July 24-26, 2013 Chicago, IL
|
|
- Marianna Smith
- 5 years ago
- Views:
Transcription
1 1 Chronic Obstructive Learning Collaborative Sponsored by AMGA and Boehringer Ingelheim Pharmaceuticals, Inc. July 24-26, 2013 Chicago, IL University of Michigan Faculty Group Practice Improving the quality of care for patients with Chronic Obstructive Pulmonary Disease
2 UMHS COPD Teams Structure COPD QI Steering Committee Pulmonary Hospitalist Nursing Respiratory Therapy Quality Data Analysis COPD Hospital Multidisciplinary Team Pulmonary Hospitalist Nursing Respiratory Therapy Emergency Department Visiting Nurse Discharge Planning
3 3 COPD QI Steering Committee MeiLan Han, MD Committee Co-Lead, Associate Professor (Pulmonary) DeAnn VanSickle, RN Committee Co-Lead, Clinical Affairs Steven Bernstein, MD Director, Quality Management Program (QMP); Professor (General Medicine) Susan Blitz, MD Director, Taubman Gen. Medicine Clinic; Director, Employee Health; Assoc. Professor (Gen Med) Jeff Capuano Analyst, QMP Todd Georgia, RRT Respiratory Therapist (Adult) Cheryl Grostic Administrative Specialist, QMP Catherine Meldrum, RN Lung Volume Reduction Program Nurse Lead Satyen Nichani, MD Hospitalist, Assistant Prof (Gen Med) Kelly Schultz, RN Quality Improvement Representative Karla Stoermer Grossman, RN Asthma QI Steering Committee Co-Lead, Certified Asthma Educator Annie Sy, PharmD Manager, QMP
4 4 COPD Hospital Multidisciplinary Team DeAnn VanSickle, RN Chair. Clinical Affairs Kelly Board, RN Nurse, Emergency Department Kelly Campbell, RRT Pulmonary Function Lab Manager Deborah Crawford, RN Nurse, Adult Medicine Deborah Diemer Administrative Assistant, Clinical Affairs James Freer, MD Associate Professor (Emergency Medicine) Todd Georgia, RRT Respiratory Therapist (Adult) MeiLan Han, MD Associate Professor (Pulmonary) Toni Henkemeyer, RN Manager, Michigan Visiting Nurses Hae-Won Kim Hospitalist, Assistant Professor (Gen Med) Catherine Meldrum, RN Lung Volume Reduction Program Nurse Lead Satyen Nichani, MD Hospitalist, Assistant Professor (Gen Med) Kelly Schultz, RN Clinical Affairs Rachel Wilken, RN Discharge Planning Mark Zhang Data Analyst, Clinical Affairs
5 5 Project Overview: Initial Goals Improve the quality of care provided to COPD patients Maximize the quality of life of patients with COPD Reduce rates of emergency department visits and hospitalizations for patients with COPD
6 6 Project Overview: Specific Goals Increase number of patients with spirometrically confirmed diagnosis Improve the quality of spirometry performed in primary care clinics Track quality metrics for COPD patients Standardize COPD education materials across the health system Increase collaboration across the health system between clinicians caring for COPD patients
7 7 Project Overview: Our COPD Registry Inclusion Criteria: COPD Diagnosis on Problem List AND 1 ED Visit or 1 Hospitalization or 2 Ambulatory Care Visits at UMHS AND At least 40 years old AND Must have had COPD diagnosis spirometrically confirmed within last 10 years with FEV1/FVC ration of <70% Registry measures pulled electronically Occasional chart review to assure data integrity
8 8 Current State of Registry: Late June 2013 Qty. Description 1639 Measurable COPD patients that meet registry criteria 843 COPD patients with a problem summary list diagnosis and NO confirming spirometry 112 COPD patients with a problem summary list diagnosis, NO confirming spirometry, and a rule-out condition (BOOP, Lung Cancer, etc.) 2594 TOTAL PATIENTS
9 9 University of Michigan COPD Registry Data in registry validated; measurable population identified Report from May 2013; 1631 patients age 40 years or older # Measure Name Measure Denominator 1 Spirometry performed All Eligible COPD patients 2 Current PFT FEV1/FVC < 70% All Eligible COPD patients 3 Bronchodilator prescribed All Eligible COPD patients 4 Immunizations - Pneumococcal All Eligible COPD patients Time Frame Search Criteria prior 10 years through end of reporting period prior 10 years through end of reporting period All Active Meds listed on Problem Summary List Through end of previous reporting period (Mar. 2012) Overall % 100% 92% 92% 75% 5 Immunizations - Influenza** All Eligible COPD patients 9/1/2012-4/30/2013 NA 6 Tobacco Status Documented All Eligible COPD patients Through end of reporting period 92% 7 Current Tobacco User All Eligible COPD patients who have had their tobacco status documented Through end of reporting period 20%
10 10 Percent of UM Patients Who Met Measures as of March % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% FEV1/FVC <70% Bronchodilator Medication Tobacco Use Documented Current Tobacco User Primary Care (N=463) 93% 85% 93% 30% Pulmonary Only (N=509) 95% 97% 84% 10% Jointly Managed (N=479) 88% 95% 98% 17% All UMHS 92% 92% 92% 20%
11 11 UM COPD Registry by Clinic, March 2013 Green is above target; red is below target Individual clinics listed under each heading
