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| Sara Rutherford, Quality Coordinator |
• Adolescent well care visits (ages 12-21)
• Avoidance of antibiotic treatment in adults with acute bronchitis
• Avoidance of antibiotic treatment in children with URIs
• Diabetic hemoglobin A1c testing
• Diabetic retinal evaluation
It is truly a team effort to improve upon, and maintain this performance. We thank all of our providers, practice managers, and care gap coordinators who are working hard to bring these patients up to date with recommended services.
As a reminder, our highest priorities for continued improvement under our Cigna contract are:
• Adolescent well care (ages 12-21)
• Breast cancer screening
• Cervical cancer screening
• Chlamydia screening (females, ages 16-20)
Additionally, on June 11, our Quality Committee selected three major initiatives to improve on across all EHP contracts in 2015. These measures are:
• Breast cancer screening (ages 50-74; satisfaction criteria include mammography every 27 months)
• Colorectal cancer screening (ages 50-75; satisfaction criteria include annual FOBT, flexible sigmoidoscopy within 5 years, colonoscopy within 10 years)
• Diabetes: Medical Attention for Nephropathy (ages 18-75; satisfaction criteria include urine microalbumin test, urine macroalbumin test, diagnosis of proteinuria or renal failure, dialysis treatment, visit to a nephrologist, ACE-I/ARB therapy)
• Colorectal cancer screening (ages 50-75; satisfaction criteria include annual FOBT, flexible sigmoidoscopy within 5 years, colonoscopy within 10 years)
• Diabetes: Medical Attention for Nephropathy (ages 18-75; satisfaction criteria include urine microalbumin test, urine macroalbumin test, diagnosis of proteinuria or renal failure, dialysis treatment, visit to a nephrologist, ACE-I/ARB therapy)
Please stay tuned for future updates concerning our improvement on these initiatives.
Wellcentive Update
We are in the process of implementing a population health management software called, Wellcentive, that will umbrella all of the EMR systems across EHP and provide a community care record for all EHP patients receiving services within our network.
Our implementation is mainly comprised of two primary phases:
1.Developing interfaces between Wellcentive, our contracted health plans (First Choice, Cigna, Aetna, Regence) and the EMRs used by our largest organizations—EvergreenHealth, Lakeshore Clinic, Totem Lake Family Medicine, and Eastside Family Medicine.
2.Creating workflows for care coordinators to document care plans, and track patient progress in alignment with goals and clinical quality initiatives. Documenting these care plans in Wellcentive will provide transparency, and allow our entire care team to remain up-to-date on their patient's progress at any given time.
Our interface work is on track and moving forward, having nearly completed interfaces with Evergreen's Cerner application and First Choice's claims and eligibility data. Next, we are beginning work on interfaces with Totem Lake Family Medicine and Lakeshore from the practice side, and Cigna and Aetna from our payer side.