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QI Roundtable

QI Roundtable. Clinical Performance Measures. September 26, 2012. Population-Based Measurement. Clinical Performance Measures. WA CHC delivery system Community health center organization Clinic site Care team Patient. Performance Measures. UDS and PCMH Recognition

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QI Roundtable

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  1. QI Roundtable Clinical Performance Measures September 26, 2012

  2. Population-Based Measurement

  3. Clinical Performance Measures • WA CHC delivery system • Community health center organization • Clinic site • Care team • Patient

  4. Performance Measures UDS and PCMH Recognition • Childhood immunizations • A1c < 9% • Pap tests • Htn control • Low birth weight • Prenatal Care • PCMH recognized

  5. Wa CHCs • % of CHCs who meet the Healthy People 2020 goals • State CHC average per measure • Individual CHC measure • Clinic measure • Care team measure

  6. % of CHCs that Meet HP 2020 Goals Healthy People 2020 Definition: % of Health center Program grantees in the State/region that meet or exceed performance Healthy People (HP) 2020 performance measure goals.

  7. % of CHCs that Meet HP 2020 Goals Healthy People 2020 Definition: % of Health center Program grantees in the State/region that meet or exceed performance Healthy People (HP) 2020 performance measure goals.

  8. WA CHC Average Performance Measures

  9. Individual CHC Performance BPHC Clinical Measures - % HTN Patients with BP Less than 140/90 Washington State Community Health Centers Range Number of CHCsRange Percentage 1 Over 80% 1 70% to 80% 5 60% to 70% 8 50% to 60% 5 40% to 50% 3 30% to 40% 2 20% to 30% 0 10% to 20% 0 10% & under Definition: Number of female patients aged 21-64 who had at least one Pap test divided by number of charts sampled or EHR total.

  10. Individual CHC Performance BPHC Clinical Measures - % of Women 24-64 Who Received 1 or More Pap Tests Washington State Community Health Centers Range Number of CHCsRange Percentage 1 Over 80% 1 70% to 80% 5 60% to 70% 8 50% to 60% 5 40% to 50% 3 30% to 40% 2 20% to 30% 0 10% to 20% 0 10% & under Definition: Number of female patients aged 24-64 who had at least one Pap test divided by number of charts sampled or EHR total.Note: HP 2020 goal baseline is for patients required for female patients ages 21-65

  11. Focus • PCMH Recognition and Implementation • Control of hypertension • Cervical cancer screening rates

  12. WACMHC QI/PCMH Strategy Aim: Implement a coordinated approach to provide technical assistance, training, and support for member CHCs to become patient centered medical home recognized by December 2013. Secondary Drivers Primary Drivers PCMH Learning Community • PCMHI/NACHC • Indian Health Services • Meaningful Use • MCO Quality Improvement • FQHC Payment Reform • HCA Health Home Outcome Measures • PCMH national recognition • Hypertension control • Cervical cancer screening HRSA PCMH Supplemental Funding 2011 & 2012 Coaching APCP Demonstration QI/PCMH Roundtable WA Health Improvement Network (WHIN)

  13. PCMH • PCMH lead contacts

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