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AHRQ QI User Meeting Validation Pilot Lessons Learned Laura Puzniak, PhD, MPH

AHRQ QI User Meeting Validation Pilot Lessons Learned Laura Puzniak, PhD, MPH. Friday, September 28, 2007. Partner Participation. Facilitating organizations collaborating with one or more individual hospital Hospital systems representing more than one individual hospital

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AHRQ QI User Meeting Validation Pilot Lessons Learned Laura Puzniak, PhD, MPH

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  1. AHRQ QI User MeetingValidation Pilot Lessons LearnedLaura Puzniak, PhD, MPH Friday, September 28, 2007

  2. Partner Participation • Facilitating organizations • collaborating with one or more individual hospital • Hospital systems • representing more than one individual hospital • Individual hospitals

  3. Pilot Partnerships

  4. Process for Partners • Questionnaire • Available administrative data • Accessible medical record data • Full or partial EMR • Attend webinars • Project Overview • Overview of PSIs • Tool Abstraction • Run AHRQ QI software • Estimates of indicator frequency • Apply Sampling methodology • Data Abstraction

  5. Outcomes for Pilot • Develop and test medical abstraction tool for validating select PSIs • Develop effective protocols to use tools • Develop and apply reliable sampling method • Develop system that is useable and applicable across healthcare settings • Obtain data to further the evidence base of the PSIs • Provide results to organizations to guide programming

  6. Challenges • Correspondence • Regulatory Issues • Sampling Methodology • Data Application Development • Data Abstraction Tools/Data Entry

  7. Correspondence • Magnitude of partnerships • Varying contacts per agency • Varying levels of familiarity with the indicators • Technical difficulties • Timing

  8. Regulatory Issues • Varying IRB requirements per agency • HIPAA Privacy Rule • OMB Clearance

  9. Sampling Methodology • Versions of application to download and run • Technical Issues

  10. Data Application Development • Requirements • Timeframe • Usability

  11. Data Abstraction Tools/Data Entry • Electronic Medical Records • Training • Incomplete records • Text fields

  12. Phase II • Currently recruiting partners • Contact Information • Laura Puzniak, puzniakl@battelle.org • Sign up for listserv, to receive notification • Training from experts on how to utilize chart abstraction for quality improvement • Additional resource to review potentially preventable complications and identify opportunities for quality improvement • Ability to play a role in the development of resources for quality improvement

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