Northwest Physicians Network

1
Northwest Physicians Network

• Spread of Registries
• 2001- present

2
Timeline for registries, all 31

• 2001 6
• 2002 4
• 2003 4
• 2004 2
• 2005 4
• 2006 11 (8 providers in pediatric office for
  asthma registry)

3
VISION OF PLANNED CARE MODEL AT NPN

• 50 of PCPs with registry
• 100 PCPs
• 25 with more than one condition
• Roll out of EMR with registry function

4
Increasing Registries

• Recruitment of offices
• Abstracting charts
• Training of offices by QI team and Basic Training
  classes.
• Coordinating electronic lab downloads.
• Quest, Labs NW, PacLab
• Coordinating faxing in of monthly summary
  reports.
• Adding a second condition
• Added choice of web based registry

5
New Reports and Aggregating Data

• Run charts for each provider old and recent
  measures. Excel sheets linked.
• Run charts for each provider with aggregate of
  whole practice
• Run charts for each practice with aggregate of
  NPN.
• Plan is to do aggregate of A1c, LDL and BP so as
  to compare with health plans.

6
Facts, Tips and Lessons Learned

• NPN offices are 1 to 10 providers in Pierce and
  South King county.
• When new office brought on board frequent follow
  up is a must. (Every 2 weeks at least.)
• Very difficult to implement registry in office
  with more than 3 providers if each one acts
  totally independent of the other.

7
More Issues

• Technological expertise
• Data entry
• Backing up dta file
• Peoples comfort zones
• Staff turnover
• Old equipment hard drive, printers etc.
• MS Access 97 and 2000 versions. Especially
  interesting on one PC.

8
More Issues

• Dont hassle the cost of MS Access if we have
  already spent countless man hours abstracting
  charts and inputting initial data.
• IT contact outside of provider walls.

9
Keeping Specs for each office

• Computer user/location
• Technical Expertise
• Operating system
• Office version

• Lab Interface
• Internet
• Access version
• NPN provided Access license number
• Separate tracking for licenses number.