Racial and Ethnic Differences and Disparities in Chronic Wounds ASP Workshop on Wound Repair and Healing in Older Adults
|
|
- Brandon Nichols
- 5 years ago
- Views:
Transcription
1 Racial and Ethnic Differences and Disparities in Chronic Wounds ASP Workshop on Wound Repair and Healing in Older Adults Caroline E. Fife, MD Executive Director, U.S. Wound Registry Racial and Ethnic Disparities in Pressure Ulcers A A PU incidence 1.7 Xhigher than Whites in nursing homes (NH) Limited evidence that race is a factor in NH PU development Increased turning among White NH residents Early pressure damage harder to diagnose in dark skin Socioeconomic status is the more predominant factor. A A more likely to reside NH with fewer financial resources (>% with Medicaid White PU incidence increases when they reside in A A nursing homes Harms S, et al. Prevalence of Pressure Ulcers by Race and Ethnicity for Older Adults Admitted to Nursing Homes. J Gerontol Nurs Nov 7:1-7.; Li Y,. Association of race and sites of care with pressure ulcers in high-risk nursing home residents. JAMA. 2011;306(2):179-86; Baumgarten M, Margolis D, van Doorn C, et al. Black/White differences in pressure ulcer incidence in nursing home residents. J Am Geriatr Soc. Coleman S, Gorecki C, Nelson EA, et al. Patient risk factors for pressure ulcer Intellicure development: systematic review. Int J Nurs Stud. 2013;50(7):
2 Diabetes Related Lower Extremity Amputation (LEA) by Race/Ethnicity vs. Whites in the USA (All ethnicities more susceptible to diabetes than non Hispanic Whites) African Americans: LEA 2X that of non Hispanic Whites Hispanics: LEA rate varies by origin, culture (~ 2 X) Native Americans: higher LEA than non Hispanic Whites Race and ethnicity not good predictors for LEA but rather: socioeconomic status culture racism and/or biology depending on patient/clinician wound care setting peripheral vascular disease differences, smoking rates Lavery LA, Van Houton WH, Ashry HR, Armstrong DG, Pugh JA. Diabetes-related lower-extremity amputations disproportionately affect Blacks and Mexican Americans. South Med J. 1999;92:593-9; Dillingham TR, Pezzin LE, MacKenzie EJ. Racial differences in the incidence of limb loss secondary to peripheral vascular disease: a population-based study. Arch Phys Med Rehab. 2002;83(9):1252-7; Lanting LC, Joung IM, Mackenbach JP, Lamberts SW, Bootsma AH. Ethnic differences in mortality, end-stage complications, and quality of care among diabetic patients: Intellicure a review. Diabetes Care. 2005; 28: Reasons for Higher Rates of LEA Among African Americans Less aggressive care for limb salvage: White patients receive revascularization prior to amputation A A patients amputated in a shorter time period from wound onset without revascularization. Possible reasons for A A faster amputation: less preventive care patient preference not put off inevitable amputation Racial influence on physicians decision making higher proportion A A smokers Holman KH, Henke PK, Dimick JB, Birkmeyer JD. Racial disparities in the use of revascularization before leg amputation in Medicare patients. J Vasc Surg. 2011;54(2):420-6.e1; Rowe VL, Weaver FA, Lane JS, Etzioni DA. Racial and ethnic differences in patterns of treatment for acute peripheral arterial disease in the United States, J Vasc Surg. 2010;51(4 Suppl):215-6S; Regenboden SE, Gawande AA, Lipsitz SR, Greenberg CC, Jha AK. Do differences in hospital and surgeon quality explain racial disparities in lower-extremity vascular Intellicure amputations? Ann Surg. 2009;250(3):
3 Learning about Real World Patterns of Wound Care: The USWR ~100 Hospital Based Outpatient Wound Centers (CDRN) 32 states and Puerto Rico 2 year slice has ~ 100,000 patients (~ 1 million visits) Complete charge data, all products, procedures Can be stratified by patient severity using the Wound Healing Index Agree to share data in exchange for benchmarking Entire EHR is transmitted to host server, data is HIPAA deidentified and moved to separate server (USWR) Data use overseen by independent IRB Also provides physician quality reporting under PQRS VLUs by Race and Use of Advanced Therapeutics in Hospital Based Outpatient Wound Centers Race/Ethnicity % with any % with % VLUs AT* Bioskin Count Caucasian African American Hispanic Asian Other Total * Advanced therapeutic = Bioengineered skin, hyperbaric oxygen therapy, negative pressure wound therapy 3
