1. Riggs Community Health Center
POC Testing- PDSA
What were your plans for change?
Decrease the number of diabetic patients with no A1c result for the testing period
Who was the target population?
Adult diabetic patients seen in our Adult/Internal Med department
What team of people were responsible?
Medical Assistants, Nurses, Unit Managers
Who monitored the data and measured progress?
Quality (me)

2. Riggs Community Health Center
If not completed, what phase of the PDSA are you in?
Phase 3 and holding at the moment, we have lots of projects going on and had some staff turnover that has made going to Phase 4 difficult

3. Riggs Community Health Center
What are some outcomes to date?
We decreased our untested number of diabetics slightly and increased our overall percentage of diabetics with A1c testing done at least 1x in the last year to 88% (1184 diabetics)
82% in 2015 (1026 diabetics)
86% in 2016 (1106 diabetics)
We found that most of the patients staff were doing POC on were compliant with lab draws and already had an A1c on file
This led to a procedure change
We found that doing POC was not cost effective for our self-pay patients; it is better for them to have labs drawn under our agreement with Labcorp if they need other testing.

4. Riggs Community Health Center
Next Steps:
We are working on Pre-Visit planning that will include reaching out patients prior to appointments to come in for labs. We don’t seem to have any continuity to this process currently, some providers have them come before, others wait until the day of the visit.

5. Questions?