Centricity Physician Office

Centricity Physician Office
Medical Quality
Improvement Consortium
A d h eren ce R ate
Post-MI Patients on Beta Blocker
85%
80%
75%
70%
65%
MQIC Benchmark
Clinic
The State of Quality in Medicine
Americans receive only 55% of recommended
care.
2
GE Healthcare
Source: McGlynn et al. NEJM 2003; 348:2635-45
1
National Response: Pay for Performance
3
GE Healthcare
National Drivers of Pay for Performance
Physician Group
Practice
Demonstration
•Care Coordination
•Administration
•Outcomes
Care Mgmt
Performance
Demonstration
•Technology
•Outcomes
4
GE Healthcare
2
P4P – Mixed Reviews
•Who Benefits?
•Budget neutral?
•Punitive?
•Reporting Burden?
5
GE Healthcare
Problem
Physicians are lacking the information tools
required to:
•Measure clinical performance
•Improve quality
•Increase reimbursement
Medical Quality Improvement Consortium (MQIC
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GE Healthcare
3
MQIC -- 3.7 M patients and growing
Data
Warehouse
Centricity EMR Users
Use data to improve
patient care
Strengthen clinical reporting
–
–
–
Disease management
Quality of care
Practice profiles
Clinical research
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GE Healthcare
MQIC 3,500+ Providers by Specialty
Family Practice
594
Cardiology
160
Internal Medicine
595
Surgery
134
Pediatrics
263
Infectious
52
Obstetrics & Gynecology
163
Pulmonology
50
Geriatrics
21
Hematology/Oncology
56
Total Primary Care MD
1,636
Neurology
68
Orthopedics
36
Other Specialties
439
Total Specialty MD
995
Resident MD
415
Allied Health Professionals
468
Focus
Focuson
onPrimary
PrimaryCare
Care
Growing
GrowingSpecialties
SpecialtiesOver
OverTime
Time
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GE Healthcare
4
Post-MI Patients on Beta Blocker
Post-MI Patients on Beta Blocker
3
A d h eren ce R at e
85%
80% 85%
A d h eren ce R at e
MQIC
Components
75% 80%
70% 75%
65% 70%
65%MQIC Benchmark
MQIC Benchmark
Clinic
Clinic
MQIC
Web Portal
Reports &
Outcomes
Centricity ® Physician
Office EMR
Data Warehouse Services
Data
Data
Import
Import
Database
Data Extract
System
2
Staging Area
1
1
1 1
1
2
2
3
2
3
3
Report
Report
Data
Data
3
1
9
GE Healthcare
Data Security
HIPAA-compliant
Remove patient-identifying information
Only EMR customers can re-identify
individuals
Name, SSN, Phone, Address
Zip code to 3 digits only
DOB --> Age
PID --> transformed to EPID
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GE Healthcare
5
Clinical concepts are essential to
successful reporting
Need to derive value from data
stored “your way.”
Many entry forms for one concept
•
•
•
•
myocardial infarction
MI
S/P MI 1987
hx of heart attacks
Need decision support and
reporting to occur at a more
general level, e.g., “patients with
heart disease”
11
GE Healthcare
Data Cleanup – Most common errors
cleaned
Entered Value
Cleaned Value
120
120
110 RT
110
130 L LGE CUFF
130
refused
-1
3
-2
5’ 10’’
-1
350
-3
12
GE Healthcare
6
MQIC Web Portal
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GE Healthcare
Quality Reports
14
GE Healthcare
7
Example – Norumbega Medical
•Medium-sized
•Medium-sizedprimary
primarycare
carepractice
practicein
inMaine
Maine
•Implemented
•ImplementedCentricity
Centricity©©Physician
PhysicianOffice
Office
over
over66years
yearsago
ago
•9
Physicians,
•9 Physicians,30
30allied
alliedhealth
healthproviders
providers
•Serving
•Servingover
over21,000
21,000patients
patients
•Medical
•MedicalQuality
QualityImprovement
ImprovementConsortium
Consortium
Adherence Rate
Stroke Patients on Aspirin
85%
12/24/2003
3/22/2004
7/9/2004
75%
65%
55%
45%
MQIC Pooled Data
Quality
Quality metrics
metrics showing
showing quarterly
quarterly
trends
trends for
for MQIC
MQIC Pooled
Pooled Data,
Data, 13k
13k
patients
patientsversus
versusNorumbega
Norumbega Medical,
Medical,
aa multi-site
multi-site primary
primary practice.