12 12 UM COPD Registry by Clinic, March 2013 Pulmonary clinics are separated out
13 13 UMHS All Payor COPD Performance Measures March March % 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% FEV1/FVC <70% Bronchodilator Medication Influenza Vaccine Pneumococcal Vaccine Tobacco Use Documented Current Tobacco User March 2011 (n=1845) 87% 85% 73% 70% 27% Tobacco Counseling Documented March 2012 (n=1724) 90% 88% 75% 81% 25% 69% March 2013 (n=1631) 92% 92% 92% 20%
14 14 Project Overview: Screening Tools COPD Screener from Boehringer Ingleheim & the COPD Alliance Considered use with Use Interactive Voice Response (IVR) system
15 15 Project Overview: Hospital Group Chart Reviews Patient who were readmitted within 30 days Admission Source Discharge Disposition Completion of discharge planning during hospitalization Follow up appointments in pulmonary & primary care Diagnoses for each admission
16 16 Hospital Group Chart Review Contributing Factors Factors Contributing to Readmission Other 9 Number of Contributing Factors Per Patient Psychiatric Issues 2 Five 1 Non-compliance with Treatment 6 Four 4 Psychosocial Issues 12 Three 10 Current Smoker 12 On Home O2 &/or Bipap 18 Two 13 Chronic problems from comorbidities 27 One Number of Patients
17 Chart Review Results 17
18 18 Project Overview: Assessment Tools CAT (COPD Assessment Tool) measures the impact of COPD
19 19 Other Assessment Tools EXACT-Pro (Exacerbations of Chronic Pulmonary Disease Tool) is 14 item daily electronic diary Creating our own tool Looking for a way to assess patients to determine if ready for discharge in comparison to baseline status Little concrete physiological numbers in COPD to determine if patient has improved from admission Literature has not determined that there is one tool for this purpose
20 20 Project Overview: Educational Materials Goal of standardization across all care settings American College of Physicians Living With COPD book selected as the UMHS COPD book Available in English and Spanish
21 21 Other Educational Materials Supplemental Materials from the COPD Foundation Slim Skinny Reference Guides for patients Big Fat Reference Guide for patients and clinicians Clinician pocket cards
22 22 Future Educational Plans Offer inservices on COPD and inhaler device training to primary care, inpatient units, and staff training groups Consider creating a COPD e-learning module for staff Assure all materials are available on internal patient education clearinghouse
23 23 Project Overview: Spirometry Improvement Goals: Standardize spirometry in primary care clinics Improve access to testing Educate clinicians how to use spirometry in clinic settings Awarded grant 2 years ago to participate in National Asthma Control Initiative (NACI) Champions Spirometry 360 Train the Trainer Pilot Program
24 24 Spirometry Improvement Work 6 Pilot Sites received training, over reading services and support to incorporate spirometry into their primary care practices Created online education materials for coaches and providers based on Spirometry 360 materials Regularly communicated helpful tips and performance reports from over reader system to clinics
25 25 Spirometry Improvement Work Created guideline and encounter sheets Provided tech support for software and spirometer problems Completed Go & See Visits to 5 sites to determine best practice in workflow Multidisciplinary Produced flowchart for distribution
26 26
27 27 Results by Clinic Each coach and provider should complete at least 10 tests per month to maintain competency (minimum 2 of each at UMHS clinics) Our passing rate goal was 80% Test results by clinic for April 2012 through March 2013: Spirometry Results by Clinic Clinic 1 Clinic 2 Clinic 3 Clinic 4 Clinic 5 Clinic 6 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Total Passing Tests Total Tests 60% 46% 50% 0% 25% 14% 100% 50% 40% 50% 0% 0% 41% Passing Tests Total Tests 0% 0% 0% Passing Tests Total Tests 60% 50% 75% 64% 86% 75% 54% 83% 70% 58% 100% 100% 71% Passing Tests Total Tests 50% 60% 56% 100% 80% 63% 100% 63% Passing Tests Total Tests 0% 33% 0% 33% 0% 50% 60% 80% 25% 35% Passing Tests Total Tests 80% 83% 82%
28 28 Next Steps for Spirometry New spirometry model needed Traveling pulmonary function tech versus increased access to spirometry sites Collaborative discussions with Geisinger Health System have been helpful Will pilot traveling tech at one clinic in the next few months Bring spirometer to site Use laptop to transmit results into electronic medical record
29 29 Celebrating Accomplishments Continued quality improvement support Project manager-type role Funding for one position focused on chronic disease improvement in ambulatory care Multidisciplinary teams representing entire health system Improved performance seen in registry metrics Education materials selected PDCA works!
