Hypertension Best Practices Symposium Sponsored by AMGA and Daiichi Sankyo, Inc.
|
|
- Hollie George
- 5 years ago
- Views:
Transcription
1 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
2 KPMAS Medical Group Profile Kaiser Permanente established in California in 1945 Expanded to Washington metro area in Primary Care Physicians 635 Specialty Care Physicians in ~ 40 specialties and sub-specialties ~ 500,000 members More than 5 million encounters/year 2 Epic Systems used for EMR
3 Service Area 36 Office Buildings 3 Jurisdictions MD, VA, and DC 5 Core contracted hospitals
4 HEDIS Performance Percentage Measurement Year BP < 140/90
5 Foundational Principles Benchmark within a system Transparency Design a system to perform 100% of the time Treat to target: close is not good enough Monitoring Titration Medication adjustment Maintenance program
6 Goals & Objectives Objective: Create systematic and reliable workflows and systems that allow staff to work to their maximum scope of practice while eliminating barriers and missed opportunities Goals (subject to change in 2011 based on ACCORD) Achieve control to HEDIS 90 th percentile: 73% Achieve control to HEDIS 90 th percentile for Diabetes: 75.7% (< 140/90) 6
7 Population with Hypertension 116,150 Uncontrolled Hypertension 51,507 Diabetes 41,785 Hypertension and Diabetes 34,942 Uncontrolled Hypertension and Diabetes 20,708
8 Team Composition Medical Group and Health Plan Leadership Primary Care and Specialty Care Physicians Nurses and Nurse Managers Nurse Practitioners Clinical Assistants Case/Care Managers Advice Nurse and Appointment Representatives Pharmacists Analysts EMR Development Team Information Technology Developers Population Care Management project managers 8
9 Chronic Care Model Home Environment Community Influences (Work, School, Media, Friends) Environmental Factors Self- Management support Patient Behavior Health Outcomes Delivery System Design Prepared, Proactive HCT Information Systems Health Care System Factors Decision Support Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract. 1998;1:2-4
10 Chronic Care Model (system) Self- Management support Patient Behavior Prepared, Proactive HCT Trained staff with open schedules Feedback reporting Practice Gdlns Delivery System Design Decision Support EMR alert for BP results with triage Alert for nephrotoxic meds Alert for pts with DM over 55 without ACE-I Health Outcomes Information Systems Health Care System Factors Web based panel management tool
11 Chronic Care Model (patient) Health coaching (re: diet, exercise) Patient Information on post visit summary Home Environment Community Influences (Work, School, Media, Friends) Self- Management support Access to medical record online NP Care Manager Newsletter Patient Behavior Environmental Factors Health Outcomes
12 Clinical Practice Guidelines
13 EMR Decision Support Alerts and smartsets created in specialty care departments to assist Clinical Assistants with follow up care based on BP BP goal <125/75 and above goal BP goal < 135/85 and above goal BP over 170/105 regardless of goal
14 Clinical Education CMEs Pocketcards Academic Detailing MegaMeeting quality-focused video/audio presentations Posters Inreach training and support Competency training
15 Supporting Self-management kp.org/healthyliving Health Encyclopedia Healthy lifestyle programs on: Total health assessment -HealthMedia Succeed Weight management program - HealthMedia Balance Create a nutrition program - HealthMedia Nourish Stress Management program - HealthMedia Relax Smoking Cessation program - HealthMedia Breathe Revised Healthy living class Discount to Weight Watchers program Offer 10,000 Steps Program Pedometer and Step tracking program Discount at fitness facilities
16 Supporting Self-Management Tracking cards for self-management Outreach letters After visit summary listing BP results, medications, and patient instructions My Health Manager (kp.org) Posters in offices Newsletter
