Importance of a Registry

Amy Belisle, MD

Laura Brann, Program Manager, CIR

Eric Anderson, Dir. Quality Data Management

I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or

provider of commercial services discussed in this CME activity

• Identify patient populations• Help manage patients• Prepare for patient visits using evidence based

protocols• Provide “opportunistic care”• Track quality indicators• Identify gaps in performance• Help sustain long-term quality care

We need a registry to…

Informed,Activated

Patient

ProductiveProductiveInteractionsInteractions

Prepared,Proactive

Practice Team

Improved Outcomes

DeliveryDeliverySystemSystemDesignDesign

DecisionDecisionSupportSupport

ClinicalClinicalInformationInformation

SystemsSystemsSelf-Self-

Management Management SupportSupport

Health SystemHealth System

Resources and PoliciesResources and Policies

Community Community

Health Care OrganizationHealth Care Organization

Chronic Care Model

MaineHealth Clinical Improvement Registry

Why the CIR?

Functions• Web Based• Data entry• Interfaces • Patient Reports• Population Reports• External Reporting

• NCQA• PQRI• PTE

Modules in the CIR• Asthma

• CVD/HS• Depression• Diabetes• Preventive Health

Asthma Progress Report

Asthma Progress Report

con’t

Asthma Progress Report patient detail

Asthma Self Care Report

A report card for your patient!

Visit Summary

Visit Summary

con’t

Asthma PTE Report

Frequently Asked Questions

• How does this fit into our workflow?• How is the clinical data determined/what

guidelines are followed?• How much time will this take?• What equipment/software do I need?• Who should be the user(s)?• How do I know which patients to include? • Can I use the data for other reporting? (PTE)• How does data get entered into the CIR? Can I

send data from my EMR/EPM/Billing system?

• Where to get more information…• There are some costs

• $120 every 3 years for secure ID• $240/year per provider

• To get your practice set up on the CIR– Paperwork

• Business Associate Agreements• Service Level Agreements• Practice Start Up Packet• Identify a practice CIR lead

Important things to know

We will make this slide a bit more balanced.

MaineHealth CIR Statistics

• 1026 Active Users / 406 in past 90 days

• 109 MaineHealth Practices

• 445 MaineHealth Providers

• ~17k Diabetes, ~8.5k Asthma, ~10k CVD, ~6.5k Depression, ~1k HF (all

clinical counts)

• Preventive Health: 57,782 Pediatric (0-18 years), 101,143 Adult (18 or older)

• Other users: Mercy Primary Care Center sites, SOCHS PHO (Maine

Covenant), Maine Health Alliance (Northern Maine Medical Center, Pines

Health Care Service, Maine Coast Memorial Hospital, Mayo Regional Hospital),

Kennebec Regional Health Alliance, etc…

Other Registry Options: Meridios

• Culls data from GE Centricity EMR• Provides statistical breakdown of data• Secure access• Access levels available for data review on

multiple levels (i.e. view by provider, practice, organization)

• Ability to track multiple quality goals• Data exportable to Excel for further

analysis

Home screen

Asthma-Specific metrics

Export capacity to Excel

Performance: '08 v. '09

0%10%20%30%40%50%60%70%80%90%

100%

Doc

umen

ted

Ast

hma

Pla

n?

Mea

surin

gto

ol (

AC

T)

Pas

sive

smok

e

Act

ive

smok

e

BM

I

Con

trol

ler

Med

s

Influ

enza

vacc

ine

Offi

cevi

sit/y

ear

Sev

erity

clas

sific

atio

n

metric

per

cen

tag

e

2007-2008

2008-2009

“Blue Ribbons” - MHMC

• NCQA-PCMH• Pediatric immunization• Asthma Management

Requirements for Blue ribbon certification in Pediatrics:

All Asthmatics

• 1+ office visits/year• Documentation of influenza immunization• Documentation of Tobacco use/exposure• BMI/Age measured• Current asthma Severity classification• Use of a asthma assessment tool

Other requirements for Blue ribbon certification in Pediatrics - Persistent Asthmatics

• Documented use of Controller meds for Persistent asthma

• Documented action and/school plan