4 Age >80 VLUs, Use of Advanced Therapeutics and Healing (Overall: 47.5% healed) Race/Ethnicity Count % >80 VLUs >80 years % with any AT Healed % Caucasian African American Hispanic Asian Other Total % of all patients get AT, 24.7% of >80 patients get AT Under 80 years healing rate = 47.8% (same as >80) Outcome non-whites always worse than Whites USWR: Affect of Insurance Type on Likelihood of Bioskin 5 outpatient wound centers in NY state. Protocol based approach to leg ulcer patients: Do The Right Thing (testing USWR quality measures for compression and vascular screening) Physicians employed by hospital system Not motivated to use Bioskin based on revenue Medicare pays 80% of Bioskin charges 20% patient portion ~$ per application May have 5 +applications per ulcer Data from 9/28/2011 to 12/31/2012: 5,487 total patients (851 DFUs, 1,847 VLUs) 36 % of Bioskin pts had Medicare (MC) + secondary 1.8% Bioskin patient applications had MC only Medicare patients without a secondary insurance rarely get any advanced therapeutic treatment in outpatient wound centers 4
5 Race, Ethnicity, Age and Wounds: Conflicting Data Overwhelming evidence of racial and ethnic disparities in prevention and management of DFUs and PUs (other types) Reasons unclear, multifactorial including: patient, provider, care setting, culture race likely a surrogate for socioeconomic factors. USWR data are surprising: Non whites received advanced therapeutic interventions in higher percentage than Whites data from 100 centers in 32 states Non Whites seem to have worse outcomes in response to advanced therapeutics (? Co morbid diseases) Secondary insurance has powerful effect on use of ATs USWR as a QCDR for PQRS reporting provides a new window PRRS Reporting as a Qualified Clinical Data Registry (QCDR) with USWR wound center Podiatrist Vein expert The EHRs transmit data to the Registry The USWR USWR QCDR reports data to CMS for PQRS National wound care data for analysis 5
Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures. James R. Christina, DPM Director Scientific Affairs APMA
Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures James R. Christina, DPM Director Scientific Affairs APMA What Stage Am I In? 2 2 CMS Proposed Rule On May 20, 2014 CMS and Office of
More informationMEMORANDUM. Dr. Edward Chow, Health Commission President, and Members of the Health Commission
San Francisco Department of Public Health Barbara A. Garcia, MPA Director of Health City and County of San Francisco Edwin M. Lee Mayor MEMORANDUM DATE: May 31, 2017 TO: THROUGH: FROM: RE: Dr. Edward Chow,
More informationThe Hyperbaric Oxygen Therapy Registry: Driving quality and demonstrating compliance
Technical Communication The Hyperbaric Oxygen Therapy Registry: Driving quality and demonstrating compliance Caroline E. Fife, MD 1,2 ; Kristen A. Eckert, MPhil 3 1 Baylor College of Medicine, Houston,
More informationAddressing Low Health Literacy to Achieve Racial and Ethnic Health Equity
Hedge Health Funds 2/28/04 October 2009 Addressing Low Health to Achieve Racial and Ethnic Health Equity Anne Beal, MD, MPH President Aetna Foundation, Inc. Minorities Are More Likely to Have Diabetes
More informationRacial and Ethnic Health Disparities in Health and Health Care St. Louis Regional Data
Racial and Ethnic Health Disparities in Health and Health Care St. Louis Regional Data By Debbie Chase, MPA Consultant, Center for Health Policy University of Missouri -- Columbia 1 Quantitative Data Overview
More informationUnderstanding Readmissions after Cancer Surgery in Vulnerable Hospitals
Understanding Readmissions after Cancer Surgery in Vulnerable Hospitals Waddah B. Al-Refaie, MD, FACS John S. Dillon and Chief of Surgical Oncology MedStar Georgetown University Hospital Lombardi Comprehensive
More informationDecember 19, Dear Acting Administrator Slavitt:
December 19, 2016 Andrew M. Slavitt Acting Administrator Centers for Medicare and Medicaid Services Department of Health and Human Services Attn: CMS-5517-FC P.O. Box 8013 Baltimore, MD 21244-8013 Re:
More informationThe History of Meaningful Use
A Guide to Modified Meaningful Use Stage 2 for Wound Care Practitioners for 2015 The History of Meaningful Use During the first term of the Obama administration in 2009, Congress passed the Health Information
More informationDO NOT DUPLICATE. Arough population prevalence rate for chronic nonhealing wounds
ORIGINAL RESEARCH WOUNDS 2012;24(1):10 17 From the 1 Intellicure, Inc., The Woodlands, TX; 2 Strategic Solutions, Inc., Cody, WY Address correspondence to: Caroline E. Fife, MD 2700 Technology Forest Blvd.,
More informationCultural Competence in Women s Health: Implications for Cardiac Risk Factors and Disease. JudyAnn Bigby, M.D.
