HCCN Project Period One Summary 2013 - 2016 2016 Morning... · 2016. 9. 9. · 11 17 Q3_2013 Q3_2015 From 2013 to 2015, there is a 55% increase in the number of clinics able to report

HCCN Project Period One Summary 2013 - 2016

HCCN Summary

Phase 1 runs from December 2012 to July 2016 and includes 18 Participating Health Centers (PHCs) from across Louisiana

Organizations have submitted x Quarterly Reports, covering x measures focusing on patients with diabetes, hypertension, and cardiovascular disease

10

17

Q3_2013 Q3_2015

From 2013 to 2015, there is a 70% increase in the number of clinics able to report on Diabetes BP<130/80.

11

17

Q3_2013 Q3_2015

From 2013 to 2015, there is a 55% increase in the number of clinics able to report on Diabetes BP<140/90, HTN BP140/90, & IVD Aspirin Use.

30.11%

21.83%

30.11% 33.22%

24.72%

33.22%

HbA1c Poor Test Hba1c>9/0%(Poor Control)

DiabetesBP<130/80

From 2013 to 2015, the HCCN average on the following measures has increased.

53.84%

58.18%

61.82%

56.59%

62.04% 63.15%

HTN BP <140/90 IVD BloodPressure <140/90

mmHg

IVD Aspirin Use

From 2013 to 2015, the HCCN average on the following measures has increased.

41.94% 43.51% 43.20% 43.51% 43.82% 43.51%

45.86% 45.86% 44.24%

45.86% 47.48% 45.86%

From 2013 to 2015, the HCCN median on the following measures has increased.

43.82% 44.11%

47.48%

52.04%

BP<13080 BP<14090

From 2013 to 2015, the HCCN median on the following measures has increased.

Number of PHCs Meeting NCQA Goal

HbA1c Testing

No HbA1c Test

HbA1c Poor Test

HbA1c <7.0%

HbA1c <8.0%

Diabetes BP<130/80

9 9 0 4 2 14

Diabetes BP<140/90

IVD Blood Pressure <140/90 mmHg

17 2

TOP HCCN

REPORTING PERFORMERS

MOST IMPROVED

Feedback Reports

Data Reporting was named a “high” or “very high” priority for over 50% of respondents

According to one organization, “going through the HCCN data reporting process has helped ensure [providers] are all using the same codes now”

Multiple Organizations report using HCCN Feedback reports in QI Meetings

Diabetes Challenge

HCCN Activities Summary 2013 – 2015

7 Learning Communities

Managing Change

Data Quality and Reporting

Financial and Operational Performance Improvement

Meaningful Use

Using HIT to Improve Care

ICD-10

Creating and Implementing a Quality Plan

40% increase in Attendance at Learning Communities

HCCN Activities Summary 2013 – 2015

• HCCN has offered over 45 TA opportunities in different forms

– Individual TA, Open office hours, Users groups, Learning sessions and Conference sessions, and various webinars/presentations

• Open office ours and ICD10-related webinars and EMR system trainings had the highest attendance rates

• Attendance suggests HCCN members favored in-person, organization-specific sessions such as individual TA and face-to-face learning sessions

• Organizations have submitted 9 Quarterly Reports, covering 18 measures focusing on patients with diabetes, hypertension, and cardiovascular disease

Workplan Progress

Core Objective A: Adoption and Implementation

PHC sites that have implemented an EHR system 98% 100%

Eligible Providers using an EHR 98% 100%

Core Objective B: Meaningful Use

EP’s who have registered and attested for EHR Incentive Program payments 71% 88% EP’s receiving EHR Incentive Program payments

71% 88%

Workplan Progress

Core Objective C: Quality Improvement

PHCs that meet or exceed Healthy People 2020 goals on at least one UDS Clinical Quality Measure 81% 94%

PHCS that achieve PCMH recognition or maintain/increase their PCMH level 63% 89%

Lessons Learned

Workflow/Staffing – Utilization of Care Management capacity – Staff Transitions

EHR – Meaningful Use – Customization and Optimization – Reporting

• HCCN • UDS

– System transitions and evolution – Changing external requirements (MACRA, ICD-10, PCMH 2014, etc.)

