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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. 400. 400. 400. 500. 500. 500. 500. 500.

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Presentation Transcript
slide1

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

slide2
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%
slide4

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%

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

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

this is the percentage of active diabetic patients that has ideal glycemic control a1c 7
This is the percentage of active diabetic patients that has ideal glycemic control (A1c < 7)

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

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

a) 45%

b) 37%

c) 25%

d) 57%

slide14
These are two RPMS packages available to monitor GPRA measures for patients seen at IHS, Tribal & Urban clinics.
slide17

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

slide18

DAILY

DOUBLE

slide19

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

slide20

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

slide22

What is:

  • Depression Screening
  • FAS Prevention
  • IPV/DV Screening
slide27

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

slide29

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.

slide33

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

slide34

What are:

  • Utilize RPMS (CRS, iCare, QMAN and IZ package)
  • Reminder/recall letters
  • Utilize Public Health Nurses & CHRs
slide39

According to the GPRA logic the requirements for nephropathy assessment.

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

slide40

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 elements required by GPRA for Comprehensive Assessment for CVD Prevention.(Name three)
slide43

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

(need total number for each)

a) Adult IZ

b) Childhood IZ Series

slide44

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

slide45
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
slide49

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

slide51
For comprehensive diabetes care, these are standard care assessments a patient with diabetes should receive at least annually.

(List at least four)

slide52

What are

A1c

BP

BMI

Cholesterol Panel

Kidney Disease Assessment

Retinal exam

Diabetic foot exam

Dental exam

Education

Depressionscreening

vaccines