30 30 Challenges & Lessons Learned Important to hold regular team meetings Data is a necessary part of decision making Involve all levels of staff from clinical settings Patience with implementation of an electronic medical record
31 31 Future Steps Improve data pull from EMR to registry Utilization of screening tools in ambulatory care Study of inpatient tool for assessment of readiness for discharge Pilot new spirometry delivery model
32 32 Questions for the Group What have others done with assessment and screening tools? What types of spirometry models do you use in primary care settings and how do you assure quality results? Are any willing to collaborate on publishing results of their struggles with COPD improvement work?
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management
PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication
More informationOptimizing Care for Complex Patients with COPD
Optimizing Care for Complex Patients with COPD Janice Gasaway, RN, MN, Director Quality & Safety Elvin Perkins, MBA, Chronic Disease Project Manager 1 Cone Health System: Who We Are Regional Health System
More informationKentucky Sepsis Summit. August 2016
1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute
More informationReadmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ. A Catholic healthcare ministry serving Ohio and Kentucky
Readmission Project 2017 Janice M. Maupin, RN, MSN, CPHQ A Catholic healthcare ministry serving Ohio and Kentucky 1 Mission, Values and Promise Our Mission We extend the healing ministry of Jesus by improving
More informationDesigning Reliable Value-based Systems of Care for Chronic Disease and Prevention
Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Frederick J. Bloom, Jr. MD MMM President, Guthrie Medical Group 1/23/15 Where We Want to Be 1. Affordable coverage for
More informationUsing EHRs and Case Management to Improve Patient Care and Population Health
Using EHRs and Case Management to Improve Patient Care and Population Health Session #211, February 22, 2017 Thomas Schiller, MD and Jennifer Kuroda, SwedishAmerican Health System A Division of UW 1 Speaker
More informationKrystal M Craddock, RRT-NPS, CCM, COPD Case Manager A HEALTHIER WORLD THROUGH BOLD INNOVATION
Krystal M Craddock, RRT-NPS, CCM, COPD Case Manager Department of Respiratory Care UC Davis Medical Center, Sacramento CA UC Davis ROAD Center kmcraddock@ucdavis.edu University of California Davis ROAD
More informationAdministrative Update: How to Implement Discharge Pharmacy Services (DPS) Objectives
Administrative Update: How to Implement Discharge Pharmacy Services (DPS) Morgan Pendleton, PharmD, BCOP Hematology/Oncology Clinical Pharmacist Wake Forest Baptist Health Objectives Evaluate the need
More informationCorporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,
Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907
More informationInnovative Reimbursement Models Value-Based Insurance Design and the Medical Home En Route to an ACO Model
Innovative Reimbursement Models Value-Based Insurance Design and the Medical Home En Route to an ACO Model Mary Ellen Benzik,MD PCPCC Conference March 14, 2011 Community Collaboration to Transform Health
More informationNational Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)
October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over
More informationCatherine Porto, MPA, RHIA, CHP Executive Director HIM. Madelyn Horn Noble 3M HIM Data Analyst
1 Catherine Porto, MPA, RHIA, CHP Executive Director HIM Madelyn Horn Noble 3M HIM Data Analyst University of New Mexico Hospitals» The state s only academic medical center» The primary teaching hospital
More informationPresentation Outline
Chronic Disease Toolkits: Spreading Quality Outcomes Simply Gerald H. Angoff, MD, FACC, MBA Steve Sarette, BA Presentation Outline It Introduction ti Setting the scene Quality Improvement Project Details
More informationThe Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing
The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing Sharon P. Stetz MSN Marvella M. Muzik, MS PMHNP, BC Objectives
More informationExecutive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA
MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q3 2013 Executive Summary STATE OF CALIFORNIA The Centers for Medicare & Medicaid Services (CMS) has tasked Health Services Advisory
More informationThe PCMH St Joseph s Experience
