Focus on Quality Peer Sharing Questions
HEART CITY HEALTH CENTER CLINICAL QUALITY MEASURES Cervical Cancer Screening Nika Ellis Director of Quality-Compliance
4 Our Initial challenge was to increase our cervical cancer screening rates. Our greatest challenge was to improve the quality of care & increase the access for our female patients. A SAMPLE OF THE OF THE VARIANCE PRESENT IN MULTI-FACILITY ORGANIZATIONS…………………..
5 WORKFLOW: Day of Visit: The MA checks the QM-tab in EHR for documentation of pap/pelvic etc. MA notifies the provider of the status or date. MA schedules the pap/pelvic exam If same-day: Exam Completed Provider documents exam & orders labs or further referrals (pap) MA sends specimen to lab for processing MA gives patient ‘summary of care’-discharge paperwork. Lab results entered into Athena-EHR
WORKFLOW PRE-VISIT: PCC-patient care coordinator: (starts day prior to scheduled visit) Daily prints patient schedule for the next day Opens Athena-chart of patient Enters Athena-EHR, checks QM tab to verify if pap is past-due or needed If Pap is needed…. Verify pt’s insurance status Call patient notify of pap needed; add to visit or schedule for same. If patient is Uninsured or Self-pay: Enroll patient into BCCP program (Breast Cervical Cancer Program) this pay costs of paps, follow-up testing's 6
7 PROMISING PRACTICES: WORKFLOW Utilization of the Azara DRVS program: (Pilot 2-Providers) The MA runs the PVP (patient visit planning) sheet daily in morning MA huddles with Provider using PVP before patients arrive PVP shows which Screenings or measures are past-due During visit past-due screenings are addressed and ordered by provider MA schedules additional appointments to complete past-due screenings. STANDARDIZATION OF WORKFLOW PROCESSES………………….
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