Measurement and Reporting

1. Measurement and Reporting Carrie Phillipi, MD, PhD Asthma Expert & Laura Conley, MHSA Quality Improvement Consultant

2. I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity

3. Objectives • Share principles for monthly reporting and data sharing • Discuss the major components of the reporting process • Review the flow of monthly data

4. Principles for Monthly Reporting Data Sharing • Data Transparency • Practice coaching • Data is a tool to measure performance!

5. Data Collection Components • EQIPP Asthma Module (designed for the CQN project) • Practice Narrative Report

6. Asthma EQIPP Module

7. What is EQIPP • Launched in 2002 • Robust Quality Improvement educational program • Evidence-based • Translates research into practice • Weaves QI principles with clinical content • Interactive and action oriented

9. 3 SECTIONS • Overview • Course landing page • Provides course goals and objectives • Lists Key Clinical Activities • Links to key areas within the course (Helpful Links)

10. 3 SECTIONS • Improvement Activities • Enter Baseline Data • Analyze Measures • Aims & Changes • Create Improvement Plan • Enter Follow Up Data

11. 3 SECTIONS • Learning EQIPPment • QI Basics • Key Clinical Content • Case Studies • Team Learning • Tools

12. Typical User Flow

13. Overview

14. QI Basics

15. Collect Baseline Data

16. Analyze Results

17. EQIPPComparisons • Analyze Measures with your QI practice team • Run Charts • Comparisons • Goal • Practice • Chapter • District • All CQN Subscribers

18. Run Charts for Collaborative Learning Practice Level Data Practice: 240

19. Run Charts for Collaborative Learning Practice Level Data Aggregate Across the Chapter Chapter Name: Alabama Chapter

20. Practice Narrative Project management tool to inform chapter teams of each practice’s progress on the key changes • Engagement of the Asthma Core Team • Use of a registry to manage a population • Planned care • Employ protocols • Provide self-management support

21. Monthly Timeline Beginning of Month Mid Month End of Month EQIPP Data Set Opens Enter a minimum of 5 patient visits Can occur anytime during the month Practice QI Team Meeting Month Practice Conference Call Complete Practice Narrative

22. Important Dates • First data collection cycle closes Friday October 16, 2009 • QI basics and baseline data entry should be completed • Data set closes the last business day of each month • Feedback about data provided to practices during monthly action call

23. Data Calendar

24. Maintenance of Certification Part IV Requirements • Criteria for Individual Physician Participation: • Complete data collection at the time of visit with an encounter form for decision support • Review practice level data and practice level performance monthly • Attend monthly practice quality improvement meetings • On average enter a minimum of 5 patient visits per month in at least 7 of 10 data cycles

25. Maintenance of Certification Part IV Requirements • Criteria for practice involvement • Presence of a documented process map that details reliable data collection at the time of the visit • Established QI Team • QI team representation at all learning sessions and monthly calls once enrolled in the project. • Achieve optimal care by year 1 for 70% of the sample population