The PCMH St Joseph s Experience Priya Radhakrishnan, MD Roshni Kundranda, MD, MSPH Binh Doung, DO Jenni Schroeder, RN, BSN ACP Regional Meeting Tucson, 2013 Disclosure No financial conflicts of interest
More informationPatients with Rib Fractures How We Decreased Unplanned Transfers to the ICU. Lillian Aguirre, DNP, CNS, CCRN, CCNS Orlando Regional Medical Center
Patients with Rib Fractures How We Decreased Unplanned Transfers to the ICU Lillian Aguirre, DNP, CNS, CCRN, CCNS Orlando Regional Medical Center Disclosures I do not have any disclosures Background Struggling
More informationReport on a QI Project Eligible for MOC ABMS Part IV and AAPA PI-CME. Improving Rates of Developmental Screening in Pediatric Primary Care Clinics
Report on a QI Project Eligible for MOC ABMS Part IV and AAPA PI-CME Improving Rates of Developmental Screening in Pediatric Primary Care Clinics Instructions Determine eligibility. Before starting to
More informationPSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence
PSI-15 Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Rachel Brunt, RN, BSN, MBA-HCA, CIC, CPHQ, Director Quality Jessie Hanks, BS, RHIA, Director HIM Lafayette General
More informationDischarge and Follow-Up Planning. Presented by the Clinical and Quality Team
Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate
More informationMEDICAID ACCELERATED EXCHANGE (MAX) SERIES ACCELERATE TRANSFORMATION AND LASTING CHANGE
MEDICAID ACCELERATED EXCHANGE (MAX) SERIES ACCELERATE TRANSFORMATION AND LASTING CHANGE Presented by: Linda Efferen, MD, MBA Medical Director Suffolk Care Collaborative 19 THE MAX SERIES SUPPORTS AN INTERDISCIPLINARY
More informationQuality Standards. Patient Reference Guide. Chronic Obstructive Pulmonary Disease Care in the Community for Adults. November 2017
Quality Standards Patient Reference Guide Chronic Obstructive Pulmonary Disease Care in the Community for Adults November 2017 Quality standards outline what high-quality care looks like. They focus on
More informationNorthern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention
Northern Health - Acute Services Evidence Based Practice Venous Thromboembolism Prevention (VTE) Jeannette Kamar Christine Lamotte, Liam Carter Improving Patient Safety Preventing and Managing Venous Thromboembolism
More informationCOPD National Action Plan. COPD.nih.gov
COPD National Action Plan COPD.nih.gov Kyle Mahan, MSM, RRT Vice President of KSRC DCE for Jefferson Community and Technical College RCP 14-ish Years AZ native. I am not from Kentucky, but I got here as
More informationDecreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT)
Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Dr. Jose Cadena Dr. Amruta Parekh University of Texas Health Science Center at San Antonio San Antonio,
More informationCombining Nursing Power and Quality Metrics to Influence Policy Development
Combining Nursing Power and Quality Metrics to Influence Policy Development Patricia Nevins, MSN/Ed, RN, FANAI Baylor Scott and White Hospital Patient Advisory Nursing Department Objectives Analyze financial
More informationPERFORMANCE IMPROVEMENT REPORT
PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor
More informationCreating Care Pathways Committees
Presentation Creating Care Title Pathways Committees December 12, 2012 December 12, 2012 Creating Care Pathways Committees LeadingAge Indiana Integrated Care & Payment Executive Series 1 2012 Health Dimensions
More informationHeart Failure Order Sets. Standardizing Care for the Heart Failure Patient 2012
Heart Failure Order Sets Standardizing Care for the Heart Failure Patient 2012 Objectives: Standardize care for all heart failure patients in Legacy Base Practice on American Heart Association Guidelines
More informationLeveraging the Accountable Care Unit Model to create a culture of Shared Accountability
Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation
More informationExecutive Summary: Davies Ambulatory Award Community Health Organization (CHO)
Davies Ambulatory Award Community Health Organization (CHO) Name of Applicant Organization: Community Health Centers, Inc. Organization s Address: 110 S. Woodland St. Winter Garden, Florida 34787 Submitter
More informationManaging Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
More informationEMR Adoption: Benefits Realization
