1 / 19

Quality Reporting Demystified: Strategies for Obtaining Precise Data

Learn how to streamline data retrieval processes, from patient identification to reporting for various purposes. Understand structured data complexities and key reporting parameters, with a focus on a childhood immunization measure.

caroljackson
Download Presentation

Quality Reporting Demystified: Strategies for Obtaining Precise Data

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Quality Reporting: How to Get the Data you Want? Michelle Pichardo, MPH Institute for Family Health

  2. Primary team members CIO - Weston Willett CMIO - Joseph Lurio MD Sr. Applications Engineer - Jonah Piascik, Leigh Garvey Clinical Analysts - Stephnie Cargill-Skeeling RN, Rachel Berg, Adam Szerencsy DO Business Systems Manager - Alison Meyers Quality Reporting Analyst - Kwame Kitson MD Director of Billing/ AR Analyst - Kathleen Creswell

  3. No more searching for lost charts, or waiting for someone to return a chart, or figuring out what that says!

  4. Endless reporting possibilities

  5. Where to start?

  6. Structured data can be complex

  7. Patient identification Demographics Insurance type Visit information Problem list/diagnoses Orders, meds, procedures, labs Define basic information from the EHR

  8. Meeting multiple types of reporting requests Clinical Financial Operational Local, state, and national agencies Private Funders Research

  9. Identify the specific parameters. Share with project team Review a test run of the report Developing a report specification document

  10. Childhood immunization measure Numerator: • Number of children <= 2yrs of age as of 12/31/08 who have received all of the following immunizations - 4 DTP/DTap, 3 IPV, 1 MMR,3 Hib, 3 HepB, 1 VZV, and 4 Pneumoccocal conjugate within the reporting period (1/1/08 thru 12/31/08). • Denominator: • Number of all children <=2yrs of age as of 12/31/08 with at least one medical encounter during the reporting period (1/1/08 thru 12/31/08).

  11. Additional criteria to consider: Were born on or after January 1, 2006 and on or before December 31 2006, and Were first seen by the clinic prior to their second birthday, and Were seen for a medical encounter at least once during 2008 Include all children meeting this criterion regardless of whether or not they came to the clinic specifically for vaccinations or well child care. Children who had a contraindication for a specific vaccine should be excluded

  12. Immunization CPT code mapping --DTP/DTap (4 dose schedule)    ot.CPT_CODE IN ('90700','90701','90701','90720','90721','90723','90698') --IPV (3 dose schedule) or ot.CPT_CODE IN ('90712','90713','90723','90698') --MMR (1 dose schedule) or ot.CPT_CODE IN ('90707','90710') --Hib (3 dose schedule) or ot.CPT_CODE IN ('90645','90646','90647','90648','90720','90721','90737','90748','90698') --HepB (3 dose schedule) or ot.CPT_CODE IN ('90636','90723','90731','90740','90743','90744','90745','90746','90747','90748') --VZV  (1 dose schedule) or ot.CPT_CODE IN ('90710','90716') --Pneumococcal (4 dose schedule) or ot.CPT_CODE IN ('90669','90732')

  13. Other key points Set reporting priorities Participate in team member meetings Maintain good documentation

More Related