Pin clinical improvement studies
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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

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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


Overlap alignment similarities collaboration

Overlap/Alignment/Similarities = COLLABORATION


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 trainingtoday

Baseline data collectionMarch 29

Reports back to facilitiesApril - May

Support Facility PI CyclesApril - Sept

Re-measure performanceOct 2013

Reports back to facilitiesNov 2013

In GeneralFor this study


Clinical improvement studies format1

Clinical Improvement Studies Format

Announcement and trainingtoday

Baseline data collectionMarch 29

Reports back to facilitiesApril - May

Support Facility PI CyclesApril - Sept

Re-measure performanceOctober

Reports back to facilitiesNov - Dec

In GeneralFor this study


Op 4 5 measure definitions

OP 4,5 Measure Definitions

OP 4Aspirin 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 5Median 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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