Preparing for a Visit from the OPR

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Preparing for aVisit from the OPR

• Prepared by
• Donald M. Albritton
• Medical Administrator
• Project Renewal, Inc.
• New York, New York

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Project Renewal/PRI Healthcare

• Serves more than 6,000 patients annually
  (gt13,000 encounters)
• Nations largest provider of medical care to
  homeless people

PRI Healthcare services
Primary acute care
Psychiatric care
Dental care
Podiatry
Referrals for specialty care
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PRI Healthcare
Project Renewal, Inc. believes that healthcare is
a fundamental human right, which should be
available to all people in New York, regardless
of whether they are housed. PRI Healthcare,
a subsidiary of Project Renewal, is dedicated to
providing healthcare and services to homeless and
poor New Yorkers, irrespective of their ability
to pay. We are also committed to giving care
that meets the highest standards in the medical
community.
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Step 1 NotificationThis needs to and will
happen

• Given almost 12 weeks notice
• Was told that 2-4 Reviewers would participate
• Was told that it was an excellent opportunity to
  improve what might not be working and show off
  what is working.

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Step 2 Meet and Greet

• Met with the staff to explain the review process.
  
• Gave an explanation of what the Office of
  Performance Review is all about
• Allowed questions to alleviate concerns

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What is the general format for the review process?

• Identification and collection of Performance
  Review Measures data.
• A thorough analysis of the performance data.
• Design of the Performance Report by HRSA
• Design of the Action plan by the Grantee

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Pre-Site Work for Project Renewal

• Select the Performance Review Measures from the
  Pool of Performance Measure given to us by HRSA
• Some are mandatory and some are by choice and
  dependent upon the type of program that you have.

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Project Renewal Performance Measures

• EIS Program
• Percentage of patients with documented
  pneumococcal vaccine
• Percent of patients screened for Hepatitis C
• 330 (h) Healthcare for the Homeless
• Percent of patients with annual PPD results
  documented
• Percent with comprehensive oral exam and
  treatment plan completed within a 12 month period
• For Both Programs
• Number of Unduplicated Clients (Mandatory)
• Financial Current Ratio (Mandatory)

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On Site Visit..

• Division of each Reviewer into their Specialty
• 2-3 Days in duration
• Governance included in the sessions
• Reviewing staff meets at the end of each day
  privately for a post
• Presentation made to Grantee at the end of review
  with a discussion of each measure, the analysis,
  and recommendations for improvement

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How was the On-Site Review Experience?

• Required the assembly of much data data that
  should have already been assembled for QA
  purposes.
• Provided an opportunity for dept. heads to share
  their performance highs with others.
• Provided immediate feedback as to recommendations
  or benchmarking trends noted by the Reviewer

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Post Site

• HRSA develops the Performance Report
• Draft of the report is shared with the grantee.
  Changes may be recommended by the Grantee.
• Finalization of Performance Report followed by
  design of the Action Plan by the Grantee

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How can we benefit from this process from an
Administrative perspective?

• As an Administrator, I clearly understand the
  measures being studied, and feel comfortable in
  discussing it with staff.
• Moving forward, we can make certain that our
  daily QA activities monitor, collect and
  analyze these measures on a daily basis.
• The Action Plan allows one the documentation so
  that the changes and behaviors that need to
  happen will not fall by the wayside.

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And the world is a better place.