17 Outreach Letters
18 After Visit Summary
19 My Health Manager
20 Poster Displayed in exam rooms and triage rooms throughout the Medical Office Buildings.
21 2009 Patient Newsletter
22 Inreach Process
23 Performance Feedback
24 Performance Monitoring
25 HEDIS 2010: NOT AT GOAL Controlling HTN: 65.21% Goal is HEDIS 90 th percentile: 73% requires 1570 more people in control Diabetes: BP Control <140/90: 66.42% Goal is HEDIS 90 th percentile: 75.7% requires 1214 more people in control
26 Intervention Approaches Clinical Assistant blood pressure check and triage Blood Pressure Program - BPP (PharmD and RN) Supports physician practice Supplements physician appointments Enhances CA/member relationship Increased patient compliance - Rx instructions repeated often 26
27 BPP Pilot Overview Number of Patients: 20,534 Patients with HTN: 8,169 Patients with Diabetes: 2,977 Exclusion criteria: Followed by specialty care, i.e. Cardiology, Nephrology Pregnant < 18 years old 27
28 BPP Pilot Workflow Encounter with Pharmacist and/or RN Review previous BP readings Review medications, including overthe-counter Assess adherence Offer behavior change counseling
29 BPP Pilot Program Results Demographics Male Female Average age African American Caucasian Asian Target BP 140/90 130/80 Results N = 39* pts with BP > 140/ Represents about 75% if pts enrolled in clinic from 10/09 to 2/10.
30 BPP Pilot Program Results No. of Visits No. of Pts Average BP Reduction in mean BP from baseline No. of Pts at Target BP /85 N/A /80-7 mm Hg SBP 12-5 mm Hg DBP /79-10 mm Hg SBP 5-7 mm Hg DBP /70-24 mm Hg SBP 6-21 mm Hg DBP /76-30 mm Hg SBP 3-20 mm Hg DBP More 1 132/84-40 mm Hg SBP 1-12 mm Hg DBP
31 Early Improvement in Summer 2010 Crossing the Quality Chasm: KPMAS Internal Tool P ercen tag e o f P atien ts at Target Target: 79% Target: 57% May- 09 Jun- 09 Jul- 09 Aug- 09 Sep- 09 Oct- 09 Nov- 09 Dec- 09 Jan- 10 Feb- 10 Mar- 10 Apr- 10 May- 10 Jun- 10 Jul- 10 Aug- 10 Month HTN & BP < 139/89 Diabetes & BP < 129/79
32 Successes Service Line based management structure (vs. facility-based management prior to 2010) allows for consistency in managing staff expectations and workflows Increasing capacity for BP checks Multi-disciplinary participation Working to the maximum scope of practice and ensuring competency on BP readings Focus on self-management skills No additional co-pay Medication reconciliation and consolidation
33 Challenges or Obstacles RN and PharmD availability No workflow for patients lost to follow up Low physician referral rates Lack of dedicated resources Collaborative practice regulations Scope of practice Competing priorities 33 Economy
34 Future Steps Maximize patient use of self-management education and skill-building Fully implement Clinical Assistant BP checks and PharmD/RN support Fully implement and integrate EMR alerts into daily workflows Maximize staffing efficiency Tailor interventions based on race/ethnicity/learning preference 34
35 Lessons Learned Pushing through resistance is difficult, but necessary. Involving physicians and staff at all levels and in all departments is key. Increase in awareness and buy-in Improves interventions at the time of the visit Greater patient volume screened Members respond when multiple staff and departments address care gaps Increasing BP screening in specialty departments increased number of members referred back to primary care. Involving physician extenders (NP/Pharmacist) for hard-to-reach members who hadn t benefited from care with traditional MD intervention shows results. Engage readiness to change assessment and motivational interviewing techniques Support physician s approach to panel management Group appointment dynamics promoted and improved member behavior change 35
36 Questions How do you reverse clinical inertia? What combination of outreach phone calls, letters, s works best? Any innovative approaches? How do you use incentives for physicians? Staff? Do you have experience with tailoring interventions based on race and/or ethnicity and/or socioeconomic status? What s your staffing ratio? How have you increased class/group participation? 36
Edmonds 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 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 informationHypertension. Collaborating to Control Blood Pressure: Knowing Your Numbers is Just the Beginning
Hypertension Collaborating to Control Blood Pressure: Knowing Your Numbers is Just the Beginning Al Bradley Senior Program Manager Director, High Blood Pressure Collaborative Finger Lakes Health Systems
More informationC.O.R.E. MISSION STATEMENT
C.O.R.E. MISSION STATEMENT Comprehensive Opiate Recovery Experience RECOVERY WITH RESPECT Improving the lives of individuals through comprehensive opiate replacement services C.O.R.E. MEDICAL CLINIC IS
More informationPresbyterian Healthcare Services Care Management
