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2. Focus on Quality Colorectal Cancer Screening
April 27, 2018
Indiana Primary Health Care Association

3. Introductions
If you only called in please state your name and health center. If there are multiple people in the room, enter their names and into poll

4. Today’s Presenters IPHCA and IQIN Team
Carla Chance, CHC Programs Manager
Angela Boyer, IQIN Director
Jasmine Page, Quality and Data Coordinator
Kislaya Kunjan,
IQIN Health IT Director
Indianapca.org to contact Staff
Today’s Presenters IPHCA and IQIN Team

5. Agenda Review Focus on Quality structure and tentative calendar
Review measures of focus and 2017 data
Reporting requirements
Interactive Data Dashboard demo
CRC Screening Improvement strategies
Announcements and Upcoming Events
Numbers according to Azara DRVS TY March

6. Today’s Objectives
Gain understanding of how the Focus on Quality measures were developed
Locate the Interactive Data Dashboard and use it to benchmark the six measures of focus
Identify at least one tool or strategy to help improve colorectal cancer screening

7. Advisory Group Special Thanks to Advisors: Sheila Allen, HealthNet
Dr. James Gingerich, Maple City
Stephanie Jeffery, Valley Professionals
Brooke Lockhart, Wabash Valley
Laura Pryor, Windrose
Dr. Ruth Stevens, HealthLinc
Corianne Vanderkolk, Green County CHC

8. Advisory Group Role
Assist in selecting areas of focus for the IPHCA QPI Strategy
Advise on training topics and modalities
Advise on dissemination strategies for promising practices
Encourage and support the exploration of new ideas and approaches to improving toward the quadruple aim

9. Focus on Quality Structure
Systems
Alignment
APCM
Improvers
High Performers
Others
Brief Training
QI Tools
QI Models
Data
Experts
Resources
Benchmarks
Clinical Measures
Critical Systems
Peer Learning

10. Focus on Systems

11. Measures of Focus- Selection
Business and Operational Initiatives
Advisory Group feedback
6 Core Measures
Number of measures
Burden of Reporting
High Priority
Opportunities for growth
Quality Improvement Synergies
UDS MU
HP 2020

12. Measures of Focus * IN UDS 2017 (Baseline) UDS HEDIS MU ISDH
Healthy People 2020
Childhood Immunizations
38% *
Colorectal Cancer Screening
40%
Cervical Cancer Screening
48.4%
Diabetes Control
34.3%
Hypertension Control
61.8%
Behavioral Health- depression screening
52.3%
(2016)

13. Focus on Quality Calendar 2018
Meeting the 2nd Wednesday of each month at 11am Eastern
Rotating 6 clinical measures throughout the next 18 months
Colorectal Cancer Screening
Quarter 2
Identifying gaps in care
Tools and resources from national guidelines
Diabetes Control
Quarter 3
Peer sharing on improvement models and change packages
PDSA reviewing and group visits
Hypertension Control
Quarter 4
Using technology to engage patients in care
American Heart Association and Tobacco Prevention & Cessation tools

14. Data Drill down Interactive Dashboard and Reporting
Is it possible to have a focus on quality dashboard with quarterly reports that populate automatically?
Data Drill down

15. Data Reporting Each quarter reporting on all 6 measures
Second meeting of the quarter review benchmarks and trends
Drill down to measure of focus each quarter
UDS definition (NQF)
ISDH report sharing through Syncplicity (pending)
Working to see CHIRP can provide data
Quarterly reporting
trailing year, reported to IPHCA
Quarterly run charts internally

16. Reporting Guidelines Guidelines will be forthcoming
For each measure show:
Numerator (patients who had a visit and met the criteria during the quarter)
Denominator (patients who held in a visit in that quarter)
Percentage (Numerator/Denominator%)

17. Demonstration of Dashboard
Inclusion of 2017 HP 2020
Depression Screening measure
Other measures of interest
Drill down to health center level
Share screen for Kislaya

18. CRC Improvements- 2016 to 2017 UDS

19. CRC Improvers UDS Data Healthnet: 2016: 31% to 2017: 54%
NorthShore: 2016: 49% to 2017:63%
DRVS Users
Jane Pauley ( March 2017:4%- March 2018: 26%)
Riggs (March 2017: 18% to March 2018: 33%)
Neighborhood Health: March 17: 16% to March 18: 28%

20. Colorectal Cancer Screening Improvement Strategies
Four essentials for improved screening rates*
Provider recommendation
Office policy - Only a systematic approach can insure that the physician’s recommendation is delivered to all patients
Reminder system(s)
Effective communication system *
Factors to consider in an office policy: 􀀂􀀁Individual Risk Level (“risk stratification”)
􀀃􀀁Medical resources (endoscopy available?)
􀀄􀀁Insurance (insured? covered? deductible? copay?)
4. Shared Decisions, Informed Decisions,
and Decision Aids; Staff Involvement; standing orders are just a few examples.
􀀅􀀁Patient Preference

21. Whiteboard
CHC Innovations

22. Announcements & Events
Operational Site Visit Training
June 5, 2018, Indianapolis
Presenters: Toni Estep and Andrea Lytle provide governance and clinical guidance for on site visits
Indiana Cancer Consortium Colorectal Cancer Summit
May 15th at Clark Memorial Hospital, Jeffersonville
Clinical Leadership Conference
Keynote Speaker: Paul Batalden, IHI Founder
October 2018, Indianapolis

23. Announcements and Events
Hiring Quality Improvement Coordinator
Hiring Oral Health Director
Midwest Clinicians Network
Diabetes group study
Contact Carla or Angela for more info