Resident Meeting: Awards Robb Malone Scott Daniels 11/2/2009.

Slides:

Advertisements

Similar presentations

Should you consider yourself a high quality physician if you work in an organization that is not systematically trying to improve the care it provides?

Advertisements

MGH Back Bay Patient-Centeredness We are working on becoming certified as a Level 3 (the highest) Patient-Centered Medical Home (PCMH) by the National.

2014 PPRNet Annual Meeting August 23, 2014 Oscar F. Lovelace Jr., MD.

ACO, PCMH, PCSP The Ingredients for a Medical Neighborhood

Facilitating Primary Care Practice Transformation Nursing Research Symposium November 12, 2011 Sandra M. Robinson, MS, RN, Practice Facilitator Nancy H.

Aetna and PCMH Improving Employee Health through Patient- Centered Medical Homes Morristown, New Jersey October 12, 2010 Aetna’s experience with Patient-Centered.

Transforming University Teaching Clinics to the Patient-Centered Medical Home F. Daniel Duffy, MD, MACP Dean Oklahoma Health Care Authority Retreat August.

The Maryland P 3 Program: A Collaborative Solution to Medication Therapy Management Magaly Rodriguez de Bittner, PharmD, BCPS, FAPhA, CDE Professor and.

Who’s Watching My Health Plan? How Good Is My Doctor? Robert E. Rzewnicki, MD Chief Medical Officer March 3, 2009.

Patient Access Intake Center

The North Carolina AHEC Program and Partnerships in Practice Transformation 1.

Care Coordination Program for Heart Failure Susan Levine RN Director Clinical Resource Management Carolyn Timmons BSN,RN Lead Clinical Care Coordinator.

Delivery Design “ an improvement model of diabetes care” a project funded by the Robert Wood Johnson Foundation East Carolina University/Bertie Memorial.

Roni Christopher, M.Ed., OTR/L, PCMH-CCE

Patient Centered Medical Home: Bon Secours Health System’s Foundation for ACOs June 7, 2012 Aligned Incentives Panel Virginia Health Care.

Medicare Quality Improvement and Provider Technical Assistance: An Overview of the Next Five Years December 8, 2014 Mary Fermazin, MD, MPA, Chief Medical.

Person-Centered Medical Home Recognition Program.

Patient Centered Medical Home. Something has got to give……health costs a factor in US Competitiveness.

Paul Kaye, MD VP for Practice Transformation Hudson River HealthCare October 1, 2010.

1 Open Door Family Medical Centers Care Coordination and Information Exchange Presentation October 2010.

Renaissance Medical Management Company Overview A Pioneer Accountable Care Organization.

FINANCING MEDICAL HOME SERVICES KENNETH W. FAISTL, MD Family Practice of Central Jersey July 2010.

Primary Care & New Jersey James E. Barr, MD Medical/Executive Director, Central Jersey Physician Network IPA Horizon BCBS of NJ HMO Board Member Member,

Affiliated with Children’s Medical Services Affiliated with Children’s Medical Services Introduction to the Medical Home Part 2 How does a Practice adopt.

What is a Health Home and Why Should I Know about Them? Western Region Behavioral Health Organization Presentation- July 31, 2013.

An Integrated Healthcare System’s Approach to ACOs Chuck Baumgart, M.D., Chief Medical Officer Presbyterian Health Plan David Arredondo, M.D., Executive.

CONFIDENTIAL Terry McGeeney MD, MBA.  2010 TransforMED Confidential TransforMED is a non-profit, independent subsidiary of the American Academy of Family.

Pay for Performance: Choosing Measures Linda K. Shelton AVP, Product Development PFP Boot Camp for Physicians and Physician Organizations February 2006.

Patient-Centered Medical Home Overview October 15, 2013.

M ODULE 1: Getting Started Coach Medical Home Strategies & tools to support patient-centered medical home transformation.

