• Start a conversation with leadership about clinician burnout/well-being

  • Articulate the reasons to address clinician burnout/well-being

  • Facilitate a constructive meeting with leadership on the topic

  • Determine which patients with atrial fibrillation and atrial flutter were candidates for chronic anti-coagulation therapy.

  • Determine which patients with new-onset atrial fibrillation during the measurement year had a thyroid function test 6 weeks before or after the diagnosis of atrial fibrillation.

  • Determine the percentage of patients with atrial fibrillation or atrial flutter who were educated on the benefits and risks of anti-coagulation, the specific type of anti-coagulation therapy recommended by the physician, and who were consulted during the decision-making process about whether to prescribe and which anti-coagulant to prescribe during the measurement period.

  • Demonstrate knowledge of key components of advance care planning conversations

  • Identify team-based strategies for integrating advance care planning into clinical settings

  • Explore how to engage patients and families in your advance care planning efforts

  • Work with clinicians, staff, and patients/families to develop a process to identify barriers to appropriate medication use.

  • Analyze the strengths and weaknesses of various approaches to support appropriate use of medications. 

  • Collaborate with patient and family advisors to review and co-design patient education materials that meet health literacy standards and include patient and family-centered language.

  • Explore the benefits of person and family engagement (PFE) in an ambulatory practice including improving joy in practice through deeper and more meaningful connection with patients and families

  • Identify specific actions at point-of-care that facilitate meaningful and productive partnerships with patients and families, improve quality metrics, and lead to better patient outcomes 

  • Accelerate practice transformation and facilitate value-based reimbursement by embedding PFE into your operations

  • Understand the issues and workflows that affect patient access in your practice setting.

  • Identify strategies that can be implemented in your practice setting to improve access.

  • Implement strategies to improve patient access using the relevant resources and tools referenced in the module.

  • Understand key elements to successful optimization of coordination of care in a medical neighborhood.

  • Explore strategies for developing and sustaining enhanced care coordination services in their practice.

  • Implement workflows and documentation processes that facilitate care coordination between primary care and specialists.

  • Learn how to use data to drive improved care and decreased costs in your practice.

  • Identify resources and strategies to engage in decision making about various health care interventions.

  • Eliminate unnecessary procedures and testing to reduce avoidable costs.