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“HHQI Cardiovascular Data Registry Playbook”
Home Care Association of WashingtonApril 16, 2015
Carol Higgins, OTR (Ret.), CPHQ
Quality Improvement Consultant, Qualis Health
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Qualis Health is one of the nation’s leading healthcare consulting organizations, partnering with our clients across the country to improve care for millions of Americans every dayServing as the Medicare Quality Innovation Network Quality Improvement Organization (QIN-QIOs) for Idaho and WashingtonQIN-QIOs: the largest federal network dedicated to improving health quality at the community level
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Goals for Today
By the end of this session, you will better understand:
• Why your agency should focus on cardiac care
• What your options are for identifying areas to improve
• What difference this could make for you and your patients
• How this work can improve your business and marketability within your healthcare community
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Increased Performance Transparency
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Payment Reform On the Horizon
Based on previous P4P programs, key metric on Home Health Compare likely to be included in future HHA P4P programs: How Often Home Health Patients Had to be Admitted to the Hospital
Pay for Reporting
Performance Transparency
Pay for Performance Pay for Value
HospitalsPhysiciansSNFsHHAs
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Link Between Rehospitalizations and Cardiac Care
Top Primary Diagnoses for All HHA Patients
Top Chronic Conditions for All HHA Patients
Top Primary Diagnoses for Re-hospitalized HHA Patients
1. Rehab2. Heart Failure3. Pressure Ulcer4. Late Effect CVD5. COPD
1. Hypertension (51%)2. Diabetes (28%)3. Heart Failure (20%)4. Dementia (18%)5. COPD (14%)
1. Heart Failure2. Septicemia3. Pneumonia4. Device Complication5. Dysrhythmia
Data based on Medicare FFS claims for beneficiaries living in WA and ID and receiving HHA care between Q4 2013 and Q3 2014.
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The Heart of QualityCourtesy of Cindy Sun, MSN, RN, COS-C
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National Cardiovascular Disease
George, Tong, Sonnernfeld, & Hong, 2012; Roger VL, et al. Circulation. 2012;125:e2-e220. & Heidenriech PA, et al. Circulation. 2011;123:933–4
Heart Disease is #1 cause of death
Stroke is #4 cause of death
1 out of 3 deaths related to CVD
Greatest contributor to racial disparity in
life expectancy
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Home Health Cardiovascular Improvement Initiative
Aligns with national Million Hearts® initiative Focuses on the
ABCS of preventive cardiovascular care
The Million Hearts® word and logo marks are owned by the U.S. Department of Health and Human Services (HHS). Use of these marks does not imply endorsement by HHS. Use of the Marks also does not necessarily imply that the materials have been reviewed or approved by HHS.
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Cardiovascular Health Best Practice Intervention Packages -
Integrated
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Home Health Cardiovascular Data Registry
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ABCS Data
ASPIRINWas the patient taking ASA or other antithrombotic?
BLOOD PRESSUREWhat was the patient’s final BP & was HTN addressed?
CHOLESTEROLDid the patient have a lipid screening in the past year? LDL-C?
SMOKINGWas the patient screened for tobacco use? If a user, was an intervention implemented?
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www.HomeHealthQuality.org
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Data Access
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Selecting month to abstract
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Making monthly selection
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1st page in monthly registry
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Top portion of Registry
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Dual-Eligibility
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Aspirin
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Blood Pressure
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Cholesterol
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Cholesterol
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Cholesterol
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Tobacco
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HHCDR Report
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HHCDR Details
Access HHCDR through normal Data Access portal Each month, HHA will select which measures
(A, B, C and/or S) Patient demographic information will be
prepopulated on the 15th of every month All data ‘closed’ by the 14th of the month will be used
to create HHCDR Report to be posted ~23rd of the month
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HHQI CardeioLAN
Sharing of cardiovascular knowledge & application of resources
Networking
Identifying opportunities for improvement
Direct access to the HHQI Team
CardioLAN
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Cardio Milestones Join the Progressive Cardiovascular Learning & Action
Network (CardioLAN)
Download all Cardiovascular Best Practice Intervention Packages (BPIPs)
Complete HHQI Data Access registration
Close one month of required patients’ data in the Home Health Cardiovascular Data Registry (HHCDR)
Download one HHCDR report
Enter patient data & close a total of six months of required patients’ data for HHCDR
Validate data
Achieve noted improvement in one or more cardiovascular outcomes
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Join Today
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Cardiovascular Learning & Action Network
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HHQI University Platform for learning with HHQI
– Monthly educational opportunities – Access to an evolving catalog of educational topics
• Easy to use• Focus on applying best practices
for improving patient outcomes – Engaging clinicians
– Approved by American Nurses Credentialing Center (ANCC)
– Learn more at www.HomeHealthQuality.org/Education/HHQI-University
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This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of
the U.S. Department of Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-030415
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Experiences from our Agencies
• Several agencies have signed up for the Cardiovascular Data Registry but not had a chance to enter data as yet
• Many agencies have been downloading and using the BPIPs for resources for their staff
• Feedback from participants…
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Sharing Information and Ideas
• What are you currently doing to improve the care of cardiac patients?
• Are you utilizing the HHQI BPIPS?
• What would you like to be doing to improve care?
• How can Qualis Health support your efforts?
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Summary – Urgency for Cardiac Care Improvements
• Strong need in all our communities• Nationally recognized, evidence-based interventions
are already available• Educational resources are free and easily adaptable
to home health schedules• Data Registry is ready to demonstrate both your
opportunities and your progress
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Next Steps
• Participate in the HHQI Cardiovascular Data Registry• Determine your specific areas of opportunity • Download the BPIPs as needed for your area(s) of
focus• Work together to generate improvements• Contact Qualis Health for assistance
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Questions
For more information: www.Medicare.QualisHealth.org/projects/care-transitions
This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO) for Idaho and Washington, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. WA-C3-QH-1697-03-15
Carol Higgins, OTR (Ret.), CPHQ
QI Consultant, Qualis HealthT (206) 288-2454F (206) 366-3370