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Northwest Physicians Network. Spread of Registries 2001- present. Timeline for registries, all 31. 2001 – 6 2002 – 4 2003 – 4 2004 – 2 2005 – 4 2006 – 11 (8 providers in pediatric office for asthma registry). VISION OF PLANNED CARE MODEL AT NPN. 50% of PCP’s with registry 100+ PCP’s
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Northwest Physicians Network Spread of Registries 2001- present
Timeline for registries, all 31 • 2001 – 6 • 2002 – 4 • 2003 – 4 • 2004 – 2 • 2005 – 4 • 2006 – 11 (8 providers in pediatric office for asthma registry)
VISION OF PLANNED CARE MODEL AT NPN • 50% of PCP’s with registry • 100+ PCP’s • 25% with more than one condition • Roll out of EMR with registry function
Increasing Registries • Recruitment of offices • Abstracting charts • Training of offices by QI team and Basic Training classes. • Coordinating electronic lab downloads. • Quest, Labs NW, PacLab • Coordinating faxing in of monthly summary reports. • Adding a second condition • Added choice of web based registry
New Reports and Aggregating Data • Run charts for each provider – old and recent measures. Excel sheets linked. • Run charts for each provider with aggregate of whole practice • Run charts for each practice with aggregate of NPN. • Plan is to do aggregate of A1c, LDL and BP so as to compare with health plans.
Facts, Tips and Lessons Learned • NPN offices are 1 to 10 providers in Pierce and South King county. • When new office brought on board frequent follow up is a must. (Every 2 weeks at least.) • Very difficult to implement registry in office with more than 3 providers if each one acts totally independent of the other.
More Issues • Technological expertise • Data entry • Backing up dta file • People’s comfort zones • Staff turnover • Old equipment – hard drive, printers etc. • MS Access – 97 and 2000 versions. Especially interesting on one PC.
More Issues • Don’t hassle the cost of MS Access if we have already spent countless man hours abstracting charts and inputting initial data. • IT contact outside of provider walls.
Computer user/location Technical Expertise Operating system Office version Lab Interface Internet Access version NPN provided Access license number Separate tracking for licenses number. Keeping Specs for each office