Rheumatoid Arthritis Learning Collaborative

Transcription

1 Rheumatoid Arthritis Learning Collaborative Sponsored by AMGF and AbbVie August 12 14, 2015 USMD Rheumatoid Arthritis Collaborative

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 748,453 outpatient visits per year Next Gen EMR 55 Associate Practitioners (NP and PA)

3 Where are we? LOCATION TYPES USMD Lithotripsy USMD CTC USMD Hospital Mexic o

4 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)

5 RA Program Goals What was your aim? Implement the HAQ Functional Status and RAPID 3 Assessment tools electronically into our EMR System. DONE! Increase utilization of the HAQ Functional Status and RAPID 3 Assessment Tools in Rheumatology Practice DONE! Implement program to increase early diagnosis of Rheumatoid Arthritis by our primary care providers EDUCATION IN PROCESS Standardize patient education materials to support management of Rheumatoid Arthritis DONE! Identify disparities in care for our Rheumatoid Arthritis Population and develop action plans to address these disparities. IN PROGRESS Continue tracking DMARD use in Rheumatoid Arthritis DONE!

6 Results Goal # 1: 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 Goal #2: Continue tracking and maintaining scores on DMARD usage

7 Goals #1 & #2 Outcomes

8 Goals #1 & #2 Outcomes

9 Results Goal# 3: Look for disparities in care in the Rheumatoid Arthritis population and develop action plans to address any disparities identified 8/2015 Outcome: Focused on our Medicare Advantage patients, both Medicare and Medicare/Medicaid/SNP patients; Was able to bring more focus, education and support system around our RA patients. Was able to do a deep dive chart review for every patient in that program and assist them in medication adherence with a pharmacy program as needed. Goal # 4: Develop an educational program for our primary care providers to aid in early diagnosis of Rheumatoid Arthritis 8/2015 Outcome: Gave primary care providers educational seminars (PCC) on rheumatoid arthritis and the importance of appropriate rheumatology referrals and DMARD usage.

10 Results Goal # 4: Engage/educate our primary care population by January 2015 and track outcomes for Early Rheumatoid Arthritis diagnosing to estimate effectiveness 8/2015 Outcome: On hold. Await our data analytics vendor completion Goal # 5: Develop patient educational materials to help with Rheumatoid Arthritis management 8/2015 Outcome: Have a new updated patient education materials system going into the EMR this month. The Rheumatologists also met with all the available materials in the clinics and decided upon a more standard approach to RA handouts.

11 Results Goal # 6: Complete development and have ready for patient distribution during RA Awareness Month May /2015 Outcome: Did not make this goal. Await our data analytics vendor completion to pull patient data. Also, had a focus in May 2015 for the Hypertension Education month (with our MUPD initiative)

12 Future Steps What are your next steps? Continue working on provider engagement of the assessment tools. Hope to add the two assessment metrics (i.e. RAPID 3 usage) to our quality bonus plan in the future. Continue to expand disparities research and address issues that are found. Ongoing primary care education and more refined referral process Shoot for May 2016 for our RA Awareness campaign (was overridden by HTN education month in 2015 and need more analytics support) What do you hope to achieve? Continued and increased assessments by rheumatologists that incorporate the patients perspective as well as the physical exam and lab data More primary care physicians engaged in proper RA diagnosis and care More patient awareness and engagement and self activation (both specialists patients and those in primary care base i.e. internal and external patients to our PCMH) A reduction in disparities from socioeconomic and age related categories

13 Questions?