Review the Quality Improvement Deep Dive Making Clinical Dec

Review the \"Quality Improvement Deep Dive: Making Clinical Decision Support Real & Beneficial\" presentation from healthit.gov.

Discuss thoughts on the subject.

Solution

Clinical quality improvement projects, aid in improving patient care. Practice facilitation is called quality improvement coaching and aims at building the organization for improvement. Practice facilitators help the physicians and quality improvement teams to improve patient outcomes.

Diabetes outcomes: If diabetes is not timely diagnosed and treated it has the potential to reduce life expectancy by around 10-15 years and also cause heavy mortality.

To improve quality in North Carolina the community care, state Medicaid and medical society and care organization, worked together with quality improvement techniques. Quality improvement coaches were trained as practice facilitators to improve quality within the diabetes population. EHR was gathered for reports. Eventually got all the practices on EHR or Electronic health records.

A data for 6 months from the regional extension centers with good EHR programme, applied to 26300 diabetic patients showed that, data helped understand the leadership score, quality improvement and IHI style work with self-management skill with protocols and algorithms of care. Practices like Medicare, medicaid, private and uninsured are compared showing that they had good protocol skills and leadership skills. Quality improvement which use EHR and practice facilitation, there is improvement in patient outcomes. QI program for an economically disadvantaged community is producing better patient outcomes

Psycosocial behavioral system where the practice is completely put to use gave better patient outcomes. Lower no of providers gave best outcomes. Practices of different sizes and payer mix could give good outcomes when worked in collaboration with the Regional extension center and engage the quality improvement coaches have given improved results.

One can understand population data, template for care, data of the population, then can get the population by using the tools to bring the people to practice and give them coaching to bring the meaningful use of the data. UKPDS study a 2 point drop in the data is extrapolated as a huge number of reduction in disease.

Combination of practice facilitation, meaningful usage and quality improvement techniques one can achieve great patient outcomes.