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All Hands Meeting

December 15, 2011. All Hands Meeting. Agenda. Announcements NCQA Visit planner update Meaningful use Patient portal Healthy Partnership. Personnel updates. Brooke McGuirt , Quality Coordinator Keith Wilkerson, LPN;  start date January 9

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All Hands Meeting

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  1. December 15, 2011 All Hands Meeting

  2. Agenda • Announcements • NCQA • Visit planner update • Meaningful use • Patient portal • Healthy Partnership

  3. Personnel updates • Brooke McGuirt, Quality Coordinator • Keith Wilkerson, LPN;  start date January 9 • Rebecca Clay, Care Assistant, will be leaving Dec 22 to join the Peace Corps

  4. Congratulations! • Marco Alemánhas been promoted to Professor of Medicine. • Tim Ives has been elected to the Board of Directors for AACP (American Association of Colleges of Pharmacy)

  5. NCQA Recognition

  6. NCQA RecognitionDPRP 11/9/2011 - 11/9/2014 On behalf of the National Committee for Quality Assurance (NCQA), we are happy to acknowledge the following application has been successful and has been granted recognition: UNC Internal Medicine Clinic Congratulations on your success and thank you for doing your part to advance quality in health care.

  7. HbA1c Control

  8. Blood Pressure Control

  9. LDL Control

  10. Other Measures

  11. THANK YOU ALL! Special thanks to Jamie Cavanaugh • Learned the NCQA standards and process • Guided students and participated in a review of 200 charts • Mastered the new NCQA electronic data entry system and submitted results

  12. Dr. Tom Miller Visit Planner update

  13. Provider runchart

  14. Provider runchart

  15. Provider runchart

  16. Nurse runchart

  17. Nurse runchart

  18. Nurse runchart

  19. Nurse runchart

  20. Nurse runchart

  21. Nurse runchart

  22. Nurse runchart

  23. Nurse runchart

  24. Nurse runchart

  25. Nurse runchart

  26. Nurse runchart

  27. Retinal eye camera

  28. Dr. Tom Miller Meaningful Use Progress Report:Internal Medicine Clinic

  29. What is Meaningful Use? • Meaningful Use of the Electronic Health Record • Passed as part of the 2009 economic stimulus package • CMS is using financial incentives to promote meaningful use of electronic medical records – WEBCIS • CMS gets to define ‘meaningful use’ • 3 stages planned for 2011-2015 • Stage 1: • Use of a certified EHR in a meaningful manner • Electronic exchange of health information • Automatic submission of quality measures

  30. There are 3 ‘Stages’ planned by CMS from 2011 – 2015 • Stage 1: Data Capture and Sharing • Stage 2: Advanced Clinical Processes • Stage 3: Improved Outcomes

  31. Meaningful Use Goals • Improve quality, safety, and efficiency of healthcare • Reduce healthcare disparities • Engage patients and families in their healthcare • Improve care coordination • Ensure adequate privacy and security protection of health information • Improve population and public health.

  32. MU Components During each encounter the team: • Maintains: 1. Problem list 2. Medication list 3. Allergies • Prescribes by e-Rx • Records: • vital signs (HT, WT, B/P) • smoking status and intervention • Provides patients with a summary of their visit Documentation occurs in the certified EHR (WebCIS)

  33. Meaningful Use Dashboard http://interweb.unch.unc.edu/media/flash/MU_EP.swf

  34. Meaningful Use Data

  35. Components

  36. Clinical Summary

  37. Quality measures • Pneumovax Adult • Breast Ca Screening • Colon Ca Screening • HTN: Bp Controlled • CAD: Antiplatlet • CAD: Beta-blocker • CAD: Lipid rx • DM: BP • DM: Eye Exam • DM: Foot Exam • DM: Good A1c • DM: LDL • DM: Nephropathy • DM: Poor A1c • HF: ACE/ARB • HF: Beta-blocker • HF: Warfarin and AF

  38. What’s Next? • Visit summary by June 2012 • Patients will receive a summary of their visit • Problem list • Medication list • Medication allergies • Labs • (Assessment and Plan) • Standard: • %50 of patients within 3 days

  39. Appropriate patient education delivered to 10% of patients • Decision aides • Target – Aug 2012

  40. Incentives for 2012 • Healthcare system - $9.4 million • Department of Medicine - $2.4 million • Individual doctors – up to $7,500 • Dependent on all meeting goals • Prorated by number of patients seen

  41. Steve Desper Patient Portal

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