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Quality Improvement Series Session 10 Windy Stevenson Cindy Ferrell

Quality Improvement Series Session 10 Windy Stevenson Cindy Ferrell. Today’s Agenda. Recap.

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Quality Improvement Series Session 10 Windy Stevenson Cindy Ferrell

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  1. Quality Improvement Series Session 10 Windy Stevenson Cindy Ferrell

  2. Today’s Agenda

  3. Recap AIM: >95% of patients >2yo seen by a provider in the gen peds clinic or Westside clinic (including acute care; excluding healthy lifestyles) who have a BMI >85%ile will have “BMI; category” listed on their problem list

  4. Current status • Future state

  5. Next Steps Assess feasibility of weights for all visits Align efforts with Healthy Lifestyles Clinic PDSA trial of BPA’s and Smart Sets (flip the switch?) EPIC request to populate problem list from an smart set EPIC process for driving PCP follow up appointments Exploration of adding prompt to notes template Options for optimizing problem list designation for kids already identified (457 of them)

  6. The baseline data • The pull: patients >2yo and <18yo seen by a provider in the gen peds clinic, adolescent clinic, or Westside clinic (including acute care; excluding healthy lifestyles) from 07-01-10 to 03-31-11 who have a recorded BMI >85%ile, with stratification of those who have any of the identified problems noted on their problem list • Adjustments recommended: • Exclude pts >18yo • Combine gen peds and adolescent • Clarify %iledivides to match BPA’s

  7. The baseline data • 37% overall success (457/1220 patients)

  8. The Science of Reliability

  9. Baseline Data, continued >99% Problem List

  10. Age and BMI n=213 n=212 n=241 n=121 n=230 n=191

  11. Future State- data • We envision monthly reports of: • % pts 2-18 with BMI >85%ile who were seen in the past 30 days by a provider in clinic (DCH peds and adolescents, Westside) who have this designation on the problem list by the end of the month • With the ability to stratify by age, gender, zip code, acute vs well visit, BMI category, provider name • Transparency- who gets it, in what form? • How can we use it to motivate and maintain?

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