Presbyterian Healthcare Services Care Management Kathy M. Garcia RN, BSN Director of Nursing, Primary Care Service Line November 2012 Future Healthcare Challenges Increasing number of patients Decreasing
More informationPatient-centered care - from buzz word to meaningful reality. Current Health Care System
Patient-centered care - from buzz word to meaningful reality Katie Coleman, MSPH David K. McCulloch MD Current Health Care System Traditionally, this is the only part of the health care system that is
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 informationCOLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE
COLLABORATIVE PRACTICE SUCCESSES IN PRIMARY CARE KPhA Annual Meeting September 7, 2014 Tiffany R. Shin, PharmD, BCACP Lyndsey N. Hogg, PharmD, BCACP Objectives Describe basic concepts of collaborative
More informationmeaningful reality Katie Coleman, MSPH
Patient-centered care - from buzz word to meaningful reality Katie Coleman, MSPH David K. McCulloch MD Current Health Care System T diti ll thi i th l Traditionally, this is the only part of the health
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 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 informationEHR Innovations for Improving Hypertension Challenge Winners and Phase 2
EHR Innovations for Improving Hypertension Challenge Winners and Phase 2 January 23, 2015 Agenda Million Hearts Blood Pressure Protocols Hilary Wall, MPH Green Spring Internal Medicine Holly Dahlman, MD,
More informationManaging Patients with Multiple Chronic Conditions
Managing Patients with Multiple Chronic Conditions Sponsored by AMGA and Merck & Co., Inc. 1 Group Pre-work Affinity Medical Group Heart, Lung & Vascular Center COURAGE Clinic 2 Medical Group Profile Affinity
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 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 informationPPC2: Patient Tracking and Registry Functions
PPC2: Patient Tracking and Registry Functions Element F: Use of System for Population Management At we use our EMR, clinical event manager, and the ad hoc reporting system (Business Objects) for a multi-pronged
More informationDeveloping Systems to Improve Hypertension Monitoring at a Primary Care Clinic. Theresa M. Holsan, RN, DNP, FNP-C
Developing Systems to Improve Hypertension Monitoring at a Primary Care Clinic Theresa M. Holsan, RN, DNP, FNP-C Introduction Hypertension is one of the most common reasons adult patients seek care from
More informationGoals & Challenges for Outpatient Quality Directors. Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE
Goals & Challenges for Outpatient Quality Directors Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE Objectives Learn a practical way for Quality Directors to align Quality Measures
More informationDriving the value of health care through integration. Kaiser Permanente All Rights Reserved.
Driving the value of health care through integration February 13, 2012 Kaiser Permanente 2010-2011. All Rights Reserved. 1 Today s agenda How Kaiser Permanente is transforming care How we re updating our
More informationCOMPASS Workflow & Core Elements
COMPASS Workflow & Core Elements Care of Mental, Physical, and Substance use Syndromes! The project described was supported by Grant Number 1C1CMS331048-01-00 from the Department of Health and Human Services,
More informationRE Sutton and Associates
RE Sutton and Associates It has been our pleasure to work with Carmel Clay Schools for the last 25 + year as your Benefit Advisor. RE Sutton and Associates is a benefit consulting firm that specializes
More informationUCLA Newborn Screening Symposium 2018
UCLA Newborn Screening Symposium 2018 Facility Feedback HEPP Reports and Graphs How to Best Utilize These Reports for Optimal Outcomes Timeliness in Specimen Collection and Transit TRF Completion Early/Missing
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 informationVHA Transformation to a Patient Centered Medical Home Model of Care
VHA Transformation to a Patient Centered Medical Home Model of Care Joanne M. Shear MS, FNP-BC VHA Primary Care Clinical Program Manager Office of Primary Care Operations & Policy Washington, DC Joanne.shear@va.gov
More informationKey Performance Indicators
Regional Nephrology System (RNS) Chronic Disease Prevention and Management Key Performance Indicators 8/9 Fiscal Year End Report Version: 1. Date published: April 7th, 9 Created by: Ethel Doyle: RNS Interim
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 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 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 informationCardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control
Cardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control Task Force Finding and Rationale Statement Table of Contents Intervention Definition... 2 Task Force Finding... 2 Rationale...
