SC PA Data Review Robert A. Gabbay, MD, PhD

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Presentation transcript:

SC PA Data Review Robert A. Gabbay, MD, PhD Professor of Medicine, Penn State College of Medicine

PCMH-A (Patient-Centered Medical Home Assessment) Survey designed to help systems and provide practices move toward the PCMH model Utilized to help teams identify areas for improvement A sense of how PCMH like you are

PCMH-A Assessment On average, practices reported an average increase of +2.3/12 points (20%) The top 3 most improved categories: Empanelment (+3.3 points) Quality Improvement Strategy (+3.0 points) Patient Centered Interactions (+2.6 points) (All on a scale from 1-12)

HEDIS Goals HEDIS & Quality Measurement Goals 90th Percentile of the HEDIS New England or Mid-Atlantic Benchmarks (whichever was higher) Standardized set of performance measures HEDIS goals used for PA SPREAD: % DM pts A1C >9 – 13.63% % DM pts A1C <8 – 74.70% % DM pts BP <140/90 – 76.33% %DM pts LDL <100 – 58.15% %DM pts tobacco query – 90% % DM pts nephrology screening – 92.46% % DM pts eye exam – 90% % DM pts foot exam – 90% %DM pts with self-management goals – 90% % DM pts with tobacco cessation interventions – 90% *All criteria for goals based on a 12 month period EXCEPT tobacco query & tobacco cessation intervention which are based on a 24 month period

Steady Denominators = Good!

Excellent Job! Now Part of Planned Care at Every Visit

Mean Change in Abs %: Increased +12.0% (statistically significant)

Mean Change in Abs %: Increased +8.1% (statistically significant) *The mean change in percentage points increased +8.1%, making it statistically significant

Mean Change in Abs %: Increased +19.5% (statistically significant) *The mean change in percentage points increased +19.5%, making it statistically significant

You Are Likely Doing This – How Do We Track It?

Improving As Processes of Care Get Implemented

Practices Close To The HEDIS 90% Goal

Many Practices Close To The HEDIS 90% Goal

Some Practices at HEDIS 90% Goal, Others – More Work To Do

Great Work… But More To Do! All of this was accomplished WITHOUT extra money Planned care at every visit Reaching out to high risk Self-management support Working as a team MEETING AS A TEAM

In your population of over 11,000 diabetes patients – this is huge! Why We Have Done This Each A1C point drop: Eye disease risk reduced by 76% Kidney disease risk is reduced by 50% Nerve disease risk is reduced by 60% Any cardiovascular disease event risk is reduced by 42% Stroke by 57% Better screening nephropathy, feet and eyes reduces ESRD, amputations, and blindness. In your population of over 11,000 diabetes patients – this is huge!