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Improving Data. Best Practices. CRS Logic. GPRA Results. Misc. 100. 100. 100. 100. 100. 200. 200. 200. 200. 200. 300. 300. 300. 300. 300. 400. 400. 400. 400. 400. 500. 500. 500. 500. 500.

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  1. Improving Data Best Practices CRS Logic GPRA Results Misc. 100 100 100 100 100 200 200 200 200 200 300 300 300 300 300 400 400 400 400 400 500 500 500 500 500

  2. Based on the 2009 GPRA Report this is the percentage of active clinical patients age 65 and older that received a flu vaccine. • 59% • 62% • 70% • 80%

  3. What is 59%?

  4. According to the 2009 GPRA Report this is the percentage of active clinic patients identified as current tobacco users that received tobacco cessation counseling. a) 27%b) 24%c) 30%d) 9%

  5. What is 24%?

  6. This is the percentage of active clinical patients ages 18 and older screened for depression. a) 27% b) 52% c) 25% d) 44%

  7. What is 44%?

  8. This is the percentage of active diabetic patients that has ideal glycemic control (A1c < 7) a) 17 % b) 46% c) 31% d) 51%

  9. What is 31%?

  10. This is the percentage of active clinical children (ages=2-5) with a BMI considered obese. a) 45% b) 37% c) 25% d) 57%

  11. What is 25%?

  12. This technology has significantly improved retinal screening rates at small facilities.

  13. What is tele-medicine?

  14. These are two RPMS packages available to monitor GPRA measures for patients seen at IHS, Tribal & Urban clinics.

  15. What are CRS & iCare?

  16. These are several ways a facility can improve their GPRA data collection. (name 3 ways)

  17. What are: 1) Use EHR or PCC+2) Document each visit correctly3) Assure timely & accurate data entry4) Develop a process for getting important visit information back from CHS providers5) Max Pack Visits - perform other needed services during clinic visit6) Utilize case management and integrated care team7) Incorporate “GPRA Forecasting” process into the facility workflow processes

  18. DAILY DOUBLE

  19. These are successful strategies that could be used to increase immunization rates for children and adults.(List at least two)

  20. What are:1) Ensure Health Summary is up-to-date.2) Provide immunizations at any visits, not just well child visits.3) Promote bundled IZ administration4) Standing Orders5) Perform electronic IZ tracking (utilize iCare, CRS, IZ package, QMAN) - Specific age group or specific vaccine - Provider preferences re: schedule - Improve data quality problems

  21. One of the three most improved GPRA measures over the last three years.

  22. What is: • Depression Screening • FAS Prevention • IPV/DV Screening

  23. The GPRA measure not met in 2009.

  24. What is Influenza vaccine coverage?

  25. A height taken on an adult three years ago can be used to calculate a BMI. • True • False

  26. What is True?

  27. The number of blood pressure readings that must be recorded for diabetic patients to be included in GPRA.

  28. What is two?

  29. Although no longer endemic in the U.S, this disease is the leading cause of childhood mortality in the world, with an estimated 250,000 people, mostly children, dying each year.

  30. What is Measles?

  31. The age range used to calculate mammography rates

  32. What is 52-64?

  33. These are two possible strategies to improve your GPRA scores related to high-risk patient follow-up.

  34. What are: • Utilize RPMS (CRS, iCare, QMAN and IZ package) • Reminder/recall letters • Utilize Public Health Nurses & CHRs

  35. This is the blood pressure goalfor a patient with diabetes.

  36. What is < 130 / 80?

  37. These are the three conditions that must be met to calculate a valid BMI for children (ages = 2-5).

  38. What are height, weight and taken on same day?

  39. According to the GPRA logic the requirements for nephropathy assessment. a) Globular Filtration Rate Calculation (GFR)b) Annual Urinalysisc) Serum Creatinined) Quantitative Urine Protein Assessmente) Both a) & d)

  40. What is GFR and a Quantitative Urine Protein assessment? (Quantitative Urine Protein must be either a UACR, UPCR, or 24 hour urine)

  41. These are the elements required by GPRA for Comprehensive Assessment for CVD Prevention.(Name three)

  42. What are BP, LDL, Tobacco Use, BMI & Lifestyle Counseling?

  43. These are the total number of adult and childhood immunizations series tracked by GPRA (need total number for each) a) Adult IZ b) Childhood IZ Series

  44. What are 2 for Adult & 5 for Childhood?Adult – Flu & PneumovaxChildhood - 4DTaP, 3IPV, IMMR, 3HiB, 3HepB (4:3:1:3:3) series

  45. These are the two most important global health risk factors associated with morbidity & mortality in the U.S. population today. • CVD • Smoking • Drinking • Sex • Obesity

  46. What are Smoking and Obesity?

  47. These are top 5 leading cause of death in Indian Country for adults. (Name 3)

  48. What are heart disease, cancers, injuries, diabetes & chronic liver disease?

  49. A vaccine-preventable disease that is responsible for approximately 200,000 hospitalizations and 36,000 deaths annually in the U.S.

  50. What is Influenza?

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