Cultural Competence in Women s Health: Implications for Cardiac Risk Factors and Disease JudyAnn Bigby, M.D. Goals Describe disparities in women s health relevant to heart disease Describe factors that
More informationMarch 6, 2016 Cambridge, MA. Health Equity. Amy Reid, MPH
March 6, 2016 Cambridge, MA Health Equity Amy Reid, MPH Director areid@ihi.org @_amyjreid_ Agenda 1. What is health equity? 2. How does health equity relate to patient safety & health care quality? 3.
More informationCommunity Health Services in Bristol Community Learning Disabilities Team
Community Health Services in Bristol 2014 Community Learning Disabilities Team This provides specialist community based services for adults with learning difficulties and help to promote equal access to
More information12/13/2010 MASSACHUSETTS. Prevalence Defined. Prevalence vs. Incidence PRESSURE ULCER COLLABORATIVE. Using Data And Measurement to Drive Change
MASSACHUSETTS PRESSURE ULCER COLLABORATIVE Using Data And Measurement to Drive Change December 2010 Prevalence Defined Prevalence (point prevalence) is defined as the number of patients (cases) with a
More informationMinority Serving Hospitals and Cancer Surgery Readmissions: A Reason for Concern
Minority Serving Hospitals and Cancer Surgery : A Reason for Concern Young Hong, Chaoyi Zheng, Russell C. Langan, Elizabeth Hechenbleikner, Erin C. Hall, Nawar M. Shara, Lynt B. Johnson, Waddah B. Al-Refaie
More informationPatient-Centered Specialty Practice (PCSP) Recognition Program
Patient-Centered Specialty Practice (PCSP) Recognition Program Standards Workshop Part 2 2013 All materials 2013, National Committee for Quality Assurance Agenda Part 1 Content of PCSP Standards and Guidelines
More informationPhysician Use of Advance Care Planning Discussions in a Diverse Hospitalized Population
J Immigrant Minority Health (2011) 13:620 624 DOI 10.1007/s10903-010-9361-5 BRIEF COMMUNICATION Physician Use of Advance Care Planning Discussions in a Diverse Hospitalized Population Sonali P. Kulkarni
More informationThe Roadmap to Reduce Disparities
The Roadmap to Reduce Disparities Marshall H. Chin, MD, MPH Richard Parrillo Family Professor Director, RWJF Finding Answers University of Chicago Disclosures / Funding AHRQ T32 HS00084, K12 HS023007,
More informationSurgical Care for the Underserved: US We have our own problems
Surgical Care for the Underserved: US We have our own problems Gregg Marshall Grand Rounds February 27, 2012 Outline Introduction US Statistics Underserved populations in the US Global Health Lack of infrastructure
More informationDeborah Perian, RN MHA CPHQ. Reduce Unplanned Hospital Admissions: Focus on Patient Safety
Deborah Perian, RN MHA CPHQ Reduce Unplanned Hospital Admissions: Focus on Patient Safety Objectives At the end of this lesson, the learner will be able to: Identify key clinical and policy issues associated
More informationCER Module ACCESS TO CARE January 14, AM 12:30 PM
CER Module ACCESS TO CARE January 14, 2014. 830 AM 12:30 PM Topics 1. Definition, Model & equity of Access Ron Andersen (8:30 10:30) 2. Effectiveness, Efficiency & future of Access Martin Shapiro (10:30
More informationFINDING ANSWERS: A ROADMAP TO REDUCE RACIAL AND ETHNIC HEALTH DISPARITIES IN HEALTH CARE
FINDING ANSWERS: A ROADMAP TO REDUCE RACIAL AND ETHNIC HEALTH DISPARITIES IN HEALTH CARE Addressing Health Disparities and Advancing Health Equity February 28, 2017 Angela Dawson, MS, MRC, LPC Executive
More informationEvaluation of the effect of nurse education on patient reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
Evaluation of the effect of nurse education on patient reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis Evaluation of foot care education for haemodialysis nurses
More informationCommunity Performance Report
: Wenatchee Current Year: Q1 217 through Q4 217 Qualis Health Communities for Safer Transitions of Care Performance Report : Wenatchee Includes Data Through: Q4 217 Report Created: May 3, 218 Purpose of
More informationHow to Build a Comprehensive CLI Program. Julio Sanguily III, M.D. Martin Health Systems, Stuart, FL
