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SC PA Data Review

SC PA Data Review. Robert A. Gabbay, MD, PhD Professor of Medicine, Penn State College of Medicine. PCMH-A (Patient-Centered Medical Home Assessment). Survey designed to help systems and provide practices move toward the PCMH model Utilized to help teams identify areas for improvement

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SC PA Data Review

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  1. SC PA Data Review Robert A. Gabbay, MD, PhD Professor of Medicine, Penn State College of Medicine

  2. PCMH-A(Patient-Centered Medical Home Assessment) • Survey designed to help systems and provide practices move toward the PCMH model • Utilized to help teams identify areas for improvement • A sense of how PCMH like you are

  3. PCMH-A Assessment • On average, practices reported an average increase of +2.3/12 points (20%) • The top 3 most improved categories: • Empanelment (+3.3 points) • Quality Improvement Strategy (+3.0 points) • Patient Centered Interactions (+2.6 points) (All on a scale from 1-12)

  4. HEDIS Goals • HEDIS & Quality Measurement Goals • 90th Percentile of the HEDIS New England or Mid-Atlantic Benchmarks (whichever was higher) • Standardized set of performance measures • HEDIS goals used for PA SPREAD: • % DM pts A1C >9 – 13.63% • % DM pts A1C <8 – 74.70% • % DM pts BP <140/90 – 76.33% • %DM pts LDL <100 – 58.15% • %DM pts tobacco query – 90% • % DM pts nephrology screening – 92.46% • % DM pts eye exam – 90% • % DM pts foot exam – 90% • %DM pts with self-management goals – 90% • % DM pts with tobacco cessation interventions – 90% *All criteria for goals based on a 12 month period EXCEPT tobacco query & tobacco cessation intervention which are based on a 24 month period

  5. Steady Denominators = Good!

  6. Excellent Job! Now Part of Planned Care at Every Visit

  7. Mean Change in Abs %: Increased +12.0% (statistically significant)

  8. Mean Change in Abs %: Increased +8.1% (statistically significant) *The mean change in percentage points increased +8.1%, making it statistically significant

  9. Mean Change in Abs %: Increased +19.5% (statistically significant) *The mean change in percentage points increased +19.5%, making it statistically significant

  10. You Are Likely Doing This – How Do We Track It?

  11. Improving As Processes of Care Get Implemented

  12. Practices Close To The HEDIS 90% Goal

  13. Many Practices Close To The HEDIS 90% Goal

  14. Some Practices at HEDIS 90% Goal, Others – More Work To Do

  15. Great Work… But More To Do! • All of this was accomplished WITHOUT extra money • Planned care at every visit • Reaching out to high risk • Self-management support • Working as a team • MEETING AS A TEAM

  16. Why We Have Done This • Each A1C point drop: • Eye disease risk reduced by 76% • Kidney disease risk is reduced by 50% • Nerve disease risk is reduced by 60% • Any cardiovascular disease event risk is reduced by 42% • Stroke by 57% • Better screening nephropathy, feet and eyes reduces ESRD, amputations, and blindness. In your population of over 11,000 diabetes patients – this is huge!

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