Design, Testing, and Use of a Pre-Visit Questionnaire to Improve CF Care Brooke Moore, M.D., MPH Pediatric Pulmonologist.

Slides:

Advertisements

Similar presentations

Using EMR Templates to Measure Quality of Care for Children with ADHD and Obesity Jeanne Van Cleave, MD Timothy G. Ferris, MD, MPH September 26, 2007.

Advertisements

July 2013 IFSP and Practice Manual Revisions April 29, 2013 May 3, 2013 Infant & Toddler Connection of Virginia Practice Manual Infant & Toddler Connection.

Healthcare Transition: Getting on the Same Page Peter Scal, MD MPH Department of Pediatrics University of Minnesota July 21, 2012.

REAL-START : Risk Evaluation of Autism in Latinos (Screening Tools and Referral Training) Assuring No Child Enters Kindergarten With an Undetected Developmental.

ADAPT serving geriatric populations in rural communities. Project ADAPT Assessing Depression and Proactive Treatment The Minnesota Area Geriatric Education.

CHIPRA Activities to Tackle Barriers Electronic developmental and behavioral screening Electronic referral with ASQ and M-CHAT results Shared script for.

Chapter Quality Network (CQN) Asthma Pilot Project Team Progress Presentation State Name: OREGON Practice Name: Doernbecher General Pediatrics Team Members:

Impact of the “Asthma Toolbox” for Improving Documentation of Pediatric Asthma Management in an Urban Community Health Center Presenter: Delaney Gracy,

Module 3: Informed Consent. This training session contains information regarding: Documenting consent Documenting consent Conducting informed consent.

Module 5: Data Collection. This training session contains information regarding: Audit Cycle Begins Audit Cycle Begins Questionnaire Administration Questionnaire.

The CHOP – HUP Transition Program The Philadelphia Experience Vanessa Nixon, The Children’s Hospital of Philadelphia Linda Slaven, The Hospital of the.

Accelerating Reform Initiative Developing Integrated care: Fayette Companies and Heartland Community Health Center Mike Bolye.

Maine AAP Amy Belisle, MD, Mike Ross, MD Aubrie Entwood, Barbara Chilmoncyzk, MD Rhonda Vosmus, RRT-NPS, AE-C, Paula Gilbert.

The Short Child Occupational Profile (SCOPE) Lauren Stevenson and Brandy White.

The Patient-Centered Medical Home: A Work in Progress Alliance for Health Reform Briefing Washington D.C. September 22, 2008 Diane R. Rittenhouse, MD,

Using Information Technology to Evaluate Shared Decision Making in a Clinical Setting Stephen Kearing 1, Kate Clay 2, Lisa Maheu 2, E. Dale Collins 3,

CQN Team Presentation State Name: OREGON Practice Name: Doernbecher General Pediatrics Team Members: Art Jaffe, Julie Johnson, Lisa Johnson, Beech Burns.

Oral Health Integration in Well Child Care A Collaboration of Group Health Cooperative, Washington Dental Service and WDS Foundation.

Asthma Care Program EMR Update & Next Steps Feb Ann Taite BSc, CRA Project Manager, Asthma Care Program EMR Project Asthma Research Unit, Kingston.

© 2010 ALL RIGHTS RESERVED PROPRIETARY AND CONFIDENTIAL INFORMATION OF CLEVELAND CLINIC June 2014 Collection of Patient-Reported Outcomes in Clinical Practice.

Innovations in Primary Care: Implementing Clinical Care Management in Primary Care Practices Judith Steinberg, MD, MPH Deputy Chief Medical Officer Jeanne.

Progress and future developments

Danielle Lavallee, PharmD, PhD Department of Surgery

AMSUS: Health and Patient Engagement Session

LPHI Regional Care Collaborative June 17, 2014 PCMH and Meaningful Use

RCHC Developmental Screening and Referral project for Children 0-5 served by Sonoma County Community Health Centers.

Models of Primary Care Primary Care – FAMED 530

Building Our Future Together Through Family Navigation: A Pilot Program Elizabeth Trenkamp, MT (ASCP), Stephanie Weber, PsyD, Jennifer Smith, PsyD-BCBA-D,

Monitoring and Evaluation: A Review of Terms

Objectives of behavioral health integration in the Family Care Center

South Texas Psychiatric PBRN

Emergency department pediatric psychiatric services

Patient Centered Medical Home

A Blueprint for Service Delivery

Research Questions Does integration of behavioral health and primary care services, compared to simple co-location, improve patient-centered outcomes in.

Strategies to Reduce Antibiotic Resistance and to Improve Infection Control Robin Oliver, M.D., CPE.

Pre-Work Clinical Changes: What Clinical Practices Have You Changed Or Expanded in the Last Six Months? Provide 2 examples.

Psychoeducational group therapy within a pediatric residency clinic:

OpenNotes: Expanding patient access to clinical notes

Mahsa Parviz, BS1 and Jennifer K. Cheng, MD, MPH1

IFSP Aligned with the Early Intervention Data System

IPSP Outcomes Reporting Framework

South Texas Psychiatric PBRN

The AHRQ Safety Program for Improving Antibiotic Use

Pre-implementation Processes Implementation, Adoption, and Utility of Family History in Diverse Care Settings Study Lori A. Orlando, MD MHS.

Better Lives. Together. The Parkinson’s Foundation makes life better for people with Parkinson’s disease by improving care and advancing research toward.