How to Build a Comprehensive CLI Program Julio Sanguily III, M.D. Martin Health Systems, Stuart, FL Limb Salvage Initiative Identify the Need within the Surrounding Community Reduce Major Amputations Improve
More informationSVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation
SVS QUALITY AND PERFORMANCE MEASURES COMMITTEE (QPMC) New Member Orientation 2017-2018 SVS QPMC Quality and Performance Measures Committee Policy and Advocacy Council (Chair Sean Roddy) Chair: Brad Johnson,
More informationMedicalNecessityintheHOPD: Are You Seeing the Right Patients? Caroline E. Fife, MD & Toni Turner, RCP, CHT, CWS
TE A IC PL U MedicalNecessityintheHOPD: D Are You Seeing the Right Patients? Caroline E. Fife, MD & Toni Turner, RCP, CHT, CWS I gency departments, outpatient radiology, and outpatient oncology. In fact,
More informationWilliam J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair
William J. Ennis D.O.,MBA University of Illinois at Chicago Professor Clinical Surgery, Chief Section wound healing and tissue repair What are the revenue streams What are the expenses How does the hospital
More informationCardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers
Cardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified March 2015 Table of Contents
More informationEvidence for Accreditation in Bariatric Surgery Hospitals
Evidence for Accreditation in Bariatric Surgery Hospitals John Morton, MD, MPH, FASMBS, FACS Chief, Bariatric and Minimally Invasive Surgery Stanford School of Medicine President,American Society for Metabolic
More informationCost Effectiveness of Physician Anesthesia J.P. Abenstein, M.S.E.E., M.D. Mayo Clinic Rochester, MN
Mayo Clinic Rochester, MN Introduction The question of whether anesthesiologists are cost-effective providers of anesthesia services remains an open question in the minds of some of our medical colleagues,
More informationQuality of Care of Medicare- Medicaid Dual Eligibles with Diabetes. James X. Zhang, PhD, MS The University of Chicago
Quality of Care of Medicare- Medicaid Dual Eligibles with Diabetes James X. Zhang, PhD, MS The University of Chicago April 23, 2013 Outline Background Medicare Dual eligibles Diabetes mellitus Quality
More informationEliminating Avoidable Pressure Ulcers. Professor Gerard Stansby
Eliminating Avoidable Pressure Ulcers Professor Gerard Stansby gerard.stansby@nuth.nhs.uk Why is this important? Important patient safety issue Pressure ulcers can be prevented (?All) Pressure ulcers are
More informationNational Priorities for Improvement:
National Priorities for Improvement: Standardization of Performance Measures, Data Collection, and Analysis Dale W. Bratzler, DO, MPH Principal Clinical Coordinator Oklahoma Foundation Contracting for
More informationIntroduction to the Malnutrition Quality Improvement Initiative (MQii)
Introduction to the Malnutrition Quality Improvement Initiative (MQii) 1 Overview The Case for Malnutrition Quality Improvement Background on the Malnutrition Quality Improvement Initiative (MQii) The
More informationRacial disparities in ED triage assessments and wait times
Racial disparities in ED triage assessments and wait times Jordan Bleth, James Beal PhD, Abe Sahmoun PhD June 2, 2017 Outline Background Purpose Methods Results Discussion Limitations Future areas of study
More informationComprehensive Primary Care for Older Patients with
Comprehensive Primary Care for Older Patients with Multiple Chronic Conditions Chad Boult JAMA 2010, Care of the Aging Patient: From Evidence to Action Ms. N 77 year-old widow Retired factory worker Lives
More informationSelected Measures United States, 2011
Disparities in Nursing Home Quality Selected Measures United States, 2011 Disparities National Coordinating Center Spring 2014 This material was prepared by the Delmarva Foundation for Medical Care (DFMC)
More informationHOSPITAL READMISSION REDUCTION STRATEGIC PLANNING
HOSPITAL READMISSION REDUCTION STRATEGIC PLANNING HOSPITAL READMISSIONS REDUCTION PROGRAM In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System (IPPS) hospitals
More informationTCPI Tools for Population Management: Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries Hosted by HCDI SAN
TCPI Tools for Population Management: Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries Hosted by HCDI SAN This webinar is provided free-of-charge and is supported
