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Aging

September 25-26, 2009. Aging Q 3 2009 Fall Retreat. 3. Quality Care. Quality Education. Aging. Quality of Life. Importance of Donald W. Reynolds grant to MUSC. Aging is high profile issue in SC Demographic imperative Opportunity to “ Gerontologize ” MUSC

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Aging

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  1. September 25-26, 2009 Aging Q32009 Fall Retreat 3 Quality Care Quality Education Aging Quality of Life

  2. Importance of Donald W. Reynolds grant to MUSC • Aging is high profile issue in SC • Demographic imperative • Opportunity to “Gerontologize” MUSC • Potential broader impact on Primary Care (AHEC)

  3. Caring for older people is about Quality “The degree to which health care services for individuals and populations increase the likelihood of desired outcomes and are consistent with current professional knowledge” Institute of Medicine 1990

  4. Characteristics of high quality of care • Safe • Effective • Patient-centered • Timely • Equitable • Efficient

  5. Quality of care for Vulnerable Elders: The canary in the coal mine

  6. Aging Q3: Chronic Care Model

  7. Aging Q3 Organizational Chart rev. 9/1/09

  8. Aging Q3 ACOVE Area and Work Groups

  9. Aging Q3 ACOVE Area and Work Groups

  10. Aging Q3 ACOVE Area and Work Groups

  11. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Assess performance: Extract and analyze Clinical data Cue MDs to act Record data on clinical intervention Provide decision support

  12. From Knowledge to Performance:Intervention Sequence for each ACOVE Faculty & intervention Development

  13. Faculty & Intervention Development Pic: Faculty lecture and Retreat

  14. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Faculty & intervention Development

  15. Resident Lecture

  16. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development

  17. Detailing Sheets

  18. Resident Detailing

  19. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care

  20. Registration: ID Patients Identify Patients at the time of care

  21. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Cue MDs to act

  22. Cue MDs to act Blue Sheet

  23. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Cue MDs to act Provide decision support

  24. Provide decision support

  25. Using Practice Partner to provide Decision Support This note version ONLY comes up for patients 65 and older

  26. From Knowledge to Performance:Intervention Sequence for each ACOVE Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Cue MDs to act Record data on clinical intervention Provide decision support

  27. Record data on clinical interventions

  28. Final Note in Practice Partner

  29. Clinical performance data from Practice Partner

  30. From Knowledge to Performance Resident Lecture Resident Detailing Faculty & intervention Development Identify Patients at the time of care Assess performance: Extract and analyze Clinical data Cue MDs to act Record data on clinical intervention Provide decision support

  31. Synchronizing data collection and analysis

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