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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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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 • Rebecca Clay, Care Assistant, will be leaving Dec 22 to join the Peace Corps
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)
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.
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
Dr. Tom Miller Visit Planner update
Dr. Tom Miller Meaningful Use Progress Report:Internal Medicine Clinic
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
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
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.
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)
Meaningful Use Dashboard http://interweb.unch.unc.edu/media/flash/MU_EP.swf
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
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
Appropriate patient education delivered to 10% of patients • Decision aides • Target – Aug 2012
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
Steve Desper Patient Portal