Quality reporting and improvement using technology
This presentation is the property of its rightful owner.
Sponsored Links
1 / 19

Quality Reporting and Improvement Using Technology PowerPoint PPT Presentation


  • 42 Views
  • Uploaded on
  • Presentation posted in: General

Quality Reporting and Improvement Using Technology. Mike Hindmarsh Hindsight Healthcare Strategies Cincinnati, OH June 18, 2010. How Do We Know That a Change is an Improvement?.

Download Presentation

Quality Reporting and Improvement Using Technology

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Quality reporting and improvement using technology

Quality Reporting and Improvement Using Technology

Mike Hindmarsh

Hindsight Healthcare Strategies

Cincinnati, OH

June 18, 2010


How do we know that a change is an improvement

How Do We Know That a Change is an Improvement?

“When you can measure what you are speaking about and express it in numbers, you know something about it; but when you cannot measure it, when you cannot express it in numbers, your knowledge is of a meagre and unsatisfactory kind.”

Lord Kelvin, May 3, 1883


Measuring performance for improvement

Measuring Performance for Improvement

  • We cannot improve what we cannot measure

  • IT is a critical success factor in gather improvement data

  • Understanding how to get data out of your EMR is essential

  • Garbage in, Garbage out

  • “Why bother, I’m doing okay in practice!”


Quality reporting and improvement using technology

Sometimes gathering data can bring new and surprising knowledge!


Different purposes for measurement

Different Purposes for Measurement


Getting started identify your population

Getting Started:Identify your population

  • Create a query that identifies the population (e.g., ICD-9 codes)

  • Be sure to code populations the same way.

  • Don’t “over-worry” about the accuracy of case finding: you can clean it up as you go.

  • Get baseline data in the easiest, fastest fashion possible…..if it’s hard to program, leave it for later!

  • Don’t obsess about baseline data accuracy!

  • Select measures that you can impact and have clinical relevance


For each measure

For Each Measure

  • Use measures from evidence-based guidelines

  • Create concrete operational definitions to capture data from you IT in a reliable, consistent manner

  • Use the reporting template to display your measures as quickly as possible.

  • Set goals based on evidence or best pratice

  • Gather data monthly (quarterly at a minimum!)


Example of improvement measures diabetes

Example of Improvement Measures: Diabetes

  • % with A1c<7

  • % with BP<130/80

  • % on ACE1 or ARB

  • % with LDL<2.0 nmol/l

  • % screened for microalbumen

  • % with eye screen in last 24 months

  • % with foot exam in last 12 months

  • % with A1c in last six months

  • % with documented self-mgmt goals in medical record


Annotated time series

Annotated Time Series


This type of data reporting isn t reliable

“This type of data reporting isn’t reliable!!”

  • Yes it is….for quality improvement purposes!

  • Trending is what you are looking for…not statistical reliability.

  • Your “goal” is to improve population outcomes over your usual care by changing care for every patient: the annotated time series (run chart) will tell you if you are succeeding!


Improvement in glycemic control percent of patients with hba1c 9 in clinic a

Improvement in Glycemic Control Percent of (Patients with HbA1c >9 in Clinic A)


Improvement in glycemic control of population with hba1c 9 in clinic a

Improvement in Glycemic Control (% of Population with HbA1C >9 in Clinic A)


Improvement in glycemic control of population with hba1c 9 clinics b and c

Improvement in Glycemic Control (% of Population with HbA1C >9 Clinics B and C)


Improvement in glycemic control of population with hba1c 9 in clinic b

Improvement in Glycemic Control (% of Population with HbA1C >9 in Clinic B)


Improvement in glycemic control of population with hba1c 9 in clinic c

Improvement in Glycemic Control (% of Population with HbA1C >9 in Clinic C)


Quality reporting and improvement using technology

Run Charts of Monthly Measures - Diabetes Population


Summary

Summary

  • Define your population with carefully thought out queries

  • Obtain baseline data on relevant measures through structured queries

  • Produce regular reports for improvement activities

  • Set targets/goals for imporvement based on best practice

  • Be ambitious!


  • Login