Primary Care Operations Improvement (PCOI) Uses and Access. Presented by: Celeste Robb-Nicholson, MD, MPH Susan Cohen.

Transcription

1 Primary Care Operations Improvement (PCOI) Uses and Access Presented by: Celeste Robb-Nicholson, MD, MPH Susan Cohen February 3, 2010

2 Format Two Presentations (30 minutes) Q&A (15 minutes)

3 Questions On the left side of your screen, click the message box, Chat with Presenter. Type your question. Click Send. These questions will be addressed after the presentation.

4 Presenters Celeste Robb Nicholson, MD, MPH, Medical Director, PCOI Website, Internal Medicine Associates, MGH Susan Cohen, Manager, Information Systems, PCHI

5 PCOI Website Staff Users Advisory Board Editorial Medical Director C. Robb-Nicholson, MD Medical Editor J. Callahan Faculty Editors S. Birnbaum, MD; Fosburgh, MD; W. Armand, MD Computer Sciences Senior Scientific Director O. Barnett, MD Senior Project Manager M. Morgan Web Developer E. Levin 2009 PCOI Web Site Survey of MGH PCPs

6 Who uses PCOI? 2009 PCOI Web Site Survey of MGH PCPs

7 Enrollees* Enrolled (as of 12/31/2009) 14,758 Enrolled by categories MGH 8,360 57% PCPs 1,319 9% MGH PCPs 554 4% of all enrollees 7% of MGH enrollees 42% of all PCPs * since May PCOI Web Site Survey of MGH PCPs

8 PCOI unique users year over year (2004 through 2009) 7,005 7,164 7,870 7,804 7,509 5,903 Y2004 Y2005 Y2006 Y2007 Y2008 Y PCOI Web Site Survey of MGH PCPs

9 Users and sessions by user type in 2009 Users by Type Total Sessions* by Type Others Nurses 30% Others PCPs 44% Residents 5% NPs 7% Residents 7% PCPs 10% Specialists 13% Specialists 6% NPs 10% Nurses 17% * Session = 20 minutes

10 Users and sessions by institution in 2009 Users by Institution Total Sessions* by Institution Others 23% MGH 59% * Session = 20 minutes Others MGH 16% 76% BWH 8% BWH 18% 2009 PCOI Web Site Survey of MGH PCPs

11 PCOI website sessions* by year (2004 through 2009) 189, , , , , ,637 Y2004 Y2005 Y2006 Y2007 Y2008 Y2009 * Session = 20 minutes 2009 PCOI Web Site Survey of MGH PCPs

12 Primary Care Office InSite (PCOI) 2009 Survey of MGH PCPs 2009 PCOI Web Site Survey of MGH PCPs

13 Total number of submitted surveys 67 out of 242 (28%) did not respond 175 out of 242 (72%) responded 2009 PCOI Web Site Survey of MGH PCPs

14 How many minutes does the PCOI web site save you in your typical day? 72% 85% 96% 30% 40% 55% at least 30 at least 25 at least 20 at least 15 at least 10 at least 5 Cumulative minutes saved

15 Please evaluate the content of the PCOI web site. Very Useful Not Useful 1 2 1% 1% 3 5% Less Useful Very Useful 5 69% 4 24% 2009 PCOI Web Site Survey of MGH PCPs

16 How important is the web site in your patient care? ("Very Useful" means it helps me give much better patient care.") Very Useful Not Useful 1 1% 2 4% Less Useful 3 7% Very Useful 5 65% 4 23% 2009 PCOI Web Site Survey of MGH PCPs

17 For what percentage of your patients do you access PCOI in a typical patient care session? 78% 98% 46% 14% of respondents 50% or more 26% or more 11% or more 1% or more of patients 2009 PCOI Web Site Survey of MGH PCPs

18 How often do you use PCOI outside of a patient care session? Never 3% Rarely 10% Daily 46% Monthly 6% Weekly 35% 2009 PCOI Web Site Survey of MGH PCPs

19 Please describe the most important ways PCOI saves you time Survey Responses* Patient information Guidelines Formulary UpToDate Useful Forms Clinical Access Guide Oncall- Patient Letters Calculators CDC DermIS Lab Handbook PDR Treadwell Library * Survey of 242 MGH PCPs

20 Survey Responses versus Use from Log Survey Responses Actual Use From Log* 1. Patient information 2. Guidelines 3. Formulary 4. UpToDate 5. Useful Forms 6. Clinical Access Guide 7. Oncall- Patient Letters 8. Calculators 9. CDC 10. DermIS 11.Lab Handbook 12.PDR 13.Treadwell Library 1. Formulary 2. UpToDate 3. Clinical Access Guide 4. Patient information 5. Useful Forms 6. Oncall- Patient Letters 7. Guidelines 8. Calculators 9. Alerts 10. Find a Pharmacy 11. PCHI Focus 12.Drug Information 13. CRLOnline *Logs reflect use by all registered users for the period of 01/01/09-11/16/09

21 Year over Year Comparison of PCOI Survey Responses 2009 PCOI Web Site Survey of MGH PCPs

22 Rating of PCOI content (Useful - 4 or Very Useful - 5) 92% 91% 87% 91% 94% Y2004 Y2005 Y2006 Y2008 Y2009

23 Rating of importance of PCOI in patient care (Useful- 4 or Very Useful- 5) 87% 91% 82% 86% 88% Y2004 Y2005 Y2006 Y2008 Y2009

24 PCOI used in at least a quarter of patients during typical patient care session 47% 49% 46% 46% Y2005 Y2006 Y2008 Y2009

25 Accessing PCOI via PCHInet Sue Cohen Manager, PCHI Core Services February 3, 2010

26 What is PCHInet? PCHInet is a web portal that provides access to tools and resources which helps the network deliver efficient, high quality health care and maximize performance on payer contracts. Two Targeted User Groups Clinical and Administrative Operations Healthcare Management/Contract Performance Users can get to PCHInet from any computer, whether they are on or off the Partners data network. To sign up for PCHInet, go to and click on Enroll Now, enter your information and click Submit Already enrolled Click on Members Login

27 PCHInet Remote Users View

28 PCHInet Remote Login Screen

29 PCHInet Homepage PCOI

30 PCOI PCHInet>Medical References

31 PCOI on PCHInet

32 Summary PCHInet is available from any computer, anywhere PCOI is accessible either from PCHInet Homepage or Medical References tab Any problems Contact the PCHI Help Desk at

33 Questions?

34 How are Guidelines Produced? Draft Editorial Consultant Advisory Board Users 2009 PCOI Web Site Survey of MGH PCPs

35 Upcoming Webinars, Programs, Services February Health Literacy and Patient Education in PC: 2/17 March Understanding and Treating Obesity: 3/10 Pediatric Guidebook: 3/24 Program and Course Information: Consulting Services: Patient Experience of Care Paula Ricci,

36 Wrap-Up Today s session available online. Evaluations Thank you for your participation!