More informationNational Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition
National Hospice and Palliative Care OrganizatioN Facts AND Figures Hospice Care in America 2017 Edition NHPCO Facts & Figures - 2017 edition Table of Contents 2 Introduction 2 About this report 2 What
More informationMore cost-effective wound healing Negative Pressure Wound Therapy
More cost-effective wound healing Negative Pressure Wound Therapy V.A.C. Therapy is proven to deliver faster, more effective wound healing. 1-4 Could wound management be made more cost-effective? 3 ways
More informationCommonwealth Fund Scorecard on State Health System Performance, Baseline
1 1 Commonwealth Fund Scorecard on Health System Performance, 017 Florida Florida's Scorecard s (a) Overall Access & Affordability Prevention & Treatment Avoidable Hospital Use & Cost 017 Baseline 39 39
More informationJanuary 4, Via Electronic Mail to file code CMS-3317-P
701 Pennsylvania Ave., NW, Suite 800 Washington, DC 20004-2654 Tel: 202 783 8700 Fax: 202 783 8750 www.advamed.org Via Electronic Mail to file code CMS-3317-P Andrew M. Slavitt Acting Administrator Centers
More informationHOW WILL MINORITY-SERVING HOSPITALS FARE UNDER THE ACA?
HOW WILL MINORITY-SERVING HOSPITALS FARE UNDER THE ACA? Ashish K. Jha, MD, MPH Boston Medical Center, March 2012 Agenda for today s talk Why focus on providers that care for minorities and other underserved
More informationMDS 3.0: What Leadership Needs to Know
MDS 3.0: What Leadership Needs to Know especially prepared for CANPFA Ann Spenard RN, MSN History of the MDS and RAI Process The Resident Assessment Instrument (RAI) was part of a set of reforms enacted
More informationAging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes? Nursing Home Predictors
T I M E L Y I N F O R M A T I O N F R O M M A T H E M A T I C A Improving public well-being by conducting high quality, objective research and surveys JULY 2010 Number 1 Helping Vulnerable Seniors Thrive
More informationThe Impact of Healthcare-associated Infections in Pennsylvania 2010
The Impact Healthcare-associated Infections in Pennsylvania 2010 Pennsylvania Health Care Cost Containment Council February 2012 About PHC4 The Pennsylvania Health Care Cost Containment Council (PHC4)
More information2012 Community Health Needs Assessment
2012 Community Health Needs Assessment University Hospitals (UH) long-standing commitment to the community spans more than 145 years. This commitment has grown and evolved through significant thought and
More informationPay-for-Performance: Approaches of Professional Societies
Pay-for-Performance: Approaches of Professional Societies CCCF 2011 Damon Scales MD PhD University of Toronto Disclosures 1.I currently hold a New Investigator Award from the Canadian Institutes for Health
More informationQUALITY OF LIFE FOR NURSING HOME RESIDENTS: PREDICTORS, DISPARITIES, AND DIRECTIONS FOR THE FUTURE
QUALITY OF LIFE FOR NURSING HOME RESIDENTS: PREDICTORS, DISPARITIES, AND DIRECTIONS FOR THE FUTURE Tetyana P. Shippee, PhD Division of Health Policy and Management, School of Public Health, University
More informationSECURING WOUND DRESSINGS:
SECURING WOUND DRESSINGS: How Hy-Tape can make dressings more secure, more effective, and longer lasting A SPECIAL REPORT ABOUT WOUND CARE INTRODUCTION Given the prevalence of wounds and the amount of
More informationFact Sheet. American Board of Medical Specialties (ABMS) and the ABMS Maintenance of Certification (ABMS MOC ) Program
Fact Sheet American Board of Medical Specialties (ABMS) and the ABMS Maintenance of Certification (ABMS MOC ) Program The American Board of Medical Specialties (ABMS), established in 1933, is a highly
More informationAppendix #4. 3M Clinical Risk Groups (CRGs) for Classification of Chronically Ill Children and Adults
Appendix #4 3M Clinical Risk Groups (CRGs) for Classification of Chronically Ill Children and Adults Appendix #4, page 2 CMS Report 2002 3M Clinical Risk Groups (CRGs) for Classification of Chronically
More informationQuality of Care for Underserved Populations
