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Denni McColm, CIO Renee Whitman-Teeter, Director of Performance Improvement Citizens Memorial Healthcare. Quality – What is it?. Patient outcomes, did they get well? Short term? Long term? Patient perceptions? How often we followed evidence based protocols? Survival rates?

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Presentation Transcript
slide1

Denni McColm, CIO

Renee Whitman-Teeter, Director of Performance Improvement

Citizens Memorial Healthcare

quality what is it
Quality – What is it?
  • Patient outcomes, did they get well?
    • Short term?
    • Long term?
  • Patient perceptions?
  • How often we followed evidence based protocols?
  • Survival rates?
  • Readmissions rates?
  • Is it safe, error-free care?
how are they using that quality data
How are they using that quality data?
  • Publicizing it on the Internet
  • Paying us for it
slide9
Deployment of Rapid Response Teams…at the first sign of patient decline
  • Delivery of Reliable, Evidence-Based Care for Acute Myocardial Infarction…to prevent deaths from heart attack
  • Prevention of Adverse Drug Events (ADEs)…by implementing medication reconciliation
  • Prevention of Central Line Infections…by implementing a series of interdependent, scientifically grounded steps called the “Central Line Bundle”
  • Prevention of Surgical Site Infections…by reliably delivering the correct perioperative antibiotics at the proper time
  • Prevention of Ventilator-Associated Pneumonia…by implementing a series of interdependent, scientifically grounded steps called the “Ventilator Bundle”
cmh strategic initiatives
CMH Strategic Initiatives
  • Core/Regulatory Measures
  • Pain
  • Turnaround Times
using it to improve quality
Using IT to Improve Quality
  • EMR
  • CPOE
  • eMAR
  • Reduce errors of transcription/illegibility
  • Give physicians more information with which to make care decisions
  • Alert drug/drug interactions and allergies
  • Improve the timeliness of results
slide12
Order prompting in the ED
  • Order prompting in PCS
  • Required fields
  • Documentation templates for physicians
  • OE Rules
  • Evidenced based order sets
  • Clinical alerts
changing our thinking
FROM ONE AT A TIME CHART REVIEWS AFTER THE FACT

TO:

NPR Reports

Required Fields

Reporting Daily, end of shift

BUILDING IN QUALITY & MONITOR IT CONCURRENTLY

Changing our thinking . . .
slide14
But,
  • Where should we focus our effort?
  • Where are we doing the worst?
  • We could write an NPR for every one of those measures (Core, ORYX, 100K Lives . . . . . . . . . .)
  • How many people would it take to write an NPR report for every quality measure out there?
  • Just to determine where to focus . . . And then,
  • How would we adjust for severity and compare to benchmarks?
slide15
The Institute for Health Metrics (IHM) is:
    • A non-profit that helps us leverage our electronic systems for quality improvement
    • Extracting data from MEDITECH for use in:
      • Quality of Care Reporting & Benchmarking
      • Physician Performance Analysis & Reporting
    • A MEDITECH Strategic Ally
recognizing that we need
Recognizing that we need . . .
  • Quality management tools to help us:
    • Identify
    • Analyze
    • Target
    • Track
  • Tools that are:
    • Automated
    • Timely
    • Use sophisticated analytics
    • Give us a graphical presentation
    • Case/provider drill downs and
    • Trend analysis
extract data directly from meditech

IHM:

Clean

Normalize

Map

Report

Hospital HCIS

Web Based Monthly Reports

IHM

VPN

Extract Data Directly from Meditech
benefits
Benefits
  • Automates Data Extraction and Analysis
    • Eliminates manual data collection, analysis and reporting
    • Gives us an unbelievable number of measures
      • Extracted
      • Severity adjusted
      • Benchmarked
  • Presents and Analyzes Data in a Usable and Actionable Format
    • Focuses Efforts on the True Causes & Drivers of Performance
    • Supports timely Interventions and Improvement Strategies
    • Helps Clinical Staff Focus on Improving the Quality of Care
upcoming releases
Upcoming Releases
  • Concurrent Case Management System (CCMS)
    • Identification and scoring for high risk patients
    • Daily reports for Core Measure case tracking
    • Daily reports for concurrent quality improvement efforts
  • Financial Analysis System
  • Nursing Quality Management System
thanks
Thanks!

Questions:

Denni McColm, [email protected]

Renee Whitman-Teeter, [email protected]

Jeff Borkowski, [email protected]

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