1. Metrics Reports: Data Analysis and Interpretation

2. 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)

3. 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

4. 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

5. Analysis and Interpretation

6. Zero % Target: New metric
Target line

7. Metric Face Sheet

8. Metric Face Sheet

9. 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

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

11. 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