Rheumatoid Arthritis Learning Collaborative Sponsored by AMGF and AbbVie
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1 1 Add your company logo here Rheumatoid Arthritis Learning Collaborative Sponsored by AMGF and AbbVie August 13-15, 2014 USMD Health System RA Collaborative
2 2 Medical Group Profile USMD Health System: May 7, 2010 Medical Clinic of North Texas Urology Associates of North Texas USMD Hospital Merged into one entity in clinic locations in the Dallas-Ft. Worth Metroplex 216 Physicians including: 136 Primary care Physicians including Family Practice, Internal Medicine, Med/Peds, Pediatrics, and OB/GYN 81 specialists including Cardiology, Endocrinology, Infectious Disease, Neurology, Oncology/Hematology, Orthopedic, Psychiatry, (10)Rheumatology, General Surgery, Urology, Sports Medicine 55 Associate Practitioners (NP and PA) 748,453 outpatient visits per year Next Gen EMR
3 About USMD Integrated Delivery System 2 Acute Care Hospitals Comprehensive Imaging centers Full service laboratory Pathology laboratory Comprehensive radiation treatment center
4 Where are we? LOCATION TYPES USMD Lithotripsy USMD CTC USMD Hospital Mexic o
5 ALL NORTH TEXAS LOCATIONS Hospitals (2) Cancer Treatment Centers (3) Physician Offices with Imaging Services (4) Physician Offices (70) Mobile Lithotripsy (3) Laboratory (1) Administration (2)
6 6 Team Composition Melanie Barron, Project Lead, Rheumatologist Himabindu Reddy, Rheumatologist Rachel Huston, Rheumatologist Jennifer Hall, Risk Manager and Quality Rodney Briggs, Manager of Clinical Performance Stephanie Copeland, Chief Quality Officer Lynn Lester, Medical Director Primary Care West Mary Beth Cox, Associate Medical Director Specialties
7 7 RA Goals & Objectives Implement the HAQ Functional Status and RAPID 3 Assessment tools electronically into our EMR System. Increase utilization of the HAQ Functional Status and RAPID 3 Assessment Tools in Rheumatology Practice Implement program to increase early diagnosis of Rheumatoid Arthritis by our primary care providers Standardize patient education materials to support management of Rheumatoid Arthritis Identify disparities in care for our Rheumatoid Arthritis Population and develop action plans to address these disparities. Continue tracking DMARD use in Rheumatoid Arthritis
8 8 Where are we now? Currently using a paper based system to complete the HAQ and RAPID 3 Assessment tools. No standardization across all RA Providers No EMR Integration Completed the build of the HAQ and RAPID 3 Assessment tools electronically into our EMR System on July 1, Working with our providers to incorporate these templates into their daily workflow Currently have wide range of knowledge about Rheumatology from our primary care providers No standardized patient materials currently developed for our Rheumatology patients Currently, we are not looking for or addressing disparities in care for our RA patient population. We do not know if disparities exist.
9 Rheumatology Quality Metrics 9
10 10 What do we hope to achieve? Increase assessment of our Rheumatoid Arthritis patients via the HAQ and RAPID 3 Tools. Step up process We will look to increase utilization of the tools across all providers in 25 % increments each quarter, with the goal of achieving 100% utilization by 3 rd Quarter Look for disparities in care in the Rheumatoid Arthritis population and develop action plans to address any disparities identified 3 rd Quarter 2015 Develop an educational program for our primary care providers to aid in early diagnosis of Rheumatoid Arthritis Engage/educate our primary care population by January 2015 and track outcomes for Early Rheumatoid Arthritis diagnosing to infer effectiveness Develop patient educational materials to help with Rheumatoid Arthritis management Complete development and have ready for patient distribution during RA Awareness Month May 2015.
11 11 What are your biggest challenges in RA Management? Patient engagement in completing the HAQ and RAPID 3 Assessment Tools Time to fill out the assessment tools Educating our providers and clinical staff on incorporating these tools into the daily workflow IT Development Development time for incorporating the assessment tools into our EMR System, creating training documents, and holding training sessions for staff Data Analytics Developing the data analytics to pull data from the assessment tools that can be analyzed to identify disparities in care
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