Metrics Reports: Data Analysis and Interpretation

What are we talking about... Today’s topics surrounding our metrics reports that I hope will be helpful are: Orientation to the components of the reports Interpreting variations Zero % targets Metrics face sheet/summary Incentive metric submission process (Challenges/delays)

Components of the Metric Report Target line We have converted from using the tables that were manually created in Excel to a Tableau dashboard. These reports are created/updated, on the 15th of each month and placed in the designated Box folder---Practice Reports----VHAN, MAHN, Safety Net, or Baptist Timeframe

Data Anomalies When analyzing data, a data anomaly or an outlier refers to that item, event, or data element which does not conform to an expected pattern or other items in a dataset

Analysis and Interpretation

Zero % Target: New metric Target line

Metric Face Sheet

Metric Face Sheet

Kirk Podiatry For single-provider podiatry practice, Risk Stratification of Diabetes patients allows effective management of a high-risk population. s Risk Stratification Process (implemented July 2017) DM risk categories have been assigned to diabetes patients Per the DM risk categories determined by the practice, associated protocols for follow-up are followed with these patients. All DM patients have been flagged according to risk categories and alerts have been programmed into the EMR. Front desk and all staff are aware of DM risk categories, and alerts pop up when the front desk / staff accesses the chart to conduct appropriate triage / follow up per established risk protocols. Diabetic Foot and Ankle Care, Peripheral Neuropathy – Neurological Evaluation Diabetic Foot and Ankle Care, Ulcer Prevention – Evaluation of Footwear

Outcome: Pre and Post Interventions Hgb A1C levels N= 31 patients Times intervals between A1Cs vary Timeframe for the interventions: Oct. 2017 to present

Upper Cumberland Family Physicians Population: Diabetic Patients with Hgb A1Cs >9 Initiated a ”Dedicated 30 min. Diabetic Visit” for this cohort of patients NPs generated reports to identify patients needing the dedicated visit Components of the visit include: Goal setting with a self-management tool is incorporated during the visit Follow up call with standardized script is conducted 1-2 weeks post visit Overall improvement for A1Cs levels is approx. 47% Prior to seeing the NP During the visit Current weight Economic factors/Barriers to care Urinalysis/Micro Albumin Review of diet/exercise Fingerstick- glucose level Knowledge assessment Diabetic foot exam Medication review Current status of eye examinations Patient education/Shared decision making