improving diabetes and hypertension february 26, 2015 sue butts-dion, improvement advisor maine...
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IMPROVING DIABETES AND HYPERTENSIONFEBRUARY 26 , 2015
SUE BUTTS -DION, IMPROVEMENT ADVISOR
Maine Chronic Disease Improvement Collaborative (CDIC)
QI Team Space & Preparation for Team Report Out & Sharing
Paul Batalden, MDSenior IHI Fellow
All improvement requires change ANDAll change is not necessarily an improvement.
“Everyone in healthcare really has two jobs when they come to
work every day: to do their work and to improve it.”
To increase odds that change is improvement…
Aim
Measures
Change Ideas
Test Ideas
AP D
S
AP
D S
APD
S
A P
DS
Measure(s)
0%10%20%30%40%50%60%70%80%90%
100%
1 2 3 4 5 6 7 8 9 10111213141516171819202122232425weeks
Percent
CDIC: How it Works
Aim: By end of the pilot, have supported the practices to: Improve blood pressure control of hypertensive patients so that 65% of hypertensive patients
have BP<140/90 mm Hg. Improve HbA1c control of diabetic patients so that 80% of diabetic patients most recent
HbA1c level is <9.0% during the measurement year.
Measures: (variable based on MOC participation)Outcome Measures: HTN BP Control (<140/90) (NQF 18) and/or LDL <100 (NQF 0064) DM A1c Control (>9%) (NQF 59) and/or a1c <8% (NQF 0575)Process Measures:Registry Use Population Mgmt Pre-Visit PlanningSelf-Management Plan ReferralOther (e.g., assessment results)
Team Report Outs & Sharing
Huddle with your team to review and update Storyboards (10-15 minutes)
Present your “story” to other teams Aim What you have been working on since December Any results in measures? What you are working on (testing) and plans of what
you will work on next?Q & A and Review of Key Points