Clinical Tracking Protocols Thinking things through

1
Clinical Tracking Protocols(Thinking things
through)

• Adam Baus, MA, MPH
• West Virginia University Dept. of Community
  Medicine
• Office of Health Services Research

2

• This presentation was supported by
  Grant/Cooperative Agreement Numbers
  U32/CCU322734, U50/CCU321344, and
  U59/CCU324180-03 from the Centers for Disease
  Control and Prevention.
• Its contents are solely the responsibility of the
  authors and do not necessarily represent the
  official views of the Centers for Disease Control
  and Prevention.

3
Background on OHSR

• Focusing on Quality of Care

• Establishment/integration of electronic patient
  registries
• Developing an office flow
• Overcoming common barriers to implementation

• Focusing on using medical information as data to
  target care

• Evidence-based guideline education for providers
  and staff provided by chronic disease educators

4
The Idea
Patient Self-Management
Quality of Life / Health Outcomes
Targeted Care
Enhanced Care Tracking
Provider / Staff Education
Patient Registry
5
Hancock
Site Map
Brooke
Ohio

• Mostly FQHCs
• Both HDC and non-HDC members

• 25 of these sites actively reporting

• Our work in Black Lung began with Bluestone
  Health Association

• Saw added utility in using their existing
  registry for Black Lung reporting

Marshall
5
Monongalia
Wetzel
Marion
Morgan
10
11
18
Pleas-
Berkeley
Tyler
9
ants
12
25
Preston
19
Jeff-
Mineral
Taylor
17
21
erson
Dodd-
Hampshire
Harrison
23
ridge
Barbour
Wood
7
26
Ritchie
Grant
Tucker
20
Hardy
Wirt
30
Lewis
8
Gilmer
Cal-
27
houn
Jackson
Upshur
Randolph
31
Mason
16
Roane
Braxton
Pendleton
2
24
28
15
Putnam
32
Webster
33
Clay

• CDEMS Review from ihealth Reports
• Customizable
• Robust reporting
• Data import/export

• CDEMS developed by the WA Dept. of Health
• Public domain software
• Modified by OHSR

4
29
Cabell
Kanawha
Nicholas
Pocahontas
3
Wayne
Lincoln
22
Boone
Fayette
Greenbrier
13
Mingo
Logan
6
Raleigh
Sum-
Wyoming
Monroe
mers
14
Mercer
1
McDowell
Last updated 05/30/2007
6
Needs
Documentation of Care
Benefits
Health Center Reporting Needs
Quality of Life
State Reporting Needs
Targeted Care
7
Registry Quality Improvement Tool

• Progress Note condition-specific information
  based on Black Lung reporting needs

Allows for better data collection, time saved
in generating reports, and more accurate
reporting

• Guidelines/Graphs can be used in patient
  education

• Reporting Tool population and patient-level
  reports specific to Black Lung reporting needs

8
Patient Registry Lab Interfaces

• Saves time
• Improves accuracy
• More time spent using the registry, not
  maintaining it

• Current interfaces with
• LabCorp
• Quest
• LabDaq

• Import and track lab values, such as lipids, used
  in Black Lung reporting

9
Remote Support

• wvu.bomgar.com

• Allows for increased, faster technical support

10
Registries for Evaluating Patient Outcomes A
Users Guide

• Guidance on building a good registry, and using
  your registry well

• Provides a point of reference for us today

• Define your population

• Define the data to be collected

• Translate your questions into measurable outcomes

• Ensure the quality of the data
• Dependent on a well-integrated registry
• Dependent on well-trained users

Source Agency for Healthcare Research and
Quality (April, 2007)
11
Next Steps

• Stakeholder feedback
• Well-informed data capture ? worthwhile reporting

• Tailoring registry to meet needs

• Registry Demonstration

12
Contact Information

• Cecil Pollard, Director
• [phone] cpollard_at_hsc.wvu.edu
• Trisha Petitte, Assistant Director
• [phone] tpetitte_at_hsc.wvu.edu
• Adam Baus, Program Coordinator, Sr.
• [phone] abaus_at_hsc.wvu.edu
• Mary Swim, Applications Programmer
• [phone] mswim_at_hsc.wvu.edu
• Kelly Bailey, Research Assistant
• [phone] kabailey_at_hsc.wvu.edu
• Office website http//www.hsc.wvu.edu/som/cmed/oh
  sr