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Post by ColleenSenterfitt on Jul 20, 2015 10:27:09 GMT -5
Intake groups are an efficient and effective way to increase Centering enrollment. The attached document is a guide to help practice sites with this. If you are doing intake groups - What feedback do you get from new OBs about getting their initial intake this way? Are you seeing a difference in Centering enrollment? Share your experience with intake groups or ask questions that other sites can respond to. Attachments:IntakeGroupGuideline.pdf (846.25 KB)
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michellegoldaabc
TX - Texas Centering Consortium
Posts: 10 
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: I love seeing villages come together. I love seeing new parents uplift each other and continue to do so beyond the immediate postpartum time.
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Post by michellegoldaabc on Jul 29, 2015 13:40:21 GMT -5
I would love to hear more about these intake groups and how practices incorporate them for their patients.
Is the group done instead of a first prenatal visit or in conjunction with a first prenatal visit? I think doing something like this would be great for our birth center; however, I don't think I could sell it if the groups are in place of first prenatal visit. I'm imagining it's more like an introduction to the practice sort of orientation.
Can anyone who has done this chip in with their experience?
Thanks!
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Post by ColleenSenterfitt on Aug 3, 2015 15:43:31 GMT -5
Intake groups are usually done before the first prenatal visit, but can include information that would be part of that first visit that works well in a group setting - introduction to the practice, calling after hours, general information about testing, and discussion about early pregnancy topics. Then when women come for their first visit, you can reinforce their getting the rest of their prenatal care in a group with other women due near the same time.
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michellegoldaabc
TX - Texas Centering Consortium
Posts: 10
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: I love seeing villages come together. I love seeing new parents uplift each other and continue to do so beyond the immediate postpartum time.
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Post by michellegoldaabc on Aug 5, 2015 11:01:42 GMT -5
So I just pitched the idea of the intake group at our latest Centering Steering Committee meeting and they loved it! Especially when some of the midwives heard that we can go over the folder we give patients at their first prenatal visit -- which includes information like you stated: answering service number, prenatal testing, etc...This would give parents more time to ask questions instead of receiving an overload of information.
We just need to work out logistics and I will let you all know how it goes if we can get the groups approved! Thanks!
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Deleted
Deleted Member
Posts: 0
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Post by Deleted on Oct 23, 2015 20:34:28 GMT -5
I just heard about Intake groups yesterday for the first time and am looking forward to trying this technique. I like the idea of stations for women and their partners to move through that will allow for private discussion in relation to history and genetics.
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samrnccce
MI - Michigan Centering Consortium
Posts: 13
I work at a: Healthcare Facility
My job role is: Healthcare Provider
I am interested in Centering because: I am the Perinatal Education Coordinator and think this is a great concept. We are looking forward to this program at our facility.
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Post by samrnccce on Oct 23, 2015 20:42:17 GMT -5
How do you handle the personal questions that are asked at the early intake visit? do you take them aside one by one?
Trying to think through how this would work.
thanks!
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Post by ColleenSenterfitt on Oct 25, 2015 11:09:06 GMT -5
If you have stations that women take turns at, that could be a time for personal discussion or you could leave a little time after the intake group to do that. Also the private exam time with the care provider allows for this; some practices try to schedule this on the same day.
I would love to hear from practices who are doing intake groups about their experience with this.
There will be a break out session on patient enrollment at our upcoming North Eastern Centering Symposium (Nov 12th) that will include a discussion about intake groups. I'm hoping some folks who are currently using this technique will be there to share ideas as well.
