1. Coach Medical Home Strategies & tools to support patient-centered medical home transformation M ODULE 4: Measurement

2. Learning objectives for this module After completing this module, you will know how to: Describe measurement for improvement and why it is critical to PCMH transformation. Help leaders, clinicians, managers, staff, and patients develop a measurement and reporting strategy to support PCMH transformation. Coach Medical Home: Module 4 2

3. Overview of contents 1. Why measurement for improvement is critical to PCMH transformation 2. Build an improvement-focused measurement strategy 3. Make measurement part of daily work through reporting Coach Medical Home: Module 4 3

4. Why measurement for improvement is critical to PCMH transformation S ECTION 1 Coach Medical Home: Module 4

5. Using measurement to drive PCMH transformation Coach Medical Home: Module 4 5

6. Different measures are meaningful for different audiences: Diabetes example Coach Medical Home: Module 4 6 Combined measures provide an overall view of quality of care. Specific measures show opportunities for improvement.

7. Focusing on improvement helps achieve practice goals Coach Medical Home: Module 4 7

8. Build an improvement-focused measurement strategy S ECTION 2 Coach Medical Home: Module 4

9. Why develop a measurement strategy? Coach Medical Home: Module 4 9

10. A measurement strategy’s components Coach Medical Home: Module 4 10

11. How leaders create a data-driven culture 11 Coach Medical Home: Module 4 PCMH transformation Quality improvement Practice leaders should: 11

12. Building a measurement strategy: Five ways to maximize value & efficiency Coach Medical Home: Module 4 12

13. The measurement strategy… Leadership’s role in building the measurement and reporting strategy 13 Coach Medical Home: Module 4 Leader appoints team or point person Commit resources Provide training Develop reporting strategy

14. Engage clinicians & staff in deciding what to measure 14 Coach Medical Home: Module 4 Strategic plan Daily work Other ideas Data Possible performance measures

15. Aim for a balanced set of measures to reveal the big picture 15 Coach Medical Home: Module 4

16. Start with nationally endorsed measures Which national measures are tied to the practice’s goals? MU HEDIS NQF AMA-PCPI NCQA or PCMH Coach Medical Home: Module 4 16 An efficient approach that also allows the practice to compare to national benchmarks

17. Customize measures for the practice Coach Medical Home: Module 4 17

18. Finding value in measures that overlap Coach Medical Home: Module 4 18 Measurement for improvement Measurement for required reporting Internal External Efficient data collection

19. Refine based on available data sources Coach Medical Home: Module 4 19

20. Use EHRs and registries for measurement as much as possible It may take time for practices to get started, but it’s worth it: 20 Coach Medical Home: Module 4

21. Balance cost vs. value Coach Medical Home: Module 4 21

22. Make measurement part of daily work through reporting S ECTION 3 Coach Medical Home: Module 4

23. Engage clinicians and staff through training 23 Coach Medical Home: Module 4 Builds trust and the capacity to use data to support PCMH transformation.

24. Displaying data helps spread engagement 24 Coach Medical Home: Module 4

25. Minimum standard for monthly reporting: Annotated run chart © Institute for Healthcare Improvement

26. Why run charts work so well 26 Coach Medical Home: Module 4 Run charts motivate teams to find ways to meet goals.

27. Questions to consider when reviewing run charts 27 Coach Medical Home: Module 4

28. A family of measures refines understanding © Institute for Healthcare Improvement

29. A dashboard provides a broader view

30. National PCMH Curriculum: Module # 30 Example data wall for staff and patients Measurement Wall at Community Health Partners, Inc., Livingston, Montana

31. Coaching tips summary 31 Coach Medical Home: Module 4 As a coach, you can help a practice: