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Stratis Health Prevention Project
June 30, 2011
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Stratis Health• Stratis Health is a non-profit organization that
leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities
• Under federal contract, Stratis Health serves as Minnesota’s Medicare Quality Improvement Organization (QIO)
• Stratis Health is also involved in state and national projects funded through government contracts, foundation and corporate grants, and health systems
• www.stratishealth.org
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Agenda
• Prevention Project Review
• Clinic Presentations
• Project Results
• Upcoming Project Opportunities
• Discussion / Questions
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PREVENTION PROJECT REVIEW
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Prevention Theme Overview• Focus on assisting adult primary care clinics
in utilizing the care management capabilities of electronic health records (EHR)
• Improve cancer screening (colorectal and breast cancer) and immunization rates (influenza and pneumococcal) for Medicare beneficiaries
• Care/population management• Maximize EHR and office efficiency
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Prevention Theme Goals
• Improve relative improvement rate of colorectal cancer screening by 15%
• Improve relative improvement rate of breast cancer screening by 10%
• Improve relative improvement rates of pneumococcal and influenza immunizations by 10%
• Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]
Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]
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Process• Clinic Assessments
• Review of data specs
• Data submission and analysis– Baseline data
– Quarterly data pulls throughout project
• Development of work plans and interventions
• Monthly conference calls/meetings
• Group Educational Webinars
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CLINIC PRESENTATIONS
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Alexandria Clinic, P.A.
• Quality Improvement Committee Involvement
• Process Improvements– Beyond Prevention Project measures
• Physician Involvement– Education– Template development
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Renville County Hospitals & Clinics
• Using data to implement process changes/improvements
• Identifying gaps and implementing interventions
• Involving staff in the Prevention Project
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Ridgeview Clinics
• Pulling the data/running reports
• Immunization process improvement– Email blasts
• Sharing of data results– Physicians– Board
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Stillwater Medical Group
• Changing from one EHR vendor to another
• Cleaning up EHR data
• Using data to implement process changes/improvements– Quality Improvement Committee– Physician involvement– Staff involvement
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PROJECT RESULTS
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Opportunities
• Track preventive care given to a patient– Both at the clinic and outside the clinic
• Track tests/screenings given– Both at the clinic and outside the clinic
• Clinical reminders– At time appointment is scheduled– At point of care
• Reports of patients not receiving tests/screenings
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Interventions
• Improve data entry related to screening measures
• Integrate clinical reminders and tracking into everyday practice
• Redesign workflows to improve outcomes
• Use of clinical reports to identify patients not receiving screenings
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Implementing Change
• Review of current care practices and performance gaps
• Identification of appropriate interventions to reduce performance gaps
• Monitoring and refinement
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Challenges
• Pulling the data
• Understanding what your EHR can and can’t do
• Understanding the clinics’ patient population
• Changing processes/workflows
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ResultsMeasure Baseline –
March 2009Current Rate – June 2011
Relative Improvement Rate
Absolute Improvement Rate
EHR Influenza Vaccination
44% 48% 11% 4%
EHR Pneumococcal Vaccination
25% 60% 304% 35%
EHR Colorectal Cancer Screening
28% 41% 68% 13%
EHR Breast Cancer Screening
36% 46% 153% 10%
Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]
Absolute Improvement Rate = Current Quarter Rate – Baseline Rate
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UPCOMING PROJECT OPPORTUNITIES
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Upcoming Project Opportunities
• CMS next scope of work– Physician Quality Reporting System
(PQRS) EHR reporting– Preventive Health Learning Network– Cardiac Population Learning Network
• Regional Extension Center– REACH http://www.khareach.org
• Health Information Technology projects
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DISCUSSION / QUESTIONS?
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Thank You!
Contact Information:
Jerri Hiniker, BSN, RN, CPEHR
Email: [email protected]
Ph: 952-853-8540
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Stratis Health is a nonprofit organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities.
This material was prepared by Stratis Health, the Medicare Quality Improvement Organization for Minnesota, under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. June 30, 2011.
