d2b-sustain the gain
DESCRIPTION
D2B-Sustain the Gain. ACC Quality 2009. Transitions in Care-Heart Failure. Patient Centered Care Transformation. The IC3 Program. Help clinicians thrive in a performance-based reimbursement system through the systematic practice, timely reporting, and continuous improvement of quality. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/1.jpg)
D2B-Sustain the Gain
Transitions in Care-Heart Failure
Patient Centered Care Transformation
Patient Centered Care Transformation
The IC3 ProgramThe IC3 Program
ACC Quality 2009ACC Quality 2009
![Page 2: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/2.jpg)
Help clinicians thrive in a performance-
based reimbursement
system through thesystematic practice,
timely reporting,and continuous improvement of
quality
Goal
ImprovingContinuous Cardiac Care
ImprovingContinuous Cardiac Care
![Page 3: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/3.jpg)
Outpatient Performance Measures
CAD, Afib, HTN,Heart failure,
Diabetes, Rehab-----------ACC/AHA
PCPIPQRINQF
![Page 4: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/4.jpg)
Quality improvement
• Practice workflow redesign
• Transactional quality and management
• Incentives
![Page 5: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/5.jpg)
Office-based quality improvement program that
enables participants to select, based on
practice characteristics, the most appropriate
level of engagement
What is it?
![Page 6: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/6.jpg)
Data PerformanceImprovement
Incentives Research
Community Education
The IC3 Program
![Page 7: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/7.jpg)
Community Building
The IC3 national network of practices
dedicated to high quality CV care.
Interactive communication.Best practices.
![Page 8: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/8.jpg)
Education
Educational programming.
Clinical guideline updates.
Selection of EHR vendors.
Billing and coding.
![Page 9: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/9.jpg)
Data Collection
Office-based registry.
Collect and use patient care data more effectively.Coordinate care.Benchmarking.
Demonstrate quality of care.
![Page 10: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/10.jpg)
Performance Improvement
Practice assessment.
QI tools.Decision support
(CardioPATH).
![Page 11: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/11.jpg)
Recognition and Rewards
Incentives.Recognition.ABIM MOC.
Payers.Malpractice.tipping points
![Page 12: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/12.jpg)
Research
New insights on care delivery.
Impact of program.
Practice-Based Research Network.
![Page 13: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/13.jpg)
CAD Performance Measures
• BP Measurement• Symptom & Activity
Assessment• Smoking Assessment• Anti-platelet Therapy
• Lipid Profile• Use of Lipid Therapy
-blocker post-MI• ACE/ARB in EF & DM
• Screening for Diabetes
CHF Performance Measures
• LVEF Assessment• Weight Measurements
• BP Measurements• Clinical Symptom
Assessment• Activity Assessment
• Signs of Volume Overload• Patient Education -blocker in EF • ACE/ARB in EF
• Warfarin for Afib• Initial Lab Tests
Current ACC/AHA Performance Measures
![Page 14: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/14.jpg)
Current ACC/AHA Performance Measures
Afib Performance Measures
• Thromboembolic Risk– Prior CVA/TIA– Age ≥75– Hypertension– Diabetes– Heart failure or EF
• Warfarin use in High-risk pts• Monthly INR in pts on warfarin
Cardiac Rehabilitation PMs
• Referral to a Rehab Program
– Within 12 months of• ACS• PCI
• CABG• Valve Surgery
• Transplant– Stable Angina
Diabetes Performance Measures
– Poor HbA1c (>9%)– LDL Control (<100)– BP Control (<140/80)
![Page 15: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/15.jpg)
![Page 16: D2B-Sustain the Gain](https://reader035.vdocuments.site/reader035/viewer/2022081519/568146a2550346895db3bd04/html5/thumbnails/16.jpg)
2009: prepare practices to succeed2010: make quality business case2011: link learning, performance, $2012: Quality First Network
Quality Vision, near and far