EMR Adoption: Benefits Realization John H. Daniels, CNM, FACHE, FHIMSS, CPHIMS Global Vice President, HIMSS Analytics Pressurring / Overload Automate to optimize clinical decision making Medical Knowledge
More informationCollaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times. Problem/Goal
Collaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times A. Chang, C. Hyun, N. Mehta, S. Kim, M. Grube, M. Blair, A. Yi VA Loma Linda Healthcare
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationWPCC Workgroup. 2/20/2018 Meeting
WPCC Workgroup 2/20/2018 Meeting Today s Agenda 1. Introductions 2. Medicaid Transformation Overview 3. WPCC in the Transformation 4. Change Plan Overview 5. Review of Supporting Data 6. Change Plan Deep
More informationJANUARY 2018 (21 work days) FEBRUARY 2018 (19 work days)
AND CORRESPONDING DATES FOR JANUARY AND FEBRUARY 2018 JANUARY 2018 ( work days) Deadline* 12-27 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 Benefit Hold ** 12-28 12-29 1-2 1-3 1-4 1-5 1-8 1-9 1-10 1-11 Mailing
More informationHypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc. October 13-15, 15, 2010 Scottsdale, AZ Kaiser Permanente of the Mid-Atlantic States (KPMAS) 1 KPMAS Medical Group Profile
More informationA CME Activity Developed by National Jewish Health and Medscape Education
A CME Activity Developed by National Jewish Health and Medscape Education Performance Improvement CME (PI CME) Initiative: A Systems-Based Educational Initiative to Improve the Team- Based Care and Health
More informationNHSGGC Respiratory Managed Clinical Network Annual Report 2010/11 Executive Summary and Table of Contents
NHSGGC Respiratory Managed Clinical Network Annual Report 2010/11 Executive Summary and Table of Contents The full report is available on the Respiratory MCN Website www.nhsggc.org.uk/respmcn 1. Executive
More informationColorado Medical-Dental Integration Project (CO MDI)
Colorado Medical-Dental Integration Project (CO MDI) Allison Cusick, MPA, CHES National Oral Health Conference April 2016 Colorado Medical-Dental Integration CO MDI Five-Year Initiative Launched in 2014
More informationActivity Based Cost Accounting and Payment Bundling
Activity Based Cost Accounting and Payment Bundling 1 Agenda Introduction of Speakers Fast Facts about Jewish Senior Life/Jewish Home of Rochester Determining the need and uses for an Activity Based Cost
More informationSPSP Medicines. Prepared by: NHS Ayrshire and Arran
SPSP Medicines Prepared by: NHS Ayrshire and Arran Medication Reconciliation: Story so far MR happening in primary care, acute adult, paediatrics and mental health Started in acute then mental health,
More informationthequalitypost in this issue Get Out of Your Comfort Zone Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone
thequalitypost Edward Tufte s Principles for Effective Presentations Get Out of Your Comfort Zone Multidiciplinary Care for COPD Going Above and Beyond Division Incentive Metrics Monthly Quality Improvement
More informationCAUTI Reduction A Clinton Memorial Presentation
CAUTI Reduction 2016 A Clinton Memorial Presentation Clinton Memorial Statistics Rurally situated in a primarily agricultural community with a population of 42,000 The hospital is licensed for 165 beds
More informationThe Pharmacist s Role in Reducing Readmissions
The Pharmacist s Role in Reducing Readmissions John Vinson, Pharm.D. UAMS West Family Medical Center Fort Smith, Arkansas Assistant Professor Co-Chair Clinical Leadership Committee UAMS Regional Programs
More informationWinning at Care Coordination Using Data-Driven Partnerships
Idriz Limaj, LNHA, RN Chief Operating Officer Winning at Care Coordination Using Data-Driven Partnerships Session #166, February 22, 2017 1 Steven Littlehale, MS, GCNS-BC EVP & Chief Clinical Officer Speaker
More informationCHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
More informationChrissie Bryant, Business Director Wales, GlaxoSmithKline - Chair of session. Date of Preparation 30/11/2012 UK/RESP/0115/12
Bobby Bolt Divisional Director for Primary Care and Networks Dr Patrick Flood-Page - Project Lead Respiratory Consultant Dr Jackie Abbey, Project Lead GP Clinician Chrissie Bryant, Business Director Wales,
More informationUsing Data for Quality Improvement in a Clinical Setting. Wadia Wade Hanna MD, MPH Technical Assistance Consultant Georgia Health Policy Center
Using Data for Quality Improvement in a Clinical Setting Wadia Wade Hanna MD, MPH Technical Assistance Consultant Georgia Health Policy Center Dr. W. Hanna, PLS, November 2015 Quality An organizational
