Download Relative Improvement Rate (RIR)

Stratis Health
Prevention Project
June 30, 2011
Stratis Health
• Stratis Health is a non-profit organization that
leads collaboration and innovation in health
care quality and safety, and serves as a trusted
expert in facilitating improvement for people
and communities
• Under federal contract, Stratis Health serves as Minnesota’s
Medicare Quality Improvement Organization (QIO)
• Stratis Health is also involved in state and national projects
funded through government contracts, foundation and
corporate grants, and health systems
• www.stratishealth.org
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Agenda
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Prevention Project Review
Clinic Presentations
Project Results
Upcoming Project Opportunities
Discussion / Questions
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PREVENTION PROJECT REVIEW
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Prevention Theme Overview
• Focus on assisting adult primary care clinics
in utilizing the care management capabilities
of electronic health records (EHR)
• Improve cancer screening (colorectal and
breast cancer) and immunization rates
(influenza and pneumococcal) for Medicare
beneficiaries
• Care/population management
• Maximize EHR and office efficiency
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Prevention Theme Goals
• Improve relative improvement rate of
colorectal cancer screening by 15%
• Improve relative improvement rate of
breast cancer screening by 10%
• Improve relative improvement rates of
pneumococcal and influenza
immunizations by 10%
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Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]
Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]
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Process
• Clinic Assessments
• Review of data specs
• Data submission and analysis
– Baseline data
– Quarterly data pulls throughout project
• Development of work plans and
interventions
• Monthly conference calls/meetings
• Group Educational Webinars
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CLINIC PRESENTATIONS
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Alexandria Clinic, P.A.
• Quality Improvement Committee
Involvement
• Process Improvements
– Beyond Prevention Project measures
• Physician Involvement
– Education
– Template development
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Renville County Hospitals & Clinics
• Using data to implement process
changes/improvements
• Identifying gaps and implementing
interventions
• Involving staff in the Prevention Project
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Ridgeview Clinics
• Pulling the data/running reports
• Immunization process improvement
– Email blasts
• Sharing of data results
– Physicians
– Board
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Stillwater Medical Group
• Changing from one EHR vendor to
another
• Cleaning up EHR data
• Using data to implement process
changes/improvements
– Quality Improvement Committee
– Physician involvement
– Staff involvement
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PROJECT RESULTS
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Opportunities
• Track preventive care given to a patient
– Both at the clinic and outside the clinic
• Track tests/screenings given
– Both at the clinic and outside the clinic
• Clinical reminders
– At time appointment is scheduled
– At point of care
• Reports of patients not receiving
tests/screenings
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Interventions
• Improve data entry related to screening
measures
• Integrate clinical reminders and tracking
into everyday practice
• Redesign workflows to improve
outcomes
• Use of clinical reports to identify
patients not receiving screenings
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Implementing Change
• Review of current care practices and
performance gaps
• Identification of appropriate interventions
to reduce performance gaps
• Monitoring and refinement
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Challenges
• Pulling the data
• Understanding what your EHR can and
can’t do
• Understanding the clinics’ patient
population
• Changing processes/workflows
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Results
Measure
Baseline – Current Rate – Relative
March 2009 June 2011
Improvement Rate
Absolute
Improvement Rate
EHR Influenza
Vaccination
44%
48%
11%
4%
EHR Pneumococcal 25%
Vaccination
60%
304%
35%
EHR Colorectal
Cancer Screening
28%
41%
68%
13%
EHR Breast Cancer
Screening
36%
46%
153%
10%
Relative Improvement Rate (RIR) = [(Quarter Rate – Baseline Rate)/Baseline Rate]
Absolute Improvement Rate = Current Quarter Rate – Baseline Rate
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UPCOMING PROJECT
OPPORTUNITIES
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Upcoming Project Opportunities
• CMS next scope of work
– Physician Quality Reporting System
(PQRS) EHR reporting
– Preventive Health Learning Network
– Cardiac Population Learning Network
• Regional Extension Center
– REACH http://www.khareach.org
• Health Information Technology projects
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DISCUSSION / QUESTIONS?
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Thank You!
Contact Information:
Jerri Hiniker, BSN, RN, CPEHR
Email: [email protected]
Ph: 952-853-8540
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Stratis Health is a nonprofit organization that leads collaboration and
innovation in health care quality and safety, and serves as a trusted
expert in facilitating improvement for people and communities.
This material was prepared by Stratis Health, the Medicare Quality Improvement Organization for Minnesota, under contract with the
Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. The contents presented do
not necessarily reflect CMS policy. June 30, 2011.
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