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AIM for Excellence – A collaborative initiative to promote health care quality in the outpatient setting

AIM for Excellence – A collaborative initiative to promote health care quality in the outpatient setting. AIM Project Collaborators. Dallas-Fort Worth Business Group on Health American Airlines UnitedHealthcare Primary Care Physicians in N. TX. What “AIM” Stands For:. A - Awareness

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AIM for Excellence – A collaborative initiative to promote health care quality in the outpatient setting

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  1. AIM for Excellence –A collaborative initiative to promote health care quality in theoutpatient setting

  2. AIM Project Collaborators • Dallas-Fort Worth Business Group on Health • American Airlines • UnitedHealthcare • Primary Care Physicians in N. TX

  3. What “AIM” Stands For: A - Awareness I - Improvement M - Measurement

  4. DFW Business Group on Health • Coalition of 120 employers (55 Corporate & 65 Allied) • Represents over 800,000 DFW-based employees and their dependents • Members spend >$2.1 billion on employee health care in DFW • Member of Texas Business Group on Health and National Business Coalition on Health • Mission: • Promote health care quality, accountability and cost effectiveness • Empower employers and their employees to make informed health care purchase decisions

  5. American Airlines • Employs approximately 22,000 workers in DFW area • Purchases health care services for over 55,000 DFW-based employees and their dependents • Spends over $15 million/year on health care in DFW • Offers worksite wellness, health promotion and disease management programs to employees • Uses UnitedHealthcare as its third party administrator for self-insured claims • Board Member of Dallas-Fort Worth Business Group on Health

  6. United HealthCare • Second largest health insurer in Texas • Claims administrator for American Airlines’ self-insured plans • Evaluates physicians against evidence-based medical quality standards • Provides performance report cards to individual physicians • Recently rolled out UnitedHealth Premium Program in 20 markets (including Austin, Dallas, Houston, San Antonio) • Premium designation based on quality and efficiency standards

  7. Project Goals • Ensure quality care for AA employees with heart disease, stroke and diabetes • Evaluate purchaser influence on clinical practices

  8. Physician Participants • Test Group:PCPs in UHC’s N.TX network who treated >100 DFW-based AA employees and/or dependents in 2004 • Control Group:All PCPs in UHC’s N.TX network

  9. Performance Measures* • Heart Disease & Stroke: • LDL Cholesterol • Beta Blockers • ACE Inhibitors • Diabetes: • HgA1c • LDL Cholesterol * Evidence-based Medical standards

  10. Physician Task Force • Ad hoc committee of 5 Aim physicians • Provide feedback to project leaders regarding physician communications • Provide physician to physician advocacy for proactive participation in project • Review aggregate performance data and help identify opportunities for improvement

  11. AIM Interventions • Clinical Practice Toolkit:Diabetes & CAD educational materials; EBM checklist; Chart flow-sheet; Resources list • CME Workshops • Quarterly Teleconferences • Performance Feedback • Personal Visits by UHC Medical Director

  12. AIM Baseline Measures(July 2004 – June 2005)

  13. AIM Baseline Measures

  14. Opportunities For Improvement * Biggest opportunity for improvement

  15. Physician Recognition • Framed plaque recognizing physician as AIM participant • AIM participants recognized on DFWBGH and AA websites* • “Star” next to physician names in UHC Directory • AIM participants names included in Project Report* * With AIM participant’s permission

  16. Expected Outcomes • Better quality care for AA employees with diabetes and heart disease • Stronger relationship between DFW employers and physicians • Recognition and promotion of AIM physicians • An effective model for similar employer-led QI initiatives in other communities

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