Tracking Clinical Quality Measures

1. Introduction and Welcome: Nancie McAnaugh, MSWCenter for Health PolicyMO HIT Assistance CenterPresenter: Noelle ParkerMissouri Quality Improvement Network Team ManagerMissouri Primary Care Association Tracking Clinical Quality Measures

2. MO HIT Assistance Center • Missouri’s Federally-designated • Regional Extension Center • University of Missouri: • Department of Health Management and Informatics • Center for Health Policy • Department of Family and Community Medicine • Missouri School of Journalism • Partners: • Hospital Industry Data Institute (Critical Access Hospitals) • Missouri Primary Care Association • Missouri Telehealth Network • Primaris

3. Vision Assist Missouri's health care providers in using electronic health records to improve the access and quality of health services; to reduce inefficiencies and avoidable costs; and to optimize the health outcomes of Missourians

4. What is our role? • For providers who do not have a certified EHR system - We help you choose and implement one in your office • For providers who already have a system - We help eligible providers meet the Medicare or Medicaid criteria for incentive payments

5. Disclosures Cerner and the University of Missouri Health System have an independent strategic alliance to provide unique support for the Tiger Institute for Health Innovation, a collaborative venture to promote innovative health care solutions to drive down cost and dramatically increase quality of care for the state of Missouri. The Missouri Health Information Technology Assistance Center at the University of Missouri, however, is vendor neutral in its support of the adoption and implementation of EMRs by health care providers in Missouri as they move toward meaningful use. This regional extension center is funded through an award from the Office of the National Coordinator for Health Information Technology, Department of Health and Human Services Award Number 90RC0039/01

6. Tracking Quality Measures

7. Objectives • To introduce you to the value of tracking quality measures • To explain the origins of NQF quality measures • To explain how this helps attain meaningful use criteria • Provide Roadmap and Words of Wisdom

8. Clinical Data Maturity Model Ref: Arcadia Solutions

9. Value of tracking Quality measures

10. What is a Clinical Quality Measure • Clinical outcome • Measurable • Trackable • A clinical quality measure is a mechanism used for assessing the degree to which a provider competently and safely delivers clinical services that are appropriate for the patient in an optimal timeframe.1 1Retrived from: http://www.qualitymeasures.ahrq.gov/about/inclusion-criteria.aspx

11. quality attributes • Safety- patients should not be harmed by the care that is intended to help them • Patient-Centered – Patient care should be based on individual needs and driven by the patient • Timely - waits and delays in care should be reduced • Effective - care should be evidence-based • Efficient - reduce waste • Equitable - care should be equal for all people

12. Value…. • Improve healthcare for patients and population based on valid data measured and reported over time • Data helps demonstrate how quality healthcare is delivered, obtained and sustained • Improve overall healthcare of an individual and/or a population by using evidence based medicine • They help improve the quality of healthcare by setting priorities and goals for performance improvement • Drive Healthcare Change across the nation/international • Help to identify gaps in patient care populations (cervical cancer screening)

13. Types of measures used in MU Process: a measure that focus on a process which leads to certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a certain outcome. Outcome: A measure that indicates a result of the performance (or nonperformance) of a function or a process. 1 1Retrived from: http://www.qualitymeasures.ahrq.gov/about/inclusion-criteria.aspx

14. Origins of NQF Measures…

15. Measures accredited by: • National Quality Forum (NQF) measures are at the center of MU • These measures help to improve quality by • Bringing together experts in the field to define quality with uniform standards • Report and analyze where there are gaps in quality • Caregivers use theses measures to improve, measures, and report

16. NQF measuresValue • Important to measure- • Measuring something that will make a difference in healthcare of a population, where the evidence is the highest measurement that can have a positive impact on healthcare quality. i.e. Preventive Care & Screening Measure Pair for Tobacco Use and Cessation Intervention • Scientifically Acceptable- • When measures are implemented they will produce reliable and valid results. i.e Preventive Care & Screening Measure. • Useable and relevant- • Asking the right questions to the right audience. Not ask a 2 year old if they smoke, might ask parents if there is 2nd hand smoke exposure. • Asking questions that will drive change • Multiple stakeholders finds value in tracking the measures and outcomes • Feasible- • Data is readily available and retrievable without undue burden

17. The benefits of using NQF measures: • Standardization across measures • Provides central benchmarking • Best Practices • Allows you to compare your measures with local, state, and national standards • Prioritizes Health Care initiatives • Focus on the most important conditions • Compare apples to apples within any EHR system. • Common goal to improve quality of health care

18. How do quality Measures relate to Meaningful Use

19. Meaningful Use goals • Use of certified EHR technology for electronic exchange of health information to improve quality of health care • Use of EHR to submit clinical quality and public health measures • Use of EHR in a meaningful manner to improve patient care and safety

20. Adoption Stages of Meaningful Use • Stage 1- Data Capture – “get your feet wet” • Improve quality, safety, efficiency, and reduce health disparities • Engage patients and families • Improve care coordination • Protect privacy and security of personal health info • Improve population and public health • Stage 2- Data Aggregation – Validate and generate data • Stage 3- Data used to impact Outcomes – make informed decisions based on authenticated data

21. 3 Core CQM Measures • (NQF 0013)Hypertension: Blood Pressure Management • (NQF 0028 a & b)Tobacco use assessment & tobacco cessation intervention • (NQF 0421)Adult weight screening and follow-up

22. Road Map to tracking and reporting quality measures

23. Strategy for tracking measures

24. Words of Wisdom • Create the right team • Start small • Engage everyone • Validate data • Data capture reflects quality of care provided • Communication at all levels • Leadership buy-in and support • Patient focused • Create a plan and follow it • Be patient, the road is long and slow… This is a journey • Persistence pays off • Change agent needed to drive change • Embrace change • Think outside the box and don’t take “no” for an answer from your vendor • Hold everyone accountable • Standardize and Document

25. Contact Information • Noelle Parker- nparker@mo-pca.org Missouri Primary Care Association 3325 Emerald Lane Jefferson City, MO 65109-6879 (573) 636-4222 www.mo-pca.org

26. Questions? Press *6 to unmute your phone to ask a question

27. Upcoming Webinars: Privacy & Security Wednesday, October 12th Presenter: Becky Thurmond Fowler University of Missouri Division of Information Technology, Information Security & Access Management

28. MO HIT Assistance Center Now Serves Large Practices & Specialists • Contact MO HIT Assistance Center for details and pricing

29. For More Information: • Website: http://ehrhelp.missouri.edu • E-Mail: • EHRhelp@missouri.edu • Phone: • 1-877-882-9933