practice. The
The
graph
graph shows
shows compliance
compliance with
with aa
commonly-accepted
commonly-acceptedclinical
clinicalguideline
guideline
for
forthe
themanagement
managementofofpatients
patientsafter
after
aa stroke.
..
stroke.
Norumbega
15
GE Healthcare
Benchmarking & National Standards
16
GE Healthcare
8
Clinician Level Detail
17
GE Healthcare
Clinician Specific Reports
18
GE Healthcare
9
Example – Community Clinic
•Community
•Communityhealth
healthcenter
centernear
nearBoston
Boston
•32
providers
(12.6
FTE)
•32 providers (12.6 FTE)
•Serving
•Servingover
over7,500
7,500patients
patients
•Federal
Bureau
•Federal BureauofofPrimary
PrimaryHealth
HealthCare
Care
Health
Disparities
Collaborative
Health Disparities Collaborative
•MQIC
•MQIC
8.4
8.4
8.2
8.2
HgbA1c
88
7.8
7.8
7.6
7.6
7.4
7.4
7.2
7.2
"We
"Wehave
havebeen
beenrecognized
recognizedatatthe
thelocal
localand
and 7
7
national
nationallevel
levelininthe
thepast
pastyear.
year. Our
Ourefforts
efforts6.8
totoprovide
the
best
patient
care
to
our
6.8
provide the best patient care to our
6.6
diabetic
6.6
diabeticpatients
patientshave
havebeen
beengreatly
greatly
enhanced
enhancedbecause
becauseofofthe
thetools
toolsavailable
availabletotous.
us.
The
TheEMR
EMRhas
hasbecome
becomeone
oneofofthe
thecritical
critical
components
componentsofofour
ourpatient
patientcare
caredelivery
deliverysystem."
system."
July 2003
Jan 2004
July 2004
19
GE Healthcare
MQIC Web Portal
•
•
•
•
•
ACE Inhibitor Mgmt
Aspirin Mgmt
Blood Pressure
Hemoglobin A1c
LDL Cholesterol
Hyperlipidemia/LDL Measurement
Hypertension/BP Measurement
Congestive Heart Failure/ACEI
Stroke/Aspirin
Myocardial Infarction/Beta Blockers
Premium Content in 2005
NCQA Adult & Pediatric Measures
NCQA Heart/Stroke
DOQ-IT
•
•
Chronic Disease Measures
Preventive Measures
- Depression
- Cancer Screening
- Immunizations
Post-MI Patients on Beta Blocker
- Smoking
Ad herence Rate
Reports TODAY
Diabetes
85%
80%
75%
70%
65%
MQIC Benchmark
Clinic
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GE Healthcare
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Centricity Physician Office - MQIC
• Helping physicians
measure the impact of
care decisions on outcomes
• The Market’s Only
True “Plug-and-Play”
Data Warehouse &
Quality Reporting
Service
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GE Healthcare
MQIC Demo Schedule – May 2005
Date
Time
Monday May 9th
PST
12 EST, 11 CST, 10 MST, 9
Thursday May 26th
PST
12 EST, 11 CST, 10 MST, 9
WebEx & Teleconference
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GE Healthcare
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Saturday 8:30 AM
Crystal Report Utilization
Share current useful Crystal Reports and
discuss ways to try to optimize sharing of this
type of information so that each institution is
not using resources to develop reports, which
we all need, or want. Examples include Crystal
reports written for DP RP and Heart Stroke
Recognition Programs.
Jane Arquette, Information Technology
Manager
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GE Healthcare
MQIC Membership & Demos
Tom Ricciardi
Manager, Clinical Data Services
[email protected]
24
GE Healthcare
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