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QI Roundtable. Clinical Performance Measures. September 26, 2012. Population-Based Measurement. Clinical Performance Measures. WA CHC delivery system Community health center organization Clinic site Care team Patient. Performance Measures. UDS and PCMH Recognition

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Qi roundtable

QI Roundtable

Clinical Performance Measures

September 26, 2012


Population based measurement

Population-Based Measurement


Clinical performance measures

Clinical Performance Measures

  • WA CHC delivery system

  • Community health center organization

  • Clinic site

  • Care team

  • Patient


Performance measures

Performance Measures

UDS and PCMH Recognition

  • Childhood immunizations

  • A1c < 9%

  • Pap tests

  • Htn control

  • Low birth weight

  • Prenatal Care

  • PCMH recognized


Wa chcs

Wa CHCs

  • % of CHCs who meet the Healthy People 2020 goals

  • State CHC average per measure

  • Individual CHC measure

  • Clinic measure

  • Care team measure


Of chcs that meet hp 2020 goals

% of CHCs that Meet HP 2020 Goals

Healthy People 2020 Definition: % of Health center Program grantees in the State/region that meet or exceed performance Healthy People (HP) 2020 performance measure goals.


Of chcs that meet hp 2020 goals1

% of CHCs that Meet HP 2020 Goals

Healthy People 2020 Definition: % of Health center Program grantees in the State/region that meet or exceed performance Healthy People (HP) 2020 performance measure goals.


Wa chc average performance measures

WA CHC Average Performance Measures


Individual chc performance

Individual CHC Performance

BPHC Clinical Measures - % HTN Patients with BP Less than 140/90

Washington State Community Health Centers Range

Number of CHCsRange Percentage

1Over 80%

170% to 80%

560% to 70%

850% to 60%

540% to 50%

330% to 40%

220% to 30%

010% to 20%

010% & under

Definition: Number of female patients aged 21-64 who had at least one Pap test divided by number of charts sampled or EHR total.


Individual chc performance1

Individual CHC Performance

BPHC Clinical Measures - % of Women 24-64 Who Received 1 or More Pap Tests

Washington State Community Health Centers Range

Number of CHCsRange Percentage

1Over 80%

170% to 80%

560% to 70%

850% to 60%

540% to 50%

330% to 40%

220% to 30%

010% to 20%

010% & under

Definition: Number of female patients aged 24-64 who had at least one Pap test divided by number of charts sampled or EHR total.Note: HP 2020 goal baseline is for patients required for female patients ages 21-65


Focus

Focus

  • PCMH Recognition and Implementation

    • Control of hypertension

    • Cervical cancer screening rates


Qi roundtable

WACMHC QI/PCMH Strategy

Aim: Implement a coordinated approach to provide technical assistance, training, and support for member CHCs to become patient centered medical home recognized by December 2013.

Secondary Drivers

Primary Drivers

PCMH Learning Community

  • PCMHI/NACHC

  • Indian Health Services

  • Meaningful Use

  • MCO Quality Improvement

  • FQHC Payment Reform

  • HCA Health Home

Outcome Measures

  • PCMH national recognition

  • Hypertension control

  • Cervical cancer screening

  • HRSA PCMH Supplemental Funding 2011 & 2012

    Coaching

    APCP Demonstration

    QI/PCMH Roundtable

    WA Health Improvement Network (WHIN)


    Qi roundtable

    PCMH

    • PCMH lead contacts


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