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# 200 - PowerPoint PPT Presentation

Improving Data. Best Practices. CRS Logic. GPRA Results. Misc. 100. 100. 100. 100. 100. 200. 200. 200. 200. 200. 300. 300. 300. 300. 300. 400. 400. 400. 400. 400. 500. 500. 500. 500. 500.

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Improving

Data

Best

Practices

CRS

Logic

GPRA Results

Misc.

100

100

100

100

100

200

200

200

200

200

300

300

300

300

300

400

400

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500

500

500

500

500

Based on the 2009 GPRA Report this is the percentage of active clinical patients age 65 and older that received a flu vaccine.
• 59%
• 62%
• 70%
• 80%

### What is 59%?

According to the 2009 GPRA Report this is the percentage of active clinic patients identified as current tobacco users that received tobacco cessation counseling.

a) 27%b) 24%c) 30%d) 9%

### What is 24%?

This is the percentage of active clinical patients ages 18 and older screened for depression.

a) 27% b) 52% c) 25% d) 44%

### What is 44%?

This is the percentage of active diabetic patients that has ideal glycemic control (A1c < 7)

a) 17 % b) 46% c) 31% d) 51%

### What is 31%?

This is the percentage of active clinical children (ages=2-5) with a BMI considered obese.

a) 45%

b) 37%

c) 25%

d) 57%

These are two RPMS packages available to monitor GPRA measures for patients seen at IHS, Tribal & Urban clinics.

### What are CRS & iCare?

What are: 1) Use EHR or PCC+2) Document each visit correctly3) Assure timely & accurate data entry4) Develop a process for getting important visit information back from CHS providers5) Max Pack Visits - perform other needed services during clinic visit6) Utilize case management and integrated care team7) Incorporate “GPRA Forecasting” process into the facility workflow processes

DAILY

DOUBLE

These are successful strategies that could be used to increase immunization rates for children and adults.(List at least two)

What are:1) Ensure Health Summary is up-to-date.2) Provide immunizations at any visits, not just well child visits.3) Promote bundled IZ administration4) Standing Orders5) Perform electronic IZ tracking (utilize iCare, CRS, IZ package, QMAN) - Specific age group or specific vaccine - Provider preferences re: schedule - Improve data quality problems

What is:

• Depression Screening
• FAS Prevention
• IPV/DV Screening

### The number of blood pressure readings that must be recorded for diabetic patients to be included in GPRA.

Although no longer endemic in the U.S, this disease is the leading cause of childhood mortality in the world, with an estimated 250,000 people, mostly children, dying each year.

These are two possible strategies to improve your GPRA scores related to high-risk patient follow-up.

What are:

• Utilize RPMS (CRS, iCare, QMAN and IZ package)
• Reminder/recall letters
• Utilize Public Health Nurses & CHRs

### What are height, weight and taken on same day?

a) Globular Filtration Rate Calculation (GFR)b) Annual Urinalysisc) Serum Creatinined) Quantitative Urine Protein Assessmente) Both a) & d)

What is GFR and a Quantitative Urine Protein assessment?

(Quantitative Urine Protein must be either a UACR, UPCR, or 24 hour urine)

These are the elements required by GPRA for Comprehensive Assessment for CVD Prevention.(Name three)

These are the total number of adult and childhood immunizations series tracked by GPRA

(need total number for each)

b) Childhood IZ Series

### What are 2 for Adult & 5 for Childhood?Adult – Flu & PneumovaxChildhood - 4DTaP, 3IPV, IMMR, 3HiB, 3HepB (4:3:1:3:3) series

These are the two most important global health risk factors associated with morbidity & mortality in the U.S. population today.
• CVD
• Smoking
• Drinking
• Sex
• Obesity

(Name 3)

A vaccine-preventable disease that is responsible for approximately 200,000 hospitalizations and 36,000 deaths annually in the U.S.

For comprehensive diabetes care, these are standard care assessments a patient with diabetes should receive at least annually.

(List at least four)

What are

A1c

BP

BMI

Cholesterol Panel

Kidney Disease Assessment

Retinal exam

Diabetic foot exam

Dental exam

Education

Depressionscreening

vaccines