Residency Survival Guide - General Surgery Residency Program
The Utility of PPRNet Reports in a Federally Qualified Health Center and Residency Program
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Transcript of The Utility of PPRNet Reports in a Federally Qualified Health Center and Residency Program
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The Utility of PPRNet Reports in a Federally Qualified Health Center and Residency Program
Kimberly Williams, MDAugust 22, 2014
Smoky Hill Family Medicine Residency
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Outline
• Setting• Requirements for residency• Requirements for faculty• Requirements for Federally Qualified
Community Health Center (FQHC)
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Who We Are
• Salina, KS• Rural, community based
unopposed family medicine residency
• Affiliated with University of Kansas School of Medicine-Wichita
• 6 faculty physicians• 12 resident physicians
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Who We Are
• Federal Qualified Community Health Center• 4 full time providers (2 NPs, 2PAs, 1 MD)• Level 3 NCQA-certified patient-centered medical
home• Services offered in house– Dental, behavioral medicine, pharmacy, diabetes
education, lab, x-ray
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Our Patients
• Patient mix by payer– Self Pay- 27.46%– Medicaid- 35.78%– Medicare- 13.03%– Private Insurance- 23.73%
• Spanish Speaking– Self-reported 10%
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Residency• RRC Requirements
– Residents must receive regular reports of individual and practice productivity, financial performance and clinical quality basis, as well as the training need to analyze these reports
– Each FMP site must involve all members of the practice in ongoing performance improvement, and must demonstrate use of outcomes in improving clinical quality, patient satisfaction, patient safety and financial performance
– Residents should complete two scholarly activities, at least one of which should be a quality improvement project
– Residents must complete part IV maintenance of certification prior to sitting for boards
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Residency• RRC Requirements
– Residents must receive regular reports of individual and practice productivity, financial performance and clinical quality basis, as well as the training need to analyze these reports
– Each FMP site must involve all members of the practice in ongoing performance improvement, and must demonstrate use of outcomes in improving clinical quality, patient satisfaction, patient safety and financial performance
– Residents should complete two scholarly activities, at least one of which should be a quality improvement project
– Residents must complete part IV maintenance of certification prior to sitting for boards
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Residency
• Monthly Resident/Faculty Meetings– Choose several metrics each month from reports– Rotate metrics each month– All providers data handed out
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Monthly Provider Feedback
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Monthly Provider Feedback
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Residency• RRC Requirements
– Residents must receive regular reports of individual and practice productivity, financial performance and clinical quality basis, as well as the training need to analyze these reports
– Each FMP site must involve all members of the practice in ongoing performance improvement, and must demonstrate use of outcomes in improving clinical quality, patient satisfaction, patient safety and financial performance
– Residents should complete two scholarly activities, at least one of which should be a quality improvement project
– Residents must complete part IV maintenance of certification prior to sitting for boards
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Residency• RRC Requirements
– Residents must receive regular reports of individual and practice productivity, financial performance and clinical quality basis, as well as the training need to analyze these reports
– Each FMP site must involve all members of the practice in ongoing performance improvement, and must demonstrate use of outcomes in improving clinical quality, patient satisfaction, patient safety and financial performance
– Residents should complete two scholarly activities, at least one of which should be a quality improvement project
– Residents must complete part IV maintenance of certification prior to sitting for boards
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Residency
• Quality Improvement Projects– One project per PGY class– Teaching, lit review, choice of project– Preventive health for women• Pap/Mammo/Dexa
– Adult Immunizations• Tdap, pneumovax
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Residency
• RRC Faculty Requirements– The faculty must establish and maintain an
environment of inquiry and scholarship with an active research component.
– Faculty should encourage and support residents in scholarly activities
– Two scholarly activities over the course of 5 years
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Residency
• RRC Faculty Requirements– The faculty must establish and maintain an
environment of inquiry and scholarship with an active research component.
– Faculty should encourage and support residents in scholarly activities
– Two scholarly activities over the course of 5 years
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Residency
• QI competition– Improvement in diabetes outcomes– On average improved 8%
• Working on provider dashboard for tri-annual review
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Residency
• RRC Faculty Requirements– The faculty must establish and maintain an
environment of inquiry and scholarship with an active research component.
– Faculty should encourage and support residents in scholarly activities
– Two scholarly activities over the course of 5 years
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FQHC
• Healthcare Plan– Some measures dictated by federal government• Unified Data Set
– Choose some measure within a category• Pediatric, chronic care
– Annual report• Denominator is very specific • Usually done by chart audits
– Track numbers on quarterly basis with PPRNet reports
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Clinical Coordinator
• 16 metrics, deals with 1-2/month• Generates patient lists• Sends provider message, or contacts patient
directly• Examples– Ischemic vascular disease and ASA– Pap smears
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Summary
• Residency– Resident Scholarly Activity– Faculty Scholarly Activity– Foster a culture of QI
• FQHC– Helps us regularly track numbers we report
annually• Improve patient care