new study launch webinar february 28, 2013 pin clinical improvement studies
TRANSCRIPT
NEW STUDY LAUNCH WEBINARFEBRUARY 28 , 2013
PIN Clinical Improvement Studies
Feedback from the Field
Minimize data collection and reporting burden
Avoid duplication
Collaborate with other data collection projects
Consistent data definitions with national projects
Consistent report formats between projects when possible
Overlap/Alignment/Similarities = COLLABORATION
The PIN “OP 4,5” Study
Data collected using the CMS CART tool No new tool for the PIN project
Data definitions consistent with those in CART tool
One data submission works toward 3 initiatives: Regulatory compliance; MBQIP; CMS-OQR
Consistent reporting: we’re working on that…..
What is “OP 4,5” ?!
OP = outpatient measures Included in the MBQIP Phase 2 measure set Originally defined as part of the CMS Outpatient Quality Reporting
(OQR) project some years ago
OP 4 and OP 5 = numbers CMS has assigned to specific measures within their OQR project there are several other measures in their set
Study name reflects that this PIN project will focus on two of the OQR- OP measures: number 4 and number 5
Clinical Improvement Studies Format
Announcement and training todayBaseline data collection March 29Reports back to facilities April - MaySupport Facility PI Cycles April - SeptRe-measure performance Oct 2013Reports back to facilities Nov 2013
In General For this study
Clinical Improvement Studies Format
Announcement and training todayBaseline data collection March 29Reports back to facilities April - MaySupport Facility PI Cycles April - SeptRe-measure performance OctoberReports back to facilities Nov - Dec
In General For this study
OP 4,5 Measure Definitions
OP 4 Aspirin On Arrival
Numerator: Emergency Department AMI or Chest Pain patients (with Probable Cardiac Chest Pain) who received aspirin within 24 hours before ED arrival or prior to transfer.
Denominator: Emergency Department AMI or Chest Pain patients (with Probable Cardiac Chest Pain).
Source: http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FSpecsManualTemplate&cid=1228772438492
OP 4,5 Measure Definitions
OP 5 Median Time to EKG
Description: Median time from ED arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain).
Source: http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FSpecsManualTemplate&cid=1228772438492
Baseline Data Collection: Due Mar 29
Emergency Room Cases onlyAMI populationChest Pain, Probably Cardiac Chest Pain,
populationCases between Jan 1, 2012 and Sept 30, 2012No more than 30 casesTool: OQR - CART tool
Re-measurement Data Collection
Emergency Room Cases onlyAMI populationChest Pain, Probably Cardiac Chest Pain,
populationCases between April 1, 2013 and Sept 30,
2013No more than 30 casesTool: OQR - CART tool
Performance Improvement Support
Time to ECGAspirin administrationThrombolytics administrationDPHHS Cardiac Program resourcesPIN AMI Tool KitCoding and/or Abstraction Accuracy needs
Using CARTto Enter Data for the OP 4 and OP 5
Shanelle, you are up!
CART Demonstration!
Questions?
Kathy WilcoxRural Hospital Quality CoordinatorMHA/[email protected]; 406.461.6186
Shanelle VanDyke Quality Improvement & Reporting Project Manager Mountain-Pacific Quality Health [email protected]; 406.457.5896