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Resident Meeting: Awards

Resident Meeting: Awards. Robb Malone Scott Daniels 11/2/2009. Quick updates. Website continues to evolve. http://www.med.unc.edu/im/staff. QI Reporting. https://www.med.unc.edu/im/staff/QI. CSW 2.0 is coming. Incentives for Quality. Physician Federal Incentives.

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Resident Meeting: Awards

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  1. Resident Meeting: Awards Robb Malone Scott Daniels 11/2/2009

  2. Quick updates

  3. Website continues to evolve http://www.med.unc.edu/im/staff

  4. QI Reporting https://www.med.unc.edu/im/staff/QI

  5. CSW 2.0 is coming

  6. Incentives for Quality

  7. Physician Federal Incentives • Medicare’s Physician Quality Reporting Initiative (PQRI) • Health Information Technology (HITECH) • Certified EMR • “Meaningful Use” • Medicare e-Rx incentives/penalties

  8. National Committee for Quality Assurance • NCQA's Physician Recognition Programs recognize high-performing physicians & practices • GIM applying for Diabetes, Heart/Stroke, and Patient-Centered Medical Home programs • Tied to BCBS Contract incentives that increase reimbursement for ALL P&A and CBP physicians

  9. NCQA’s Key Principles

  10. Heart/Stroke

  11. Blood Pressure: Measure 1

  12. Complete Lipid Panel: Measure 2

  13. LDL: Measure 3 In those that we measure, we far exceed the standard

  14. Smoking Advice: Measure 4

  15. Anti-thrombotic Use: Measure 5

  16. Patient-Centered Medical Home

  17. Transitioning to PCMH TODAY’S CARE MEDICAL HOME CARE Patients’ chief complaints or reason for visit determines care We systematically assess all our patients’ health needs to plan care Care is determined by today’s problem and time available today Care is determined by a proactive plan to meet patient needs without visits Care varies by scheduled time and memory or skill of the doctor Care is standardized according to evidence-based guidelines Patients are responsible for coordinating their own care A prepared team of professionals coordinates all patients’ care I know I deliver high quality care because I’m well trained We measure our quality and make rapid changes to improve it Acute care is delivered in the next available appointment and walk-ins Acute care is delivered by open access and non-visit contacts It’s up to the patients to tell us what happened to them We track tests & consultations, and follow-up after ED & hospital Clinic operations center on meeting the doctor’s needs A multidisciplinary team works at the top of our licenses to serve patients

  18. PCMH: One Example Physician Response Time

  19. 1stAnnual House Staff Awards Presentation

  20. Diabetes Metrics

  21. Residents: BP, majority exceed expectations

  22. Residents: TC, majority exceed expectations

  23. Residents: Significant Variation

  24. Residents: Widespread use

  25. Residents: Majority Exceed Goal

  26. Residents: Eye exams remain a struggle

  27. Residents: A1c, variable results, majority above goal

  28. The results are in &the winners are…..

  29. MVP: Second and Third Year Catherine Hathaway Michael Cammarata

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