The MidSouth PTN is excited to feature Siloam Health and its excellent work of utilizing clinic huddles to reduce gaps in care, which contributed to substantial improvement in pneumonia vaccination rates, cancer screenings and behavioral health care.
Siloam, located in Nashville, TN, was established in 1991. They are a non-profit community center where 21 clinicians as well as a team of dedicated staff care for more than 8,000 underserved, culturally marginalized persons. 400+ volunteers donate more than 13,000 hours annually in clinical and non-clinical roles.
Siloam has pursued innovative and creative approaches to improve performance and address the needs of their unique patient population. An example of this improvement includes implementation of daily huddles. The practice utilizes morning huddles to improve efficiency in workflow, review patient information, and identify gaps in screenings and care, which then are addressed during the patient’s visit. Huddle-based announcements are also made regarding which vaccines are available, with the goal of administering them to the patients with the highest need. This team awareness of vaccine availability contributed to improving pneumonia vaccination rates for older adults, which increased by more than 25% from baseline in one year. This increase exceeded the practice’s performance target of 34.8% as well as the national MIPS pneumonia vaccination benchmark of 46.3%! Huddles also contributed to a 20% improvement in colon cancer screening over baseline, moving the practice performance above the national MIPS benchmark in just 18 months. The practice also improved dramatically on mammogram screenings and better incorporated behavioral health in patient care.
By initiating a clinical team huddle, Siloam Health moved to the next level of team-based care. Taking the time to establish the huddle habit and to encourage providers to collaborate regarding patient care, Siloam Health improved both the team and the patients’ experiences and further developed relationships between patients and the entire team.
The views expressed in this story are those of the authors and do not necessarily represent the official views of Siloam Health. Additionally, this work was funded by the U.S. Department of Health and Human Services – Centers for Medicare and Medicaid Services’ Transforming Clinical Practice Initiative, under grant number 1CMS331549-03-00. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.