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Cambridge Medical Associates

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Presentation on theme: "Cambridge Medical Associates"— Presentation transcript:

1 Cambridge Medical Associates
December 2 Community Learning Session

2 What did we work on? What were we trying to “fix”?
Improve Diabetic Eye Exam rate from baseline of 37% to 50% by 12/31/2016. Lucy Moushigian: Revenue Cycle Specialist Ricara Barnes: Medical Assistant, Dr. Marybeth Ferrante: Physician Lindsey Moscato: Practice Manager Christina Rebelo: Referral Coordinator/Medical Secretary Alexandra Chabrerie, MD: Physician Champion Andrea Carreiro: Medical Assistant

3 What did we measure? How could we tell if a change worked?
We measured completed eye exams for all our diabetic patients We can tell the change worked: Improve completion from 37% to 50% Completed reports and successive Run Charts to monitor monthly completion rates

4 Example of changes that we tested
Realized process was not streamlined and completion rates were much lower than we thought Tested ways to improve tracking, outreach, and a office-based systematic approach to yearly eye exam completion for all diabetic patients within CMA Letters to patients Phone calls Full list on slide 6

5 Patient Engagement in Improvement
Asked patients to react to a letter that detailed reasons why early diabetic eye exams (DEE’s) were important Patient feedback - Less is more Use each visit as an opportunity to review what routine screenings are due, regardless of the cause for the encounter.

6 Process Changes Morning Huddle
Development of a database for identification of all CMA patients with Diabetes Individualized patient outreach via letter/phone call Intervention at each patient visit Partnership with two ophthalmology offices

7 What were our results?

8 What did we learn? We are not as good as we thought we were!
Patients have little knowledge as to why this is so important Starting early in the year is better Exams are clustered in last quarter Not on a 365 day cycle Return of exam results needs improvement

9 What’s next? Improve our AIM statement to 75% Continue to use PDSA
Continue to run monthly reports to see when patients are due for eye exams/remind patients that they are due

10 What we will keep doing Keep running graphs. Reviewing the data
Keep engaging patients regularly

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