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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



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.



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

1 Over 80%

1 70% to 80%

5 60% to 70%

8 50% to 60%

5 40% to 50%

3 30% to 40%

2 20% to 30%

0 10% to 20%

0 10% & 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

1 Over 80%

1 70% to 80%

5 60% to 70%

8 50% to 60%

5 40% to 50%

3 30% to 40%

2 20% to 30%

0 10% to 20%

0 10% & 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


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)


    PCMH

    • PCMH lead contacts


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