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Health Care Effectiveness Clinical Excellence January 25, 2011.

Published byIrea Meadors Modified over 9 years ago

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Presentation on theme: "Health Care Effectiveness Clinical Excellence January 25, 2011."— Presentation transcript:

1 Health Care Effectiveness Clinical Excellence January 25, 2011

2 “We are what we repeatedly do. Excellence, then, is not an act, but a habit.” Aristotle

3 Diabetes Clinical Excellence Award

4 Award Recipient criterionBMCEKLILHLAKLJCUMCWOM %cases w/glucose ever < 500.050.060.020.030.000.040.070.00 %cases w/glucose ever < 700.15 0.110.130.060.120.210.07 %time 70 < glucose < 1800.600.510.600.630.510.60 0.43 Eye exam in past 15 mos0.550.490.620.510.420.620.650.41 HbA1c 9 mos <= 7%0.55 0.470.450.590.580.560.52 HbA1c in past 9 months0.800.750.840.810.770.870.81 LDL 15 mos <= 1000.550.58 0.630.490.610.620.55 LDL test in past 15 mos0.850.840.870.890.810.860.880.85 last BP <= 130/800.400.340.310.370.310.400.350.40 Leonard J Chabert Medical Center

5 Diabetes Clinical Lead Award

6 Heart Failure Clinical Excellence Award

7 Award Recipient University Medical Center Leonard J Chabert Medical Center Lallie Kemp Medical Center Bogalusa Medical Center criterionBMCEKLILHLAKLJCUMCWOM On ACE/ARB0.850.950.870.920.900.960.920.85 On NSAID0.050.000.020.01 0.020.010.04 last < 130/80, weighted0.50 0.440.530.500.560.530.43 on metop-s, carvedilol, or bisoprolol0.85 0.860.85 0.960.900.85 pneumovax ever0.700.920.910.680.760.940.920.90

8 Heart Failure Clinical Lead Award

9 Asthma Clinical Excellence Award

10 Award Recipient Bogalusa Medical Center Earl K Long Medical Center WO Moss Regional Medical Center criterionBMCEKLILHLAKLJCUMCWOM % on ICS or ICS/LABA in pers/sevr0.800.920.98 0.910.960.900.80 % with PFT in past 3 yrs0.70 0.750.650.590.600.510.80

11 Asthma Clinical Lead Award

12 HIV Clinical Excellence Award

13 Award Recipient Leonard J Chabert Medical Center Interim LSU Public Hospital WO Moss Regional Medical Center criterionBMCEKLILHLAKLJCUMCWOM CD4, CD4 test in past 15 mos0.900.950.99 0.980.990.94 PCP prophylaxis, CD4 < 200 sustained0.901.000.950.920.801.000.870.94 STDs, Chlamydia test in past 15 mos0.800.730.770.830.600.930.86 STDs, Gonorrhea test in past 15 mos0.800.730.770.830.600.930.86 viral load test in past year0.900.960.980.990.970.98 0.92

14 HIV Clinical Lead Award

15 HOP – a TRRRAQSSS Clinic Teaching – – 54 Tulane and 44 LSU Fellows to date – 10 Research Fellows – 5 PhD’s from HOP database Research: participated in > 400 studies Revenue: program grants $2,244,000/y – 1990’s, saved $millions in cost of HIV meds Resources: one-stop shop model – on-site subspecialists, HE, social work Access: < 24 h to next Phase I appt

16 Chronic Kidney Disease Clinical Excellence Award

17 Award Recipient University Medical Center criterionBMCEKLILHLAKLJCUMCWOM ANEMIA, HGB < 10, stage 3conf, stan0.200.040.05 0.040.060.05 ANEMIA, HGB < 10, stage 4conf, stan0.200.130.240.200.050.210.150.09 BP, last BP < 130/80, stage 34conf, stan0.400.280.350.380.340.390.400.33 CONF, % confirmed among overdue0.300.430.490.580.610.600.580.40 LIPIDS, HDL > 40, stage 34conf, stan0.400.460.450.470.460.420.460.43 LIPIDS, LDL < 100, stage 34conf, stan0.650.590.660.600.530.610.660.52 LIPIDS, TRIG < 150, stage 34conf, stan0.600.660.620.670.680.670.700.57 PHOS, 2.7 < PHOS < 4.6, stage3conf0.700.900.850.900.930.90 0.91 PHOS, 2.7 < PHOS < 4.6, stage4conf0.700.860.87 0.860.840.791.00

18 Chronic Kidney Disease Clinical Lead Award

19 Cancer Screening Clinical Excellence Award

20 Award Recipient Bogalusa Medical Center criterionBMCEKLILHLAKLJCUMCWOM Mammogram in past 2 years, age 40-75 0.800.820.810.780.850.870.830.88 PSA in past 2 years, age 50-750.800.890.780.800.870.910.790.85 Pap in 2 yrs (21-29) or 3 yrs (30-69)0.80 0.660.740.440.830.760.65 Scope_10yr OR flexsig_5yr OR FOBT_1yr0.500.530.370.340.480.470.380.33

21 Cancer Screening Clinical Lead Award

22 Weight Management Clinical Lead Award

23 Tobacco Cessation Clinical Excellence Award

24 Award Recipient Bogalusa Medical Center Leonard J Chabert Medical Center Lallie Kemp Medical Center criterionBMCEKLILHLAKLJCUMCWOM % advised0.900.970.930.96 0.980.960.97 % assessed readiness to quit0.900.970.930.96 0.980.97 % selected assistance among smokers ready to quit0.700.970.680.660.960.920.780.91 screening rate in past 90 days0.900.980.860.890.990.930.880.86

25 Tobacco Cessation Clinical Lead Award

26 Emergency Department Clinical Excellence Award

27 Award Recipient Bogalusa Medical Center Lallie Kemp Medical Center BMCEKLILHLAKLJCUMCWOM Door to Doctor - Home677775747295108 Doc to Discharge - Home87106115761007268 LOS - Home157206233175197195202 LWOBS5%7%9%5%4%8%9%

28 Emergency Department Clinical Lead Award

29 Hypertension Clinical Lead Award

30 Congratulations to All Award Recipients

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