“HHQI Cardiovascular Data Registry Playbook”

Home Care Association of WashingtonApril 16, 2015

  Carol Higgins, OTR (Ret.), CPHQ

Quality Improvement Consultant, Qualis Health

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Qualis Health is one of the nation’s leading healthcare consulting organizations, partnering with our clients across the country to improve care for millions of Americans every dayServing as the Medicare Quality Innovation Network Quality Improvement Organization (QIN-QIOs) for Idaho and WashingtonQIN-QIOs: the largest federal network dedicated to improving health quality at the community level

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Goals for Today

By the end of this session, you will better understand:

• Why your agency should focus on cardiac care

• What your options are for identifying areas to improve

• What difference this could make for you and your patients

• How this work can improve your business and marketability within your healthcare community

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Increased Performance Transparency

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Payment Reform On the Horizon

Based on previous P4P programs, key metric on Home Health Compare likely to be included in future HHA P4P programs: How Often Home Health Patients Had to be Admitted to the Hospital

Pay for Reporting

Performance Transparency

Pay for Performance Pay for Value

HospitalsPhysiciansSNFsHHAs

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Link Between Rehospitalizations and Cardiac Care

Top Primary Diagnoses for All HHA Patients

Top Chronic Conditions for All HHA Patients

Top Primary Diagnoses for Re-hospitalized HHA Patients

1. Rehab2. Heart Failure3. Pressure Ulcer4. Late Effect CVD5. COPD

1. Hypertension (51%)2. Diabetes (28%)3. Heart Failure (20%)4. Dementia (18%)5. COPD (14%)

1. Heart Failure2. Septicemia3. Pneumonia4. Device Complication5. Dysrhythmia

Data based on Medicare FFS claims for beneficiaries living in WA and ID and receiving HHA care between Q4 2013 and Q3 2014.

The Heart of QualityCourtesy of Cindy Sun, MSN, RN, COS-C

csun@wvmi.org

National Cardiovascular Disease

George, Tong, Sonnernfeld, & Hong, 2012; Roger VL, et al. Circulation. 2012;125:e2-e220. & Heidenriech PA, et al. Circulation. 2011;123:933–4

Heart Disease is #1 cause of death

Stroke is #4 cause of death

1 out of 3 deaths related to CVD

Greatest contributor to racial disparity in

life expectancy

Home Health Cardiovascular Improvement Initiative

Aligns with national Million Hearts® initiative Focuses on the

ABCS of preventive cardiovascular care

The Million Hearts® word and logo marks are owned by the U.S. Department of Health and Human Services (HHS). Use of these marks does not imply endorsement by HHS. Use of the Marks also does not necessarily imply that the materials have been reviewed or approved by HHS.

Cardiovascular Health Best Practice Intervention Packages -

Integrated

Home Health Cardiovascular Data Registry

ABCS Data

ASPIRINWas the patient taking ASA or other antithrombotic?

BLOOD PRESSUREWhat was the patient’s final BP & was HTN addressed?

CHOLESTEROLDid the patient have a lipid screening in the past year? LDL-C?

SMOKINGWas the patient screened for tobacco use? If a user, was an intervention implemented?

www.HomeHealthQuality.org

Data Access

Selecting month to abstract

Making monthly selection

1st page in monthly registry

Top portion of Registry

Dual-Eligibility

Aspirin

Blood Pressure

Cholesterol

Cholesterol

Cholesterol

Tobacco

HHCDR Report

HHCDR Details

Access HHCDR through normal Data Access portal Each month, HHA will select which measures

(A, B, C and/or S) Patient demographic information will be

prepopulated on the 15th of every month All data ‘closed’ by the 14th of the month will be used

to create HHCDR Report to be posted ~23rd of the month

HHQI CardeioLAN

Sharing of cardiovascular knowledge & application of resources

Networking

Identifying opportunities for improvement

Direct access to the HHQI Team

CardioLAN

Cardio Milestones Join the Progressive Cardiovascular Learning & Action

Network (CardioLAN)

Download all Cardiovascular Best Practice Intervention Packages (BPIPs)

Complete HHQI Data Access registration

Close one month of required patients’ data in the Home Health Cardiovascular Data Registry (HHCDR)

Download one HHCDR report

Enter patient data & close a total of six months of required patients’ data for HHCDR

Validate data

Achieve noted improvement in one or more cardiovascular outcomes

Join Today

Cardiovascular Learning & Action Network

HHQI University Platform for learning with HHQI

– Monthly educational opportunities – Access to an evolving catalog of educational topics

• Easy to use• Focus on applying best practices

for improving patient outcomes – Engaging clinicians

– Approved by American Nurses Credentialing Center (ANCC)

– Learn more at www.HomeHealthQuality.org/Education/HHQI-University

www.HomeHealthQuality.orgHHQI@wvmi.org

This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of

the U.S. Department of Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-030415

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Experiences from our Agencies

• Several agencies have signed up for the Cardiovascular Data Registry but not had a chance to enter data as yet

• Many agencies have been downloading and using the BPIPs for resources for their staff

• Feedback from participants…

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Sharing Information and Ideas

• What are you currently doing to improve the care of cardiac patients?

• Are you utilizing the HHQI BPIPS?

• What would you like to be doing to improve care?

• How can Qualis Health support your efforts?

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Summary – Urgency for Cardiac Care Improvements

• Strong need in all our communities• Nationally recognized, evidence-based interventions

are already available• Educational resources are free and easily adaptable

to home health schedules• Data Registry is ready to demonstrate both your

opportunities and your progress

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Next Steps

• Participate in the HHQI Cardiovascular Data Registry• Determine your specific areas of opportunity • Download the BPIPs as needed for your area(s) of

focus• Work together to generate improvements• Contact Qualis Health for assistance

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Questions

For more information: www.Medicare.QualisHealth.org/projects/care-transitions

This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO) for Idaho and Washington, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. WA-C3-QH-1697-03-15

Carol Higgins, OTR (Ret.), CPHQ

QI Consultant, Qualis HealthT (206) 288-2454F (206) 366-3370

carolh@qualishealth.org