Quality Improvement and Data – PDSA cycles – Usability of reports – Data validation – Measure Alignment

Preparing For the Future—Federal HIT Strategy

19

Preparing for the Future--MACRA

New legislation passed in 2015

MIPS unifies different federal initiatives into one structure (PQRS, VBM, Meaningful Use, QI)

– Payment adjustment due to MIPS can be anywhere from -9 to +27% by 2022

– Different path for participation in Alternative Payment Models

Upcoming Activities

May—Collection of 2015 UDS reports for participating organizations (grant close-out and Phase Two Preparation)

July—October HCCN Staff Organizational visits

August – November – Determination of Individual PHC work plan goals

TBD —Webinar on Capital Link Keys to High Performing Clinics

Questions for the Audience

What has been most helpful?

What would you change?

What are today’s challenges that the Network can help you address?

Health Center Controlled Network (HCCN)

Project Period Two 2016-2019

Health Center Controlled Network (HCCN) Strategic Growth 2016-2019

Increase number of PHCs from 18 to 31

Activities will focus on the HCCN Core Objectives:

HIT Implementation and Meaningful Use:

Data and Quality Reporting:

Health Information Exchange and Population Health Management:

Quality Improvement:

24

Collaborative Partners

Other Partners:

Provider HealthLink of La.

Capital Link

John Snow Institute

DHH Bureau of Primary Care and Rural Health

Louisiana Health Care Quality Forum

HIT Implementation and Meaningful Use

Certified EHR Adoption and Implementation PHC’s use an ONC-certified EHR System

Advance Meaningful Use PHC’s receive MU incentive payments from CMS

Data and Quality Reporting

Data Quality PHC’s electronically extract EHR data to report on UDS CQM’s for all patients

Health Center and Site Level Data Reporting PHC’s generate QI reports at the site and clinical team levels

Health Data Integration PHC’s integrate data from different service types (e.g. BH, oral health)

26

Population Health

Health Information Exchange PHC’s improve care coordination through Health Information Exchange with unaffiliated providers or entities

Population Health Management PHC’s use Health Information Exchange to support Population Health management

Quality Improvement

Clinical Quality Improvement PHC’s meet or exceed Healthy People 2020 goals on AT LEAST FIVE UDS CQM’s

Operational Quality Improvement PHC’s improve the value, efficiency, and/or effectiveness of health center services

Advance PCMH Status PHC sites have current PCMH recognition

27

Org Work Plan Assessment Numerator Denominator Baseline 2019 Goal Your Health Center

Focus area goal A1: 31 31 100% 100%

Increase the percentage of

participating health centers with an

ONC-certified EHR system in use

PHCs that have an

EHRTotal PHCs P

Focus area goal A2: 282 523 54% 75%

Increase the percentage of Meaningful

Use eligible providers at PHC's

receiving incentive payments from

CMS for meeting MU requirements

State record of

providers receiving

Medicaid payments

All active

providers

*Baseline

numerator

definition: 2014

record of providers'

Medicaid payments

4/7

Focus area goal B1: 11 31 35% 100%

Increase the percentage of PHC's that

electronically extract data from an

EHR to report all UDS CQM data on

their patients

Health centers

receiving the HRSA

EHR reporter award

Total PHCs P


Increase the percentage of PHC's

generating QI reports at the site and

clinical team levels

PHCs generating

site and team level

QI reports

(progress reports)

Total PHCs

*Baseline: PHCs

generating site and

team level QI

reports (survey)

P


Increase the percentage of

Participating Health Centers that

integrate data from different service

types and or providers

PHCs compiling

and exchanging

data from different

service types

(progress reports)

Total PHCs

*Baseline: PHCs

compiling different

service data in the

same place (survey)

r

Focus area goal C1: 14 31 45% 90%

Increase the percentage of PHCs that

improve care coordination through

HIE with unaffil iated providers or

entities

PHCs using HIE in

any form (e.g. direct

messaging) to

communicate with

other entities

Total PHCs

*Baseline: Health

centers connected to

GNOHIE or LAHIE

P

Focus area goal C2: 8 31 26% 90%

Increase the percentage of PHCs using

HIE to support population health

management

PHCs using HIE for

population health

management (e.g.

outside grants to

improve population

health)

