Beruflich Dokumente
Kultur Dokumente
Report Standardization to
Improve PQRS Measure
Outcome
Travis Browning, MD
Kristen Bishop, MD
Richard Batz, MD
Julie Champine, MD
UT Southwestern Medical Center at Dallas
Disclosures
Travis Browning, MD
• None
Richard Batz, MD
• None
Julie Champine, MD
1
Objectives
• Different divisions
• Different hospital systems
2
The System
Included
3
Evaluation
• http://www.acr.org/~/media/ACR/Documents/P4P/Resources/2
014/Specs/Measure195_specs_2014.pdf
Reporting Template
4
Improved
system
template
Data
5
PDSA Cycles
Pre-change
PDSA Cycles
6
PDSA Cycles
Removing Duplicates
7
PDSA Cycles
PDSA Cycles
8
PQRS Measure #195 – Medicare Original Payor
400 100.00%
90.00%
350
80.00%
Number of Imaging Exams
300
70.00%
250
60.00%
200 50.00%
40.00%
150
30.00%
100
20.00%
50
10.00%
0 0.00%
Post Template Post Template
Prechange
Pre Coding System Change Post Coding System Change
PQRS Success 289 351 105
PQRS Failure 37 23 0
% PQRS Success 88.65% 93.85% 100.00%
% PQRS Failure 11.35% 6.15% 0.00%
350 100.00%
90.00%
300
80.00%
Number of Imaging Exams
250 70.00%
60.00%
200
50.00%
150
40.00%
100 30.00%
20.00%
50
10.00%
0 0.00%
Post Template Post Template
Prechange
Pre Coding System Change Post Coding System Change
PQRS Success 277 328 103
PQRS Failure 36 21 0
% PQRS Success 88.50% 93.98% 100.00%
% PQRS Failure 11.50% 6.02% 0.00%
9
PQRS Measure #195 – All Payors
450 100.00%
400 90.00%
80.00%
350
Number of Imaging Exams
70.00%
300
60.00%
250
50.00%
200
40.00%
150
30.00%
100
20.00%
50 10.00%
0 0.00%
Post Template Post Template
Prechange
Pre Coding System Change Post Coding System Change
PQRS Success 302 396 221
PQRS Failure 395 399 0
% PQRS Success 43.33% 49.81% 100.00%
% PQRS Failure 56.67% 50.19% 0.00%
Project Outcomes
10
Lessons Learned
11