Practice Management Improvement (PMI) Orientation Session.
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Transcript of Practice Management Improvement (PMI) Orientation Session.
Practice Management Practice Management Improvement Improvement
(PMI)(PMI)
Orientation SessionOrientation Session
PMI Orientation Objective
Increase SBHC team’s knowledge and understanding of practice management
and practice management improvement process for SBHCs
Quality Improvement Collaboratives
California Colorado Connecticut Florida Illinois Louisiana Maine Maryland
Massachusetts Michigan New Jersey New Mexico New York North Carolina Washington West Virginia
Over 6 years, NASBHC has implemented quality improvement collaboratives with 99 SBHCs from 16 states. These efforts have positively effected the health care of over 150,000 students annually.
NASBHC’s SBHC Quality Improvement Collaboratives
Adaptations of ● Institute for Healthcare Improvement’s (IHI) quality
improvement model ● HRSA’s Bureau of Primary Care Health Disparities
Collaboratives With funding from:
● CDC, Division of Adolescent and School Health● HRSA, Maternal and Child Health Bureau● HRSA, Bureau of Primary Health Care
NASBHC’s SBHC Quality Improvement Collaboratives
Preventive Services Improvement (risk assessments, physical exams and STDs/HIV prevention): 3 cycles
Mental Health Education and Training (mental health screening, interventions, and documentation): 2 cycles
Practice Management Improvement (coding, chart documentation, clinic operations): 2 cycles
Adolescent STD/HIV Avoidance Project (STD/HIV Prevention activities): 1cycle-four states
What is Practice Management Improvement?
It is a process which describes the whole spectrum of operating an entire health care entity from then the patient walks in the door until the bill is paid.
Why Practice Management Improvement?
PMI will improve the :
● Quality● Efficiency ● Effectiveness /outcomes
Of patient care
Why Practice Management Improvement?
The PMI process will also help identify:
● Improvements in billing and coding
Resulting in increased revenue through a billing system
How is Practice Management Improvement Accomplished?
Through a series of:
Steps
Processes and
Activities
Orientation
Data Gathering
Self Assessment #1(Pre-Assessment)
SWOTskill building sessions and work plan
implementation
Self-Assessment #2(Post Assessment #2)
Document Results
Orientation and Data Gathering
Familiarize staff with PMI process
Complete staff profiles, demographic information, service and patient profiles, payors information and
Gather data sources for use during self-assessment, such as charts, manuals, billing records, and encounter forms.
Self-Assessment #1
Includes the following:
Completing the SCORE Model
Conducing the chart review process
Completing the coding compliance review
SWOT Analysis
Analyzes the:S = strengthsW = weaknessO = opportunitiesT = threats
That exist within and surround the SBHC
Practice Improvement PlanIncludes producing a set of:
1 – 5 year short term, intermediate and long term objectives for the SBHC in the following areas:● Facilities● Business Operations● Human Resources ● Care Management● Practice Compliance
Skill building and Improvement Plan implementation
Provide skill building and training sessions as identified in Pre-Assessment #1
Implement the Improvement Plan and do regular progress updates
Self-Assessment #2 (post assessment)
After implementing the improvement plan for 6 months to a year, start the assessment process over to determine level of progress and change.
Document Success
Time to Shine and Share StoryboardsArticles in newslettersPowerPoint presentations
Tell the story of your improvement tofunders, foundations, press, parents, school, and community
Tools for the PMI Process
Web TutorialPowerPoint presentationsWord DocumentsExcel Workbooks Instructions for sessions and
processesTechnical Assistance from NASBHC
Practice Management Improvement (PMI) Initiative - NASBHC
1st Cycle (Beta Test) 6 school-based health centers from 4 states
(California, New York, Texas, West Virginia)
2nd Cycle 7 SBHCs in MA and 4 SBHCs in WV w/ 330
funded sponsoring organizations In MA and WV learning sessions were open to
SBHCs statewide
PMI Activities during the NASBHC initiative 3-4 Learning Sessions 2 Site visits (pre and post SCORE model, chart
review, and coding compliance review) 1 Site visit (mission statement, SWOT analysis,
outline practice management improvement plan) Workplan for each objective Quarterly progress reports Monthly conference calls Storyboards Celebration
PMI Results for the NASBHC Initiative
All 17 sites: Completed Strengths, Weaknesses, Opportunities,
and Threats (S.W.O.T.) analysis of their SBHC Developed a practice management improvement
plan/strategy with short and long term objectives to support the SBHC mission
Demonstrated improvement in SCORE Model ratings on all 5 domains (facilities, business operations, human resources, care management, and practice compliance) from pre to post site visits
PMI Results for the NASBHC Initiative Demonstrated improvement from pre to post
chart reviews /coding compliance audits in appropriate documentation and coding of evaluation and management visits, preventive health visits, and mental health visits
Incorporated CQI tool sentinel conditions, chart audit criteria, and resources into the care management and practice compliance activities
PMI SCORE Model Ratings Cycle 1 (pre and post)
0
10
20
30
40
50
60
7080
90
100
Per
cen
t
Overall Facilities Bus Ops HR Care Mngt Prac Comp
Pre Post
PMI SCORE Model Ratings Cycle 2 (pre and post)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Per
cen
t
Total Overall Facility BusinessOperations
HumanResources
CareManagement
PracticeCompliance
Pre Post