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 informationCHF Readmission Initiative. Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana
CHF Readmission Initiative Mary Fischer MSN, CCRN, PCCN, CHFN Cardiology Clinical Nurse Specialist St. Vincent Hospital Indianapolis, Indiana St. Vincent 86 th Street Campus Heart Failure Program History
More informationPPS Performance and Outcome Measures: Additional Resources
PPS Performance and Outcome Measures: PPS Performance and Outcome Measures: This document includes supplemental resources to the content on PPS Performance and Outcome Measures presented at the December
More informationImproving Health Outcome Measures and Medication Safety through Integration of Clinical Pharmacy Services
Improving Health Outcome Measures and Medication Safety through Integration of Clinical Pharmacy Services Steven Chen, Pharm.D., FASHP Associate Professor Director, PGY1 Residency Program in Primary Care
More informationUniversity of Cincinnati Patient Centered Medical Home Leadership Decisions
University of Cincinnati Patient Centered Medical Home Leadership Decisions Eric J. Warm M.D., F.A.C.P. Program Director, Internal Medicine Associate Professor of Medicine University of Cincinnati College
More informationPRISM 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 informationOvercoming Psycho-Social Hurdles to Transitional Care
Overcoming Psycho-Social Hurdles to Transitional Care Matt Eisenhower Director, Community Health Development Peter Rice, M.D. Medical Director Overcoming Psycho-Social Hurdles to Transitional Care This
More informationACHIEVING THE TRIPLE AIM THROUGH LARGE SCALE IMPROVEMENT EFFORTS JASON FOLTZ, D.O. TEACHERS OF QUALITY ACADEMY QI SYMPOSIUM MARCH 2, 2016
ACHIEVING THE TRIPLE AIM THROUGH LARGE SCALE IMPROVEMENT EFFORTS JASON FOLTZ, D.O. TEACHERS OF QUALITY ACADEMY QI SYMPOSIUM MARCH 2, 2016 OVERVIEW: WHAT, WHO, HOW? What: How do you move a large multi-specialty
More informationBest Practices in Managing Patients with Heart Failure Collaborative
Best Practices in Managing Patients with Heart Failure Collaborative Improving Care for HF Patients in a Primary Care Setting University of Utah Community Physicians Group September 1, 2016 Re-cap of Original
More informationtotal health and wellness Programs exclusively for our Blue Shield members For small businesses with 2 to 50 eligible employees
total health and wellness Programs exclusively for our Blue Shield members For small businesses with 2 to 50 eligible employees total health and wellness Whether you want to ease stress, lose weight, or
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 informationPatient-Centered Connected Care 2015 Recognition Program Overview. All materials 2016, National Committee for Quality Assurance
Patient-Centered Connected Care 2015 Recognition Program Overview All materials 2016, National Committee for Quality Assurance Learning Objectives Introduction to Patient-Centered Connected Care and Eligibility
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 informationColumbus Regional Hospital Pressure Ulcer Prevention
Columbus Regional Hospital Pressure Ulcer Prevention Kathryn Jackson RN, MSN, CRRN Pressure Ulcer Prevention Columbus Regional Hospital, Columbus, IN Objectives & About Us Describe current pressure ulcer
More informationNational Trends Winter 2016
National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn
More informationMedication Trauma Crisis: Primary Care Innovations. Session Code: D25, E25
Medication Trauma Crisis: Primary Care Innovations Session Code: D25, E25 Speakers and Disclosures Speaker James Slater, PharmD Executive Pharmacy Director, CareOregon Kristen Benkstein, PharmD Pharmacy
More informationPHASE Preventing Heart Attacks & Strokes Everyday
PHASE Preventing Heart Attacks & Strokes Everyday Welcome to the PHASE Learning Community! Webinar Housekeeping 1. Lines are muted. 2. Chat in questions or unmute your line by pressing *7 to ask a question
More informationThe Heart and Vascular Disease Management Program
Element A: Program Content The Heart and Vascular Disease Management Program GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to
More informationResearch Opportunities to Improve Hypertension Control
