JamesLHollyMD.com

	James L. Holly, M.D.

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Letters - September 15, 2016 – Interim Administrator The Oaks, Beaumont, Texas

It was a pleasure meeting with you this morning and discussing our mutual interest in long-term residential care excellence. The positive steps you have already taken are going to help. I have copied the following members of SETMA’s “I Care Initiative” - Initiative for Comprehensive Advanced Healthcare Resources for the Elderly. (http://jameslhollymd.com/i-care-initiative/), they are:

Kathryn Brumley, LVN – SETMA’s liaison and clinical assistant at The Oaks
Julie McClure, CFNP – SETMA’s CFNP which sees patients at the Oaks
Syed Anwar, MD – SETMA Partner and Director of the I-Care Team
Muhammad Aziz, MD – SETMA’s Managing Partner and member of the I-Care Team
James L. Holly, MD – SETMA’s Founder and CEO and member of the I-Care Team

A portrait of SETMA’s I-Care Team – Kate joined the team after this portrait was taken

The following are links to SETMA’s tools for improving care in long-term residual care:

Principal Nursing Home Templates

The next five are the major areas of concern in long-term residential care which we spoke about this morning:

The last two are two special care cases

Antipsychotics -- In an effort to decrease the inappropriate use of antipsychotic medications in Texas Nursing Homes, The Texas Medical Foundation and the Texas Department of Aging and Disability provided this toolkit. SETMA has taken this tool kit and created a Clinical Decision Support tool to improve the care of the patients for whom we have responsibility.

Nursing Home Care Guidelines -- The full name of this template is Guidelines for Care of Nursing Home Patients. It consists of 28 sets of guides for treatment of specific problems which are common in many clinical settings particularly in long-term residential care.

We also discussed the value of the Electronic Prescribing of Controlled Substances (EPCS). The following introduces you to SETMA’s work in this area:

http://jameslhollymd.com/In-The-News/surescripts-2015-national-progress-report

http://jameslhollymd.com/In-The-News/pdfs/flipping-the-script-using-epcs-for-customized-compassionate-care.pdf

This is Surescripts 2015 annual report on the use of electronic prescribing of controlled substances with a section (second link) on SETMA.

August 20, 2015 -- Your Life Your Health - Prescribing Pain Medications: A Conundrum for Patient and Provider
August 31, 2015 -- Letters - SETMA Tools for e-prescribing controlled substances, pain management policy and Urine Drug Screens
September 10, 2015 -- Letters - SETMA's letter with Inclusions sent to 105 Pharmacies About e-Prescribing
September 17, 2015 -- Your Life Your Health - ePCS and High Intensity Drug Trafficking Areas (HIDTA) Program
October 22, 2015 -- Letters - Texas e-Prescribing of Controlled Substance Outreach Planning Group
October 25, 2015 --- EPM Tools - ePrescribing of Controlled Substances Tutorial
January 7, 2016 -- Your Life Your Health - Looking Back as a Foundation for Envisioning the Future Part I
January 14, 2016 -- Your Life Your Health - Looking Back as a Foundation for Envisioning the Future Part II -- the following is an excerpt from this link:

ePCS has been a major advance in quality and safety for patients. All of SETMA’s providers, including nurse practitioners are participating in this program and SETMA is working with the Texas section of Medicaid-CHIP Health Information Technology Health and Human Services Commission to expand the usage of this tool across Texas. (see: ePCS and High Intensity Drug Trafficking Areas (HIDTA) Program)”

January 21, 2016 -- Your Life Your Health - SETMA's Past Defined by Three Seven-Year Segments which Help Guide the Future
December 24, 2015 -- Transforming Your Practice - Introduction to SETMA’s TCPI Library

I look forward to your visit to SETMA where I can introduce you to some of the tools which we use in the care of long-term facility residents. I also look forward to working with you to make The Oaks very successful.

James (Larry) Holly, M.D.
C.E.O. SETMA
www.jameslhollymd.com

Adjunct Professor
Family & Community Medicine
University of Texas Health Science Center
San Antonio School of Medicine

Clinical Associate Professor
Department of Internal Medicine
School of Medicine
Texas A&M Health Science Center

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