A NEW APPROACH TO PATIENT- CENTERED CARE Family Health & Sports Medicine Albert Puerini, MD.

Ambulatory Care Quality Measures: Disease Management Research Opportunities Neil Goldfarb Director of Research and Research Assistant Professor of Health.

New Approaches to Disease Management Get Connected Knowledge Forum Larry G. Anderson MD MMC Physician-Hospital Organization June, 2005.

Standard 6 Measure and Improve Performance NCQA Recognition for Patient-Centered Medical Home 2011 Standards © Qualidigm.

Bob Doherty Senior Vice President, Governmental Affairs and Public Policy American College of Physicians March 3, 2009 Designing new payment models for.

New York State Department of Health Hospital-Medical Home Demonstration Reflections, Celebrations and Transformations.

Heart/Stroke Recognition Program Workshop May 2010.

Chronic Care in the 21 st Century Building an Infrastructure for Quality and Efficiency March 2, 2009 Philadelphia, PA John Tooker MD,MBA,FACP Chief Executive.

POWERED BY HEALTH AND WELLNESS Sharing Our Story in a Nut Shell The Power Point entails our work with Metastar and 2 clinics in Wisconsin The information.

Creating Ideal Primary Care Joseph E. Scherger, MD, MPH June 30, 2010.

RIGHT CARE INITIATIVE TEAM BASED CARE: A LOCAL EXAMPLE 12/10/12 Phillip Raimondi MD Bridget Levich MSN, CDE University of California Davis Medical Center.

Quality Improvement Introduction to Quality Improvement and Health Information Technology Lecture a This material (Comp12_Unit1a) was developed by Johns.

SoonerCare’s Medical Home SoonerCare Choice Oklahomans are counting on us….

The Role of Health Information Technology in Implementing Disease Management Programs Donald F. Wilson, MD Medical Director Quality Insights of Pennsylvania.

Leveraging Data for Performance Improvement Jack Millaway, LPHI Chatrian Kanger, AHL.

How to add a Health Education Specialist/Health Coach to a Family Medicine Practice M. Lee Chambliss, MD, MSPH Suzanne N. Lineberry, MPH, MCHES.

VIVA Health, Inc. Health Plan & Medical Home Benefit Information Session.

Care Management: The Transition to Meeting NCQA Standards for PCMH Clyde H. Satterly, MD, MBA SUNY Upstate Medical University, Dept of Family Medicine.

1 Pennsylvania's Chronic Care Initiative: Improving Diabetes Care through Physician Practice Transformation Carey Vinson, MD Vice President Quality & Medical.

The Future is Here: PCMH Residency Implementation Strategies Tim Munzing, MD & Lance Brunner, MD Kaiser Permanente Orange County.

© 2015 IBM Corporation | 1 Smarter Healthcare NOND Patient Centered Medial Home -- Foundation for Healthcare Transformation Paul Grundy MD,

Advancing PCMH Model with IPE/ICP Principles IN-AHEC Network IPE Conference John Kunzer MD, MMM.

Transitional Care Management – PDSA approach to implementing federal regulations Kristi Van Riper, MPH, CHES Pete Harper, MD, MPH.

Building PCMH Sustainability through Training Internal Quality Improvement Leaders Perry Dickinson, MD Nicole Deaner, MSW, Bonnie Jortberg, PhD, RD, CDE,

1 Chronic Disease Duke Family Medicine Woody Warburton, MD Professor and Division Chief Conference on Practice Improvement: Health Information.

STFM Foot Exam.

A Foundation for Paul Grundy MD, MPH IBM Chief Medical Officer Director, Healthcare Transformation Healthcare Industry A Foundation.

Patient Centered Medical Home

Jessica Lobban, PGY-3 CCLP Family Medicine Residency Program

MACRA Measures & Insights

New Hanover Regional Medical Center Residency in Family Medicine

John Peter Smith FMRP, Fort Worth, Texas

Systems, IT and Measurement: It’s All About Quality

Performance Excellence & Care Continuum

WYOMING MEDICAID PCMH Summit January 24, 2019

SAMPLE ONLY Dominion Health Center: Excellence in Medicaid Managed Care (or another defining message) Dominion Health Center is a community health center.

SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.

SAMPLE ONLY Dominion Health Center: Your Community Healthcare Home (or another defining message) Dominion Health Center is a community health center.

SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.

Presentation transcript:

Resident Meeting: Awards Robb Malone Scott Daniels 11/2/2009

Quick updates

Website continues to evolve

QI Reporting

CSW 2.0 is coming

Incentives for Quality

Physician Federal Incentives Medicare’s Physician Quality Reporting Initiative (PQRI) Medicare’s Physician Quality Reporting Initiative (PQRI) Health Information Technology (HITECH) Health Information Technology (HITECH) Certified EMR Certified EMR “Meaningful Use” “Meaningful Use” Medicare e-Rx incentives/penalties Medicare e-Rx incentives/penalties

National Committee for Quality Assurance NCQA's Physician Recognition Programs recognize high-performing physicians & practices NCQA's Physician Recognition Programs recognize high-performing physicians & practices GIM applying for Diabetes, Heart/Stroke, and Patient-Centered Medical Home programs GIM applying for Diabetes, Heart/Stroke, and Patient-Centered Medical Home programs Tied to BCBS Contract incentives that increase reimbursement for ALL P&A and CBP physicians Tied to BCBS Contract incentives that increase reimbursement for ALL P&A and CBP physicians

NCQA’s Key Principles

Heart/Stroke

Blood Pressure: Measure 1 Blood PressureScoringStandard < 140/90 mm Hg100%Average score of 75% < 145/90 or <140/95 mm Hg75% < 145/95 mm Hg50%

Complete Lipid Panel: Measure 2 Complete Lipid PanelScoringStandard TChol, HDL, LDL, TG100%Average score of 80% ordered within 1 year of visit

LDL: Measure 3 LDL measured and …ScoringStandard < 100 mg/dl100%Average score of 50% 100 – 109 mg/dl75% 110 – 119 mg/dl50% 120 – 129 mg/dl50% In those that we measure, we far exceed the standard

Smoking Advice: Measure 4 SmokingScoringStandard Smoking Status Assessed and Advice Given 100%Average score of 80%

Anti-thrombotic Use: Measure 5 Anti-thrombotic UseScoringStandard ASA, Warfarin, Plavix, Heparin, or LMWH on WebCIS MedList 100%Average score of 80%

Patient-Centered Medical Home

Transitioning to PCMH TODAY’S CARE MEDICAL HOME CARE Patients’ chief complaints or reason for visit determines care We systematically assess all our patients’ health needs to plan care Care is determined by today’s problem and time available today Care is determined by a proactive plan to meet patient needs without visits Care varies by scheduled time and memory or skill of the doctor Care is standardized according to evidence-based guidelines Patients are responsible for coordinating their own care A prepared team of professionals coordinates all patients’ care I know I deliver high quality care because I’m well trained We measure our quality and make rapid changes to improve it Acute care is delivered in the next available appointment and walk-ins Acute care is delivered by open access and non-visit contacts It’s up to the patients to tell us what happened to them We track tests & consultations, and follow-up after ED & hospital Clinic operations center on meeting the doctor’s needs A multidisciplinary team works at the top of our licenses to serve patients

PCMH: One Example Physician Response Time

1 st Annual House Staff Awards Presentation

Diabetes Metrics

Residents: BP, majority exceed expectations

Residents: TC, majority exceed expectations

Residents: Significant Variation

Residents: Widespread use

Residents: Majority Exceed Goal

Residents: Eye exams remain a struggle

Residents: A1c, variable results, majority above goal

The results are in & the winners are…..

MVP: Second and Third Year Catherine Hathaway Michael Cammarata