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Using Information More Effectively to Improve Care Delivery and Outcomes Using Information More Effectively to Improve Care Delivery and Outcomes

Using Information More Effectively to Improve Care Delivery and Outcomes - PowerPoint Presentation

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Uploaded On 2018-02-28

Using Information More Effectively to Improve Care Delivery and Outcomes - PPT Presentation

Tutorial on the Essential Version of the Health ITenabled Quality Improvement eCQI Worksheet Welcome Hello my name is Ellen Im going to share a tool that will help you ID: 638738

worksheet ecqi improve care ecqi worksheet care improve version improvement approach essential quality tool processes results targets control health

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Slide1

Using Information More Effectively to Improve Care Delivery and Outcomes

Tutorial

on

the

Essential Version

of the Health IT-enabled Quality Improvement (

eCQI

)

WorksheetSlide2

Welcome!

Hello, my name is Ellen. I’m going to share a tool

that

will help you improve care delivery in your organization – especially for high priority quality, safety and efficiency targets.This approach will help you:Analyze your target-related information flow and workflowIdentify opportunities to provide better results for your patients, staff, providers, and other stakeholdersMy example focuses on an ambulatory setting, but if you work in a hospital, the concepts apply just as well and there are corresponding tools for addressing inpatient improvement targets.Slide3

Speaker Context

I lead the quality improvement efforts at a Federally Qualified Health Center (

FQHC

). Some of our patients don’t speak English or can’t read. We have 6 doctors, 3 nurse practitioners, and 1 physician’s assistant. We installed an electronic health record (or EHR) a few years ago and continue to optimize its value and use.In the past, no matter how hard we tried, it seemed like our practice was lagging in blood pressure control metrics. So about a year ago we stared using a new tool and approach within quality improvement (or “QI”) processes that are part of our patient-centered medical home.Slide4

Care Processes

It was clear that our sub-optimal blood pressure control results must be due, at least in part, to the way we were delivering care. If we could better understand the details of these care processes, we could brainstorm ways to make them more efficient and effective. We were thrilled to learn about a helpful tool for this analysis and brainstorming. In this tutorial I’ll describe this tool and how we used it.Slide5

eCQI Worksheet Versions

The tool is call the “Health IT-enabled Quality Improvement Worksheet,” or “eCQI Worksheet” for

short. It

comes in 2 varieties:‘Essential’ version to use for initial efforts to understand and improve target-focused care processes‘Enhanced’ version for deeper analysis and change implementation. Each of these eCQI worksheet types comes in one version for inpatient targets and another version for outpatient targets. I’ll share how we used the Essential eCQI Worksheet to understand

and improve hypertension management and results in our

clinic. You

can apply this approach to many other targets and settings. There’s a separate tutorial for the Enhanced

eCQI

Worksheet

here

if you want to check it out. Slide6

eCQI Worksheet Basics

The eCQI Worksheets help us think through how we can

support

each step in care processes to ensure optimal results for our target. The Essential eCQI Worksheet sections answer basic questions:What are we trying to improve and what is our baseline performance?What are the categories of activities that determine our performance and provide improvement opportunities? What are we currently doing (and not doing) to support key decisions, actions, and communication in each category, and how might we improve to get better results?The eCQI Worksheet provides a structured approach that helps us document and analyze these key issues. It’s especially helpful in fostering collaboration

among those

who play a role in quality improvement – including partners such as our EHR vendor.Slide7

eCQI Ambulatory Worksheet: First Section of Essential VersionSlide8

eCQI Ambulatory Worksheet: Second Section of Essential VersionSlide9

Approach Summary TableSlide10

Approach Detail TablesSlide11

Clinical Decision Support 5 Rights: a Powerful QI Framework

To improve targeted care processes/outcomes, get:

the right

informationevidence-based, actionable… [what] to the right people

clinicians

and

patients…

[

who

]

in the right

formats

Registry reports, documentation tools, data display, care plans…

[

how

]

through the right

channels

EHR, patient portal, smartphones, home monitoring …

[

where

]

at the the

right

times

key decision/action … [when]

11

Recommended as a QI best practice by CMS:

bit.ly/cmscdstipsSlide12

Getting the CDS 5 Rights RightSlide13

For Additional Worksheet Examples and related tools…

For more information and tools to support your eCQI efforts see

ONC’s

eCQI webpagesincludes CDS/QI case studies, with the essential eCQI worksheet filled out for one BP control case study and the Enhanced eCQI worksheet filled out for another BP control case study [Consider adding info on forthcoming CDC HTN Control Change Package]Slide14

Conclusion