups would have the same few women in each. Not perfect either, but an idea."
I am running into a similar problem/thought for Centering Counts -
I have heard this idea of rolling admission groups for low census clinics. We aren't a low census clinic, but we are having a hard time enrolling english speakers into our groups. We have had to cancel several English groups. The majority of our clinic (80%) is spanish speaking. We have great Spanish groups, average 10-13 in a group. But our English groups have been 3-4. This isn't an efficient use of our provider's time... I think we have low census because of 1) our population - we just have more Spanish speakers in general and 2) work schedules for English speakers. Our idea for this is offering a rolling admission English Speaking group during our late hours (we only offer 1 evening of late hours). This will be a better use of our provider's time in the morning. We will schedule centering groups once a month and fill in the 2 week visits with individual visits between centering groups. We will set 8 sessions that we will continually offer on a rolling basis. This will give all of our patients time to cover all of the sessions and still maintain a sense of continuity with patients, even though some may only overlap for a few months. (We will keep our Spanish groups the same - grouping them by GA)
I understand that Centering Counts was built for the traditional model, but if rolling admission makes group care accessible to my English cohort, could there be an option where instead the attendance being recorded by date, they are recorded by session number? And we can check off when that patient attends that *session* We can continue to add patients to that group, track their attendance to the 8-9 set sessions? So instead of dates along the top of the sessions, it's just session 1-10, and no dates are associated with them, all fields automatically are open to track attendance. Thoughts? Possibilities?
Last Edit: Apr 24, 2019 11:33:15 GMT -5 by Rachel L
Post by Tanya Munroe on Apr 24, 2019 15:40:32 GMT -5
Yes - your plan makes so much sense in terms of time of group and how to make it accessible to your English-speaking women. The idea about session # as an alternative to session is also really interesting, thank you! I am going to add that to the wish-list thread we have going for phase 2 build out. Unfortunately it will be quite some time before we add functionality since we are still improving the current system but we are collecting and value your feedback!
Post by Tanya Munroe on Jul 9, 2019 10:37:17 GMT -5
Does anyone have any ideas for how we might do this for CenteringParenting? It is totally different as there is not a defined event like birth and the visits can go on for two years or more. Perhaps by calendar year, and you simply capture what happened for patients in each group per year, or every two years? Then you would have some patients in two separate groups but at least you'd have their outcomes from each session.
Post by rachelcastillo on Jan 9, 2020 16:27:42 GMT -5
Hi! We are just starting to use Centering Counts for our CenteringParenting groups which we are conducting on a rolling admission basis so don't necessarily have clear cohorts/groups. I see that one way to use Centering Counts for this situation is to enter each individual child as their own group. Have others found other workarounds? I wasn't sure if it might work to have each group date as a separate session and if the identifying information would make tracking the specific child over time still possible. I appreciate any recommendations/insights!