More informationOffice of Mental Health Continuous Quality Improvement Initiative for Health Promotion and Care Coordination: 2013 Project Activities and
Office of Mental Health Continuous Quality Improvement Initiative for Health Promotion and Care Coordination: 2013 Project Activities and Expectations March 2013 Overview Welcome 2013 CQI Project Options
More informationInformation Technology Report to Medical Executive Committee
July 10, 20 Information Technology Report to Medical Executive Committee Contents 1 Medicare Meaningful Use 1 Drug/Drug Interaction Alert 2 Leapfrog Group 2 My Apps Icon/Shortcut 2 NHIQM Project 3 mpages
More informationENGAGING PHYSICIANS FOR IMPROVED OUTCOMES: CLINICAL DOCUMENTATION, FINANCIAL & PATIENT CARE
ENGAGING PHYSICIANS FOR IMPROVED OUTCOMES: CLINICAL DOCUMENTATION, FINANCIAL & PATIENT CARE Northeast Ohio HFMA GHALI May 20, 2016 James Begley, MD, MS Physician Champion, ICD-10 & Medical Records Committee
More informationQUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:
QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care
More informationWest Valley and Central Valley Care Coordination Coalitions
West Valley and Central Valley Ettie Lande, MS, BSN, ACM-RN February 08, 2018 Thank You! For sponsoring today s breakfast AstraZeneca and Cyndi Black If you can sponsor breakfast at an upcoming community
More informationThe Digital ICU: Return On Innovation
The Digital ICU: Return On Innovation Cheryl Hiddleson, MSN, RN, CCRN-E Director, Emory eicu Center May, 2017 The Digital ICU: Return on Innovation Cheryl Hiddleson MSN, RN, CCRN-E Director, Emory eicu
More informationTransforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
More informationThe SOMC Employee Wellness Program
The SOMC Employee Wellness Program A Focus on Results Not Participation Pike County Health Coalition Julie Thornsberry, RN, BSN Manager Employee Health & Wellness What are today s objectives? Identify
More informationPQRS Success in 2015:
PQRS Success in 2015: The Effects of Applicability Validation (MAV) on s Selection for Hospitalists Why is Applicability Validation (MAV) important? CMS requires all eligible professionals (EPs) successfully
More informationIntegrating Community and Primary Care: the eyes and ears of general practice
re Integrating Community and Primary Care: the eyes and ears of general practice Context and Evidence Increasing numbers of people over 65 with chronic conditions being managed in primary care. Acute exacerbations
More informationClinical Safety & Effectiveness Cohort # 11
Clinical Safety & Effectiveness Cohort # 11 Implementation of Discharge Planning Rounds on an Inpatient Internal Medicine Service DATE Educating for Quality Improvement & Patient Safety 1 Financial Disclosure
More informationNAVIGATING COPD CARE INSIDE THIS ISSUE WHAT IS COPD? SUMMER 2017
SUMMER 2017 Respiratory Health Association s newsletter for people living with Chronic Obstructive Pulmonary Disease (COPD), their families, and caregivers INSIDE THIS ISSUE 1 Navigating COPD Care 2 RHA
More informationStrategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections
C10 This presenter has nothing to disclose Strategies to Reduce Readmissions, Sepsis, and Health-Care Associated Infections David Renfro, MS, RN NE BC Kelly Farnam, BSN, RN Gloria Martinez, MS, RN, NEA
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department
More informationA Bigger Bang Patient Portal Strategy: How we activated 100K patients in our First Year
A Bigger Bang Patient Portal Strategy: How we activated 100K patients in our First Year Saturday March 25 th, 2017 Lindsay Altimare, MPA Director, LVPG Operations Lehigh Valley Health Network Michael Sheinberg,
More informationCentral Valley/West Valley Care Coordination Coalitions. Quarterly Community Meeting
Central Valley/West Valley Care Coordination Coalitions Ettie Lande, MS, RN Associate Director, Care Coordination (HSAG) Today s Agenda Welcome and Introduction Spotlight on Social Determinant of Health
More informationAnd the Evidence Shows Using Specialty Certification from The Joint Commission Improves Quality
And the Evidence Shows Using Specialty Certification from The Joint Commission Improves Quality Leisha Buller, MSN, ACNP-BC Lindsey Canon, MSN, RNC Ashley Hodo, MSN, RN Using The Joint Commission s Certification
