Pursuing High Value

Healthcare

Optimizing Laboratory TestingYear 2 Kick Off

September 1oth, 2-3PM

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Agenda

WelcomeYear 2 Program and SupportTeam SurveyNORC UpdateTeam ReportsNext Steps

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Our First Collaborative: Global Aim

We aim to reduce harm to patients and conserve system resources by optimizing the use of laboratory tests for patients cared for in our region’s hospitals.  We will use a collaborative approach considering the best medical evidence and quality improvement science.  It begins with an evaluation of current test ordering profiles and patterns followed by an organized plan to optimize testing and ends with a plan to sustain these practices.  By doing this we expect to reduce cost and improve satisfaction and quality of care for patients and the health system.  It is important to work on this now because as health care professionals we can play an important role in health care reform by designing more patient-centered, efficient and high value inpatient care.  

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Data Team Update

1. Update on data received at NORC

2. Identifying COPD patients

3. Update on NORC process and plans for Year 2

How many records have we received (2014)?

Comparison to Hospital Discharge Data

Total # of COPD Cases in OLT NORC 2014 Data

Comparison to Hospital Discharge Data

Update of NORC Process

5 examples of data issues

1. Additional exclusion criteria applied at the individual hospital level

2. Inconsistent variable naming and formatting, between and within institutions

3. Lack of unique identifiers4. Inconsistency with dates (what does date of admission

mean?)5. Duplicate records

NORC Process: Looking ahead to Year 2

1. Move to more of an automated process2. Focus on creating one database – not individual institution

files3. Focus on data quality (good is good enough!)

How can you help? Continue to submit monthly data reports!!!

Thank You

Team Progress Reports

RRMCBrattleboroNVRHBenningtonPorterDHMCCVMCUVMMC

Progress over the summer Teams next steps

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13

Learning Session 1Oct. 15

8:30 to 3:30

LearningSession 4Jun. 9 TBD

8:30 to 3:30

Learning Session 2

Jan.14, TBD8:30 to 3:30

Kick-Off Week 1

Sept 10, 2PM

LearningSession 3

Apr. 14 TBD8:30 to 3:30

Action Period5-6 weeks

Conference Call /

WebinarNov 19,

2PM

Conference Call /

WebinarDec 17,

2PM

Conference Call/

WebinarFeb. 18,

2PM

Conference Call /

WebinarMar 24,

2PM

Conference Call /

WebinarMay 12,

2PM

Continuous Coaching/Faculty Support

Coll

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tive

Tim

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Next Steps

Action Period Continue to review and submit data Test change ideas Measure results Adjust as needed Test again or try new change idea Respond to Program Survey Determine Year 2 additional Focus

Support Faculty and Data Team are here to support you!

Face to Face Session- October 15, 8:30 to 3PM Location TBD

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