2006 Annual Report Quality of Care for Underserved Populations The goal of The Commonwealth Fund s Program on Quality of Care for Underserved Populations is to improve the quality of health care delivered
More informationMalnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum. May 2015 avalere.com
Malnutrition Quality Improvement Opportunities for the District Hospital Leadership Forum May 2015 avalere.com Malnutrition Has a Significant Impact on Patient Outcomes MALNUTRITION IS ASSOCIATED WITH
More informationSupplementary Online Content
Supplementary Online Content Colla CH, Wennberg DE, Meara E, et al. Spending differences associated with the Medicare Physician Group Practice Demonstration. JAMA. 2012;308(10):1015-1023. eappendix. Methodologic
More informationAdmissions, Readmissions & Transitions Core Functions & Recommended Actions
How to use this resource An important single component of COMPASS for accomplishing the goals promised to CMS is the reduction of avoidable hospital admissions and readmissions as well as emergency room
More informationINTRODUCTION TO LOWER EXTREMITY WOUND PATHWAY TOOLS AND FORMS
INTRODUCTION TO LOWER EXTREMITY WOUND PATHWAY TOOLS AND FORMS Carolyn Morin: Enterostomal Therapy Nurse, Saskatchewan Health Authority Faye Street : Wound Resource Nurse, Saskatchewan Health Authority
More informationSame Day Vascular Interventions in an Office or Freestanding Facility: The US Experience
Same Day Vascular Interventions in an Office or Freestanding Facility: The US Experience Jeffrey G. Carr, MD, FACC, FSCAI Founding and Immediate Past President- Outpatient Endovascular and Interventional
More informationInaugural Barbara Starfield Memorial Lecture
Inaugural Barbara Starfield Memorial Lecture Wonca World Conference Prague, June 29, 2013 Copyright 2013 Johns Hopkins University,. Improving Coordination between Primary and Secondary Health Care through
More informationCalendar Year 2014 Medicare Physician Fee Schedule Final Rule
Calendar Year 2014 Medicare Physician Fee Schedule Final Rule Non-Facility Cap After receiving many negative comments on this issue from physician groups, along with the House GOP Doctors Caucus letter
More informationJune 25, Shamis Mohamoud, David Idala, Parker James, Laura Humber. AcademyHealth Annual Research Meeting
Evaluation of the Maryland Health Home Program for Medicaid Enrollees with Severe Mental Illnesses or Opioid Substance Use Disorder and Risk of Additional Chronic Conditions June 25, 2018 Shamis Mohamoud,
More informationCommunity Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY:
Community Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY: November 2012 Approved February 20, 2013 One Guthrie Square Sayre, PA 18840 www.guthrie.org Page 1 of 18 Table of Contents
More informationTransitions of Care from a Community Perspective
Transitions of Care from a Community Perspective ACMA Utah Chapter 2nd Annual Education Session Dr. Larry Garrett, PhD, MPH, BSN Sr. Project Manager, HealthInsight Presenting with the 5 I s Interactive
More informationFREQUENTLY ASKED QUESTIONS (FAQs)
FREQUENTLY ASKED QUESTIONS (FAQs) 2013 Voluntary Hospital Public Reporting of PCI Readmission Rationale for the Percutaneous Coronary Intervention (PCI) Readmission Measure... 3 1. Why measure readmissions
More informationPROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On February 23, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated proposed
More informationThe Winnipeg Regional Health Authority
A Wound Care Quality Monitoring and Reporting System for Home Care By Sarah Brown, BSc, RN, MN, IIWCC and Kathleen Klaasen, RN, MN, GNC(c), IIWCC The Winnipeg Regional Health Authority (WRHA) Home Care
More informationNeighborhoods, resources and capacity to improve
Neighborhoods, resources and capacity to improve Jane Brock, MD, MSPH Telligen QIN QIO National Coordinating Center This material was prepared by Telligen, the Quality Innovation Network National Coordinating
More informationBCBSM Physician Group Incentive Program
BCBSM Physician Group Incentive Program Organized Systems of Care Initiatives Interpretive Guidelines 2012-2013 V. 4.0 Blue Cross Blue Shield of Michigan is a nonprofit corporation and independent licensee
More informationDiversity & Disparities: A Benchmark Study of U.S. Hospitals.
