Michelle Pichardo, MPH September 30, 2010 Quality Reporting and Quality Improvement.
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Transcript of Michelle Pichardo, MPH September 30, 2010 Quality Reporting and Quality Improvement.
![Page 1: Michelle Pichardo, MPH September 30, 2010 Quality Reporting and Quality Improvement.](https://reader036.fdocuments.net/reader036/viewer/2022062511/551641b5550346b2068b535f/html5/thumbnails/1.jpg)
Michel le P ichardo, MPH
September 30 , 2010
Quality Reporting and Quality Improvement
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Learning Objectives
How can electronic health record systems accelerate data collection for monitoring and improving quality?
Who are the key members that assist in monitoring quality data/reports and how is the information shared throughout the organization?
Now that your organization has access to data for quality reporting, how do you translate that into meaningful use?
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HIE
EpicCare Link
Patient Portal
Quality Reporting/Improvemen
t
Clinical Decision Support
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Goal of Quality Improvement
To reach the state of TQM (Total Quality Management).
Where all aspects of the organization are working towards improving quality.
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Get to Know Your Data
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Build a Data Dictionary
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Define All Key Elements Captured by the EHR
Patient AddressRace / Age / GenderMedical history Social history
Provider LocationReason for visitProblem list
TemperatureBlood pressureHeight/weightRespirations
ProceduresMedicationsLab resultsDiagnoses
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Take the Time to QA the Data
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Document and Define the Measures and Metrics
Identify the specific parameters.
Share with project team.
Review a test run of the report.
Decide how often the report with run.
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A mountain full of data yet a finite amount of resources to handle it.
Target measures and target resources in the most efficient ways possible.
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Quality Improvement Team
President & CEO – Neil Calman, MD
CIO - Weston Willett
CMIO - Joseph Lurio MD
Sr. Vice President – Robert Schiller, MD
VP Clinical Affairs- Nicole Nurse, RN
Quality Reporting Analyst - Kwame Kitson MD
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Quality Reporting Examples
TCNY reports
UDS and IDS reporting
Diabetes and HIV disease registries
Risk stratification system
Site lead quality improvement initiatives
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Percentage
BMI Screening
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Depression Screening
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Percentage
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Percentage
Colon Cancer Screening
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86.8%
13.2%
Patients with HTN controlledPatients without HTN controlled
Hypertension Control
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0.9% 0.0% 0.2%
21.7%
0.2%
49.8%
3.0%
23.5%
Asian
Native Hawaiian
Other Pacific Islander
Black/African Descent
Native American/AlaskanWhite (Non-Hispanic)
More than one race
Unknown/Unreported
Hypertension Control by Race1
1 UDS Measure, 2009
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20.1%
79.9%
Hispanic patients with HTN controlledNon-Hispanic Patients without HTN con-trolled
Hypertension Control by Ethnicity
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Disseminating the results
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Other key points
Set reporting priorities
Participate in team member meetings
Maintain good documentation
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Thank You
Contact Information:
Michelle PichardoEmail: [email protected]
Phone: 212-633-0800 ext.1279