I read an interesting report by a psychologist who took seriously the
observation that the nation's primary care offices are the de facto mental
health provider for the population. He works within clinics (rural vermont),
and has done the work of transforming his practice (and his psychology
staff) to be appropriate to the primary care clinic site, and working with
the site to promote appropriate referrals. One tool they use is a
"behavioral medicine prescription pad", which they keep in every exam room
next to their regular prescription pads.

While it may seem to miss the point - to take the one trick with out the
organizational change process -- would there be interest in developing and
trying out such a psych referral pad?

Rob Hamm

Robert M. Hamm, PhD
Clinical Decision Making Program
Department of Family and Preventive Medicine
University of Oklahoma Health Sciences Center
900 NE 10th St, Oklahoma City OK 73104
405/271-8000 ext 32306  [log in to unmask]
http://www.fammed.ouhsc.edu/robhamm/index.htm


-----Original Message-----
From: Edward E. Rylander, M.D. [mailto:[log in to unmask]]
Sent: Sunday, June 24, 2001 11:04 AM
To: [log in to unmask]
Subject: Re: Fall Staff Training


With the palliative care team and end of life issues going on the last few
years is there any interest in tracking the referrals from the clinic and
hospital teams to establish a base line rate, construct an intervention to
educate the staff and residents on the NHO guidelines for evidence based
identification of terminal non cancer patients, and then follow the referral
rate to validate the intervention. I see this as the next step from the
"epic" education process and a study we could do over a years time.

We might even get a grant from the VistaCare foundation or one of the other
hospice groups and I know Robert-Wood Johnson also has funds available for
end-of-life education programs.

Edward E. Rylander, M.D.
Diplomat American Board of Family Practice.
Diplomat American Board of Palliative Medicine.

-----Original Message-----
From: Oklahoma Center for Family Medicine Research Education and Training
[mailto:[log in to unmask]]On Behalf Of Cheryl B. Aspy
Sent: Wednesday, June 13, 2001 10:49 AM
To: [log in to unmask]
Subject: Fall Staff Training

Our next task is to plan the Fall Staff Training Convocation.  I have
tentatively selected October 26-27.  We will have a dinner and activity on
Friday evening and then the training will be held at the Department of
Family & Preventive Medicine Offices here in OKC beginning with breakfast
and finishing about 3:00 pm.

Part of the training will address the data collection process for the
immunization project using the handheld palms, and the data collection for
the NAMCS data that will occur in November,  We also need to describe the
B-12 study and plan for its implementation.   Another suggestion is to train
staff members to apply new clinical guidelines in their clinics.  We might
start with a specific one of interest and then move to others in future
training programs.  Any suggestions?

If you have any other suggestions for program content, please let me know.
Also, if you are interested in being a part of the training team, please
contact me.

Thanks again for you help,
Cheryl


Cheryl B. Aspy, Ph.D.
Professor, Family & Preventive Medicine
OUHSC - 900 NE 10th St.
Oklahoma City, OK  73104
Voice: 405-271-8000 x 32209
Fax: 405-271-2784