Migrant-Specific Performance Measures. Midwest Migrant Stream Forum November 19 th , 2010 Austin, Texas . Karen Mountain, MBA, MSN, RN Chief Executive Officer Migrant Clinicians Network . Outline. Performance measures—what are they? BPHC required performance measures
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.
Midwest Migrant Stream Forum
November 19th, 2010
Karen Mountain, MBA, MSN, RN
Chief Executive Officer Migrant Clinicians Network
BPHC clinical performance measures are a sub-set of a larger set of HRSA performance measures
Selected from measures used by the National Quality Forum and other national quality groups
Balanced and comprehensive representation of:
Health Center services
Clinically prevalent conditions among the underserved
Population across life cycles
Commonly used by Medicare, Medicaid and other insurance/managed care organizations to assess quality
When you determine that the outcome of a Performance Measure is unacceptable you can focus on that measure through the CQI program
BPHC requires these measures in SAC (Service Area Competition), BPR (Budget Period Renewal) and NAP (New Access Point) grant applications
Grantees are establishing baselines and setting (realistic!) goals for improvement
BPHC staff review submissions and progress reports
What are they?
Outreach/Quality of Care Indicators
Trimester of entry into perinatal care
Childhood (2 year old) immunization
Pap tests for adult (21 – 64 year old)
Health Outcomes and Disparities
Infant birth weight (normal vs. low)
Hypertension (controlled vs. uncontrolled)
Diabetes (adequate control vs. inadequate control)
Early entry into prenatal care
If women enter care in their first trimester then probability of adverse birth outcome will be reduced
If children receive their vaccinations in a timely fashion then they will be less likely to contract vaccine preventable diseases or to suffer from the sequela of these diseases
If women receive Pap tests as recommended then they can be treated earlier and will be less likely to suffer adverse outcomes from HPV and cervical cancer
Low Birth weight
If there are fewer low birth weight children born, then there will be fewer children who suffer the multiple negative sequelae of low birth weight
If there is less uncontrolled hypertension, then there will be less cardiovascular damage, fewer heart attacks, less organ damage later in life.
If there is less uncontrolled diabetes then there will be fewer amputations, less blindness, less organ damage later in life.
Required two additional measures
One Oral Health
One Behavioral Health
time: HDC, program specific
To develop supplemental performance improvement measures specific to the unique features of Migrant Health Programs (MHPs)
Show of hands:
Slide to be inserted mid-way through your presentation:
Focus on three categories:
Percent of migrant patients ≥12 years who have documented tobacco use status during the measurement yearAdditional Enabling Services Measures
Percent of registered farmworker patients who receive eye protection educationAdditional Envir/Occ Measures
(or - Average Hours per Patient X Average Cost per Hour)
Total cost for enabling services = UDS Table 8A, Line 11C, Column C
Unduplicated number of enabling patients UDS Table 5, Line 29, Column C
measurement is to assure
and IMPROVE Quality of
1: Sprince NL, Zwerling C, Whitten PS, Lynch CF, Burmeister LF, Gillette PP, Thu K, Alavanja MC. Farm activities associated with eye injuries in the Agricultural Health Study. J Agromedicine. 2008;13(1):17-22. PubMed PMID: 19042689.
2: Lacey SE, Forst LS, Petrea RE, Conroy LM. Eye injury in migrant farm workers and suggested hazard controls. J Agric Saf Health. 2007 Jul;13(3):259-74. Review. PubMed PMID: 17892069.
3: Peate WF. Work-related eye injuries and illnesses. Am Fam Physician. 2007 Apr 1;75(7):1017-22 Review. PubMed PMID: 17427615.
4: Forst L, Noth IM, Lacey S, Bauer S, Skinner S, Petrea R, Zanoni J. Barriers and benefits of protective eyewear use by Latino farm workers. J Agromedicine. 2006;11(2):11-7. PubMed PMID: 17135138.
5: Cameron L, Lalich N, Bauer S, Booker V, Bogue HO, Samuels S, Steege AL. Occupational health survey of farm workers by camp health aides. J Agric Saf Health. 2006 May;12(2):139-53. PubMed PMID: 16724790.
6: Mackiewicz J, Machowicz-Matejko E, Sałaga-Pylak M, Piecyk-Sidor M, Zagórski Z. Work-related, penetrating eye injuries in rural environments. Ann Agric Environ Med. 2005;12(1):27-9. PubMed PMID: 16028862.
7: Forst L, Lacey S, Chen HY, Jimenez R, Bauer S, Skinner S, Alvarado R, Nickels L, Zanoni J, Petrea R, Conroy L. Effectiveness of community health workers for promoting use of safety eyewear by Latino farm workers. Am J Ind Med. 2004 Dec;46(6):607-13. PubMed PMID: 15551366.
8: Villarejo D, Baron SL. The occupational health status of hired farm workers. Occup Med. 1999 Jul-Sep;14(3):613-35. Review. PubMed PMID: 10378979. 9: Weinbaum Z, Schenker MB, O'Malley MA, Gold EB, Samuels SJ. Determinants of disability in illnesses related to agricultural use of organophosphates (OPs) in California. Am J Ind Med. 1995 Aug;28(2):257-74. PubMed PMID: 8585522.
What do you think about this effort?
Slide to be inserted at the end of your presentation: