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PIN Clinical Improvement Studies. New Study Launch Webinar February 28, 2013. Feedback from the Field. Minimize data collection and reporting burden Avoid duplication Collaborate with other data collection projects Consistent data definitions with national projects

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Pin clinical improvement studies

PIN Clinical Improvement Studies

New Study Launch Webinar

February 28, 2013


Feedback from the field
Feedback from the Field

Minimize data collection and reporting burden

Avoid duplication

Collaborate with other data collection projects

Consistent data definitions with national projects

Consistent report formats between projects when possible



The pin op 4 5 study
The PIN “OP 4,5” Study

  • Data collected using the CMS CART tool

    • No new tool for the PIN project

  • Data definitions consistent with those in CART tool

  • One data submission works toward 3 initiatives:

    • Regulatory compliance; MBQIP; CMS-OQR

  • Consistent reporting: we’re working on that…..


What is op 4 5
What is “OP 4,5” ?!

  • OP = outpatient measures

    • Included in the MBQIP Phase 2 measure set

    • Originally defined as part of the CMS Outpatient Quality Reporting (OQR) project some years ago

  • OP 4 and OP 5 = numbers CMS has assigned to specific measures within their OQR project

    • there are several other measures in their set

  • Study name reflects that this PIN project will focus on two of the OQR- OP measures: number 4 and number 5


Clinical improvement studies format
Clinical Improvement Studies Format

Announcement and training today

Baseline data collection March 29

Reports back to facilities April - May

Support Facility PI Cycles April - Sept

Re-measure performance Oct 2013

Reports back to facilities Nov 2013

In General For this study


Clinical improvement studies format1
Clinical Improvement Studies Format

Announcement and training today

Baseline data collection March 29

Reports back to facilities April - May

Support Facility PI Cycles April - Sept

Re-measure performance October

Reports back to facilities Nov - Dec

In General For this study


Op 4 5 measure definitions
OP 4,5 Measure Definitions

OP 4 Aspirin On Arrival

Numerator: Emergency Department AMI or Chest Pain patients (with Probable Cardiac Chest Pain) who received aspirin within 24 hours before ED arrival or prior to transfer.

Denominator: Emergency Department AMI or Chest Pain patients (with Probable Cardiac Chest Pain).

Source: http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FSpecsManualTemplate&cid=1228772438492


Op 4 5 measure definitions1
OP 4,5 Measure Definitions

  • OP 5 Median Time to EKG

    Description: Median time from ED arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain).

Source: http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FSpecsManualTemplate&cid=1228772438492


Baseline data collection due mar 29
Baseline Data Collection: Due Mar 29

Emergency Room Cases only

AMI population

Chest Pain, Probably Cardiac Chest Pain, population

Cases between Jan 1, 2012 and Sept 30, 2012

No more than 30 cases

Tool: OQR - CART tool


Re measurement data collection
Re-measurement Data Collection

Emergency Room Cases only

AMI population

Chest Pain, Probably Cardiac Chest Pain, population

Cases between April 1, 2013 and Sept 30, 2013

No more than 30 cases

Tool: OQR - CART tool


Performance improvement support
Performance Improvement Support

Time to ECG

Aspirin administration

Thrombolyticsadministration

DPHHS Cardiac Program resources

PIN AMI Tool Kit

Coding and/or Abstraction Accuracy needs


Using cart to enter data for the op 4 and op 5
Using CARTto Enter Data for the OP 4 and OP 5

Shanelle, you are up!

CART Demonstration!


Questions
Questions?

  • Kathy Wilcox

    Rural Hospital Quality Coordinator

    MHA/MHREF

    [email protected]; 406.461.6186

  • Shanelle VanDyke

    Quality Improvement & Reporting Project Manager

    Mountain-Pacific Quality Health

    [email protected]; 406.457.5896


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