Research Opportunities to Improve Hypertension Control Barry L. Carter, Pharm.D., FCCP, FAHA, FASH The Patrick E. Keefe Professor in Pharmacy Department of Pharmacy Practice and Science College of Pharmacy
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 informationSeptember, James Misak, M.D. Linda Stokes, MSPH The MetroHealth System
Better Health Greater Cleveland relies on the presenter to obtain all rights to use and display copyright-protected information. Anyone claiming a right or interest in or to any posted information should
More informationTarget BP: First Year in Review
Target BP: First Year in Review Teaching Clinic Point of View R. Bruce Hanlin, M.D. Care Coordination Institute and American Medical Association The MAP Hypertension Control QI Project R. Bruce Hanlin,
More informationBLACK/AFRICAN AMERICAN HEALTH INITIATIVE Ayanna Bennett, MD Director Of Interdivisional Initiatives. October 18, 2016 Update
BLACK/AFRICAN AMERICAN HEALTH INITIATIVE Ayanna Bennett, MD Director Of Interdivisional Initiatives October 18, 2016 Update BAAHI History 2014 BAAHI Charter: PHD and SFHN agree to work together to improve
More information2014 RISK ASSESSMENT REPORT January 2014 December 2014
CITY OF NIAGARA FALLS 2014 RISK ASSESSMENT REPORT January 2014 December 2014 Superintendent of Police E. Bryan DalPorto Report submitted by Deputy Superintendent of Police Carlton L. Cain FOR DISTRIBUTION
More informationCountywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report
Countywide Emergency Department 9-1-1 Ambulance Patient Transfer of Care Report Performance Report Prepared by: Contra Costa Emergency Medical Services Visit us at www.cccems.org 2/28/2017 Patient Transfer
More informationMove the Needle on Difficult Quality Measures: How Health Plans Can Control High Blood Pressure
Move the Needle on Difficult Quality Measures: How Health Plans Can Control High Blood Pressure A Centauri Health Solutions Sm White Paper By melanie Richey 2016 by Centauri Health Solutions, Inc. All
More informationSmall changes. Big. Savings.
Small changes. Big Savings. CASE STUDY Company: Froedtert Health Wellness Program: Wellness Works No. of Employees: 9,000 Participation Rate: About 80% ROI: $3.2 million since 2009 Wellsource Products
More informationCountywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report
Countywide Emergency Department 9-1-1 Ambulance Patient Transfer of Care Report Performance Report Prepared by: Contra Costa Emergency Medical Services Visit us at www.cccems.org 2/11/2016 Contra Costa
More informationTransforming Care Delivery: Redesigning Case Management and Primary Care Roles in Population Health Management
Transforming Care Delivery: Redesigning Case Management and Primary Care Roles in Population Health Management PCPCC June 26, 2014 Karen Jones MD FACP VP, Chief Medical Officer, WMG Laurie Brown BSN, MBA
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 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 informationNational Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions
National Readmissions Summit Safe and Reliable Transitions: An Integrated Approach Reducing Heart Failure Readmissions Michael Kanter, MD, Medical Director Quality and Clinical Analysis Patti Harvey, RN,
More informationMark Stagen Founder/CEO Emerald Health Services
The Value Proposition of Nurse Staffing September 2011 Mark Stagen Founder/CEO Emerald Health Services Agenda Nurse Staffing Industry Update Improving revenue trends in healthcare staffing 100% Percentage
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 information2016 Open Enrollment Presentation for: University of California Senior Advantage
2016 Open Enrollment Presentation for: University of California Senior Advantage 2 Three ways we make good health easier Quality care. We do what it takes to help you get healthy, and partner with you
More informationPCMH 2014 NCQA Standards and Guidelines
PCMH 2014 NCQA Standards and Guidelines Training Objectives Overview of process and timeline including new Renewal Option Overview of 2014 Standards Review updates and new concepts with focus on Must Pass
More informationMedical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services
