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
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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