~ Your Practice Data ~
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Transcript of ~ Your Practice Data ~
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~ Your Practice ~ Your Practice Data ~Data ~
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4.04.4 4.2
3.7 3.7
2.6
3.84.2
4.7 4.6 4.84.3
3.6
4.4
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
1 2 3 4 5 6 MHI MeanDomains
Ave
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Comparing Each Comparing Each Domain…Domain…
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#1.5 Family Feedback Requires both MD and non MD staff person's perspective.
Partial o (1 pt.) Complete o (2 pts.) Partial o (3 pts.) Complete o (4 pts.) Partial o (5 pts.) Complete o (6 pts.) Partial o (7 pts.) Complete o (8 pts.)Date: 9/10 Score: 6.0Date: _______________ Score: ______________
Date: _______________ Score: ______________
Date: _______________ Score: ______________
#1.6 Cultural Competence
Partial o (1 pt.) Complete o (2 pts.) Partial o (3 pts.) Complete o (4 pts.) Partial o (5 pts.) Complete o (6 pts.) Partial o (7 pts.) Complete o (8 pts.)Date: 9/10 Score: 5.0Date: _______________ Score: ______________
Date: _______________ Score: ______________
Date: _______________ Score: ______________
#1.7 Staff Education Requires both MD and non MD staff person's perspective.
Partial o (1 pt.) Complete o (2 pts.) Partial o (3 pts.) Complete o (4 pts.) Partial o (5 pts.) Complete o (6 pts.) Partial o (7 pts.) Complete o (8 pts.)Date: 9/10 Score: 3.0Date: _______________ Score: ______________
Date: _______________ Score: ______________
Date: _______________ Score: ______________
Date: 9/10 Score: 4.43Date:_______________ Score: #DIV/0!Date:_______________ Score: #DIV/0!Date:_______________ Score: #DIV/0!
In addition to Level 1, resources and information are available for families of the most common diverse cultural backgrounds; others are assisted individually through efforts to obtain translators or to access information from outside sources.
The primary care provider (PCP) attempts to overcome obstacles of language, literacy, or personal preferences on a case by case basis when confronted with barriers to care.
Family feedback to the practice occurs through external mechanisms such as satisfaction surveys issued by a health plan; this information is not always shared with practice staff.
Feedback from families of CSHCN is elicited sporadically by individual practice providers or by a suggestion box; this feedback is shared informally with other providers an staff.
In addition to Level 2, materials are available and appropriate for non-English speaking families, those with limited literacy; these materials are appropriate to the developmental level of the child/young adult.
In addition to Level 3, an advisory process is in place with families of CSHCN which helps to identify needs and implement creative solutions; there are tangible supports t6o enable families to participate in these activities (e.g. childcare or parent stipends).
In addition to Level 3, family assessments include pertinent cultural information, particularly about health benefits; this information is incorporated into care plans; the practice uses these encounters to assess patient & community cultural needs.
Feedback from families of CSHCN regarding their perception of care is gathered through systematic methods (e.g. surveys, focus groups, or interviews); there is a process for staff to review this feedback and to begin problem solving.
In addition to Level 2, educational information on community-based resources for CSHCN, including diagnosis specific resource information, is available for all staff.
In addition to Level 1, the practice supports (paid time/ tuition support) continuing education for all staff in the care of CSHCN (children with special health care needs).
For all staff, an orientation to internal office practices, procedures and policies is provided.
In addition to Level 3, families of CSHCN are integrated into office staff orientations and educational opportunities as teachers or "family faculty"; support for families to take this role is provided.
MEAN - DOMAIN 1
Refer to your practice data….Refer to your practice data….
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Date: _______________ Score: ______________
Date: 9/10 Score: 4.43Date:_______________ Score: #DIV/0!Date:_______________ Score: #DIV/0!Date:_______________ Score: #DIV/0!
MEAN - DOMAIN 1
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Domain 1 - Organizational Capacity
4.0
4.2
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Average for this Domain
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Domain 2 - Chronic Condition Management
4.4
4.7
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Average for this Domain
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Domain 3 - Care Coordination
4.2
4.6
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Average for this Domain
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Domain 4 - Community Outreach
3.7
4.8
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Average for this Domain
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Domain 5 - Data Management
4.3
3.7
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Average for this Domain
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Domain 6 - Quality Improvement / Change
2.6
3.6
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Average for this Domain
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Average of Florida Practices Average of Florida Practices
CMHI BenchmarkCMHI Benchmark
Florida PracticesFlorida Practices
Index Mean
3.8
4.4
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
Practi
ces
Index-wide Averages
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Key Highlights –Key Highlights –Strengths and weaknesses by Strengths and weaknesses by Domain Domain
(by cohort average per Index self-(by cohort average per Index self-assessment)assessment)
Highest Highest scoring Domain: #2scoring Domain: #2– – Chronic Condition ManagementChronic Condition Management
LowestLowest scoring Domain: #6 scoring Domain: #6– – Quality Improvement / ChangeQuality Improvement / Change
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Key Highlights –Key Highlights –Strengths and weaknesses by individual Strengths and weaknesses by individual
ThemeTheme (by cohort average per Index (by cohort average per Index self-assessment)self-assessment)
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HighestHighest scoring Themes scoring Themes 2.6 - Family Support2.6 - Family Support 2.4 - Cooperative Management Between Primary 2.4 - Cooperative Management Between Primary
Care Provider (PCP) and SpecialistCare Provider (PCP) and Specialist 1.1 - The Mission of the Practice1.1 - The Mission of the Practice
LowestLowest scoring Themes scoring Themes 6.1 - Quality Standards (structures)6.1 - Quality Standards (structures) 6.2 - Quality Activities (processes)6.2 - Quality Activities (processes) 1.5 - Family Feedback1.5 - Family Feedback
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What did we learn?What did we learn?
~ ~ The Medical Home Index is a useful tool for The Medical Home Index is a useful tool for identifying areas of potential “medical home identifying areas of potential “medical home improvement” for our practice.improvement” for our practice.
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Areas of improvement needs that Areas of improvement needs that you identified by Index scoring, you identified by Index scoring, patient population and/or practice patient population and/or practice interest …interest …
1.2 Access/Communication1.2 Access/Communication 1.5 Family Feedback1.5 Family Feedback 2.51 Transition2.51 Transition 5.1 Electronic Data5.1 Electronic Data 6.1 Quality Improvement6.1 Quality Improvement
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What did we learn?What did we learn?
~ Perceptions can vary…..~ Perceptions can vary…..
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0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00
1.1
1.2
1.3
1.4
1.5
1.6
1.7
Scoring Domain 1 by four staff members of same practiceScoring Domain 1 by four staff members of same practice
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What did we learn?What did we learn?
~ Our practice must work as a team! ~ Our practice must work as a team!
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What did we learn?What did we learn?
~ The journey is as important as the ~ The journey is as important as the destination…..destination…..
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Questions?Questions?
One Step at a Time….One Step at a Time….