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Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services Best Practices/Improvement Strategies for HEDIS Measures Break.

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Presentation on theme: "Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services Best Practices/Improvement Strategies for HEDIS Measures Break."— Presentation transcript:

1 Presented by: Peggy Ketterer, RN, BSN, CHCA Executive Director, State and Corporate Services Best Practices/Improvement Strategies for HEDIS Measures Break Out Session #2 Florida EQR Quarterly Meeting January 16, 2008

2 Presentation Outline Components of successful improvement strategies Presentation and discussion of case studies Available resource Questions and Answers

3 Components of Successful Improvement Strategies Identify goal Establish a method to measure progress Implement change Evaluate change

4 Identify the Goal Written statement Be specific Use numeric values Be realistic but still make it a stretch

5 Identify the Goal Examples of Goal Statements*: Identify 80% of all diabetics who have not had their HbA1c tested Successfully complete 90 percent of all attempts to contact members who are due for a postpartum visit Source: Center for Health Care Strategies, Inc. (CHCS)

6 Establish a Method to Measure Progress Should directly measure the written goal Can be rapid-cycle with small samples Should be measured over time across a wide range of variables/conditions Should differ from the HEDIS measure you are trying to improve

7 Establish a Method to Measure Progress Example of Measurement of Improvement: Numerator: Number of successful outreach attempts to members who are due for a postpartum visit Denominator: Total number of members who are due for a postpartum visit

8 Implement Change Identify who, what, where, and when Sufficient training and communication are essential Pilot test the change using a smaller group to readjust plans as needed. Consider multiple pilot tests to evaluate adjustments made.

9 Discussion of Case Studies Recognize that not every intervention will fit your population, but consider the methods/approaches Pay attention to “lessons learned” Use the resources that are already available – do not reinvent the wheel

10 Available Resources provides toolkits, case studies, sample materials, and other resourceshttp://www.chcs.org provides a variety of case studies and tools for most HEDIS measureshttp://www.qualityprofiles.org provides improvement strategies, resources, and educational opportunitieshttp://www.ihi.org/ihi

11 Questions?


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