Total PHCs

*Baseline: Health

centers

participating in

GNOPQii

r

Focus area goal D1 0 31 0% 50%


meet or exceed HP2020 goals on at

least five selected UDS CQM's

Health centers

meeting 5/7

selected UDS CQMs

from UDS data

Total PHCs r

Focus area goal D2: 11 30 35% 90%


improved the value, efficiency, and

effectiveness of services

Health centers with

>2 HRSA Quality

Improvement

Awards excluding

EHR Reporter

Health centers

with 2014 UDS

data

P

Focus area goal D3: 67 120 56% 80%

Increase the percentage of PHC sites

with current PCMH recognition

Health centers sites

with NCQA PCMH

recognition or Joint

Commission

Certification

All permanent

health center

sites

1/1

Core

Objective

A

Core

Objective

B

Core

Objective

C

Core

Objective D

HCCN Quality Improvement Awards Quality Improvement Award FY 2015 Award Received Max Award Available HCCN Median Max Award Ave.

EHR Reporter P $165,000 $450,000

Clinical Quality Improvers P $349,744 $1,343,957

Health Center Quality Leader P $196,860 $955,926

National Quality Leaders P $124,633 $2,867,777

Access Enhancers P $240,000 $1,500,000

High Value Health Centers P $285,000 $2,400,000

Total $1,361,237 $9,517,659 $32,426 $352,506

NQF # Measure UDS 2014LAHCCN

Aggregate

Clinical Quality

Improvers Goal

National Quality

Leaders Goal

National Quality

Leaders Category

N/A Entry Into Prenatal Care 75.00% 74.00% 85.00% >78%

N/A Low Birth Weight 7.50% 13.30% N/A <8%

0024Adolescent Weight

Assessment/Counseling 6.54% 62.55% 16.54% >57%

0032Cervical Cancer

Screenings40.86% 54.67% 50.86% >56%

0034Colorectal Cancer

Screenings25.90% 31.85% 35.90% >35%

0038 Childhood Immunizations 82.50% 79.91% 92.50% >80%

0421Adult Weight

Assessment/Counseling48.33% 58.87% 58.33% >56%

0418Patients Screened for

Depression71.24% 39.03% 81.24% >39%

0018 Hypertension < 140/90 51.11% 62.34% 61.11% >61%

0036Asthma Pharmacologic

Therapy78.42% 84.25% 88.42% >81%

0059 Diabetes HbA1c < 9.0% 69.45% 66.24% 79.45% >84%

0068 IVD: Aspirin Therapy 83.95% 68.92% 93.95% >77%

N/A CAD: Lipid Therapy 77.20% 74.87% 87.20% >78%

0028 Tobacco Use/Cessation 81.32% 85.06% 91.32% N/A

0403 HIV Linkage to Care 100.00% 82.38% N/A N/A

Perinatal/Prenatal

Care

Preventive Care

Chronic Disease

Management

N/A

Access Enhancers 2014 UDS 2015 Goal HCCN Average

Total patients 291,679 306,263 10,803

Dental 59,216 62,177 2,246

Mental Health 29,604 31,084 1,139

Substance Abuse 433 455

Vision 2,388 2,507

Other Enabling 35,254 37,017 1,959

High Value Health Centers

Medical Cost/Medical Visit $192.86 $189.58 $192.86

Benefits of Participation

EHR Utilization and Optimization – EHR Transition Planning

• Due diligence templates outlining key considerations

– EHR Template and Workflow Technical Assistance

– EHR User Groups

• Leverage clinics on specific EHR’s to address issues relating to case or use

Meaningful Use – Technical Assistance and summaries of all objectives

• Familiarize providers with strategy to meet MU requirements

– Technical Assistance in registering, attesting, and submitting

– Updates and summaries as program evolves under Stage 3 and MACRA

• Keeping clinics up-to-date on changes of the program

Electronic UDS Submission – Report running

• Group and individual level training on running UDS reports

– Data capture optimization

Quality Improvement Reporting – How to run reports, report customization

• Training on running clinical team level reports and using analytics tools

– Incorporating data into Quality Improvement Plan and Infrastructure

• Effectively using reports in clinical quality improvement

Data Integration – Integration of different services lines (behavioral health, dental)

• Develop training opportunities on workflows so health centers can utilize different data

– System implementation and tracking

• Helping PHCs access required technical systems for integration


HIE and Care Coordination – Direct Mail Implementation

• Creating a registry of direct mail addresses for HCCN members and partners

– HIE connectivity

– Training on available HIE tools

• PHCs can use tools to support care coordination, MU, and PCMH

– Referral Tracking

• Developing tools to help clinics close the loop

HIE and Population Health Management – Value-Based Contracts

• Working with partners (e.g. IPA-PHLLA, payors) to incorporate external data and improve outcomes

