Measurement and Reporting Aubrie Entwood Chapter Project Manager Executive Director American Academy of Pediatrics, Maine Chapter

I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity

Objectives 1)Share principles for monthly reporting and data sharing 2)Discuss the major components of the reporting process 3)Review the flow of monthly data 4)Share the American Board of Pediatrics, Part IV requirements

Principles for Monthly Reporting Data Sharing Data Transparency Practice coaching Data is a tool to measure performance !

Data Collection Components EQIPP Asthma Module (designed for the CQN project) Practice Narrative Report

Asthma EQIPP Module

What is EQIPP Launched in 2002 Robust Quality Improvement educational program –Evidence-based –Translates research into practice –Weaves QI principles with clinical content –Interactive and action oriented

3 SECTIONS  Overview Course landing page Provides course goals and objectives Lists Key Clinical Activities Links to key areas within the course (Helpful Links)

3 SECTIONS  Improvement Activities Enter Baseline Data Analyze Measures Aims & Changes  Create Improvement Plan Enter Follow Up Data

3 SECTIONS  Learning EQIPPment QI Basics Key Clinical Content Case Studies Team Learning Tools

Typical User Flow

Overview

QI Basics

Collect Baseline Data

Analyze Results

EQIPP Comparisons Analyze Measures with your QI practice team Run Charts –Comparisons –Goal –Practice –Chapter –District –All CQN Subscribers

Run Charts for Collaborative Learning Practice Level Data Practice: 240

Run Charts for Collaborative Learning Practice Level Data Aggregate Across the Chapter Chapter Name: Alabama Chapter

Practice Narrative Project management tool to inform chapter teams of each practice’s progress on the key changes  Engagement of the Asthma Core Team  Use of a registry to manage a population  Planned care  Employ protocols  Provide self-management support

Monthly Timeline Beginning of Month Mid Month End of Month EQIPP Data Set Opens Enter a minimum of 5 patient visits Month Practice Conference Call Practice QI Team Meeting Can occur anytime during the month Complete Practice Narrative

Important Dates First data collection cycle closes Friday October 16, 2009 –QI basics and baseline data entry should be completed Data set closes the last business day of each month Feedback about data provided to practices during monthly action call

Data Calendar OCTOBER 2009 SunMonTueWedThuFriSat 1 Oregon LS1 2 Oregon LS Reminder about data deadline is sent to chapter teams. Ohio LS1 10 Ohio LS Deadline for submission of data (data deadline) Chapter Leadership Group Conference Call

Data Calendar NOVEMBER 2009 SunMonTueWedThuFriSat 12 Monthly Report distributed to Chapter Teams & Posted on Extranet (baseline) Chapter Leadership Group Conference Call Reminder! Data deadline Practice narrative sent to practice listservs Data Deadline

Data Calendar DECEMBER 2009 SunMonTueWedThuFriSat Monthly Report Distributed to Chapter Teams & Posted on Extranet Chapter Leadership Group Conference Call Reminder! Data deadline Practice narrative sent to practice listservs Data Deadline

Maintenance of Certification Part IV Requirements Criteria for Individual Physician Participation: Complete data collection at the time of visit with an encounter form for decision support Review practice level data and practice level performance monthly Attend monthly practice quality improvement meetings On average enter a minimum of 5 patient visits per month in at least 7 of 10 data cycles

Maintenance of Certification Part IV Requirements Criteria for practice involvement Presence of a documented process map that details reliable data collection at the time of the visit Established QI Team QI team representation at all learning sessions and monthly calls once enrolled in the project.  Achieve optimal care by year 1 for 70% of the sample population