BEN ARCHER HEALTH CENTER

1
BEN ARCHER HEALTH CENTER

• Diabetes 2 , Asthma 2 and CVD 2
• RURAL SITES
• FIVE SITES
• PATIENTS WITH DIABETES 1331
• PATIENTS WITH ASTHMA 116
• PATIENTS WITH CVD 1251
• SPREAD
• DIABETES TO 5 SITES
• ASTHMA TO 1 SITE
• CVD TO 4 SITES
• DISEASES
• DIABETES POF SPREAD TO ASTHMA AND CVD
• CVD POS SPREAD TO DIABETES
• DIABETES AND CVD SPREAD TO 3 OTHER SITES

2
GREAT TEAM MEMBERS
3
GREAT TEAM MEMBERS
4
GREAT TEAM MEMBERS

• Alamogordo
• Diabetes
• Andrea Ocasio RN
• Chris Waggoner, FNP
• Guillermina Troncoso, RN
• Georgia Dunn, MA
• Manuela Day, MA
• Norma McCord, MA
• Zahid Afridi, MD
• Cindy Curry, Medical Records

5
Key Concepts of Successful Spread

• Administration Support
• Technical Readiness
• Staff Readiness

6
ADMINISTRATIVE SUPPORT

• RESOURCES COMMITTED
• PRIORITY IN STRATEGIC PLAN AND PERFORMANCE
  IMPROVEMENT PLAN

7
TECHNICAL READINESS

• DO YOU HAVE COMPUTER SYSTEMS IN PLACE TO HANDLE
  MULTIPLE DATA ENTRY POINTS?
• ARE THE SYSTEMS CAPABLE OF HANDLING PECS 2.1?
• DO YOU HAVE GOOD MIS SUPPORT?

8
STAFF READINESS

• ARE STAFFED TRAINED ON THE COLLABORATIVE?
• ARE THEY TRAINED IN PECS?
• DO THEY ACCEPT THIS AS PART OF THE ROUTINE WORK?

9
FUTURE SPREAD ACTIVITIES

• Spread diabetes to all six sites.
• Spread CVD to all six sites
• Spread Asthma to 2 additional sites.

10
GETTING STARTED

• TAKE IT SLOW
• ENTER PATIENTS AS THEY COME IN FOR VISITS NOT A
  CRASH COURSE IN DATA ENTRY.
• CONTINUALLY MONITOR PROGRESS ACROSS ALL SYSTEMS.

11
FUNCTIONAL AND CLINICAL OUTCOMESDIABETES

• Measures Goal as of 11/04
• 2 HbA1cs in last year 90 25
• Average HbA1c
• Self-Management goal 80 46
• BP
• Annual Foot Exam 90 29
• Annual Dental Exam 70 28

12
FUNCTIONAL AND CLINICAL OUTCOMESCVD

• Measures Goal as of 11/2004
• BP
• BP 2 Times ea year 90 59
• Self-Management goal 70 40
• Hyperlipidemia screening 90 67

13
FUNCTIONAL AND CLINICAL OUTCOMESASTHMA

• Measures Goal as of 11/2004
• Symptom free days 10 days 10.6
• Anti-inflammatory medications 95 49
• Self-management plan 70 26
• Lost time work/school

14
SUSTAINING ACTIVITIES

• Performance Improvement Coordinator working with
  all Chronic Care Teams to identify goals and to
  improve outcomes.
• Monthly Registry reports are reviewed by the
  Chronic Care Teams to identify opportunities for
  improvement.
• Monthly report on the progress of the
  Collaborative is presented to the Senior
  Management Team and the Board of Directors.