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Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services

Best Practices/Improvement Strategies for HEDIS Measures Break Out Session #2 Florida EQR Quarterly Meeting January 16, 2008. Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services. Presentation Outline. Components of successful improvement strategies

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Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services

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  1. Best Practices/Improvement Strategies for HEDIS Measures Break Out Session #2 Florida EQR Quarterly Meeting January 16, 2008 Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services

  2. Presentation Outline • Components of successful improvement strategies • Presentation and discussion of case studies • Available resource • Questions and Answers

  3. Components of Successful Improvement Strategies • Identify goal • Establish a method to measure progress • Implement change • Evaluate change

  4. Identify the Goal • Written statement • Be specific • Use numeric values • Be realistic but still make it a stretch

  5. Identify the Goal Examples of Goal Statements*: • Identify 80% of all diabetics who have not had their HbA1c tested • Successfully complete 90 percent of all attempts to contact members who are due for a postpartum visit Source: Center for Health Care Strategies, Inc. (CHCS)

  6. Establish a Method to Measure Progress • Should directly measure the written goal • Can be rapid-cycle with small samples • Should be measured over time across a wide range of variables/conditions • Should differ from the HEDIS measure you are trying to improve

  7. Establish a Method to Measure Progress Example of Measurement of Improvement: Numerator: • Number of successful outreach attempts to members who are due for a postpartum visit Denominator: • Total number of members who are due for a postpartum visit

  8. Implement Change • Identify who, what, where, and when • Sufficient training and communication are essential • Pilot test the change using a smaller group to readjust plans as needed. Consider multiple pilot tests to evaluate adjustments made.

  9. Discussion of Case Studies • Recognize that not every intervention will fit your population, but consider the methods/approaches • Pay attention to “lessons learned” • Use the resources that are already available – do not reinvent the wheel

  10. Available Resources • http://www.chcs.org provides toolkits, case studies, sample materials, and other resources • http://www.qualityprofiles.org provides a variety of case studies and tools for most HEDIS measures • http://www.ihi.org/ihi provides improvement strategies, resources, and educational opportunities

  11. Questions?

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