Value of a Population-Based Registry in Quality Improvement

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Presentation transcript:

Value of a Population-Based Registry in Quality Improvement Presented by Lance Lang, MD VP & Sr Medical Director Quality Improvement and Clinical Informatics January 15, 2003

The Quality Improvement Cycle Goals (Guidelines) Metrics Feedback Organized for Quality Decision Support

The Quality Improvement Cycle Four Elements Quality Goals, Organization, Decision Support & Feedback All Necessary No Subset Sufficient A population-based registry is by far the best source of decision support

Requirements for a Registry Data: Lab Pharmacy Encounters Exception reports could be as simple as the ability to sort within a column, bringing members missing an intervention or with clinical criteria at variance from target to top of the list Tools to Organize Visit print out of available data exception check list

Goal Implement Clinical Practice Guideline Across Entire Population for which one is Accountable Support Pro-active Care Reduce Variation Useful for both Chronic Disease and Preventive Care

Demonstrated Success Group Health Cooperative of Puget Sound (1996) Kaiser Permanente (1998-9) GHC Registry implemented in Georgia and Hawaii Home grown tool implemented on the web in SoCal DocSite Cited by Calif Healthcare Foundation as tool to “bridge the quality chasm” in Independent Physician Practice (2002)