performance: Uninsured patients receive fewer mammograms than insured Disparity: patients Uninsured receive fewer 2./3. Baseline performance Baseline Date: 07/2015 Baseline End Date: 12/2015 mammograms measurement and Baseline Performance Measurement for Vulnerable Population (% or #): 25/100 = numeric goal for 25% of uninsured receive mammograms improvement (6D 7) Baseline Performance Measurement for General Population (% or #): 600/1000 = 60% of insured women receive mammograms Numeric Goal (% or #): 50% of uninsured women receive mammograms 4. Actions taken to improve Action: Identified community resources for free or low-cost mammograms and and work toward goal; shared with uninsured patients (6D 7) dates of initiation Date Action Initiated: 1/2016 (Only 1 action required) Additional Actions: 5. Remeasure Performance Start Date: End Date: Note: Continuing QI is Performance Re-Measurement (% or #): encouraged, but is not required for 6D 7. 6. Assess actions; describe During a 1-year measurement period from July–Dec 2015, was a 30 improvement percentage point difference in screening rates between insured and uninsured women. After compiling a list of community resources and sharing the Note: Continuing QI is information with our uninsured population, we saw a 15 percentage point encouraged, but is not required increase in the number of uninsured women receiving mammograms during the for 6D 7. remeasurement period of Jan–July 2016. Practice Name: Wake Forest Pediatric Associates, PLLC Date Completed: 02-28-17
Disparity: Uninsured receive fewer mammograms performance: Uninsured patients receive fewer mammograms than insured patients 2./3. Baseline performance measurement and numeric goal for improvement (6D 7) Baseline Date: 07/2015 Baseline End Date: 12/2015 Baseline Performance Measurement for Vulnerable Population (% or #): 25/100 = 25% of uninsured receive mammograms Baseline Performance Measurement for General Population (% or #): 600/1000 = 60% of insured women receive mammograms Numeric Goal (% or #): 50% of uninsured women receive mammograms 4. Actions taken to improve and work toward goal; dates of initiation (6D 7) (Only 1 action required) Action: Identified community resources for free or low-cost mammograms and shared with uninsured patients Date Action Initiated: 1/2016 Additional Actions: 5. Remeasure Performance Note: Continuing QI is encouraged, but is not required for 6D 7. Start Date: End Date: Performance Re-Measurement (% or #): 6. Assess actions; describe improvement Note: Continuing QI is encouraged, but is not required for 6D 7. During a 1-year measurement period from July–Dec 2015, was a 30 percentage point difference in screening rates between insured and uninsured women. After compiling a list of community resources and sharing the information with our uninsured population, we saw a 15 percentage point increase in the number of uninsured women receiving mammograms during the remeasurement period of Jan–July 2016. Practice Name: Wake Forest Pediatric Associates, PLLC Date Completed: 02-28-17
NCQA-PCMH-2014-Quality-Measurement-and-Improvement-Worksheet-11.21.2016.docx