using a registry to manage asthma population james wiley, md physician leader, alabama aap chapter...
TRANSCRIPT
Using a Registry to Manage Asthma Population
James Wiley, MDPhysician Leader, Alabama AAP Chapter
Stephen Pleatman, MDPediatrician, Suburban Pediatric Associates, Inc.
Board Member, Ohio Valley Primary Care Associates, L.L.C.Cincinnati, Ohio
AAP Chapter Quality Network Asthma InitiativeAlabama Chapter-Learning Session 1
September 17, 2009
What is a registry?
A registry is a list of patients and their relevant clinical data that can be sorted by a condition or set of conditions in order to improve and monitor the care of the population
Adapted from Improving Chronic Illness Care; www.improvingchroniccare.org
Importance of Registry to CQN Asthma Initiative
(insert key messages/bullet points from national AAP and Alabama chapter leadership)
(Alabama/AAP leadership may want to use the following “fear vs. fact” slides to reinforce value/importance of registries to improvement)
Registries: Facts vs. Fears
Fear: “Why is a registry vital to quality improvement efforts?”
Fact: Planned, population-based care cannot be done without knowing your patient population and related key clinical data.
Fact: Primary care teams that implement registries are more likely to improve processes of care and outcomes for populations with chronic conditions.
Fact: Teams with registries are less likely to lose patients to follow-up, and more likely to improve patient satisfaction as care improves.
Adapted from Improving Chronic Illness Care; www.improvingchroniccare.org
Registries: Facts vs. Fears
Fear: “I don’t need anyone telling me how to practice! I’m doing just fine with my patients!”
Fact:Surveys show that providers consistently under- estimate the number of patients with chronic disease in their practice.
Fact:Surveys show that providers consistently over- estimate their performance on quality measures for chronically ill patients.
Fact: Knowing your population of patients will help address this disparity.
Adapted from Improving Chronic Illness Care; www.improvingchroniccare.org
Registries: Facts vs. Fears
Fear: “It’s just more work during our already hectic day!”Fact: Using a patient summary form from a registry will
actually reduce charting time and make the visit run more smoothly.
Fact: The form gives a snapshot of past care, reminders of needed care and planning for future care, all at the time of the visit.
Fact: Teams with registries feel better prepared for visits since they have the patient information when they need it.
Adapted from Improving Chronic Illness Care; www.improvingchroniccare.org
Registries: Facts vs. Fears
Fear: “This will cost me a fortune and there’s no return on investment!”
Fact: Implementing a registry is simple, and there are economies of scale as you add more patients.
Fact: Registries facilitate population-based care, which improves outcomes and patient satisfaction.
Fact: Planned care via the registry generates visits that are typically of higher intensity, while reducing unexpected visits for acute exacerbations.
Adapted from Improving Chronic Illness Care; www.improvingchroniccare.org
Ideal Features of a Registry
• Guides clinical care first, measurement second!
• Quick to implement
• Simple to use
• Data entry simple and efficient
• Incorporates other automated data sources
• Stratifies patients by complexity/severity
Adapted from Improving Chronic Illness Care; www.improvingchroniccare.org
Registry Strategy
(insert key messages/bullet points from national AAP and Alabama chapter leadership)
Cincinnati Case Study:Using PHO Asthma Registry/Data to Drive Improvement
Stephen Pleatman, MDPediatrician, Suburban Pediatric Associates, Inc.
Board Member, Ohio Valley Primary Care AssociatesCincinnati, Ohio
Log In Screen
Dashboard
Process Dashboard (Year End 2008 Results) Outcomes Dashboard (Year End 2008 Results)
State of Asthma Care
Key Outcome Statistics
View existing patient’s demographics, encounter dates, and flu history
Asthma Encounters Demographics Section
Visit Planner
High Risk Patient List
Utilization Report
Improving Influenza Immunization Rates
Work List Patients who have not had a Flu Shot
Improving Influenza Immunization Rates
Improving Influenza Immunization Rates
Flu Shot %
2008/2009 Flu Season
HL
Web-based Asthma Reconfirmation
Reconfirmation Progress by Practice
Type here2009 Reconfirmation Progress by Practice
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Practice (n=# Patients to Review)
% Added % Excluded % RemainingLast Updated 9/1/2009
Asthma Reconfirmation Work List