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Clinical Measures Group: Work-to-Date

Clinical Measures Group: Work-to-Date. Margie Powers CMG Facilitator August 21, 2007. AQIC Workgroups QIG DCG CMG. CSLC Case studies In-person mtgs CMG. CMG & CSLC/AQIC Structure. CMG Current & Future Home. 2006: CSLC1 2007: CSLC2/AQIC 2007-2009: AQIC.

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Clinical Measures Group: Work-to-Date

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  1. Clinical Measures Group: Work-to-Date Margie Powers CMG Facilitator August 21, 2007

  2. AQIC Workgroups QIG DCG CMG CSLC Case studies In-person mtgs CMG CMG & CSLC/AQIC Structure

  3. CMG Current & Future Home • 2006: CSLC1 • 2007: CSLC2/AQIC • 2007-2009: AQIC

  4. Clinical Measures Group Objectives • Engage CHCs and providers in collecting data, analyzing results, making changes • Identify new clinical areas to be monitored. • Define evidence-based measures to use in management and tracking of the identified clinical areas.

  5. Clinical Measurement Areas: Initial Measure Set • Prioritized the following clinical areas: • Diabetes • Cardiovascular Disease • Women’s Health • Pediatric Immunizations

  6. Measure Basics • Measure = Numerator Denominator • Numerator = All of the patients that did what you wanted them to do • Denominator = All of the patients that could have done what you wanted them to do

  7. Measure Basics—Example • Measure = Annual Hemoglobin A1c Test in Patients with Diabetes Numerator = All of the patients that had an HbA1c test during the last year ---------------------------------------------------------- Denominator = All of the patients with diabetes (that were the right age, and went to the doctor during the year)

  8. More than Just Measures • Defining clinical measures important, but…. • ….clinics also need support in • Collecting accurate, timely data from wide variety of systems • Communicating with providers, billers about correct coding • Checking, rechecking until data correct (i.e. data validation)

  9. From Clinical Encounters to Clinical Measures: A Common Scenario • Data “hits” PMS after encounter, when form turned in by provider • If have CDMS (i.e. Tracks, PECS) can pull certain codes from PMS into a report of clinical measures • Report is usually wrong the first time! (data entry error, coding error, system error) • Perform data validation • Re-run, analyze

  10. CMG’s Other Important Functions • Data Validation • Suggested techniques • Tools • Data Collection • Coding support • Reporting • Providing templates • Work with i2i to update/maintain CSLC Report

  11. CMG Activities (2007) • 3 Clinical Measures Group teleconferences • Member make-up: MD, FNP, QI lead • Clinic and consortia attendees • CSLC Plenary Sessions • February, August 2007 • Case studies

  12. CMG Future • Work will continue under AQIC • New UDS Measures • Clinical Measure Clearinghouse • Further discussion in afternoon • Welcome feedback, suggestions • Come to CMG meeting today at 4pm!

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