Presentation on theme: "BPHC Quality Improvement Strategy Developing a Culture of Quality throughout the Health Center Program Arkansas Primary Care Association June 15, 2010."— Presentation transcript:
1BPHC Quality Improvement Strategy Developing a Culture of Quality throughout the Health Center Program Arkansas Primary Care Association June 15, 2010Suma Nair MS, RDDirector, Office of Quality and DataU.S. Department of Health and Human ServicesHealth Resources and Services AdministrationBureau of Primary Health Care1
2Primary Health Care Mission Improve the health of the Nation’s underserved communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services2222
3Primary Health Care Vision A national network of strong health centers providing quality care that improves the health of patients and communities3333
4Health Center Requirements Community Need:Located in medically underserved areas (MUA) or serves medically underserved populations (MUP)Services:Provide comprehensive primary care servicesProvide enabling services such as education, translation and transportation that promote access to health careServices available to all with fees adjusted upon ability to payManagement and Finance:Meet performance and accountability requirements regarding administrative, clinical, and financial operationsGovernance:Governed by a community board composed of a majority (51%) of health center patients who represent the population served4
5…safe, effective, patient-centered, timely, efficient, and equitable. Quality Health CareHealth care that is……safe, effective, patient-centered, timely, efficient, and equitable.IOM. Crossing the Quality Chasm, 2001.
6BPHC QI Strategy Framework Inputs/ ResourcesHRSAHealth CentersHC PartnersOther HHS & Fed. AgenciesLocal & National StakeholdersActivitiesDevelop TA & QI Support InfrastructureFacilitate HIT Adoption & IntegrationStrengthen Eval. & Innovation InfrastructureFacilitate Communication & CollaborationOutputTA & QI Support Available & CoordinatedHIT Adopted & Used MeaningfullyEval. & InnovationsOn-goingCollaborations & Partnerships StrengthenedImpactHealth Centers Transformed for QICare & Services Coordinated RegionallyQI Efforts Aligned Locally & NationallyOutcome(HCs providing care that is...)SafeEffectiveEfficientPatient-CenteredTimely/ AccessibleEquitable
7Provide TA to Support QI Key ComponentsProvide TA to Support QITraining and Technical AssistanceBPHC TA websiteWebinars/Conference CallsDirect TA through National Cooperative Agreements and PartnersPolicy GuidanceQI TemplateRisk Management Support
8Key Components Support HIT Adoption EHR adoption through Health Center Controlled Networks and CIP (ARRA)Work with Federal partners on meaningful use, Beacon Community, Regional Extension Centers.
9Evaluation and Innovations Key ComponentsEvaluation and InnovationsAssure quality through dataBPHC: UDS, HC Quarterly Reports, Patient Surveys, FTCA Claims, Site visits, AccreditationOther sources: HAB, NCAPublic health & community dataIdentify Best-PracticesPerformance measurement and analysisCase studiesTranslational Research and DemonstrationsCHARN, PBRNCMS FQHC APC Demonstration
10Alignment and Integration through Partnerships Key ComponentsAlignment and Integration through PartnershipsHRSAMCHB: Title V, Text 4 BabyHAB: Ryan WhiteORHP: RHC and Critical Access HospitalsBHPr: Health Professions TrainingBCRS: National Health Services Corps.Office of Health IT and QualityOffice of Special Health Affairs
11Alignment and Integration through Partnerships Key ComponentsAlignment and Integration through PartnershipsFederal PartnersHHS: CMS, CDC, SAMHSA, AHRQ, IHS, etc.Federal wide: ONDCP, VA, HUD, DOE, USDA, etc.States and local governmentsPrivate PartnersVarious stakeholder groupsFoundationsNational Accreditation and Recognition
12Patient-Centered Medical Homes/ Advanced Primary Care Packaging the ActivitiesPatient-Centered Medical Homes/ Advanced Primary CareAlign with and influence national standardsBuild on existing programs.Provide incentives and TA to become PCMHSupport evaluations & innovationsPartner with key stakeholders
13Work with HCCNs & PCAs to… Packaging the ActivitiesWork with HCCNs & PCAs to…Support successful EHR adoptionPrepare HCs for meaningful useSupport participation in Health Information ExchangesSupport participation in Practice Based Research NetworksUtilize EHRs to facilitate quality improvement and risk management
14Health Centers as Public Health Interventions Packaging the ActivitiesHealth Centers as Public Health InterventionsAdopt population health approachesSupport community needs assessment (e.g. Health Landscape, CHSI, Match, etc.)Examine HC impact on community health and health systems as a wholePartner with public health departments, services and organizationsLeverage clinical data to inform population health
15Contact InformationSuma Nair MS, RDDirector, Office of Quality and DataBureau of Primary Health CareHealth Resources and Services Administration