– Hospital Utilization

– Network level data analytics

• Using internal and external data to track ER/Inpatient utilization rates


Healthy People 2020 Performance – Training on Fundamentals of Quality for FQHCS

– Utilization of Registries and Daily Huddles

– Individualized PHC work plans • Identify gaps and priority measures for each FQHC

Effective care delivery – Value-based care tools

• Reducing cost per patient relative to national averages and tracking medical cost per medical patient

• Identifying care gaps and opportunities to improve value

– Quality Measures crosswalk • Health centers have a tool showing external goal alignment

PCMH Recognition – Webinar Series

– Individualized Training and Technical Assistance • Helping organizations going through recognition/ certification processes


UDS Healthy People 2020 Measures

HCCN Member Performance on 7 Aligned UDS/HP2020 Measures

Aggregate Low Birth-weight (↓ desired)

Prenatal Care

Immuni-zation

Cervical Cancer Screen

Colorectal Cancer Screen

Diabetes Controlled

HTN Controlled

HCCN 11% 73% 82% 57% 33% 68% 63%

Non-HCCN 15% 76% 77% 49% 28% 60% 59%

HP2020 Goal

7.8% 77.9% 80% 93% 70.5% 83.9% 61.2%

35

PHCs made up over half of the LA FQHCs that exceeded the following HP2020 Goals • Low Birthweight • Immunizations • Prenatal Care • Diabetes Control • HTN Control

100% of FQHCs that exceeded the

HP2020 Measure for Diabetes Control are PHCs

4 of 7 FQHCs that exceeded the

HP2020 Measure for Hypertension Control are PHCs

8 7 4

2 2

10 10

14 16

12 18 18

0

2

4

6

8

10

12

14

16

18

20#

of

HC

CN

Hea

lth

Ce

nte

rs

UDS/HP2020 Clinical Measures

#Exceeded #Met #Not Met

2014 HCCN Progress on HP2020 Goals

*The Diabetes Control measure for Healthy People 2020 differs from UDS in that it doesn’t include ‘no test’ patients in the numerator or denominator

*

2014 HP2020 Goals for Phase 2 PHCs

12 11

6 4

2 1

12 15 21

15

25 26 27

0

5

10

15

20

25

30

Access toPrenatal Care

Immunization HTN control(BP <140/90)

Low BirthWeight

DiabetesControl

(HbA1c<9)

