Importance of a Registry. Amy Belisle, MD Laura Brann, Program Manager, CIR Eric Anderson, Dir. Quality Data Management. I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity.
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Importance of a Registry Amy Belisle, MD Laura Brann, Program Manager, CIR Eric Anderson, Dir. Quality Data Management
I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity
We need a registry to… • Identify patient populations • Help manage patients • Prepare for patient visits using evidence based protocols • Provide “opportunistic care” • Track quality indicators • Identify gaps in performance • Help sustain long-term quality care
MaineHealth Clinical Improvement Registry Community Health System Resources and Policies Health Care Organization ClinicalInformationSystems DeliverySystem Design Self-Management Support Decision Support Prepared, Proactive Practice Team Informed, Activated Patient Productive Interactions Improved Outcomes Chronic Care Model
Why the CIR? Functions • Web Based • Data entry • Interfaces • Patient Reports • Population Reports • External Reporting • NCQA • PQRI • PTE • Modules in the CIR • Asthma • CVD/HS • Depression • Diabetes • Preventive Health
Frequently Asked Questions • How does this fit into our workflow? • How is the clinical data determined/what guidelines are followed? • How much time will this take? • What equipment/software do I need? • Who should be the user(s)? • How do I know which patients to include? • Can I use the data for other reporting? (PTE) • How does data get entered into the CIR? Can I send data from my EMR/EPM/Billing system?
Important things to know • Where to get more information… • There are some costs • $120 every 3 years for secure ID • $240/year per provider • To get your practice set up on the CIR • Paperwork • Business Associate Agreements • Service Level Agreements • Practice Start Up Packet • Identify a practice CIR lead
MaineHealth CIR Statistics • 1026 Active Users / 406 in past 90 days • 109 MaineHealth Practices • 445 MaineHealth Providers • ~17k Diabetes, ~8.5k Asthma, ~10k CVD, ~6.5k Depression, ~1k HF (all clinical counts) • Preventive Health: 57,782 Pediatric (0-18 years), 101,143 Adult (18 or older) • Other users: Mercy Primary Care Center sites, SOCHS PHO (Maine Covenant), Maine Health Alliance (Northern Maine Medical Center, Pines Health Care Service, Maine Coast Memorial Hospital, Mayo Regional Hospital), Kennebec Regional Health Alliance, etc…
Other Registry Options: Meridios • Culls data from GE Centricity EMR • Provides statistical breakdown of data • Secure access • Access levels available for data review on multiple levels (i.e. view by provider, practice, organization) • Ability to track multiple quality goals • Data exportable to Excel for further analysis
“Blue Ribbons” - MHMC • NCQA-PCMH • Pediatric immunization • Asthma Management
Requirements for Blue ribbon certification in Pediatrics:All Asthmatics • 1+ office visits/year • Documentation of influenza immunization • Documentation of Tobacco use/exposure • BMI/Age measured • Current asthma Severity classification • Use of a asthma assessment tool
Other requirements for Blue ribbon certification in Pediatrics - Persistent Asthmatics • Documented use of Controller meds for Persistent asthma • Documented action and/school plan