Download - D2B-Sustain the Gain
D2B-Sustain the Gain
Transitions in Care-Heart Failure
Patient Centered Care Transformation
Patient Centered Care Transformation
The IC3 ProgramThe IC3 Program
ACC Quality 2009ACC Quality 2009
Help clinicians thrive in a performance-
based reimbursement
system through thesystematic practice,
timely reporting,and continuous improvement of
quality
Goal
ImprovingContinuous Cardiac Care
ImprovingContinuous Cardiac Care
Outpatient Performance Measures
CAD, Afib, HTN,Heart failure,
Diabetes, Rehab-----------ACC/AHA
PCPIPQRINQF
Quality improvement
• Practice workflow redesign
• Transactional quality and management
• Incentives
Office-based quality improvement program that
enables participants to select, based on
practice characteristics, the most appropriate
level of engagement
What is it?
Data PerformanceImprovement
Incentives Research
Community Education
The IC3 Program
Community Building
The IC3 national network of practices
dedicated to high quality CV care.
Interactive communication.Best practices.
Education
Educational programming.
Clinical guideline updates.
Selection of EHR vendors.
Billing and coding.
Data Collection
Office-based registry.
Collect and use patient care data more effectively.Coordinate care.Benchmarking.
Demonstrate quality of care.
Performance Improvement
Practice assessment.
QI tools.Decision support
(CardioPATH).
Recognition and Rewards
Incentives.Recognition.ABIM MOC.
Payers.Malpractice.tipping points
Research
New insights on care delivery.
Impact of program.
Practice-Based Research Network.
CAD Performance Measures
• BP Measurement• Symptom & Activity
Assessment• Smoking Assessment• Anti-platelet Therapy
• Lipid Profile• Use of Lipid Therapy
-blocker post-MI• ACE/ARB in EF & DM
• Screening for Diabetes
CHF Performance Measures
• LVEF Assessment• Weight Measurements
• BP Measurements• Clinical Symptom
Assessment• Activity Assessment
• Signs of Volume Overload• Patient Education -blocker in EF • ACE/ARB in EF
• Warfarin for Afib• Initial Lab Tests
Current ACC/AHA Performance Measures
Current ACC/AHA Performance Measures
Afib Performance Measures
• Thromboembolic Risk– Prior CVA/TIA– Age ≥75– Hypertension– Diabetes– Heart failure or EF
• Warfarin use in High-risk pts• Monthly INR in pts on warfarin
Cardiac Rehabilitation PMs
• Referral to a Rehab Program
– Within 12 months of• ACS• PCI
• CABG• Valve Surgery
• Transplant– Stable Angina
Diabetes Performance Measures
– Poor HbA1c (>9%)– LDL Control (<100)– BP Control (<140/80)
2009: prepare practices to succeed2010: make quality business case2011: link learning, performance, $2012: Quality First Network
Quality Vision, near and far