CRC Screening CervicalCancer

Screening

# o

f P

arti

cip

atin

g H

eal

th C

en

ters

UDS/HP2020 Clinical Measures

#Exceeded #Met #Not Met

2014 Percentage of Low Birthweight Births

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%

E AA BB J B D N A L G EE K Q KK I FF H

% L

ow

Bir

thw

eigh

t

National Agg HP2020 Goal HCCN Agg

*Lower percentages desired for this measure

**Unlisted health centers had no births

2014 Percentage of Women Obtaining Prenatal Care in 1st Trimester

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

L GG F C B FF H E J EE D N DD G A M I Q BB K P HH KK AA

% o

f W

om

en w

ith

Pre

nat

al C

are

in 1

st T

rim

este

r


*Unlisted health centers had no pregnant patients

2014 Health Center Childhood Immunizations

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

O E H P M C HH K A L BB F KK DD JJ AA EE J GG D FF G Q N B I

Per

cen

tage

of

Ch

ildre

n Im

mu

niz

ed


*Higher percentages desired for this measure

2014 Percent of Women Screening for Cervical Cancer

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

HH BB D K G AA L C I O FF F E H P Q KK GG CC A JJ M DD EE J N B

% o

f W

om

en S

cree

ned

fo

r C

ervi

cal C

x

HCCN Aggregate National Aggregate HP2020 Goal


2014 Percent of Patients with Appropriate Colorectal Cancer Screenings

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

I L HH D K M G GG AA F BB CC C P FF KK A H EE Q E JJ O B J N DD

% o

f P

atie

nts

51

-74

wit

h A

pp

rop

riat

e C

olo

rect

al C

ance

r Sc

reen

ings

HCCN Agg National Agg HP2020 Goal


2014 Patients with Diabetes Controlled (HbA1c<=9%)

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

JJ K HH L BB G CC F DD GG I C Q M O KK H EE N A FF P E D AA B J

% o

f P

atie

nts

wit

h A

1c

< 9

%


** UDS and HP2020 methodologies differ


2014 Percent of Patients with Hypertension Controlled (BP <=140/90)

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%

90.00%

100.00%

K E GG BB L AA CC G M I O FF D A F C HH KK N JJ H P DD EE Q J B

% o

f H

yper

ten

sio

n P

atie

nts

wit

h B

loo

d P

ress

ure

<1

40

/90

National Agg HP2020 Goal HCCN Agg Million Hearts Goal


Sample of Measure Crosswalk Meaningful

Use CQMs

UDS (national quality

leader benchmarks

2014)

PCMHLAHCC (DHH

benchmarks)Amerigroup Aetna (target)

CMS NQF Domain Measure Description Numerator Denominator

CMS146v4 0002

Efficient Use of

Healthcare

Resources

Appropriate Testing for Children with Pharyngitis Domain:

Efficient Use of Healthcare Resources Percentage of children

2-18 years of age who were diagnosed with pharyngitis,

ordered an antibiotic and received a group A streptococcus

(strep) test for the episode.

Children with a group A streptococcus test in the 7-day period

from 3 days prior through 3 days after the diagnosis of

pharyngitis

Children 2-18 years of age who had an outpatient or emergency

department (ED) visit with a diagnosis of pharyngitis during the

measurement period and an antibiotic ordered on or three days

after the visit

p r

CMS137v4 0004

Clinical

Process/

Effectiveness

Percentage of patients 13 years of age and older with a new

episode of alcohol and other drug (AOD) dependence who

received the following. Two rates are reported. • Percentage

of patients who initiated treatment within 14 days of the

diagnosis. • Percentage of patients who initiated treatment

and who had two or more additional services with an AOD

diagnosis within 30 days of the initiation visit.

Numerator 1: Patients who initiated treatment within 14 days

of the diagnosis Numerator 2: Patients who initiated treatment

and who had two or more additional services with an AOD

diagnosis within 30 days of the initiation visit

Patients age 13 years of age and older who were diagnosed with a

new episode of alcohol or drug dependency during a visit in the

first 11 months of the measurement periodp

CMS165v4 0018

Clinical

Process/

Effectiveness

Percentage of patients 18-85 years of age who had a

diagnosis of hypertension and whose blood pressure was

adequately controlled (<140/90mmHg) during the

measurement period.

Patients whose blood pressure at the most recent visit is

adequately controlled (systolic blood pressure < 140 mmHg

and diastolic blood pressure < 90 mmHg) during the

measurement period.

Patients 18-85 years of age who had a diagnosis of essential

hypertension within the first six months of the measurement

period or any time prior to the measurement periodp r (>61%) p

CMS156v4 0022 Patient Safety

Percentage of patients 66 years of age and older who were

ordered high-risk medications. Two rates are reported. •

Percentage of patients who were ordered at least one high-

risk medication. • Percentage of patients who were ordered

at least two different high-risk medications.

Numerator 1: Patients with an order for at least one high-risk

medication during the measurement period. Numerator 2:

Patients with an order for at least two different high-risk

medications during the measurement period.

Patients 66 years and older who had a visit during the

measurement periodp p

CMS155v4 0024Population/

Public Health

Percentage of patients 3-17 years of age who had an

outpatient visit with a Primary Care Physician (PCP) or

Obstetrician/Gynecologist (OB/GYN) and who had evidence

of the following during the measurement period. Three

rates are reported. • Percentage of patients with height,

weight, and body mass index (BMI) percentile

documentation • Percentage of patients with counseling for

nutrition • Percentage of patients with counseling for

physical activity

Numerator 1: Patients who had a height, weight and body

mass index (BMI) percentile recorded during the measurement

period Numerator 2: Patients who had counseling for nutrition

during a visit that occurs during the measurement period

Numerator 3: Patients who had counseling for physical activity

during a visit that occurs during the measurement period

Patients 3-17 years of age with at least one outpatient visit with a

primary care physician (PCP) or an obstetrician/gynecologist

(OB/GYN) during the measurement period

p r (>57%) p


Public Health

Percentage of patients aged 18 years and older who were

screened for tobacco use one or more times within 24

months AND who received cessation counseling

intervention if identified as a tobacco user

Patients who were screened for tobacco use at least once

within 24 months AND who received tobacco cessation

intervention if identified as a tobacco user

All patients aged 18 years and older seen for at least two visits or

at least one preventive visit during the measurement periodp r p

CMS125v4 N/A

Clinical

Process/

Effectiveness

Percentage of women 40-69 years of age who had a

mammogram to screen for breast cancer.

