DATA TRANSPARENCY PROJECT DATA/QI WORKGROUP CALL GROUP A
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1 DATA TRANSPARENCY PROJECT DATA/QI WORKGROUP CALL GROUP A March 2016
2 Agenda for Today s Call 2 Review Quarterly Calls Data Discussion and Review: July December 2015 Guest Presenters: Gretchen Caplener, ScreenWise Don Kain, National Diabetes Prevention Program Wrap-up
3 3 Previous Data/QI Workgroup Calls December: Data/QI Review Metrics Update Sarah Bartelmann, Oregon Health Authority January: Quarterly Measurement and Improvement Call Developing Effective Policies and Procedures for Healthcare Organizations Audrey Fine, American Cancer Society February: Learning & Sharing Session Working with your CCO and Community Partners to Improve CRC Screening Rates Jaclyn Testani, CareOregon Safina Koreishi, Columbia Pacific CCO Erin Sedlacek, Linn County Public Health
4 February L&S Survey Results 4 How has your clinic worked with your CCO to improve incentive measures? Linn county working in a variety of areas with our CCO Example: The Cancer You Can Prevent Campaign A representative of our CCO has come to the clinic several times to shadow some of our workflows. This is still in the beginning stages. Example from CareOregon: BeneFIT Program
5 5 Previous Data/QI Workgroup Calls Presentation slides and recordings available for download on our website:
6 ScreenWise Program MARCH 2016
7 What is ScreenWise? Partners with healthcare providers across the state to provide breast and cervical cancer and cardiovascular screening services to eligible patients. Supports providers to incorporate family history use, hereditary risk assessments & referral to genetic services into their practice. Providers include primary care providers, surgeons, imaging facilities, labs and others. Reimburse at Medicaid rate. Fee for service program/payer.
8 ScreenWise 3 programs working together to bring quality screening services to Oregon residents Breast and Cervical Cancer Program ( BCCP ) obreast and cervical screening and diagnostic support WISEWOMAN (WW) ocardiovascular screening support Oregon Genetics Program oprovider education, trainings, access to tools, information about credentialed genetic services ScreenWise is the umbrella name for these programs
9 ScreenWise Eligibility Information is self-declared by client o Oregon Resident (client lives or intends to live in Oregon) o Household income at or below 250% of Federal Poverty Level o Uninsured or insurance does not fully cover breast and cervical cancer screening Most ScreenWise patients are cisgender women. Transgender men who need pelvic or chest exams may also qualify for the program, as well as cisgender men who have symptoms of breast cancer.
10 ScreenWise Eligibility *Women 65 and older who aren t enrolled in Medicare Part B
11 Breast and Cervical Cancer Services For women age for clinically recommended breast and cervical cancer screening and diagnostic services. Services include, but are not limited to: o Clinical Breast Exam o Pelvic Exam o Pap Test o High-risk HPV co-testing o Tobacco Risk Assessment and referral to Quit Line o Support & information about hereditary cancer risk assessment and referral to genetic services o Referral for Screening Mammogram o Referral for Diagnostics
12 Cardiovascular Services For women ages 40 64, services can include: o o o o Health risk assessments, including family history collection Heart disease and stroke risk factor screening including: Blood pressure Cholesterol Glucose Risk reduction counseling Referral to Healthy Behavior Options
13 ScreenWise Covered Procedures ScreenWise lists covered procedures on our website. o List includes all CPT and ICD-10 diagnosis codes accepted Links to covered services for: o Breast and cervical cancer screening o Cardiovascular
14 ScreenWise Contact Information Address: 800 NE Oregon St, Suite 370 Portland Oregon Website: Call: Fax:
15 Harold Schnitzer Diabetes Health Center Diabetes Prevention in Oregon: The Challenge & the Possibilities Presented by: Don Kain, MA, RD, LD, CDE
16 Objectives After this discussion participants will be able to: List the components and goals of the National Diabetes Prevention Program State the rationale for screening patients for prediabetes Describe the critical role that FQHCs can play in referring high risk patients in Oregon to the National DPP
17 On the Horizon Diabetes = 29 million Prediabetes = 86 million (Estimated 1 million in OR) 37% of US adults 51% of US adults 65 years old and older 15-30% develop DM within 5 years if no action is taken CDC: A Snapshot of Diabetes in the United States, 2014.
