Improving Practice to Wraparound Through Use of Fidelity Measures
Improving Quality Measures Through Data Abstraction · Improving Quality Measures Through Data...
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Improving Quality Measures
Through Data Abstraction
Cheryl L. Rowe
Operations Manager Health Information Services
Dartmouth-Hitchcock Medical Center
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Agenda
➢Introduction
➢Background
➢Overview of project and workflow
➢Lessons Learned / Next Steps
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Introduction
Dartmouth – Hitchcock Medical Center
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Background
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Background
DAT
A
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Introduction
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Introduction – Collecting the data?
➢Medical Record Abstraction is the primary mode of data collection.
➢Data is used in clinical research, quality improvement, performance measurement, and disease surveillance.
➢Today data collection can be a key component for reimbursement and other quality initiatives
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Problem Statement
➢Due to a lack of standardized processes
for handling and incorporating external
test results into our EMR, an opportunity
existed to improve and provide reliable,
timely review and interpretation by
providers as well as updating of key
quality reporting data.
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Overview of the program
➢ Reduce risk of patient harm
➢ Create a process that would facilitate timely provider
review of every result
➢ Easier view and capturing of results
➢ Accurate order status
➢ Effectively track expired orders
➢ Improve efficiency in the patient portal for notification of
external results
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Background – Rational for Program
➢External labs / testing ordered by D-H
providers completed at non D-H facilities
➢Scope: all outpatient ambulatory clinics
whose results arrive from non D-H facilities
➢Out of Scope: Main Hospital or inpatient,
results completed at D-H labs, labs included
in discharge summaries/transfer paperwork
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Background – Rational for Program
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Overview of the Project
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Overview of the Project
➢Centralized to HIM
➢HIM is now the “front door” for incoming
documents.
➢HIM manages the flow of where documents
go and provider/staff notification
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Overview of the Project
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Overview of the project
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Overview of the project
Population of the Health Maintenance Module
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Overview of the Project
Clinical Staff in
GastroenterologyHIM Data
Abstractor
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Overview of the Project
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Benefits of External Result Abstraction
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Lessons Learned - SuccessMedian time to abstract was 5 minutes
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Lessons Learned – Success Quality
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Lessons Learned – Success
➢Reduction in duplication of Services
➢Community Partners with access
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Lessons Learned - SuccessQuality scores improving
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
CONCORD MANCHESTER NASHUA
DM: HbA1c Testing DM: Urine Protein Screening Mammography Colorectal Cancer Screening
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Lessons Learned - Success
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Lessons Learned – Success-
Success
I have been extremely happy with how
quickly (and accurately) results are
getting abstracted and indexed.Lauren, Clinical Manager – Adult Endocrinology
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Lessons Learned - Challenges➢ HIS Abstraction Team Documenting in
EMR
➢ Big Bang Centralization
➢ Justification for Additional 2 FTE
➢ Expansion of the Pilot
➢ New Data Elements
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Next Steps
➢Constant PDSA cycle ( Phase 3 )
➢Keep asking for next laboratory vendor to be interfaced
➢Next facility nearing 80% centralization
➢Working with ACO and Care Managers
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Questions
Cheryl L. Rowe
Operations Manager Health Information Services
Dartmouth-Hitchcock Health