Women with one or more mammograms during the

measurement period or the year prior to the measurement

period

Women 41-69 years of age with a visit during the measurement

periodp p r

CMS124v4 0032

Clinical

Process/

Effectiveness

Percentage of women 21-64 years of age, who received one

or more Pap tests to screen for cervical cancer.

Women with one or more Pap tests during the measurement

period or the two years prior to the measurement period

Women 23-64 years of age with a visit during the measurement

periodp r (>56%) p r


Public Health

Percentage of women 16-24 years of age who were

identified as sexually active and who had at least one test

for chlamydia during the measurement period.

Women with at least one chlamydia test during the

measurement period

Women 16 to 24 years of age who are sexually active and who

had a visit in the measurement periodp r (59.25%)

CMS130v4 0034

Clinical

Process/

Effectiveness

Percentage of adults 50-75 years of age who had

appropriate screening for colorectal cancer.

Patients with one or more screenings for colorectal cancer.

Appropriate screenings are defined by any one of the following

criteria below: • Fecal occult blood test (FOBT) during the

measurement period • Flexible sigmoidoscopy during the

measurement period or the four years prior to the

measurement period • Colonoscopy during the measurement

period or the nine years prior to the measurement period

Patients 50-75 years of age with a visit during the measurement

periodp r (>35%) p

CMS126v4 0036

Clinical

Process/

Effectiveness

Percentage of patients 5-64 years of age who were

identified as having persistent asthma and were

appropriately prescribed medication during the

measurement period.

Patients who were dispensed at least one prescription for a

preferred therapy during the measurement period

Patients 5-64 years of age with persistent asthma and a visit

during the measurement periodp r (>81%) p r


Public Health

Percentage of children 2 years of age who had four

diphtheria, tetanus and acellular pertussis (DTaP); three

polio (IPV), one measles, mumps and rubella (MMR); three

H influenza type B (HiB); three hepatitis B (Hep B); one

chicken pox (VZV); four pneumococcal conjugate (PCV); one

hepatitis A (Hep A); two or three rotavirus (RV); and two

influenza (flu) vaccines by their second birthday

Children who have evidence showing they received

recommended vaccines, had documented history of the illness,

had a seropositive test result, or had an allergic reaction to the

vaccine by their second birthday

Children who turn 2 years of age during the measurement period

and who have a visit during the measurement periodp r (>80%) p


Public Health

Percentage of patients aged 6 months and older seen for a

visit between October 1 and March 31 who received an

influenza immunization OR who reported previous receipt

of an influenza immunization

Patients who received an influenza immunization OR who

reported previous receipt of an influenza immunization

All patients aged 6 months and older seen for at least two visits or

at least one preventive visit during the measurement period and

seen for a visit between October 1 and March 31p p

CMS127v4 0043

Clinical

Process/

Effectiveness

Percentage of patients 65 years of age and older who have

ever received a pneumococcal vaccine.Patients who have ever received a pneumococcal vaccination

Patients 65 years of age and older with a visit during the

measurement periodp p

CMS166v5 0052

Efficient Use of

Healthcare

Resources

Percentage of patients 18-50 years of age with a diagnosis

of low back pain who did not have an imaging study (plain X-

ray, MRI, CT scan) within 28 days of the diagnosis

Patients without an imaging study conducted on the date of

the outpatient or emergency department visit or in the 28 days

following the outpatient or emergency department visit

Patients 18-50 years of age with a diagnosis of low back pain

during an outpatient or emergency department visitp

MEASURE DETAILS

p = possible measures to report, r = required reporting

QUESTIONS?

Documents

HCCN Project Period One Summary 2013 - 2016 2016 Morning... · 2016. 9. 9. · 11 17 Q3_2013 Q3_2015 From 2013 to 2015, there is a 55% increase in the number of clinics able to report