Transcript Slide 1

“HHQI Cardiovascular
Data Registry Playbook”
Home Care Association of Washington
April 16, 2015
Carol Higgins, OTR (Ret.), CPHQ
Quality Improvement Consultant, Qualis Health
• Qualis Health is one of the nation’s leading healthcare
consulting organizations, partnering with our clients across
the country to improve care for millions of Americans every
day
• Serving as the Medicare Quality Innovation Network Quality
Improvement Organization (QIN-QIOs) for Idaho and
Washington
• QIN-QIOs: the largest federal network dedicated to
improving health quality at the community level
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Goals for Today
By the end of this session, you will better
understand:
• Why your agency should focus on cardiac care
• What your options are for identifying areas to improve
• What difference this could make for you and your
patients
• How this work can improve your business and
marketability within your healthcare community
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Increased Performance Transparency
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Payment Reform On the Horizon
Pay for
Reporting
HHAs
Performance
Transparency
SNFs
Pay for
Performance
Physicians
Pay for Value
Hospitals
Based on previous P4P programs, key metric on Home
Health Compare likely to be included in future HHA P4P
programs: How Often Home Health Patients Had to be
Admitted to the Hospital
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Link Between Rehospitalizations
and Cardiac Care
Top Primary Diagnoses Top Chronic Conditions
for All HHA Patients
for All HHA Patients
Top Primary Diagnoses for
Re-hospitalized HHA Patients
1. Rehab
2. Heart Failure
3. Pressure Ulcer
4. Late Effect CVD
5. COPD
1. Heart Failure
2. Septicemia
3. Pneumonia
4. Device Complication
5. Dysrhythmia
1. Hypertension (51%)
2. Diabetes (28%)
3. Heart Failure (20%)
4. Dementia (18%)
5. COPD (14%)
Data based on Medicare FFS claims for beneficiaries living in WA and ID
and receiving HHA care between Q4 2013 and Q3 2014.
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The Heart of Quality
Courtesy of Cindy Sun, MSN, RN, COS-C
[email protected]
National Cardiovascular Disease
Heart Disease is #1
cause of death
Stroke is #4 cause of
death
1 out of 3 deaths
related to CVD
Greatest contributor
to racial disparity in
life expectancy
George, Tong, Sonnernfeld, & Hong, 2012;
Roger VL, et al. Circulation. 2012;125:e2-e220. & Heidenriech PA, et al. Circulation. 2011;123:933–4
Home Health Cardiovascular
Improvement Initiative
 Aligns with national Million Hearts® initiative
 Focuses on the
ABCS of preventive
cardiovascular care
The Million Hearts® word and logo marks are owned by the U.S. Department of Health and Human Services (HHS). Use of these marks does
not imply endorsement by HHS. Use of the Marks also does not necessarily imply that the materials have been reviewed or approved by HHS.
Cardiovascular Health Best Practice
Intervention Packages - Integrated
Home Health
Cardiovascular
Data Registry
ABCS Data
ASPIRIN
Was the patient
taking ASA or other
antithrombotic?
CHOLESTEROL
Did the patient have a
lipid screening in the
past year? LDL-C?
BLOOD PRESSURE
SMOKING
What was the patient’s
final BP & was HTN
addressed?
Was the patient screened for
tobacco use? If a user, was an
intervention implemented?
www.HomeHealthQuality.org
Data Access
Selecting month to abstract
Making monthly selection
1st page in monthly registry
Top portion of Registry
Dual-Eligibility
Aspirin
Blood Pressure
Cholesterol
Cholesterol
Cholesterol
Tobacco
HHCDR Report
HHCDR Details
 Access HHCDR through normal Data Access portal
 Each month, HHA will select which measures
(A, B, C and/or S)
 Patient demographic information will be
prepopulated on the 15th of every month
 All data ‘closed’ by the 14th of the month will be used
to create HHCDR Report to be posted ~23rd of the
month
Sharing of
HHQI CardeioLAN
cardiovascular
knowledge &
application of resources
Networking
CardioLAN
Identifying
opportunities for
improvement
Direct access to the
HHQI Team
Cardio Milestones
 Join the Progressive Cardiovascular Learning & Action
Network (CardioLAN)
 Download all Cardiovascular Best Practice Intervention
Packages (BPIPs)
 Complete HHQI Data Access registration
 Close one month of required patients’ data in the Home Health
Cardiovascular Data Registry (HHCDR)
 Download one HHCDR report
 Enter patient data & close a total of six months of required
patients’ data for HHCDR
 Validate data
 Achieve noted improvement in one or more cardiovascular
outcomes
Join Today
Cardiovascular Learning & Action Network
HHQI University
 Platform for learning with HHQI
– Monthly educational opportunities
– Access to an evolving catalog of educational topics
• Easy to use
• Focus on applying best practices
for improving patient outcomes
– Engaging clinicians
– Approved by American Nurses
Credentialing Center (ANCC)
– Learn more at
www.HomeHealthQuality.org/Education/HHQI-University
www.HomeHealthQuality.org
[email protected]
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the
Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of
the U.S. Department of Health and Human Services. The views presented do not necessarily reflect CMS policy.
Publication number 11SOW-WV-HH-MMD-030415
Experiences from our Agencies
• Several agencies have signed up for the
Cardiovascular Data Registry but not had a chance
to enter data as yet
• Many agencies have been downloading and using
the BPIPs for resources for their staff
• Feedback from participants…
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Sharing Information and Ideas
• What are you currently doing to improve the care of
cardiac patients?
• Are you utilizing the HHQI BPIPS?
• What would you like to be doing to improve care?
• How can Qualis Health support your efforts?
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Summary – Urgency for Cardiac Care
Improvements
• Strong need in all our communities
• Nationally recognized, evidence-based interventions
are already available
• Educational resources are free and easily adaptable
to home health schedules
• Data Registry is ready to demonstrate both your
opportunities and your progress
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Next Steps
• Participate in the HHQI Cardiovascular Data Registry
• Determine your specific areas of opportunity
• Download the BPIPs as needed for your area(s) of
focus
• Work together to generate improvements
• Contact Qualis Health for assistance
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Questions
Carol Higgins, OTR (Ret.), CPHQ
QI Consultant, Qualis Health
T (206) 288-2454
F (206) 366-3370
[email protected]
For more information:
www.Medicare.QualisHealth.org/projects/care-transitions
This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO) for Idaho and
Washington, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The
contents presented do not necessarily reflect CMS policy. WA-C3-QH-1697-03-15
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