SMAs group members generally have a similar health focus, especially for planned SMAs. Most general practices know their high needs patients and who may benefit from participating in SMAs. The hardest part is starting.
Selection of patients is usually based on need, disease, symptom, or in some cases cultural need. The clinician identifies patients who would gain additional benefit from a longer consultation in a group setting rather than a 1-1 face-to-face 15-minute consultation.
Groups may be for patients with well controlled or poorly controlled conditions, or mixed. SMA groups can be closed or open, with a process for adding new members. All SMAs need to have specific goals and objectives established for the group such as improved health literacy and self-management, compliance, annual planning of care, reduced disease progression, maintenance of health and wellness.
Select about 25 patients. Only about 50% accept
Place an alert on the patients notes
Enter a screening term for each patient
Patient accepts or declines
Send out patient information Package
Order tests and diagnostics
Run a query on the screening term
Follow-up activities that are incomplete
We are recommending that you set up a separate SMA template and align it to the SMA team’s individual templates. See Figure 1.
Nurses and MCA may need more protected time before and after the SMA for the pre and post activities.
Also, we recommended using a Screening Template for each patient to monitor pre-SMA activities and ensure everyone is best prepared for the appointment. See Figure 2.
A monitoring template is provided in this guide for practices who find a paper system easier. A summary of the screening tool after the query has been run is shown in Figure 3.