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D2B-Sustain the Gain

D2B-Sustain the Gain. ACC Quality 2009. Transitions in Care-Heart Failure. Patient Centered Care Transformation. The IC3 Program. Help clinicians thrive in a performance-based reimbursement system through the systematic practice, timely reporting, and continuous improvement of quality.

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D2B-Sustain the Gain

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  1. D2B-Sustain the Gain ACC Quality 2009 Transitions in Care-Heart Failure Patient Centered Care Transformation The IC3 Program

  2. Help clinicians thrive in a performance-based reimbursement system through thesystematic practice,timely reporting,and continuous improvement of quality Goal Improving Continuous Cardiac Care

  3. Outpatient Performance Measures CAD, Afib, HTN, Heart failure, Diabetes, Rehab ----------- ACC/AHA PCPI PQRI NQF

  4. Quality improvement • Practice workflow redesign • Transactional quality and management • Incentives

  5. Office-based quality improvement program that enables participants to select, based on practice characteristics, the most appropriate level of engagement What is it?

  6. The IC3 Program Community Education Performance Improvement Incentives Research Data

  7. Community Building The IC3 national network of practices dedicated to high quality CV care. Interactive communication. Best practices.

  8. Education Educational programming. Clinical guideline updates. Selection of EHR vendors. Billing and coding.

  9. Data Collection Office-based registry. Collect and use patient care data more effectively. Coordinate care. Benchmarking. Demonstrate quality of care.

  10. Performance Improvement Practice assessment. QI tools. Decision support (CardioPATH).

  11. Recognition and Rewards Incentives. Recognition. ABIM MOC. Payers. Malpractice. tipping points

  12. Research New insights on care delivery. Impact of program. Practice-Based Research Network.

  13. Current ACC/AHA Performance Measures • CAD Performance Measures • BP Measurement • Symptom & Activity Assessment • Smoking Assessment • Anti-platelet Therapy • Lipid Profile • Use of Lipid Therapy • -blocker post-MI • ACE/ARB in EF & DM • Screening for Diabetes • CHF Performance Measures • LVEF Assessment • Weight Measurements • BP Measurements • Clinical Symptom Assessment • Activity Assessment • Signs of Volume Overload • Patient Education • -blocker in EF • ACE/ARB in EF • Warfarin for Afib • Initial Lab Tests

  14. Afib Performance Measures Thromboembolic Risk Prior CVA/TIA Age ≥75 Hypertension Diabetes Heart failure or EF Warfarin use in High-risk pts Monthly INR in pts on warfarin Current ACC/AHA Performance Measures • Cardiac Rehabilitation PMs • Referral to a Rehab Program • Within 12 months of • ACS • PCI • CABG • Valve Surgery • Transplant • Stable Angina • Diabetes Performance Measures • Poor HbA1c (>9%) • LDL Control (<100) • BP Control (<140/80)

  15. Quality Vision, near and far 2009: prepare practices to succeed2010: make quality business case2011: link learning, performance, $2012: Quality First Network

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