Diversity & Disparities: A Benchmark Study of U.S. Hospitals http://www.hpoe.org/diversity-disparities Contents Executive Summary...2 Survey Methods...4 Collection and Use of REAL Data...5 Cultural Competency
More informationVenous Thromboembolism Prophylaxis. Robert A. Thompson, MD, MBA Karen Bales, RN, BSN
Venous Thromboembolism Prophylaxis Robert A. Thompson, MD, MBA Karen Bales, RN, BSN 03.14.13 This is a complicated topic! Agenda Rob Thompson Overview Compelling case Karen Bales Protocols OFI process
More informationDear Acting Administrator Slavitt,
June 27, 2016 Mr. Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Re: Merit-Based
More informationImproving Cultural Inclusivity in Clinical Trials: Implementation of The EDICT Project Recommendations
Improving Cultural Inclusivity in Clinical Trials: Implementation of The EDICT Project Recommendations Gina Evans Hudnall, PhD (chair) ginae@bcm.edu Irene Teo, M.S. Elizabeth Ross, B.A. Objectives Increase
More informationPSYC 8150 Behavior Health Care Systems for Children and Adolescents Worksheet
PSYC 8150 Behavior Health Care Systems for Children and Adolescents WORKSHEET A Population by Age, Sex, Race/Ethnicity for City, County, State & U.S. City: County: State: Source of Data: Year of Data Publication:
More informationJune 2018 COMMUNITY HEALTH CENTER CHART
June 2018 COMMUNITY HEALTH CENTER CHART About Community Health Centers The National Association of Community Health Centers (NACHC) is pleased to present Community Health Center Chartbook, an overview
More informationRisk Factor Analysis for Postoperative Unplanned Intubation and Ventilator Dependence
Risk Factor Analysis for Postoperative Unplanned Intubation and Ventilator Dependence Adam P. Johnson MD, MPH, Anisha Kshetrapal MD, Harold Hsu MD, Randi Altmark RN, BSN, Herbert E Cohn MD, FACS, Scott
More informationRegistry General FAQs
Registry General FAQs September, 2016 Table of Contents 1 Overview... 1 2 Frequently Asked Questions... 2 2.1 General... 2 2.2 Data... 5 2.3 Population Health... 6 2.4 Security and Privacy... 6 2.5 Cost
More informationSNF REHOSPITALIZATIONS
SNF REHOSPITALIZATIONS David Gifford MD MPH SVP Quality & Regulatory Affairs National Readmission Summit Arlington VA Dec 6 th, 2013 Use of Long Term Care Services 19% 4 35% 2 20% 1 23% 1 20% 3 1. Mor
More information2018 Applicant Guide
2018 CHARITABLE SAFETY NET CLINIC REQUEST FOR PROPOSALS (RFP) For free or reduced cost clinics, federally qualified health centers or public health entities projects in the areas of: Cardiovascular Conditions
More informationMDEpiNet RAPID Meeting
MDEpiNet RAPID Meeting BUILD, PCORnet & SENTINEL: Background, Data Model and Data Elements Jeffrey Brown, PhD Associate Professor May 25, 2017 1 FDA Sentinel: Background 2007: FDA Amendments Act A mandate
More informationMEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN INDIANS & ALASKA NATIVES
American Indian & Alaska Native Data Project of the Centers for Medicare and Medicaid Services Tribal Technical Advisory Group MEDICARE ENROLLMENT, HEALTH STATUS, SERVICE USE AND PAYMENT DATA FOR AMERICAN
More informationAmputee Care Pathway Questions and Answers
Amputee Care Pathway Questions and Answers 1. Question: Can there be one referral form to SAT clinic (both clinics on same form) that is filled out in acute care post-op so that no matter where the client
More informationPartnering with the Care Management Department. Medical Staff and Allied Health Practitioner Orientation
Partnering with the Care Management Department Medical Staff and Allied Health Practitioner Orientation 10/2015 Department of Care Management Medical Directors of Care Coordination Inpatient Case Managers
More informationCommunity Health Needs Assessment Supplement
2016 Community Health Needs Assessment Supplement June 30, 2016 Mission Statement, Core Values, and Guiding Social Teachings We, St. Francis Medical Center and Trinity Health, serve together in the spirit
More informationAPPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS
Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet
More informationTRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine
TRANSITIONS of CARE Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine 5-15-15 Objectives At the conclusion of the presentation, the participant will be able to: 1. Improve
More informationPredicting 30-day Readmissions is THRILing
2016 CLINICAL INFORMATICS SYMPOSIUM - CONNECTING CARE THROUGH TECHNOLOGY - Predicting 30-day Readmissions is THRILing OUT OF AN OLD MODEL COMES A NEW Texas Health Resources 25 hospitals in North Texas
More informationCLOSING THE DIVIDE: HOW MEDICAL HOMES PROMOTE EQUITY IN HEALTH CARE
CLOSING DIVIDE: HOW MEDICAL HOMES PROMOTE EQUITY IN HEALTH CARE RESULTS FROM 26 HEALTH CARE QUALITY SURVEY Anne C. Beal, Michelle M. Doty, Susan E. Hernandez, Katherine K. Shea, and Karen Davis June 27
More information2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
More informationDELAWARE FACTBOOK EXECUTIVE SUMMARY
DELAWARE FACTBOOK EXECUTIVE SUMMARY DaimlerChrysler and the International Union, United Auto Workers (UAW) launched a Community Health Initiative in Delaware to encourage continued improvement in the state
More informationBaseline and 9-Month Follow-Up Outcomes of Health Care for Iowa Medicaid Health Home Program Enrollees
Health Policy 11-1-2013 Baseline and 9-Month Follow-Up Outcomes of Health Care for Iowa Medicaid Health Home Program Enrollees Elizabeth T. Momany University of Iowa Peter C. Damiano University of Iowa
More informationTopic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F
Topic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F Diane Altman Dautoff, MSW, EdD, Senior Consultant Heather Russo, Consultant January 2013 Welcome Introductions and Housekeeping
More informationManaging Your Patient Population: How do you measure up?
Managing Your Patient Population: How do you measure up? Paul M. Palevsky, M.D. Chief, Renal Section VA Pittsburgh Healthcare System Professor of Medicine University of Pittsburgh School of Medicine Ben
More informationMeasures Reporting for Eligible Hospitals
Meaningful Use White Paper Series Paper no. 5b: Measures Reporting for Eligible Hospitals Published September 5, 2010 Measures Reporting for Eligible Hospitals The fourth paper in this series reviewed
More information1. Measures within the program measure set are NQF-endorsed or meet the requirements for expedited review
MAP Working Measure Selection Criteria 1. Measures within the program measure set are NQF-endorsed or meet the requirements for expedited review Measures within the program measure set are NQF-endorsed,
More informationNew research: Change peripheral intravenous catheters only as clinically
Content page New research: Change peripheral intravenous catheters only as clinically indicated, not routinely. The results of a nurse led and nationally funded multicentre, randomised equivalence trial
More informationGender. Age DEMOGRAPHICS POINTS OF DISTINCTION COMISSION FOR ACCREDITATION OF REHABILITATION FACILITIES STATE OF FLORIDA BRAIN AND SPINAL CORD PROGRAM
POINTS OF DISTINCTION 89-bed Acute Adult Inpatient Rehabilitation Unit, All private rooms 4 th largest Rehabilitation provider in the state of Florida Admitted 2157 patients from April 2017 through March
More information2016 PQRS and VBM for Anesthesia and Pain Management
2016 PQRS and VBM for Anesthesia and Pain Management 2016 PQRS and VBM for Anesthesia and Pain Management 1 Table of Contents PQRS 1 Definitions 2 PQRS Basics 2 MAV 3 Claims-based vs. Registry-based Reporting
More informationChronic Disease Management: Implications for LTC homes
Chronic Disease Management: Implications for LTC homes George A Heckman MD MSc FRCPC Schlegel Research Chair in Geriatric Medicine Associate Professor, School of Public Health and Health Systems February
More informationActivities to Reduce Health Disparities under Massachusetts Health Care Reform
Activities to Reduce Health Disparities under Massachusetts Health Care Reform Joel S. Weissman, PhD Assoc Prof of Health Policy, Harvard Medical School Former Senior Health Policy Advisor to the Secretary
More information