scheduled appointments to come in for the vaccine. If unable to reach parent(s) by phone, a letter was mailed to the parent Date Action Initiated: 09-01-16 Additional Actions: If unable to the patient by phone/mail or if the patient never came to the appointment for the vaccine, the provider was notified and a pop-up reminder was placed in the chart in EHR. Start Date: 02-21-17 End Date: 02-21-17 (*please note that our system does not have the capability to run this report as a date range, 5. Remeasure performance but instead as the number of all active patients for our practice at the time of (6E 1,2) the report) Performance Re-Measurement (% or #): 51/565 = 9% NCIR and EHR reports for 2 year old DTaP vaccine administration were reviewed monthly. Patients who were not up-to-date on this vaccine were reminded via 6. Assess actions; describe phone or mail to comply with CDC guidelines. Parents were advised of the improvement importance and need for this vaccine. Our reports demonstrate that our actions (6E 1) did improve compliance with DTaP vaccination recommendations. Our percentage of patients that were not up-to-date decreased from 11% to 9%, surpassing our goal of 10%. Reason: According to guidelines from Bright Futures/American Academy of Measure 3: 1. Measure selected for Pediatrics, 2 year olds should have a Well-Child Check (WCC). The Bright Active patients who improvement; reason for Futures/AAP 2016 for Preventive Pediatric Healthcare” states “Recommendations are 2 years old selection AAP continues to emphasize the great importance of continuity of care in “The without a Well-Child comprehensive health supervision and the need to avoid fragmentation of care.” Check (WCC) https://brightfutures.aap.org/ 2./3. Baseline performance Baseline Start Date: 08-23-16 Baseline End Date: 08-23-16 (*please measurement, numeric goal note that our system does not have the capability to run this report as a date for improvement. (6D 1) range, but instead as the number of all active patients for our practice at the time of the report)
scheduled appointments to come in for the vaccine. If unable to reach parent(s) by phone, a letter was mailed to the parent Date Action Initiated: 09-01-16 Additional Actions: If unable to the patient by phone/mail or if the patient never came to the appointment for the vaccine, the provider was notified and a pop-up reminder was placed in the chart in EHR. 5. Remeasure performance (6E 1,2) Start Date: 02-21-17 End Date: 02-21-17 (*please note that our system does not have the capability to run this report as a date range, but instead as the number of all active patients for our practice at the time of the report) Performance Re-Measurement (% or #): 51/565 = 9% 6. Assess actions; describe improvement (6E 1) NCIR and EHR reports for 2 year old DTaP vaccine administration were reviewed monthly. Patients who were not up-to-date on this vaccine were reminded via phone or mail to comply with CDC guidelines. Parents were advised of the importance and need for this vaccine. Our reports demonstrate that our actions did improve compliance with DTaP vaccination recommendations. Our percentage of patients that were not up-to-date decreased from 11% to 9%, surpassing our goal of 10%. Measure 3: Active patients who are 2 years old without a Well-Child Check (WCC) 1. Measure selected for improvement; reason for selection Reason: According to guidelines from Bright Futures/American Academy of Pediatrics, 2 year olds should have a Well-Child Check (WCC). The Bright Futures/AAP 2016 “Recommendations for Preventive Pediatric Healthcare” states “The AAP continues to emphasize the great importance of continuity of care in comprehensive health supervision and the need to avoid fragmentation of care.” https://brightfutures.aap.org/ 2./3. Baseline performance measurement, numeric goal for improvement. (6D 1) Baseline Start Date: 08-23-16 Baseline End Date: 08-23-16 (*please note that our system does not have the capability to run this report as a date range, but instead as the number of all active patients for our practice at the time of the report)
NCQA-PCMH-2014-Quality-Measurement-and-Improvement-Worksheet-11.21.2016.docx