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More informationHPV Vaccination Quality Improvement: Physician Perspective
HPV Vaccination Quality Improvement: Physician Perspective Discussion of efforts to raise HPV vaccine coverage using quality improvement from a physician s perspective Alix Casler, M.D., F.A.A.P. Chief
More informationProvider Information Guide Complex Care and Condition Care Overview
Complex and Overview Introduction Complex and are essential components of Passport Health Plan s (Passport) Coordination services, which are used to support the practitioner-patient relationship and plan
More informationFHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018
FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:
More informationImproving Care Transitions: Creating Your Evidence-Based Approach
Improving Care Transitions: Creating Your Evidence-Based Approach Jack Chase, MD Director of Operations, UCSF Family Medicine Inpatient Service San Francisco General Hospital Assistant Clinical Professor
More informationFrom Implementation to Optimization: Moving Beyond Operations
From Implementation to Optimization: Moving Beyond Operations Session 260, March 8, 2018 Scott Aikey, Sr. Director, Core Clinical Applications Children s Hospital of Philadelphia 1 Conflict of Interest
More informationDual-eligible SNPs should complete and submit Attachment A and, if serving beneficiaries with end-stage renal disease (ESRD), Attachment D.
Attachment A: Model of Care for Dual-eligible SNPs MA Contract Name: Geisinger Health Plan MA Contract Number: H3954-097 Type of Dual-eligible SNP: Full The model of care describes the MAO's approach to
More informationEdmonds Family Medicine Clinic
Add your company logo here 2008-20 Best Practices in Managing Hypertension Sponsored by AMGA and Daiichi Sankyo. Wrap-Up Meeting November 18-20, 20 San Diego, CA Edmonds Family Medicine Clinic Controlling
More informationPPI Deprescribing: Ascension
PPI Deprescribing: Ascension Tonya Thomas, PharmD Clinical Pharmacist Saint Thomas West Hospital Nashville, TN, USA #derx2018 Session resources will be available at deprescribing.org/resources Learning
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationElaine Andrews, Assistant Director of Nursing & Safety and Caroline Booton Quality Analyst Jill Asbury, Acting Director of Nursing
Report to: Board of Directors Date of Meeting: 26 th October 2016 Report Title: Inpatient Falls Report Status: Mark relevant box with X Prepared by: Executive Sponsor (presenting): For information x Discussion
More informationQuality Improvement Program Evaluation
Quality Improvement Program Evaluation 2013 Care Wisconsin 2013 Quality Improvement Program Evaluation INTRODUCTION Care Wisconsin s Quality Management Program uses the Home and Community-Based Quality
More informationTHE BEST OF TIMES: PHARMACY IN AN ERA OF
OBJECTIVES THE BEST OF TIMES: PHARMACY IN AN ERA OF ACCOUNTABLE CARE Toni Fera, BS, PharmD October 17, 2014 1. Describe the role of pharmacists in accountable care organizations (ACO). 2. List four key
More informationAdvancing Popula/on Health and Consumerism
Advancing Popula/on Health and Consumerism 44,954 Senior Enrollees 274,345 Commercial Enrollees 66,070 Commercial ACO Members Popula/on Health Risk Stra/fica/on: Keep Pa/ents Healthy, Happy & at Home Tier
More informationCOMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)
COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) Ahmed Albarrak 301 Medical Informatics albarrak@ksu.edu.sa 1 Outline Definition and context Why CPOE? Advantages of CPOE Disadvantages of CPOE Outcome measures
More informationManaging Patients with Multiple Chronic Conditions
Best Practices Managing Patients with Multiple Chronic Conditions Dartmouth-Hitchcock Physicians Case Study Organization Profile Headquartered in Bedford, New Hampshire, Dartmouth-Hitchcock is a large
More informationJourney in managing practice variation in Diabetes and Hypertension (Part 2/2)
Journey in managing practice variation in Diabetes and Hypertension (Part 2/2) For Part 1 of this presentation, go to http://rightcare.berkeley.edu/sacramento-university-of-best-practices Parag Agnihotri,
More informationINTERACT for Assisted Living
INTERACT for Assisted Living Part 1 NYSHFA/NYSCAL 2014 Fall Conference & Trade Show LuAnne Leistner MS, RN, BC, NE, BC, CALN Director Clinical Services- Assisted Living/Brookdale November 20, 2014 1 Bio/Disclosures