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Post by westlundb on Apr 12, 2016 11:40:45 GMT -5
Does anyone have a modified risk assessment/health history form that they are using for intake groups? In order to get through this portion of the group in a timely manner, it seems like we would need to use a shorter form than what is in our electronic health record.
thanks
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monisa
NC - North Carolina Centering Consortium
Posts: 2
I work at a: Educational Institution
My job role is: Student
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Post by monisa on Jun 1, 2016 8:54:09 GMT -5
Intake groups are an efficient and effective way to increase Centering enrollment. The attached document is a guide to help practice sites with this. If you are doing intake groups - What feedback do you get from new OBs about getting their initial intake this way? Are you seeing a difference in Centering enrollment? Share your experience with intake groups or ask questions that other sites can respond to. I am part of the Centering Pregnancy Program in the Department of Health, Durham, NC. We have been discussing about the need for improving OB intake process at this particular clinic. I am curious to know what procedures are followed elsewhere in the health department setting for OB intake. |
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annedenucci
New Member
Posts: 14
I work at a: Healthcare Facility
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Post by annedenucci on Jun 8, 2016 12:52:15 GMT -5
We began a discussion of group OB intakes at my site, but there was MAJOR push back from RNs. RNs were very concerned about pt confidentiality. Our OB intakes are resource heavy - they are scheduled for 90 minutes and the no-show rate is very high. We will be addressing the idea of group intakes again; this time with a "modified" 1:1 OB intake with an RN to discuss history in conjunction with initial OB CPE. More to come...
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ppratt
MI - Michigan Centering Consortium
Posts: 39
I work at a: Healthcare Facility
My job role is: Staff
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Post by ppratt on Jun 9, 2016 12:32:26 GMT -5
If anyone is doing the group intake, what have you found as the best way to collect "private" information from the patients? Is it to have stations set up so each individual person can stop by and go over the history, do it at the initial provider visit (which may not go over well as it is adding time on the their apt), or have the patient fill out a form and receive a call within a couple days post group intake to go over personal information?
We are looking into implementing the group intake model after it was suggested to us, but there are concerns that the patients will not open up as much as they would in a 1:1 visit with the RN. Our intakes are already anywhere from 1-2 hrs. Averaging 1 1/2 hours. We also do the initial blood draws and sign eligible patients up for MIHP (Maternal Infant Health Program) if they would like that service.
Has anyone found out from patients which they prefer? What are they saying?
Any help/information would be greatly appreciated! |
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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 Jun 13, 2016 16:38:03 GMT -5
What I have heard people do most is to set up stations, just like you said. Then people rotate through the stations. It becomes a bit of a puzzle and you need support. I think the key to being successful at group intakes is to make them feel like a group, which means facilitation and del assessment. Good luck!
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ppratt
MI - Michigan Centering Consortium
Posts: 39
I work at a: Healthcare Facility
My job role is: Staff
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Post by ppratt on Jun 15, 2016 9:49:14 GMT -5
How long do your intake groups last? Do you find it difficult to get the personal/social history of each patient or do they fill out a history form and it is gone over at that station?
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Courtney
MI - Michigan Centering Consortium
Posts: 6
I work at a: Healthcare Facility
My job role is: Healthcare Provider
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Post by Courtney on Oct 29, 2016 23:22:30 GMT -5
We started doing Centering Intake Groups at our site this summer. We are doing 1-2/month now. We schedule 6 patients for each group. 3 patients arrive 1 hour before the Intake Group and rotate through 3 stations: RN (for vitals, pregnancy test (if needed), history, blood draw); registered dietitian; and social worker. Then they attend the Intake Group and leave after. The other 3 patients come 15 minutes before the Intake Group for vitals and a pregnancy test (if none previously documented). They go to the Intake Group and then after they rotate through the 3 stations.
The Intake Group itself is scheduled for 45 minutes and done by myself (a CNM). We have the patient sign a confidentiality agreement. We have snacks and water.We review our patient education folder and discuss topics (using a facilitative approach) such as: Nausea/vomiting relief measures When/how to call for pregnancy issues
At the end we introduce Centering and discuss how it works, answer questions, give out Centering ink pens.
I'm happy to answer any questions any one has about our process. |
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Post by nlewis on Nov 1, 2016 11:31:07 GMT -5
Thank you Courtney for sharing!
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