More informationPrimary Care Redesign Updates to DFM
Primary Care Redesign Updates to DFM Overview of Care Model Package 2 Care of the Complicated Patient March 5, 2014 Dr. Rich Welnick Susan Marks, Director of Population Health Lori Hauschild, Clinic Operations
More informationMedical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management
G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify G.4 When to Notify G.7 Case Management Services G.10 Special Needs Services G.12 Health Management Programs G.14
More informationCare Redesign and Quality Improvement. Beth Averbeck, MD Senior Medical Director, Primary Care HealthPartners Medical Group
Care Redesign and Quality Improvement Beth Averbeck, MD Senior Medical Director, Primary Care HealthPartners Medical Group Consumer-governed, non-profit HealthPartners Medical Group Primary Care: 500,000
More informationObesity and corporate America: one Wisconsin employer s innovative approach
Focus On... Obesity Obesity and corporate America: one Wisconsin employer s innovative approach Amy Helwig, MD, MS; Dennis Schultz, MD, MSPH; Len Quadracci, MD Introduction The United States has an obesity
More informationOrganized, Evidence-based Care
Organized, Evidence-based Care Planning Care for Individual Patients and Whole Populations MODERATOR: Nicole Van Borkulo, MEd, Practice Improvement Specialist, SNMHI, Qualis Health SPEAKERS: Ed Wagner,
More informationH2H Mind Your Meds "Challenge. Webinar #3- Lessons Learned Wednesday, April 18, :00 pm 3:00 pm ET. Welcome
H2H Mind Your Meds "Challenge Webinar #3- Lessons Learned Wednesday, April 18, 2012 2:00 pm 3:00 pm ET 1 Welcome Take Home Messages Understand how to implement the Mind Your Meds strategies and tools in
More informationAn Integrative Health Home Pilot
An Integrative Health Home Pilot Kellye Hudson, DNP, PMHNP-BC Director of Nursing Helen Ross McNabb Center December 2016 TN Healthcare Innovation Initiative Primary Care Transformation Launched in 2013
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationMichigan Primary Care Transformation Project. HEDIS, Quality and the Care Manager s Role in Closing Gaps in Care
Michigan Primary Care Transformation Project HEDIS, Quality and the Care Manager s Role in Closing Gaps in Care 7.22.15 Topics for Today s Webinar Healthcare Effectiveness Data and Information Set (HEDIS)
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 informationA Bridge Back Home: Care Transition Coaching for the Post-Acute Heart Failure Patient. February 8, 2018
A Bridge Back Home: Care Transition Coaching for the Post-Acute Heart Failure Patient February 8, 2018 3 Partners in Care (Partners) A Mission-Driven Organization Our Mission Partners shapes the evolving
More informationLessons for Community Pharmacy from the USC / AltaMed CMMI Healthcare Innovation Award (Round 1)
Lessons for Community Pharmacy from the USC / AltaMed CMMI Healthcare Innovation Award (Round 1) Steven W. Chen PharmD, FASHP, FCSHP, FNAP Associate Professor and Chair Titus Family Department of Clinical
More informationOntario Shores Journey to EMRAM Stage 7. October 21, 2015
Ontario Shores Journey to EMRAM Stage 7 October 21, 2015 ICE BREAKER Agenda System overview & pervasiveness of use Review Clinical Practice Guideline implementation Discuss Patient Portal implementation
More informationINTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH
INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH Integrating silos of care Goal of integration: no wrong door to quality health care Moving From Moving Toward Primary Care Mental Health Services Substance
More informationNCQA PCSP 2016 Quality Measurement and Improvement Worksheet
PURPOSE: This worksheet is to help practices organize the measures and QI activities that are required by PCSP 6, Element C. Refer to PCSP 6, Elements A C for additional information. NOTE: Practices are
More informationDisclosures. Platforms for Performance: Clinical Dashboards to Improve Quality and Safety. Learning Objectives
Platforms for Performance: Clinical Dashboards to Improve Quality and Safety Disclosures The program chair and presenters for this continuing pharmacy education activity report no relevant financial relationships.
