Example: Clinical Measure Measure 1: 1. Measure selected for Reason: The USPSTF has recommended screening for colorectal cancer as a Colorectal cancer improvement; reason for preventive test for adults. We want to increase percentage of patients who (CRC) screening selection receive screening for CRC. Baseline Start Date: 2./3. Baseline performance 5/1/16 Baseline End Date: 5/30/16 measurement; numeric goal Baseline Performance Measurement (% or #): 56/547 = 32.0% for improvement (QI 01) Numeric Goal (% or #): 58% 4. Actions taken to improve Action: Pop-up reminders were added to our EMR for patients due/overdue and work toward goal; dates screening of initiation (QI 08) Date Action Initiated: 7/1/16 (Only 1 action required) Additional Actions: Provider quality compensation metric put in to incentivize providers to ensure appropriate health screening. 5. Remeasure performance Start Date: 5/1/17 End Date: 5/30/17 (QI 12) Performance Remeasurement (% or #): 380/550 = 69.1% 6. Assess actions; describe July 2016, there has been an increase of 37.1 percentage points in improvement. (QI 12) patients receiving CRC screening due to incentivizing providers and use of clinical decision support of EMR to indicate when patients are due for screening. Example: Identify a Disparity in Care for a Vulnerable Population Vulnerable 1. Identify a disparity in Describe a comparison of a vulnerable population against the general population: care for a vulnerable population in which the vulnerable population received care/service at a lower Uninsured women population performance: Uninsured patients receive fewer mammograms than insured patients
Example: Clinical Measure Measure 1: Colorectal cancer (CRC) screening 1. Measure selected for improvement; reason for selection Reason: The USPSTF has recommended screening for colorectal cancer as a preventive test for adults. We want to increase percentage of patients who receive screening for CRC. 2./3. Baseline performance measurement; numeric goal for improvement (QI 01) Baseline Start Date: 5/1/16 Baseline End Date: 5/30/16 Baseline Performance Measurement (% or #): 56/547 = 32.0% Numeric Goal (% or #): 58% 4. Actions taken to improve and work toward goal; dates of initiation (QI 08) (Only 1 action required) Action: Pop-up reminders were added to our EMR for patients due/overdue screening Date Action Initiated: 7/1/16 Additional Actions: Provider quality compensation metric put in to incentivize providers to ensure appropriate health screening. 5. Remeasure performance (QI 12) Start Date: 5/1/17 End Date: 5/30/17 Performance Remeasurement (% or #): 380/550 = 69.1% 6. Assess actions; describe improvement. (QI 12) July 2016, there has been an increase of 37.1 percentage points in patients receiving CRC screening due to incentivizing providers and use of clinical decision support of EMR to indicate when patients are due for screening. Example: Identify a Disparity in Care for a Vulnerable Population Vulnerable population: Uninsured women 1. Identify a disparity in care for a vulnerable population Describe a comparison of a vulnerable population against the general population in which the vulnerable population received care/service at a lower performance: Uninsured patients receive fewer mammograms than insured patients
NCQA_PCMH_Quality_Measurement_and_Improvement_Worksheet_3.4.2017.docx