PowerPoint Presentation IHM Presentation

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Denni McColm, CIO Renee Whitman-Teeter, Director
of Performance Improvement Citizens Memorial
Healthcare
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Quality What is it?

• Patient outcomes, did they get well?
• Short term?
• Long term?
• Patient perceptions?
• How often we followed evidence based protocols?
• Survival rates?
• Readmissions rates?
• Is it safe, error-free care?

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CMS
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HealthGrades
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Leapfrog Group
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JCAHO
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How are they using that quality data?

• Publicizing it on the Internet
• Paying us for it

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• Deployment of Rapid Response Teamsat the first
  sign of patient decline
• Delivery of Reliable, Evidence-Based Care for
  Acute Myocardial Infarctionto prevent deaths
  from heart attack
• Prevention of Adverse Drug Events (ADEs)by
  implementing medication reconciliation
• Prevention of Central Line Infectionsby
  implementing a series of interdependent,
  scientifically grounded steps called the Central
  Line Bundle
• Prevention of Surgical Site Infectionsby
  reliably delivering the correct perioperative
  antibiotics at the proper time
• Prevention of Ventilator-Associated Pneumoniaby
  implementing a series of interdependent,
  scientifically grounded steps called the
  Ventilator Bundle

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CMH Strategic Initiatives

• Core/Regulatory Measures
• Pain
• Turnaround Times

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Using IT to Improve Quality

• EMR
• CPOE
• eMAR
• Reduce errors of transcription/illegibility
• Give physicians more information with which to
  make care decisions
• Alert drug/drug interactions and allergies
• Improve the timeliness of results

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• Order prompting in the ED
• Order prompting in PCS
• Required fields
• Documentation templates for physicians
• OE Rules
• Evidenced based order sets
• Clinical alerts

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Changing our thinking . . .

• FROM ONE AT A TIME CHART REVIEWS AFTER THE FACT
• TO
• NPR Reports
• Required Fields
• Reporting Daily, end of shift
• BUILDING IN QUALITY MONITOR IT CONCURRENTLY

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But,

• Where should we focus our effort?
• Where are we doing the worst?
• We could write an NPR for every one of those
  measures (Core, ORYX, 100K Lives . . . . . . . .
  . .)
• How many people would it take to write an NPR
  report for every quality measure out there?
• Just to determine where to focus . . . And then,
• How would we adjust for severity and compare to
  benchmarks?

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• The Institute for Health Metrics (IHM) is
• A non-profit that helps us leverage our
  electronic systems for quality improvement
• Extracting data from MEDITECH for use in
• Quality of Care Reporting Benchmarking
• Physician Performance Analysis Reporting
• A MEDITECH Strategic Ally

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Recognizing that we need . . .

• Quality management tools to help us
• Identify
• Analyze
• Target
• Track
• Tools that are
• Automated
• Timely
• Use sophisticated analytics
• Give us a graphical presentation
• Case/provider drill downs and
• Trend analysis

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AIESTM PQMSTM
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Extract Data Directly from Meditech
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AIES Quality Dashboard by Indicator
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Total Case Matrix
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Graphs for Trending
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Resource Definitions Links
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Download Data to Excel for Analysis
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Drill Down Into Text
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What comes with AIES?
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PQMS Dashboards by Specialty or Physician
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PQMS Drill Down
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Benefits

• Automates Data Extraction and Analysis
• Eliminates manual data collection, analysis and
  reporting
• Gives us an unbelievable number of measures
• Extracted
• Severity adjusted
• Benchmarked
• Presents and Analyzes Data in a Usable and
  Actionable Format
• Focuses Efforts on the True Causes Drivers of
  Performance
• Supports timely Interventions and Improvement
  Strategies
• Helps Clinical Staff Focus on Improving the
  Quality of Care

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Upcoming Releases

• Concurrent Case Management System (CCMS)
• Identification and scoring for high risk patients
• Daily reports for Core Measure case tracking
• Daily reports for concurrent quality improvement
  efforts
• Financial Analysis System
• Nursing Quality Management System

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Thanks!

• Questions
• Denni McColm, denni.mccolm_at_citizensmemorial.com
• Renee Whitman-Teeter, rwhitm_at_citizensmemorial.com
• Jeff Borkowski, jborkowski_at_healthmetrics.org