Cardiac Highlights Huddle

Transcription

1 July 14, 2016 Cardiac Highlights Huddle Share success stories and work through improvement barriers with peers and HealthInsight project leads.

2 We want to hear from you! Type questions into the Questions Pane at any time during this presentation

3 HealthInsight Quality Innovation Network (QIN) Quality Improvement Organization (QIO) CMS Quality Strategy: Eliminating disparities Strengthening infrastructure and data systems Enabling innovation Fostering learning organizations Quality Improvement Organizations About QIN-QIOs. Retrieved at: QIO Program Fact Sheet Handout. 3

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5 Learning Objectives Discover successful strategies which can be easily replicated to improve cardiac care Identify two or more tactics that can be adapted to your own care setting Identify and share actionable resources from cardiac project participants and the HealthInsight project team

6 Agenda Canyon View Medical Clinic success story (10 min.) Poll/chat (5 min.) Challenges/barriers participants face in making similar change Brainstorm with Project Leads and other clinics about ways to overcome barriers (5 min.) St. Charles Home Health Services success story (10 min.) Poll/chat (5 min.) Challenges/barriers participants face in making similar change Brainstorm with project leads and other clinics about ways to overcome barriers (5 min.) Additional Q&A (15 min.) What other challenges do you face? What topics would you like us to cover in future LAN events?

7 Presenters Jennifer Elliot Quality Coordinator Canyon View Medical Group Rose Anne Hyman Quality Improvement Coordinator St. Charles Home Health Services

8 Jennifer Elliot, PCMH CCE, Quality Coordinator CANYON VIEW MEDICAL GROUP BLOOD PRESSURE SUCCESS STORY

9 Optum Care Blood Pressure Challenge Goal: Submit as many normal blood pressure (BP) readings or documented retakes as possible. (Normal BP considered 139/89 and below) Our main goal with the challenge was to be better about double checking blood pressures If they were continuing to have high readings after letting them rest then we would set up a blood pressure visit. - Anne Herbert, Canyon View MA Timeline: November 1, 2015, to December 31, 2015 Points awarded for: Healthy range BP submissions OR MA retook BP after letting patient rest

10 Canyon View Medical Clinical Blood Pressure Process Existing process for documenting and retaking BP Reasons process might not have been followed Challenge helped reinforce process

11 Grand Prize Winners! Spanish Fork Family Medicine clinic Team Members: Amy Erdman, Ann Herbert, Melissa Rimassa, Jessica Marrott, Ariane Love, Amber Garcia, Andrew Poulsen, Nicole Hicks, Dusty Rogers, and Rebecca Long

12 Canyon View Medical Clinical Teamwork is key to success Lessons Learned Incentives can help draw attention to and reinforce processes that are already in place Patients appreciate being told what is happening and having a better understanding about their health

13 Type questions into the Questions Pane at any time during this presentation QUESTIONS? COMMENTS? REFLECTIONS?

14 Rose Anne Hyman, RN Quality Improvement Coordinator ST. CHARLES HOME HEALTH SERVICES

15 Challenge Goal: Increase STAR rating by 0.5 stars for the following outcomes: Timely initiation of care Received flu shot for current flu season Drug education on all medications Improvement in bed transferring Improvement in pain interfering with activity

16 Change Process Focus on 3 process measures: Timely Initiation of Care Drug Education on all medications Influenza vaccine received in season M2020 Oral Medication Management must be able to take ALL oral medications reliably and safely (correct dosages at appropriate times every time)

17 Results & Maintenance Drug education on all medications From 1 to 3 stars! Our overall STAR ratings went from 3 to 3.5 stars HHCAHPS All medication-related questions are above the national average Ongoing efforts focus on OASIS accuracy, especially at SOC

18 Lessons Learned Focused staff education during the first 120 days of 2016 significant improvement in 6 out of 9 quality measures (Real-Time STAR ratings report from SHP)

19 Type questions into the Questions Pane at any time during this presentation QUESTIONS? COMMENTS? REFLECTIONS?

20 HealthInsight Cardiac Project Leads Alison Shipley Project Lead HealthInsight (NV) Susan Yelton Project Manager HealthInsight (NM)

21 HealthInsight Cardiac Project Leads Carrie Beck Lead Project Coordinator HealthInsight (OR) Rebecca Durham Project Manager HealthInsight (UT)

22 Barriers to improving cardiac care? Follow-up tips for hypertensive patients? Population Management How to improve and demonstrate improvement in health for patients with or at risk for cardiac disease? Data-Driven Improvement Strategies and workflows?

23 Thank You! Please complete post-webinar survey Next webinar: The Nursing Visit: A Tasting Flight of Models Tuesday, August 16, :30 2:30 p.m. MT 12:30 1:30 p.m. PT This material was prepared by HealthInsight, the Medicare Quality Innovation Network Quality Improvement Organization for Nevada, New Mexico, Oregon and Utah, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-B

24 References Learn more about HealthInsight at: Learn more about Canyon View Medical Group at: Learn more about St. Charles Home Health Services at: Learn more about Million Hearts at: Additional Resources: New York City Health and Hospitals Corporation. (n.d). Adult hypertension clinical practice guidelines: Managing high blood pressure. Retrieved from Million Hearts Tools & Protocols page at: U.S. Department of Health and Human Services. (n.d.). Million Hearts Targets. Retrieved from CDC website at: