Engagement through Continuous Quality Improvement Efforts Lauren Menor

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Engagement through Continuous Quality Improvement Efforts Lauren Menor, MPH PCMH Lead, QI Coordinator And

Engagement through Continuous Quality Improvement Efforts Lauren Menor, MPH PCMH Lead, QI Coordinator And Mary Pinckney, RN Director of Nursing

Discussion • • PCMH recognition Current Care Teams Structure Portal Implementation Engagement through Continuous

Discussion • • PCMH recognition Current Care Teams Structure Portal Implementation Engagement through Continuous Quality Improvement Efforts QI Findings Connecting QI to Care Teams Next Steps Questions 2

PCMH Recognition 3

PCMH Recognition 3

Our current structure Care team dyad • Provider and MA sit next to each

Our current structure Care team dyad • Provider and MA sit next to each other in same office – Maximizes office visit through fast and efficient communication – Informal review of documents, treatments, and brief discussion how to handle patients that usually take a long time 4

Patient Portal Implementation Successes: • Go-live: End of July 2014 – Total Enrolled: ~300

Patient Portal Implementation Successes: • Go-live: End of July 2014 – Total Enrolled: ~300 – Total Pending: 900 Barriers: • Adoption by Hispanic culture • Age groups • Access 5

Engagement through Continuous Quality Improvement Efforts • VCH Board • Survey research • Focus

Engagement through Continuous Quality Improvement Efforts • VCH Board • Survey research • Focus groups …helps us generate a baseline to provide future guidance to our care teams to execute the services needed by our unique patient population… 6

QI Findings • We are changing the way we are scheduling appointments • As

QI Findings • We are changing the way we are scheduling appointments • As of July 1, 2014, we became Valley Community Healthcare – Operational changes and upgrades 7

Connecting QI Efforts to Care Teams: Diabetes Management Using our diabetes patient measures to

Connecting QI Efforts to Care Teams: Diabetes Management Using our diabetes patient measures to build curriculum on diabetes control and management – Preliminary Objectives • To provide an environment for diabetes patients that fosters healthy competition to bring Hb. A 1 c levels down • To educate patients and families on managing diabetes 8

Next Steps • Expand patient portal access to all patients interested in order to

Next Steps • Expand patient portal access to all patients interested in order to meet MU goals • Implement Next. Gen. EDI for automated system for reminder calls for next day • Refine and formalize care team dyad through Standardized Procedures/Orders • Develop care team conferences to include LVN Care Manager for High Risk patients and Behavioral Health 9

Thank you! 10

Thank you! 10

Questions? 11

Questions? 11