More informationPatient Centered Medical Home: Transforming Primary Care in Massachusetts
Patient Centered Medical Home: Transforming Primary Care in Massachusetts Judith Steinberg, MD, MPH Deputy Chief Medical Officer Commonwealth Medicine UMass Medical School Agenda Overview of Patient Centered
More informationPSYCHIATRY SERVICES UPDATE
PSYCHIATRY SERVICES UPDATE Mark Leary MD, Interim Chief Kathy Ballou RN, Director of Nursing Anton Nigusse Bland MD, PES Medical Director Emily Lee MD, Inpatient Psychiatry Medical Director TRUE NORTH
More informationHEDIS Updates to quality ratings, measures & reporting. Wilhelmina Delostrinos, Director of Quality Improvement & Accreditation
HEDIS 2018 Updates to quality ratings, measures & reporting Wilhelmina Delostrinos, Director of Quality Improvement & Accreditation Agenda HEDIS Overview HEDIS 2018 Changes to Existing Measures HEDIS 2018
More informationproviding an overview of what an integrated system can offer its respiratory population both in and out of hospital
PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K A population-focused respiratory service framework providing an overview of what an integrated system can offer its respiratory population both in and
More informationManaging Risk: Cleveland Clinic s Population Management of Employees. and Their Families
Managing Risk: Cleveland Clinic s Population Management of Employees James Gutierrez MD FACP Chair, Community Internal Medicine Cleveland Clinic and Their Families Bruce Rogen MD MPH FACP Chief Medical
More informationStakeholder input is gathered in several ways. Patients are given the opportunity to provide feedback, the SWOT analysis is based on information from
Strategic Plan 27 Executive Summary The following is a summary of the information shared in this Operations Review and Plan. This plan highlights operational achievements and challenges, clinical outcomes
More informationMedication Reconciliation: Looking Forward
Medication Reconciliation: Looking Forward Bruce Lambert, Ph.D. Associate Professor Department of Pharmacy Administration University of Illinois at Chicago 833 S. Wood St. (MC 871) Chicago, IL 60612-7231
More informationLaguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017
Laguna Honda Lean Transformation Laguna Honda Strategic Performance Management November 2017 Background MAKE IT BETTER 4. 1. Performance Improvement FIX IT Do the work and make it happen 3. Create best
More informationTina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN
Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN
More informationUHF Quality Institute. Patient-Reported Outcomes in Primary Care New York PROPC-NY. Module 2 Webinar
UHF Quality Institute Patient-Reported Outcomes in Primary Care New York PROPC-NY Module 2 Webinar Lucy Savitz, Assistant Vice President for Delivery System Science, Intermountain Healthcare January 24,
More informationReport on a QI Project Eligible for MOC ABOG Part IV Decreasing missed opportunities for HPV vaccination in Ob/Gyn
Instructions Report on a QI Project Eligible for MOC ABOG Part IV Decreasing missed opportunities for HPV vaccination in Ob/Gyn Determine eligibility. Before starting to complete this report, go to the
More informationEnlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):
Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune
More informationPerspectives in Respiratory Nursing A Publication of the Respiratory Nursing Society Volume 21, Issue 2 Summer 2013
Perspectives in Respiratory Nursing A Publication of the Respiratory Nursing Society Volume 21, Issue 2 Summer 2013 A Message from the President of RNS Clinical Corner with the RNS President: Chronic Obstructive
More informationTeam Care Best Practices in Managing Hypertension Learning Collaborative Sponsored by AMGA and Daiichi Sankyo, Inc.
2008 Best Practices in Managing Hypertension Learning Collaborative Sponsored by AMGA and Daiichi Sankyo, Inc. November 12-14, 2008, Scottsdale, AZ Great Falls Clinic, LLP Great Falls, Montana Team Care
More information3/24/2016. Value of Quality Management. Quality Management in Senior Housing: Back to the Basics. Objectives. Defining Quality
Quality Management in Senior Housing: Back to the Basics Lisa Abicht-Swensen, M.H.A. Director of Home Health, Hospice and Assisted Living Services Objectives Understand the value of Quality Management
More information