1. The Train Has Left the Station
Are You On Board?

3. Why Why Why? (or, pLEase don’t make me)
Individual Clinics
Grants
Community Support
Internal Quality Improvement
IAFCC
Legislative Advocacy
Communicate effectively who we are!

4. Subjective Objectives
Process Objectives
Subjective Objectives
There are different ways to measure things. We are going to talk about measuring 3 different kinds of objective.

5. You Need All Three! Process Objectives: “How many of these did we do?”
Subjective Objectives
“Do they like us?”
Outcome Objectives:
“Did the patient get better?”
Why do you need all three? If we see a lot of patients, but none ever get better, what are we doing? Or if they are getting better, but we’re only about to see 1 patient a day, is that a good outcome? Or if they are getting better, but no one wants to come to us because we treat them badly, then what?
You Need All Three!

6. So What???? Internally Externally
Use them in staff meetings to look at trends and improvement (or not)
Share them with your board
Use them to set organization wide goals
Use them to reinforce standards among staff
Use them in online newsletter
Use in annual report
Use in foundation grant applications and reports
Publicize at your annual gala
Use them to craft a story about your clinic to the media

7. Triple Aim Institute for Healthcare Improvement
Improve patient experience (quality and satisfaction)
Improve health of populations
Reduce per capita cost of healthcare

8. Mobile Clinics’ Experience
How are mobile clinics using data to improve their work?
Michael Smith, Rosiland Franklin University

9. Who else is Doing This? Pennsylvania Free Clinics
North Carolina Free Clinics
South Carolina Free Clinics
Ohio Free Clinics
Washington Free Clinics
Virginia Free Clinics
West Virginia Free Clinics
Wisconsin Free Clinics

10. North Carolina
Looking at an accreditation program for members of the North Carolina Free Clinic Association
• The self-evaluation matrix consist of five sections.
I. Mission and Program
II. Financial and Fund Development
III. Collaboration and Constituency Development (includes Form A)
IV. Human Resources and Legal
V. Risk Management
• Each section contains standards with related indicators.

11. Ohio Access and Continuity of Care Patient Population Management
Track and Coordinate Care
Patient/Family Experience
Quality Assurance
Administrative

14. Pennsylvania
In pilot phase of their Standards

16. South Carolina - Standards
Primarily has to do with operational and governance issues

19. Virginia
Membership Standards –

24. West Virginia
Based on the NCQA (National Committee on Quality Assurance) Patient Centered Medical Home Standards

27. So What Do WE Want to Do?
Start data collection process with all member clinics
Not currently looking at ‘standards’ per se
Launched last year, piloted this year
What We are Tracking:
Diabetics – A1C <7% and A1C >9%
Any patient with a diagnosis of diabetes, regardless of co-occurring diagnoses
Hypertensives – BP <140/90
Any patient with a diagnosis of hypertension, regardless of co-occurring diagnoses

28. Definitions and procedure
Patient definition
Eligible clients are those who:
Have been with the Clinic at least two years
Have had at least 2 medical appointments
Last appointment was within the last 6 months
Procedure
If you can easily pull up data from using all of your patients, great. Otherwise, you can do a sample.
Sampling Procedure (if you need to use this rather than your whole database):
Do a 10% sample of their patients that have the above diagnosis. For example, if you have 320 patients with diabetes, you will need 32 results. If you can pull the data up on ALL your patients, that’s fine.

29. How To report Excel spreadsheet or word table Clinic A1c <7
# charts reviewed
BP<140/90
FHPC 20 8 40 15 25

30. Timelines
Timeline
Twice a year, each clinic will collect data – once in January and once in July, with results due to the IAFCC by the 30th of the following month.
Timeframe:
For January due date, look only at patients who have had a visit in the previous six months , ie, July 1- Dec 31.
For the July due date, look only at patients who have had a visit in the previous six months, ie, Jan 1 – June 30.

31. Why again? Grants Community Support Legislative Advocacy
Communicate effectively who we are!

32. And we’re here to help!