1. March 13, 2019 Indiana Primary Health Care Association
Focus on Quality Quality Improvement Tools & Capturing Enabling Services
March 13, 2019
Indiana Primary Health Care Association

2. Welcome!
Please keep phones muted while not speaking to eliminate background noise.
If you are using your computer for audio, click the microphone button next to your name to mute.
Do not place calls on hold, so we don’t hear hold music.
Use the chat box features if you have any questions that come up during the presentation.
Please complete the evaluation poll by the end of the meeting.
Note, this meeting will be recorded and shared with peers.

3. Introductions and Polls
If you only called in please state your name and health center
If there are multiple people in the room, enter their names and into the Chat Box.
Carla

4. Agenda Welcome and Overview of Objectives
Cervical Cancer Data Benchmarking- Jasmine Page
QI Tool Kit Introduction -Angela Boyer
QI Tools Presentation - Kelley Gillaspy, Purdue Healthcare Advisors
Enabling Services – Albert Ayson, AAPCHO
Health Center Discussion on Enabling Services- review 2017 v UDS reporting
Announcement and Updates
Carla

5. Today’s Objectives After this session I will be able to:
Identify three tools for quality improvement
Locate the QI toolbox on IPHCA’s website
Identify the role of enabling services in supporting various initiatives such as clinical quality improvement, practice transformation, social determinants of health, and value-based payment.
Explain the importance of enabling services data collection and documentation as a means to increase access to care, improve health outcomes, and promote health equity for your patient populations.
Describe the updated Enabling Services Data Collection (ESDC) standardized protocol and how AAPCHO's training and technical assistance resources can help expand an ESDC initiative in your own community health centers.

6. Focus on Quality Data Review
Overall, not much improvement as a state from 2017 to 2018, however there has been a significant increase in the number of Look-Alikes during 2018 who reported during UDS 2018, so the denominators are significantly different from 2017.

7. Clinical Quality Metrics
Measures of Focus
Colorectal Cancer Screening
Cervical Cancer Screening
Hypertension Control
Childhood Immunization
Diabetes Control
Behavioral Health Screening
Clinical Quality Metrics
We have 6 measures of focus; this quarter we begin with a focus on Cervical Cancer Screening

8. Cervical Cancer Screening Rates

9. Cervical Cancer Screening Rate Improvement

10. Screening Rate Improvements
17 CHCs saw improvements on cervical cancer screening in 2018
Several QI tools can be used to improve on this measure and other clinical measures
Resources available from previous FoQ on our website
Peer sharing from Riggs CHC, Maple City Health Care, and Heart City Health Center on cervical cancer

11. QI Tools What’s in your Quality Toolbox? PDSA Project Charter
Generating Ideas
Defining the Problem
Describing the Process
Identifying Root Causes
Decision-Making
Developing Action Plans
Studying Results
Controlling Processes
Storytelling

12. QI Tools Survey Discussion
Survey conducted a few months back to determine interest in learning how to use more QI tools
Asked:
Level of Interest
Whether you want more information in FoQ
Point in the Right Direction & Provide a template
Top Tools for more information in FoQ:
Generating Ideas and Defining the Problem (57%)
Selecting Projects ( 57%)
Executing Projects (57%)

13. Quality Improvement Resources Online

14. Today’s Guest Presenters
Kelley Gillaspy
GLPTN Quality Improvement Advisor
Purdue Healthcare Advisors
Albert Ayson, Jr. , MPH
Senior Program Manager, Training and Technical Assistance
Association of Asian Pacfic Community Health Organizations
Carla to introduce speakers

15. Quality Improvement Tips and Tools
PHA
Kelley Gillaspy works at Purdue Healthcare Advisors (PHA) in the capacity of Quality Improvement Advisor (QIA) for the Great Lakes Practice Transformation Network (GLPTN) and Lean Facilitator for the Lean Process Improvement Team.
Prior to joining the PHA team in March of 2016, Kelley spent over 15 years in healthcare management and administration serving as business administrator for a multi-site physical therapy practice, and then as practice administrator for a large, family practice and urgent-care group. Kelley earned a baccalaureate in public health: healthcare administration from Indiana University’s School of Public and Environmental Affairs (SPEA), earned a graduate certificate in Agile Implementation from the IU School of Medicine and is a Certified Medical Practice Executive through the MGMA.
Quality Improvement Tips and Tools

16. AAPCHO
Enabling services

17. Enabling Services Discussion

18. Enabling services measure is defined as the number of patients who received enabling services out of the total number of patients seen at the health center.

19. Health Center Discussion
How are you capturing enabling services in your health center?
What challenges do you encounter in capturing enabling services?

20. Announcements & Events
Social Determinants of Health Webinar Series: Children’s Support Services
March 21st at 11am
IPHCA Annual Conference- April 29th -30th
Visit indianapca.org “Events” for more IPHCA events