measurement and reporting aubrie entwood chapter project manager executive director american academy...
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Measurement and Reporting Aubrie Entwood
Chapter Project ManagerExecutive Director
American Academy of Pediatrics, Maine Chapter
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
Objectives
1) Share principles for monthly reporting and data sharing
2) Discuss the major components of the reporting process
3) Review the flow of monthly data
4) Share the American Board of Pediatrics, Part IV requirements
Principles for Monthly Reporting Data Sharing
•Data Transparency
•Practice coaching
•Data is a tool to measure performance!
Data Collection Components
•EQIPP Asthma Module (designed for the CQN project)
•Practice Narrative Report
Asthma EQIPP Module
What is EQIPP
• Launched in 2002• Robust Quality Improvement educational
program– Evidence-based– Translates research into practice– Weaves QI principles with clinical content – Interactive and action oriented
3 SECTIONS Overview
Course landing page
Provides course goals and objectives
Lists Key Clinical Activities
Links to key areas within the course (Helpful Links)
3 SECTIONS Improvement
Activities Enter Baseline Data Analyze Measures Aims & Changes
Create Improvement Plan
Enter Follow Up Data
3 SECTIONS Learning
EQIPPment QI Basics Key Clinical
Content Case Studies Team Learning Tools
Typical User Flow
Overview
QI Basics
Collect Baseline Data
Analyze Results
EQIPP Comparisons
• Analyze Measures with your QI practice team
• Run Charts– Comparisons – Goal– Practice– Chapter – District– All CQN Subscribers
Run Charts for Collaborative Learning
Practice Level DataPractice Level Data
P ercent of patients well controlled based on physicians use of NHLBI EP R3 Control Tables
0
20
40
60
80
100
August September October November
Month
Practice: 240
Run Charts for Collaborative Learning
Practice Level Data Aggregate Practice Level Data Aggregate Across the ChapterAcross the Chapter
P ercent of patients well controlled based on physicians use of NHLBI EP R3 Control Tables
0%
20%
40%
60%
80%
100%
August September October November
Month
Per
cen
tag
e
Chapter Name: Alabama Chapter
Practice Narrative
Project management tool to inform chapter teams of each practice’s
progress on the key changes Engagement of the Asthma Core Team
Use of a registry to manage a population
Planned care
Employ protocols
Provide self-management support
Monthly TimelineBeginning of Month Mid Month End of Month
EQIPP Data Set Opens
Enter a minimum of 5 patient visits
Month Practice Conference Call
Practice QI Team Meeting Can occur anytime during the month
Complete Practice Narrative
Important Dates
• First data collection cycle closes Friday October 16, 2009– QI basics and baseline data entry
should be completed
• Data set closes the last business day of each month
• Feedback about data provided to practices during monthly action call
Data CalendarOCTOBER 2009
Sun Mon Tue Wed Thu Fri Sat
1Oregon LS1
2Oregon LS1
3
4 5 6 7 8 9Reminder about data deadline is sent to chapter teams. Ohio LS1
10Ohio LS1
11 12 13 14 15 16Deadline for submission of data (data deadline)
17
18 19 20 21Chapter Leadership Group Conference Call
22 23 24
25 26 27 28 29 30 31
Data CalendarNOVEMBER 2009
Sun Mon Tue Wed Thu Fri Sat
1 2Monthly Report
distributed to Chapter Teams & Posted on Extranet (baseline)
3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18Chapter
Leadership Group Conference Call
19 20 21
22 23Reminder! Data
deadline Practice
narrative sent to practice listservs
24 25 26 27 28
29 30Data Deadline
Data CalendarDECEMBER 2009
Sun Mon Tue Wed Thu Fri Sat
1 2 3 4 5
6 7 8 9Monthly Report Distributed to Chapter Teams & Posted on Extranet
10 11 12
13 14 15 16Chapter Leadership Group Conference Call
17 18 19
20 21 22 23Reminder! Data deadline Practice narrative sent to practice listservs
25 26 27
28 29 30 31Data Deadline
Maintenance of Certification Part IV Requirements
Criteria for Individual Physician Participation:
• Complete data collection at the time of visit with an encounter form for decision support
• Review practice level data and practice level performance monthly
• Attend monthly practice quality improvement meetings
• On average enter a minimum of 5 patient visits per month in at least 7 of 10 data cycles
Maintenance of Certification Part IV Requirements
Criteria for practice involvement • Presence of a documented process map
that details reliable data collection at the time of the visit
• Established QI Team• QI team representation at all learning
sessions and monthly calls once enrolled in the project.
Achieve optimal care by year 1 for 70% of the sample population