Stratis Health Prevention Project

1. Stratis Health Prevention Project June 30, 2011

2. Stratis Health • Stratis Health is a non-profit organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities • Under federal contract, Stratis Health serves as Minnesota’s Medicare Quality Improvement Organization (QIO)  • Stratis Health is also involved in state and national projects funded through government contracts, foundation and corporate grants, and health systems • www.stratishealth.org

3. Agenda • Prevention Project Review • Clinic Presentations • Project Results • Upcoming Project Opportunities • Discussion / Questions

4. Prevention Project Review

5. Prevention Theme Overview • Focus on assisting adult primary care clinics in utilizing the care management capabilities of electronic health records (EHR) • Improve cancer screening (colorectal and breast cancer) and immunization rates (influenza and pneumococcal) for Medicare beneficiaries • Care/population management • Maximize EHR and office efficiency

6. Prevention Theme Goals • Improve relative improvement rate of colorectal cancer screening by 15% • Improve relative improvement rate of breast cancer screening by 10% • Improve relative improvement rates of pneumococcal and influenza immunizations by 10% • Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate] Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]

7. Process • Clinic Assessments • Review of data specs • Data submission and analysis • Baseline data • Quarterly data pulls throughout project • Development of work plans and interventions • Monthly conference calls/meetings • Group Educational Webinars

8. Clinic Presentations

9. Alexandria Clinic, P.A. • Quality Improvement Committee Involvement • Process Improvements • Beyond Prevention Project measures • Physician Involvement • Education • Template development

10. Renville County Hospitals & Clinics • Using data to implement process changes/improvements • Identifying gaps and implementing interventions • Involving staff in the Prevention Project

11. Ridgeview Clinics • Pulling the data/running reports • Immunization process improvement • Email blasts • Sharing of data results • Physicians • Board

12. Stillwater Medical Group • Changing from one EHR vendor to another • Cleaning up EHR data • Using data to implement process changes/improvements • Quality Improvement Committee • Physician involvement • Staff involvement

13. Project Results

14. Opportunities • Track preventive care given to a patient • Both at the clinic and outside the clinic • Track tests/screenings given • Both at the clinic and outside the clinic • Clinical reminders • At time appointment is scheduled • At point of care • Reports of patients not receiving tests/screenings

15. Interventions • Improve data entry related to screening measures • Integrate clinical reminders and tracking into everyday practice • Redesign workflows to improve outcomes • Use of clinical reports to identify patients not receiving screenings

16. Implementing Change • Review of current care practices and performance gaps • Identification of appropriate interventions to reduce performance gaps • Monitoring and refinement

17. Challenges • Pulling the data • Understanding what your EHR can and can’t do • Understanding the clinics’ patient population • Changing processes/workflows

18. Results

19. Upcoming Project Opportunities

20. Upcoming Project Opportunities • CMS next scope of work • Physician Quality Reporting System (PQRS) EHR reporting • Preventive Health Learning Network • Cardiac Population Learning Network • Regional Extension Center • REACH http://www.khareach.org • Health Information Technology projects

21. Discussion / Questions?

22. Thank You! Contact Information: Jerri Hiniker, BSN, RN, CPEHR Email: jhiniker@stratishealth.org Ph: 952-853-8540

23. Stratis Health is a nonprofit organization that leads collaboration and innovation in health care quality and safety, and serves as a trusted expert in facilitating improvement for people and communities.This material was prepared by Stratis Health, the Medicare Quality Improvement Organization for Minnesota, under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. June 30, 2011.