IMPROVING DIABETES AND HYPERTENSIONFEBRUARY 26 , 2015

SUE BUTTS -DION, IMPROVEMENT ADVISOR

Maine Chronic Disease Improvement Collaborative (CDIC)

QI Team Space & Preparation for Team Report Out & Sharing

Paul Batalden, MDSenior IHI Fellow

All improvement requires change ANDAll change is not necessarily an improvement.

“Everyone in healthcare really has two jobs when they come to

work every day: to do their work and to improve it.”

To increase odds that change is improvement…

Aim

Measures

Change Ideas

Test Ideas

AP D

S

AP

D S

APD

S

A P

DS

Measure(s)

0%10%20%30%40%50%60%70%80%90%

100%

1 2 3 4 5 6 7 8 9 10111213141516171819202122232425weeks

Percent

CDIC: How it Works

Aim: By end of the pilot, have supported the practices to: Improve blood pressure control of hypertensive patients so that 65% of hypertensive patients

have BP<140/90 mm Hg. Improve HbA1c control of diabetic patients so that 80% of diabetic patients most recent

HbA1c level is <9.0% during the measurement year.

Measures: (variable based on MOC participation)Outcome Measures: HTN BP Control (<140/90) (NQF 18) and/or LDL <100 (NQF 0064) DM A1c Control (>9%) (NQF 59) and/or a1c <8% (NQF 0575)Process Measures:Registry Use Population Mgmt Pre-Visit PlanningSelf-Management Plan ReferralOther (e.g., assessment results)

Change Ideas (See Handout)

Testing

Rapid Cycle, Small Scale Testing

How Big or Small to Test??

Test Changes

QI Teamspace

Team Report Outs & Sharing

Huddle with your team to review and update Storyboards (10-15 minutes)

Present your “story” to other teams Aim What you have been working on since December Any results in measures? What you are working on (testing) and plans of what

you will work on next?Q & A and Review of Key Points

Questions?