18 Diabetes by the Numbers
19 National Diabetes Prevention Program Original Research Multicenter NIH Clinical Trial 3,234 participants with prediabetes 27 clinical centers in U.S. Lifestyle Reduced calories, low-fat diet 150 minutes of exercise per week (30 minutes of walking 5 days per week) Weight loss goal = 7% of body weight Metformin 850 milligrams BID Study Results Lifestyle Risk for developing diabetes decreased by 58% Metformin Risk for developing diabetes decreased by 31% Placebo DPP Research Group. New England Journal of Medicine. 346: , 2002.
20 Eligible National DPP Participants Overweight Adults: Adult aged 18 years and older with a BMI of 24 or greater (Asian Americans: 22 or greater) Prediabetes: Prediabetes diagnosed through blood test (Fasting blood sugar, A1C, oral glucose tolerance test) OR history of gestational diabetes OR increased risk based on prediabetes risk quiz
21 National DPP Goals and Structure Program Goals Weight Loss: 5-7% of starting body weight Increasing physical activity to 150 minutes Program Structure 16 weekly sessions delivered once a week during months 1-6 Monthly or bi monthly sessions during months 7-12
22 National Diabetes Prevention Program How it Works Relies on self-monitoring, goal setting, group process One hour sessions Self-monitoring of weight, food intake, minutes of physical activity Goal/action plan set at each session Lifestyle Coach leverages group process to allow group to problem-solve and support change
23 Diabetes Prevention in Oregon Find a Program Tillamook Lincoln Clatsop Polk Benton Multnomah Clackamas Marion Linn Hood River Wasco Jefferson Sherman Gilliam Wheeler Morrow Umatilla Grant Union Baker Wallowa Diabetes Prevention Program Lane Deschutes Crook No program Coos Douglas Harney Malheur Lake Klamath Curry Josephine Jackson
24 Is the DPP a Good Investment? Cost to Deliver Program Median Program Cost per Participant (Group Delivery) $424 Annual Cost of Meds for Persons with DM Annual Per Capita Expenditure on Rx Medications $1423 Rui, L, et al. Ann Intern Med. Doi: /M Published online 14 July 2015.
25 Helping Patients at Increased Risk Begin screening patients for prediabetes Fasting blood sugar A1C (no fasting required) If patient tests positive for prediabetes (FBS: ; A1C: ) refer that patient to a DPP in your community Don t have a DPP in your community? Consider having one of your staff trained as a DPP Lifestyle Coach Coordinate with local community organization to have one their staff trained as a DPP Lifestyle Coach
26 Next Steps- Resources for Screening & Referral Prevent Diabetes STAT (Screen/Test/Act Today) Initiative Resources for Screening, Testing & Referral Materials to Engage Patients Materials to Share with Colleagues & Healthcare Team
27 27
28 28 Mark your calendars: Upcoming calls and events April: Quarterly Measurement and Improvement Call Topic Measurement Fatigue and Change Management Guest Presenters TBD Date and Time 4/25/2016, 1:30-2:30 PM Patient and Provider Reminder Systems for Colorectal Cancer Screening webinar Guest Presenters Gloria Coronado and Daisuke Yamashita Date and Time 4/11/2016, 1:00-2:00 PM May: Learning and Sharing Session Topic and presenters TBD June: Data/QI Review and RAFFLE!
29 Next Steps: OPCA and Clinics 29 Next steps for clinics: Quarterly data due to Brandon Lane by April 29, Now that you ve seen the data, take that next step! Share what you learned with others at your clinic Connect with organizations you heard from today Invite your colleagues to our calls in April! (invites sent) Quarterly Measurement and Improvement Call Patient and Provider Reminder Systems webinar
30 30 Let us know what you thought of today s call! Please take a few moments to complete the survey for this phone call. It will be ed to you right after this call. com/r/25g8ym3 Contact our team at data@orpca.org
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