pbhci monthly webinar series: introduction to clinical registries
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PBHCI Monthly Webinar Series: Introduction to Clinical Registries. February 18, 2011. If you dialed in to this webinar on your phone please use the “ raise your hand ” button and we will open up your lines for you to ask your question to the group. (left) - PowerPoint PPT PresentationTRANSCRIPT
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PBHCI Monthly Webinar Series:Introduction to Clinical Registries
February 18, 2011
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If you dialed in to this webinar on your phone please use the “raise your hand” button and we will open up your lines for you to ask your question to the group. (left)
If you are listening to this webinar from your computer speakers, please type your questions into the question box and we will address your questions. (right)
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Dr. Elizabeth Molina-OrtizDiabetes Medical DirectorInstitute for Family Health
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Poll Question # 1
Are you currently using an EMR?
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Poll Question #2
How many clients do you expect to serve through your integration
project annually?
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What is a Registry? An electronic clinical record on each of your patients and
information about the patients (problems, vitals, care needs, clinical observations)
A tool to drive quality improvement at every possible moment A tool usable by the whole care team to drive quality
improvement A reporting engine to manage the entire patient population and
measure performance A manager of data from disparate sources and submitter of
data to various destinations
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Components of a Registry
Payor Info
Labs
EMR
PMS
PHR
3rd Party
Registry
Quality Programs
Imm Registries
Public Reporting
Payors
Encounter Forms Patient Outreach Quality Reports
EMR, PHR, etc.
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Why a Registry?
• Focused on quality improvement
• Lightweight, easy-to-use
• Little impact on workflow
• For many, it is their “EHR”
• Supports numerous quality initiatives simultaneously
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How Does it Fit?Used For Quality improvement Pay for performance Patient centered medical homes Clinical research support Residency training and
documentation Soon…Meaningful use
Used By Behavioral Health
Centers Practices FQHCs/Free Clinics Academic Health
Centers Integrated Health
Centers IPAs/PHOs
In a Variety of Formats Standalone Alongside EHRs and HIT Integrated into an EHR Single Sign-on with other
solutions
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What’s In This For Me?Efficiency
Visit planning and coordination of care preparation Simple and effective population management Offloads work required for P4P and QI programs
Revenue Pay for performance Medical home Additional visits and delivered services
Quality Keep all patients up to date Patients on same pages as care team Actionable reports
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Clinical Data Repository
Database of demographic and clinical patient information with clinician-verified diagnoses
“EMR-Lite”
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Point-of-Care• Helps you keep up with what’s due for patients
• Reminds you to deliver services you may miss
• Saves the provider time – allows the care team to prep a patient, complete forms, set up services
• Puts the provider, entire care team and patients on the same page
• Captures non-billable services
• Built for speed and efficiency – uncluttered
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Patient Summary• Database of patients, problems and clinical data • Can be single problem, multi-problem, all-problem
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Clinical Decision Support“Rules engine” that delivers evidence-
based guideline alerts for wellness, screening and disease management
Rule Examples
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Patient OutreachLetters, call lists or e-mails to reach patients
Those due for services Those with ordered services not completed
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Patient Outreach
• Eliminates chart audits to figure out what patients are due for
• Get in patients for needed services – additional visits and delivered services
• Lets you track ordered services to ensure they are completed
• Keeps every patient up-to-date
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Reporting• Tell you where you are relative to the quality guidelines
you are managing against• Tell you, when you are not meeting the guideline, why
that is the case so you can do something about it
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Population Management Report
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Quality Program Management Assembles all the data needed for reporting Lets you proactively monitor your status relative
to a program Gives you insight on where you need to focus Submits the data on your behalf Lets you submit clinically verified data
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Dr. Elizabeth Molina-OrtizDiabetes Medical DirectorInstitute for Family Health
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Announcements
• Please complete the short survey following today's webinar.
• If you haven’t yet registered for the grantee meeting scheduled for May 4-5 in San Diego, to please do so as soon as possible.
• If you have any questions about today’s webinar, accessing the Online Learning Communities, or the grantee meeting, please e-mail Emma Green at [email protected].