JamesLHollyMD.com

	James L. Holly, M.D.

About SETMA Joint Commission Contact Information History Mission Statement Medical Home Scope of Services I-CARE Initiative Infusion Center The SETMA Way - What is it? SETMA's Model of Care Patient-Centered Medical Home The SETMA Approach to Patient Care	In The News Letters Vital Signs - Examiner Publication SETMA's Providers as of January, 2015 SETMA Knows - Abraham Lincoln and Healthcare Analytics SETMA – 1999 – Four Seminal Events PC-PCC Award January, 2015 Vital Signs Spring 2015 Vital Signs Q&A for PC-PCC Award Links to SETMA 2012 eHealth Innovator Award for LESS initiative Handout for Attendees eHealth Conference January 12, 2012 eHealth Initiative 2012 Award Program Application The eHealth Initiative's 2012 Award Letter 2012 National Quality Forum National Healthcare Improvement Award Effective prioritization of performance improvement goals Dashboard to Measure and Manage Whole System Performance Commitment to transparency Date-driven improvement of NQS priorities Demonstration of readiness to assume responsibilities of an ACO Demonstrated results on publicly reported performance measures Public Reporting Quality Metrics for 2009, 2010, 2011 Internally Tracked Reporting Quality Metrics for 2009, 2010, 2011 Complete Application in PDF Format SETMA's Medical Home Pilgrimage 2009 Medical Home Series I 2010 Medical Home Series II 2011 Medical Home Series Two 2009, 2010, 2011 Medical Home Miscellaneous Articles The Dr. and Mrs. James L. Holly Distinguished Professorship Universal American Letter of Transmittal for Support Dr. Holly's Acceptance Address for the 2012 Distinguished Alumnus Award CMS Medical Home Feedback Report Qualify & Cost SETMA questions Influenza Data SETMA I - October 2011 SETMA II - October 2011 Mark A. Wilson Clinic SETMA West - October 2011 SETMA and Fox 4 News - Healthy Living Videos SETMA Advertisements - Display and Video SETMA Announcements Featured Content Archive	Syllabus PC-MH Externship SETMA's MS4 Patient-Center Medical Home Selective Syllabus Introduction to SETMA's Senior Externship and Syllabus An Introduction to the Origins and Beginnings of Southeast Texas Medical Associates, LLP Patient-Centered Communication PC-MH Health Affairs August 15, 2013 Policy Brief -- Health Gap SETMA 8.20.13 Provider Training -- Health Affairs 2.14.13 -- Patient Engagement SETMA Provider Training 8.20.13 during First Senior Medical Student PC-MH Externship Medical Home Coordination Review Tutorial 2011 Medical Home Series Two Teaching Tool for PC-MH Course - Patient Care Activation, Engagement, Shared-Decision Making	Patient Information What Does Patient-Centered Medical Home Mean to You? What Does Patient-Centered Medical Home Mean to You? Health information exchange Patient Rights and Responsibilities Patient Directions Contact SETMA – Secure Texting What is HIPAA? Authorization To Release or Obtain Medical Records Complete Privacy Policy Website Privacy Policy	Presentations Invited Presentations SETMA Provider Training
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EPM Tools - Disease Management Tools

Early in our EMR pilgrimage, SETMA transitioned to EPM - Electronic Patient Management. This transition resulted in our development of multiple disease management tools. To maximize their use, we developed tutorials for teaching all providers how to use these tools. These tutorials are more than "computer - how to" directions and are actually mini-courses on best practices and evidenced-based medicine for each of the conditions addressed.

Many of our Preventive Health Tools (see that section) were developed as a result of lessons which we learned in this process. The most prominent is SETMA's LESS Initiative. As we explored EPM, we realized that there were three life-style changes we wanted everyone to make, no matter what disease they had, and especially if they were not manifested the symptoms of any disease. We want them to:

Lose weight
Exercise
Stop Smoking

As a result, we devised the LESS Initiative. Every patient seen by SETMA, every day, is given a document which includes:

A weight management assessment
A personalized exercise plan
An analysis of their smoking or exposure to second-hand tobacco and a plan to stop

This will be address more completely later.

Each part of the Disease Management section has an introduction and then extensive information both on how to use SETMA's templates and how to treat each patient to goal.

Diabetes T
Lipids T
Lipid Quality Audit T
Hypertension T
Primary Pulmonary Hypertension T
CHF T
Angina T
Adult Weight management T
Acute Coronary Syndrome T
Asthma - no tutorial
Headache - no tutorial
Cardiometabolic Risk Syndrome T
Renal Failure T

At present, the tools on Asthma, Headache and Renal Failure do not have tutorials developed. We will plan to add a tutorial for Renal Failure in the Spring of 2010, but do not plan at present to develop tutorials for asthma or headache.

Related Tutorials

	Acute Coronary Syndrome Tutorial Adult Weight Management Tutorial Angina Tutorial Cardiometabolic Risk Syndrome Suite of Templates Tutorial Chronic Renal Disease Management Tool Tutorial Congestive Heart Failure Tutorial Diabetes Hypertension Suite of Templates Tutorial Lipids Lipids Treatment Audit Tutorial Primary Pulmonary Hypertension Tutorial

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