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Enhancing Clinical Measures: Progress and Future Directions of the Clinical Measures Group

The Clinical Measures Group (CMG) has focused on engaging community health centers and providers in data collection, analysis, and implementation of evidence-based measures across prioritized clinical areas: diabetes, cardiovascular disease, women’s health, and pediatric immunizations. Fundamental to our efforts are accurate and timely data collection methods, coding support, and continuous data validation. The work spans from 2006 to 2009 and beyond, involving teleconferences, plenary sessions, and case studies to refine our approach. Join us for ongoing discussions and feedback to shape the future of clinical measurement.

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Enhancing Clinical Measures: Progress and Future Directions of the Clinical Measures Group

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  1. Clinical Measures Group: Work-to-Date Margie Powers CMG Facilitator August 21, 2007

  2. AQIC Workgroups QIG DCG CMG CSLC Case studies In-person mtgs CMG CMG & CSLC/AQIC Structure

  3. CMG Current & Future Home • 2006: CSLC1 • 2007: CSLC2/AQIC • 2007-2009: AQIC

  4. Clinical Measures Group Objectives • Engage CHCs and providers in collecting data, analyzing results, making changes • Identify new clinical areas to be monitored. • Define evidence-based measures to use in management and tracking of the identified clinical areas.

  5. Clinical Measurement Areas: Initial Measure Set • Prioritized the following clinical areas: • Diabetes • Cardiovascular Disease • Women’s Health • Pediatric Immunizations

  6. Measure Basics • Measure = Numerator Denominator • Numerator = All of the patients that did what you wanted them to do • Denominator = All of the patients that could have done what you wanted them to do

  7. Measure Basics—Example • Measure = Annual Hemoglobin A1c Test in Patients with Diabetes Numerator = All of the patients that had an HbA1c test during the last year ---------------------------------------------------------- Denominator = All of the patients with diabetes (that were the right age, and went to the doctor during the year)

  8. More than Just Measures • Defining clinical measures important, but…. • ….clinics also need support in • Collecting accurate, timely data from wide variety of systems • Communicating with providers, billers about correct coding • Checking, rechecking until data correct (i.e. data validation)

  9. From Clinical Encounters to Clinical Measures: A Common Scenario • Data “hits” PMS after encounter, when form turned in by provider • If have CDMS (i.e. Tracks, PECS) can pull certain codes from PMS into a report of clinical measures • Report is usually wrong the first time! (data entry error, coding error, system error) • Perform data validation • Re-run, analyze

  10. CMG’s Other Important Functions • Data Validation • Suggested techniques • Tools • Data Collection • Coding support • Reporting • Providing templates • Work with i2i to update/maintain CSLC Report

  11. CMG Activities (2007) • 3 Clinical Measures Group teleconferences • Member make-up: MD, FNP, QI lead • Clinic and consortia attendees • CSLC Plenary Sessions • February, August 2007 • Case studies

  12. CMG Future • Work will continue under AQIC • New UDS Measures • Clinical Measure Clearinghouse • Further discussion in afternoon • Welcome feedback, suggestions • Come to CMG meeting today at 4pm!

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