![]() ![]() To meet MU requirements, we categorized metrics by those requiring physician effort and those relying on clinic staff effort. The hospital made this a priority and set a goal for 90% of eligible providers to successfully certify in Stage 1 as meaningful users in the first year of MU. Millions of dollars were at risk to the hospital and to physicians based on performance on various MU metrics. Our team was responsible for ensuring that the DOM succeeded in the federal government’s MU program. We saw increases in vaccination rates across all 4 divisions using varied approaches to reach our goals. In an effort to improve influenza and pneumococcal vaccination rates, we worked closely with front-line clinicians and staff to create improvement strategies tailored to the patient population and clinic staffing structure in 4 divisions: allergy (order and document flu vaccinations for asthma patients), rheumatology (point-of-care standing pneumococcal paper-orders for immunosuppressed patients), infectious diseases (a nurse-driven influenza protocol was implemented for HIV patients), and pulmonary (letters sent to chronic lung disease patients asking them to bring documentation of prior pneumococcal vaccination to their next visit). #Dr coblyn infectious disease free#Through a grant the renal division was able to give free blood pressure cuffs to patients for at-home monitoring. Data from these worksheets informed efforts to focus on non–office-based blood pressure measurements. The sheet clearly displayed the 3 elevated blood pressures and asked the provider to note that day’s blood pressure as well as if the medication was adjusted or if the patient is not taking the medication(s) prescribed. When improvements were not seen, we did another PDSA cycle adding a brief form for physicians to fill out in the clinic for patients who had at least 3 blood pressure measurements that were not at goal. Initially, our first PDSA cycle involved mostly education and data sharing. For example, we have worked for years on improving blood pressure control among chronic kidney disease patients in our renal division. We use plan-do-study-act (PDSA) cycles to iterate performance improvement plans and tailor our efforts to the unique staffing levels and patient populations of each division. With accurate reports in place, we leverage all staff levels, from practice assistants to clinicians, whenever possible to improve by evaluating the performance data and setting goals. Leveraging healthcare IT to improve operational performance. Using performance measurement to drive improvement: a road map for change. A decision-making algorithm for initiation and discontinuation of RRT in severe AKI. ![]() Mendu ML, Ciociolo GR Jr, McLaughlin SR, et al. Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. Improving influenza and pneumococcal vaccination rates in ambulatory specialty practices. Pennant KN, Costa JJ, Fuhlbrigge AL, et al. Meaningful measurement: developing a measurement system to improve blood pressure control in patients with chronic kidney disease. Greenberg JO, Vakharia N, Szent-Gyorgyi LE, et al. Increasing pneumococcal vaccination for immunosuppressed patients: a cluster quality improvement trial. Routinely measuring and reporting pneumococcal vaccination among immunosuppressed rheumatology outpatients: the first step in improving quality. ![]() Desai SP, Turchin A, Szent-Gyorgyi LE, et al. The future of quality measurement for improvement and accountability. Defining and measuring quality of care: a perspective from US researchers. Building a departmental quality program: a patient-based and provider-led approach. Szent-Gyorgyi LE, Coblyn J, Turchin A, et al. Centers for Medicare and Medicaid Services. Accreditation Council for Graduate Medical Education. Accountable care organizations in 2016: private and public-sector growth and dispersion. The 8 basic payment methods in health care. Accessed at Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/EHRIncentiveprograms/.Ģ. Electronic health records (EHR) incentive programs. ![]()
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