Pec cv pro workgroup 3 21 12
•Download as PPTX, PDF•
0 likes•130 views
Sills MR. Cardiovascular Cohorts PROM Measures Updates and Action Items. Slides for teleconference to facilitate discussion of Cardiovascular PRO Measure Selection by SAFTINet Stakeholder Community. 21 March 2012.
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (11)
Similar to Pec cv pro workgroup 3 21 12
Similar to Pec cv pro workgroup 3 21 12 (20)
More from Marion Sills
More from Marion Sills (20)
Recently uploaded
Recently uploaded (20)
Pec cv pro workgroup 3 21 12
- 2. THEMES FROM RESPONSES TO QUESTIONS • Potential areas for SAFTINet to align with Partners’ Involvement with Meaningful Use, PCMH, ACO, or other initiatives • BMI • Obesity • Patient’s stage of change • Integrated behavioral health • Implementation and f/u of self-management goals • Specific areas of need for high-risk patients • Utilizing smoking data • Utilizing behavioral information (eg, depression score) • Proxies for preventive care (eg, premature births, updated pap smears, prenatal counseling)
- 3. BETTER USE OF CURRENT DATA • Integrated mental health • Patient engagement (type and frequency of appointments) • Does pt only see behavioral provider during previously scheduled PCP visit or make separate appts also? • Integrative process between providers • Does mental health diagnosis by PCP match diagnosis by behavioral provider? • Was counseling suggested by PCP vs. pt sought counseling on own • Electronically document diet/exercise counseling for weight management • Measurement of BMI • Alcohol use and/or abuse • Social support and/or health literacy
Editor's Notes
- Jeanne: likes BMI because it’s related to the two CVD cohorts and covers MU and is a useful clinical tool. Terry, Alicyn, Jena: agree. How complete are BMI data? Are practices collecting this on a regular basis? Several: We’re supposed to for MU. Jeanne: we just changed our clinical process 9 mo ago to make it more standard. Alicyn: goal setting, intervention—we are supposed to be doing this for MU anyway. Everyone is taking a different approach. What is the best way to help our patients set goals and monitor goals? Jena: could we do something for adults vs. kids vs. families vs. caregivers and how those goals/interventions would look different? How do you help these people set goals. We don’t have to report more than just BMI. Not specified what we need to do about BMI. For stage 2 MU, whatever we did for this project we could work towards stage 2. Stage 1 starts reporting in Jan 2013 (when it’s required) altho you can report on it this year. No one is planning for Stage 2. Terry: obesity is in line with our community health needs assessment for our community benefits nonprofit IRS assessment Bethany: What makes sense for you to take back to your organization to help sustainability? How can SAFTINet align with your internal processes in a sustainable way? Terry: we have various educational programs. I’d have to look back at this to see what our goals are. I like the focus on how to enhance what activities we are already doing or planning to do? So what are the common obesity initiatives we have going that enhanced data could look at. Jeanne: we have tried self-mgt goals in the past. The issue is if you are doing these, you should have someone f/u with the pt in 2 wk. No one can afford care-managers. I’m uncomfortable with just setting goals and not following up on them. Bethany: What can we do to help enhance patient self-mgt? Potentially use the patient portals in Phase 2. How do we get them to self-manage without investing a ton of resources. What should a self-mgt goal look like? Alicyn: we’re doing self-mgt goals for ACO and the ideal is if you have care managers but in the real world we don’t have that so how do we do this in the constraints we have and still be effective. Maybe it’s ok to just set a goal. Bethany: if MU is going to ask people to set and track goals, then we should look at this requirement and do it in a way that is more feasible. How do we do it in a sustainable, affordable way? Alicyn: we are having to do this anyway for ACO so I would love to make it more effective. Debbie: it seems we have 2 ways to go. One is we have data elements you are already collecting including BMI, smoking, lipids and make sure we have this good quality data before we move on—do we focus on collection and standardization of those first before we go on to the next step of how to use it? Then there is the issue of what do we do with those data. Do we have a PRO or tool that we develop or use that actually helps us to use the basic data we’re collecting. People liked the former. Debbie: BMI, smoking, lipid data, BP Terry: we should be able to provide current data for these elements and see where we are at in terms of data collection as a baseline, and then look at what we could do to improve that.
- Jeanne: at DH there is no way of knowing if someone has a BH appt at one of their medical appts—it is registered under their medical provider. They can make a separate appt with a BH provider, but that’s the minority of their appts. The notes are scanned into the paper record but it doesn’t go into the data warehouse. When we have an EHR this info may be in there, but not now. Without asking the pt, it would be hard to know whether they have a BH provider. Debbie: do we have a recommendation at this point or do you want to discuss further? Jeanne: I think we have a lot of good ideas but am not sure where to go with it right now. Bethany: we have a few favorites that we could take back to the full PEC and to the CER team Debbie: can we get a measure of the completeness of data for BP, BMI, smoking status based on MU criteria for numerator and denominator?