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1.1 Increasing Access to Ocular Care
Region 15 RHP Meeting El Paso First Healthplan, 1145 Westmoreland Drive Rene Vallejo September 30, 2015 2:00pm
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Description of the Project
Improve utilization rates of clinical preventive services (testing, preventive services, treatment) in target population with identified disparity.
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Benefits to the Community
Increasing the number of Ocular provider to the Region Increasing access to Ocular Care Increasing the amount of Diabetic Eye Exams (Dilated) Improving HEDIS Markers
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I-23.1 Encounters I-23.2 Patients
PROJECT OPTION: MILESTONE: MENU NO: DESCRIPTION: METRIC: DY: Enhance Specialty Care Capacity in an Innovative Manner 1 I-23.1 Encounters I-23.2 Patients Increase Specialty Care Clinic Volume of visits and evidence of improved access for patients seeking services. 3500 unique patients seen in DY4. 4700 specialty care encounters in DY4 DY4 2 P-9.1 Implement referral technology and processes that enable improved and more streamlined provider communications Document e-referral technology being implemented. CAT3-1 IT-1.1 Improve Time to 3rd Available Apointment Reduce Time 5% as compared to DY3 Baseline CAT3-2 IT-6.2b Improve VSQ-9 Patient Satisfaction Survey Increase Quality of Life Scores 5% as compared to DY3 baseline CAT3-3 IT-1.12 Diabetes Care - Improve Retinal Exams Increase Diabetic Eye Exams to MPL (45%) Milestone Progress:
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Goal 3,500 Project 1.1 – Ophthalmology Unique Patients
Reporting Period: DY 2- October 2012 to September 2013 (Pre-DSRIP) Super Department DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total EL PASO OPHTHALMOLOGY UNINSURED 133 75 87 89 103 115 102 124 127 117 97 1272 MEDICAID 31 20 12 16 10 5 14 7 13 178 ALL OTHERS 219 149 125 137 138 113 140 131 116 1594 Total Patients 383 244 224 242 261 238 220 280 248 257 199 3044 % Uninsured 35% 31% 39% 37% 48% 46% 44% 42% 49% 47% % Medicaid 8% 5% 7% 4% 2% 6% 3% Reporting Period: DY 3- October 2013 to September 2014 Super Department DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total EL PASO OPHTHALMOLOGY UNINSURED 171 115 101 97 80 157 43 143 127 142 191 154 1521 MEDICAID 25 16 15 9 10 27 12 14 18 13 19 187 ALL OTHERS 189 119 73 111 112 159 286 148 128 168 98 153 1744 Total Patients 385 250 217 202 343 341 305 264 328 302 326 3452 % Uninsured 44% 46% 53% 45% 40% 13% 47% 48% 43% 63% % Medicaid 6% 8% 4% 5% 3% Super Department DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total EL PASO OPHTHALMOLOGY UNINSURED 189 158 141 131 156 151 133 145 181 167 1708 MEDICAID 30 25 18 15 13 27 16 23 12 210 ALL OTHERS 268 186 169 170 173 188 180 174 144 1951 Total Patients 487 369 328 316 342 371 349 307 335 323 3869 % Uninsured 39% 43% 41% 46% 42% 54% 52% 44% % Medicaid 6% 7% 5% 4% Goal 3,500
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Goal 5,600 Project 1.1 – Ophthalmology Patient Encounters
Super Department DSRIP GROUPING Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total EL PASO OPHTHALMOLOGY UNINSURED 209 142 130 186 175 172 203 161 221 190 170 2101 MEDICAID 26 17 12 13 24 31 29 23 22 266 ALL OTHERS 164 121 127 140 141 151 180 165 182 184 1846 Total Encounters 399 289 274 299 353 314 336 407 357 414 395 376 4213 % Uninsured 52% 49% 47% 53% 56% 51% 50% 45% 48% % Medicaid 7% 9% 6% 4% Reporting Period: DY 3- October 2013 to September 2014 Super Department Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total EL PASO OPHTHALMOLOGY UNINSURED 193 142 120 124 117 211 202 187 181 326 271 277 2351 MEDICAID 26 21 16 14 18 37 28 32 20 27 25 296 ALL OTHERS 223 157 101 155 160 238 250 294 240 222 213 283 2536 Total Encounters 442 320 237 293 295 486 480 513 441 575 509 592 5183 % Uninsured 44% 51% 42% 40% 43% 36% 41% 57% 53% 47% 45% % Medicaid 6% 7% 5% 8% Super Department Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Total EL PASO OPHTHALMOLOGY UNINSURED 266 238 224 201 234 253 258 279 287 277 2755 MEDICAID 37 32 29 26 25 33 46 38 372 ALL OTHERS 280 217 221 222 247 278 335 286 293 301 2967 Total Encounters 583 487 474 449 506 568 630 557 618 612 610 6094 % Uninsured 41% 45% 44% 46% 43% 47% % Medicaid 6% 7% 5% Goal 5,600
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Count of Patients (non duplicated)
Project 1.1 – Ophthalmology Category 3 Patients Diagnosed with Diabetes who Received a Dilated Retinal Eye Exam DSRIP Project IT-1.12: Diabetes Care: Retinal Eye Exam Category 3.3 Ophthalmology Unique Patients Reporting Period: 10/01/2014 to 08/30/2015 Identifiers: Patients with Diagnosis of Diabetes Patients seen in The Family Medicine and Internal Medicine Clinics Patients with 2 or more appointments in the last 24 months Patients Who Turn Years of Age During the DY Patients who received a dialated retinal eye exam DSRIP Category Count of Patients (non duplicated) DY DY 2 DY 3 DY 4 DY 5 Total Unique Patients Seen 4725 4515 4757 Patients with an Eye Exam 783 775 1387 Total % Patients with a Current Eye Exam 16.57% 17.17% 29.16% 2/6/2015 Milestone Data Goal 45.00%
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Project 1.1 – Ophthalmology Category 3 VSQ9 Patient Satisfaction Survey
DSRIP Project IT-6.2.b: Visit Specific Satisfaction Instrument (VSQ 9) Ophthalmology Category 3 .2 Reporting Period: 10/01/2014 to 08/30/2015 Identifiers: All Patient Visits in the Ophthalmology Clinic VSQ9 Scores Normalized on Scale No Blank Responses Allowed Survey Platform-IPad English or Spanish Provided Milestone Data Number of Surveys Sum Of All Scores Percent DY 2 Totals 1244 85256 69 DY 3 Totals 4553 356461 78 DY 4 Totals 5708 451760 79.15 Goal 79.38%
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Innovation Electronic Referrals with outside entities
RMS-Texas Tech (Upgrades) ROBO Calls IM Fundus Camera/ walk-ins Expansion of Clinic from 7 lanes to 19 lanes
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Continuous Quality Improvements
Collaboration with Internal Medicine Eye Screening Family Medicine “ROBO” Calls flow process Decreasing Registration times Decreasing Patient wait times Efficient Patient flow with 3 providers
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