More informationDriving Quality Improvement in Managed Care. Toby Douglas, Director California Department of Health Care Services
1 Driving Quality Improvement in Managed Care Toby Douglas, Director 2 Presentation Overview 1. Background on California s Medicaid Program (Medi-Cal) 2. California s Quality Improvement Focuses 3. Challenges
More informationDepartments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence
Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways
More informationAI/AN Long Term Care Conference. Chronic Disease Management Through. Home Telehealth Monitoring. May 2, 2010 IHS. VA US Air Force US Army US Navy
AI/AN Long Term Care Conference Chronic Disease Management Through Home Telehealth Monitoring May 2, 2010 Briefers: David T. Peters ANMC ANTHC IHS USCG VA US Air Force US Army US Navy Legal Authority --
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 informationPatient Centered Medical Home The next generation in patient care
Patient Centered Medical Home The next generation in patient care Provider Training Module I OBJECTIVE To explain... What Patient Centered Medical Home is How it works Why it s important Where to begin
More informationExperiential Education
Experiential Education Experiential Education Page 1 Experiential Education Contents Introduction to Experiential Education... 3 Experiential Education Calendar... 4 Selected ACPE Standards 2007... 5 Standard
More informationCalifornia s Health Homes Program
California s Health Homes Program HPSM Network Webinar 9/05/18 Goals for Today: Health Homes Program overview CB-CME requirements Program readiness and implementation timeline Gather take-away questions
More informationMedication Error Reporting Program (MERP) Update. April 2010 *********************************************
Medication Error Reporting Program (MERP) Update April 2010 ********************************************* Overview and presentation of our readiness Opening PowerPoint completed and under review by Quality
More informationStrategies for an Effective Structural Heart Program: Current and Future Considerations
Strategies for an Effective Structural Heart Program: Current and Future Considerations Eric L. Sarin, MD Co-Director, Structural Heart and Valve Program Co-Director, Cardiovascular Research Inova Heart
More informationMEANINGFUL USE STAGE 2
MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,
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 information%
Total Emps PSA Sal LOA Hourly LOA Sal Hires Hourly Hires PSA Hires Salaried Terms Hourly Terms % Turn Over 3967 38 21 87 9 30 1 13 26 0.98% Operators FT Hr PT Hr PT Hr Ret Non Exempt Maintenance FT Hr
More informationTEXAS CHILDREN S EMPLOYEE MEDICAL CLINIC
DEPARTMENT NAME TEXAS CHILDREN S EMPLOYEE MEDICAL CLINIC THE NEW VALUE IN EMPLOYER HEALTH CENTERS & SERVICES Julie Griffith, Manager, Employee Medical Clinic and Wellness Houston Business Coalition on
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 informationThe CAUTI Can-Can. Hennepin County Medical Center August Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion
Caitlin Eccles-Radtke, MD Infectious Disease and CAUTI Prevention Champion Laura Miller, RN MICU Manager The CAUTI Can-Can Hennepin County Medical Center August 2017 Lynelle Scullard, RN SICU Manager Kathleen
More informationFor fully insured groups of 100 or more eligible employees. HealthyOutcomes. A fully-integrated health management solution that works for you
For fully insured groups of 100 or more eligible employees HealthyOutcomes wellness case management condition care maternity A fully-integrated health management solution that works for you HealthyOutcomes
More informationTips for PCMH Application Submission
Tips for PCMH Application Submission Remain calm. The certification process is not as complicated as it looks. You will probably find you are already doing many of the required processes, and these are
More informationCLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW
Diplomate: CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW A. INFORMATION MANAGEMENT 1. Does your practice currently use an electronic medical record system? Yes No 2. If Yes, how long has the
More information