Using Quality Measures from the EHR Jerri Hiniker, BSN, RN, CPEHR June 16, 2011 Stratis Health Stratis Health is a non-profit organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities Under federal contract, Stratis Health serves as Minnesota s Medicare Quality Improvement Organization (QIO) Stratis Health is also involved in state and national projects funded through government contracts, foundation and corporate grants, and health systems www.stratishealth.org 2 Minnesota e-health Summit 2011 1
Prevention Theme Overview Focus on assisting adult primary care clinics in utilizing the care management capabilities of electronic health records (EHR) Improve cancer screening (colorectal and breast cancer) and immunization rates (influenza and pneumococcal) for Medicare beneficiaries Care/population management Maximize EHR and office efficiency 3 Prevention Theme Goals Improve relative improvement rate of colorectal cancer screening by 15% Improve relative improvement rate of breast cancer screening by 10% Improve relative improvement rates of pneumococcal and influenza immunizations by 10% 4 Minnesota e-health Summit 2011 2
Participants Sixteen adult primary care clinic sites Rural and urban clinics Eight rural Eight urban Small and large clinics One to thirty providers per clinic site 5 Process Clinic EHR Assessments Review of data specs How to Pull Data 101 Onsite assistance when appropriate Baseline data pull Quarterly data pulls throughout project Development of work plan and interventions with clinics Monthly conference call/meetings Educational group Webinars 6 Minnesota e-health Summit 2011 3
Opportunities Track preventive care given to a patient Both at the clinic and outside the clinic Track tests/screenings given Both at the clinic and outside the clinic Clinical reminders At time appointment is scheduled At point of care Reports of patients not receiving tests/screenings 7 Interventions Improve data entry related to screening measures Integrate clinical reminders and tracking into everyday practice Redesign workflows to improve outcomes Use of clinical reports to identify patients not receiving screenings 8 Minnesota e-health Summit 2011 4
Implementing Change Diagnosis of current care practices and performance gaps Identification of appropriate interventions to reduce performance gaps Monitoring and refinement 9 Challenges Pulling the data Staffing Consistency Understanding what your EHR can and can t do Understanding the clinic s patient population We re better than what our data shows. 10 Minnesota e-health Summit 2011 5
Results Measure Baseline March 2009 Current Rate March 2011 Relative Improvement Rate Absolute Improvement Rate EHR Influenza Vaccination EHR Pneumococcal Vaccination EHR Colorectal Cancer Screening EHR Breast Cancer Screening 44% 48% 11% 4% 25% 59% 297% 34% 28% 41% 66% 13% 36% 47% 156% 11% Relative Improvement Rate (RIR) = [(Quarter Rate Baseline Rate)/Baseline Rate] Absolute Improvement Rate = Current Quarter Rate Baseline Rate 11 QUESTIONS? 12 Minnesota e-health Summit 2011 6
Thank You! Contact Information: Jerri Hiniker, RN, BSN, CPEHR Email: jhiniker@stratishealth.org Ph: 952-853-8540 13 Stratis Health is a nonprofit organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities. This material was prepared by Stratis Health, the Medicare Quality Improvement Organization for Minnesota, under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. June 7, 2011. 14 Minnesota e-health Summit 2011 7