Development of an electronic personal assessment questionnaire to capture the impact of living with a vascular condition: ePAQ-VAS Patrick Phillips, Elizabeth.

PeArLS (Personally Arranged Learning Session)

Health Catalyst Care Management Suite

Disclosures The presenter has no financial relationships to disclose.

On the CUSP: Stop CAUTI Patient and Family Engagement in the ED

Lehigh Valley Health Network: Community Care Team Compact

Patient-Centered Care in Cystic Fibrosis

Jenny reese pro project implementation lead

Health Check - Improving your annual asthma review

Guidance on Pediatric Transplant Recipient Transition & Transfer

Managing Depression is a Team Effort:

The Research Question Patients can experience harm when their values and goals regarding their care are unclear. While many patients are able to elucidate.

OpenNotes: Expanding patient access to clinical notes

Community-Based Co-Supervisory Community Health Worker Model

Active Learning Network of Care Centers Working on Outcome Improvement Key Driver Diagram: Jan – Dec 2019 KEY DRIVERS CHANGES & INTERVENTIONS Efficient.

Medical Students Documenting in the EMR

Chapter 2 Nursing Process

Module 5: Formulating Research Questions

Patient Access to Electronic Medical Records

Behavioral Health Quality & Data Building

Significance & Background

Stakeholder engagement and research utilization: Insights from Namibia

Sources of health outcomes data used in the SJLIFE study where severity grading criteria of long-term and late-onset health events were applied. Sources.

AHRQ Safety Program for Improving Antibiotic Use

Presentation transcript:

Design, Testing, and Use of a Pre-Visit Questionnaire to Improve CF Care Brooke Moore, M.D., MPH Pediatric Pulmonologist

Presenter Disclosure Brooke Moore, MD, MPH There are no relationships to disclose related to this presentation

Objectives Discuss initial EMR workflow/build Review original respiratory follow-up forms (pre-visit surveys) Describe CF Health Check/dashboard project Review pre-visit surveys and patient/family response Discuss next steps

Our team/center 157 Pediatric patients 26+ CRMS patients 14 Pulmonary providers 11 see patients with CF

EMR build eClinicalWorks (eCW) Implemented in 8/2011 CF specific template designed to capture data that is manually entered into the CF registry

Respiratory Follow-up Form Provided to all patients (regardless of diagnosis at all visits) Not CF specific

CF Health Check Invited to participate in Dartmouth Institute/RWJ Foundation dashboard project Co-Production of care model Patient reported outcomes Pre-visit Questionnaire Integrated into EMR? CF Health Check is an on-line platform designed with people with CF, families, and clinical care teams to improve the way we work together to manage CF care. It includes longitudinal clinical data from the CF Registry; patient-generated health information, concerns and requests; a summary care plan; and the patient's reported health goals and barriers to sustaining daily care. It is being tested by 5 CF programs with support from Dartmouth.

Patient-reported Outcomes Patient-reported outcome (PRO) Standardized data items used to obtain information from patients about their health status Improve communication between patients and providers Provide information to screen, diagnose, and monitor conditions

Patient-reported Outcomes Patient-reported outcome (PRO) Many standardized survey instruments exist Few combine patient goals, health, well-being, and barriers to accessing care Difficult to incorporate into existing care processes and to document and display in electronic medical records

Pre-Visit Questionnaires CF-specific PRO surveys Designed using items from standardized instruments, existing clinical intake surveys, and interviews with providers, patients/families, and researchers Piloted at 5 centers between July and September 2016 Feasibility, acceptability, and utility was evaluated Feedback prompted revisions and final versions were issued Designed using items from standardized instruments (CFQOL, GITracker, CFRSD-CRISS, PROMIS

Pre-Visit Questionnaires Based on positive response, Children’s Minnesota incorporated the surveys into all clinic visits Replaced general respiratory survey Completed before each visit Used to engage patients/families in discussion, problem solving, and decisions during visits

Pre-Visit Questionnaires Birth – 11 years 44 questions - 7 categories: Quality of life Pulmonary Abdominal/GI Nutrition Other health areas Medications Concerns/requests Age 12 – 18 Additional questions on urinary symptoms

Pre-Visit Questionnaires As of September 2017 701 surveys completed Transitioning from paper to online version using CF Health Check

Feedback Patients: Questions are more applicable to their care More focused visit Able to share their top concerns Feel what they want to discuss is addressed Providers: Survey guides conversations about therapies and treatments Allows providers to address patient concerns Provides better understanding of the impact of CF on the lives of patients/families

Integrated into EMR? Currently accessed through CF Health Check Separate log-in Not integrated Future goal would be for data to be integrated: CF Health Check  EMR EMR  CF Health Check CF Health Check  CF Registry CF Registry  CF Health Check The data collected in the PRO survey is displayed in CF Health Check for patients, families, and care teams to review and discuss, and it is exported to the CF Foundation Patient Registry for research.

Integrated into EMR? Currently accessed through CF Health Check Separate log-in Not integrated Future goal would be for data to be integrated: CF Health Check  EMR EMR  CF Health Check CF Health Check  CF Registry CF Registry  CF Health Check

CF Health Check

CF Health Check

Conclusions Having a CF specific template saves time Using a CF specific PRO questionnaire improves CF care Results in a more focused visit Allows patient/family concerns to be addressed EMR integration between systems is needed

Questions?