PIN Clinical Improvement Studies
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Transcript of PIN Clinical Improvement Studies
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NEW STUDY LAUNCH WEBINARFEBRUARY 28 , 2013
PIN Clinical Improvement Studies
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Feedback from the FieldMinimize data collection and reporting burden
Avoid duplication
Collaborate with other data collection projects
Consistent data definitions with national projects
Consistent report formats between projects when possible
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Overlap/Alignment/Similarities = COLLABORATION
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The PIN “OP 4,5” StudyData collected using the CMS CART tool
No new tool for the PIN project
Data definitions consistent with those in CART tool
One data submission works toward 3 initiatives: Regulatory compliance; MBQIP; CMS-OQR
Consistent reporting: we’re working on that…..
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What is “OP 4,5” ?!OP = outpatient measures
Included in the MBQIP Phase 2 measure set Originally defined as part of the CMS Outpatient Quality Reporting
(OQR) project some years ago
OP 4 and OP 5 = numbers CMS has assigned to specific measures within their OQR project there are several other measures in their set
Study name reflects that this PIN project will focus on two of the OQR- OP measures: number 4 and number 5
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Clinical Improvement Studies Format
Announcement and training todayBaseline data collection March 29Reports back to facilities April - MaySupport Facility PI Cycles April - SeptRe-measure performance Oct 2013Reports back to facilities Nov 2013
In General For this study
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Clinical Improvement Studies Format
Announcement and training todayBaseline data collection March 29Reports back to facilities April - MaySupport Facility PI Cycles April - SeptRe-measure performance OctoberReports back to facilities Nov - Dec
In General For this study
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OP 4,5 Measure Definitions
OP 4 Aspirin On Arrival
Numerator: Emergency Department AMI or Chest Pain patients (with Probable Cardiac Chest Pain) who received aspirin within 24 hours before ED arrival or prior to transfer.
Denominator: Emergency Department AMI or Chest Pain patients (with Probable Cardiac Chest Pain).
Source: http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FSpecsManualTemplate&cid=1228772438492
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OP 4,5 Measure Definitions
OP 5 Median Time to EKG
Description: Median time from ED arrival to ECG (performed in the ED prior to transfer) for acute myocardial infarction (AMI) or Chest Pain patients (with Probable Cardiac Chest Pain).
Source: http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FSpecsManualTemplate&cid=1228772438492
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Baseline Data Collection: Due Mar 29
Emergency Room Cases onlyAMI populationChest Pain, Probably Cardiac Chest Pain,
populationCases between Jan 1, 2012 and Sept 30, 2012No more than 30 casesTool: OQR - CART tool
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Re-measurement Data CollectionEmergency Room Cases onlyAMI populationChest Pain, Probably Cardiac Chest Pain,
populationCases between April 1, 2013 and Sept 30,
2013No more than 30 casesTool: OQR - CART tool
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Performance Improvement SupportTime to ECGAspirin administrationThrombolytics administrationDPHHS Cardiac Program resourcesPIN AMI Tool KitCoding and/or Abstraction Accuracy needs
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Using CARTto Enter Data for the OP 4 and OP 5
Shanelle, you are up!
CART Demonstration!
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Questions?Kathy Wilcox
Rural Hospital Quality CoordinatorMHA/[email protected]; 406.461.6186
Shanelle VanDyke Quality Improvement & Reporting Project Manager Mountain-Pacific Quality Health [email protected]; 406.457.5896