2017 - Competency QI-A

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Table of Contents

<< Move to CC-C

>> Move to QI-B

Competency A: The practice measures to understand current performance and to identify opportunities for improvement

QI 01 (Core): Monitors at least five clinical quality measures across the four categories (must monitor at least one measure of each type):

A. Immunization measures.

The Dashboard includes data for the following immunization measures:

  • Immunization Rates - Adolescents (HPV, TdaP, and Meningococcal combined)
  • Immunization Rates - HPV
  • Immunization Rates - Influenza
  • Immunization Rates - Meningococcal
  • Immunization Rates - Patients 2 Years Old
  • Immunization Rates - Tdap

Data is updated monthly, and trend data is also reported.

B. Other preventive care measures.

Description Example/Screenshot/Documentation Source Date Added
Using Dashboard you can generate measure data for preventive measures including:
  • Well Visit Rates (for various age ranges)
  • Developmental Screening Rates for Infants
  • Fluoride Varnish Rate
Using "Patient List" and "Preventive Care Recall" tools within the EHR Report Library, you can now generate measure data for other preventive measures such as:
  • Preschool vision screening
  • Preschool hearing screening
  • Tobacco or alcohol abuse counseling for adolescents

C. Chronic or acute care clinical measures.

Description Example/Screenshot/Documentation Source Date Added
Using CQM reports in PCC EHR, you can generate measure data for chronic or acute care clinical measures including:
  • Use of Appropriate Medications for Asthma
  • Appropriate Testing for Children With Pharyngitis
  • Appropriate Treatment for Children With Upper Respiratory Infection (URI)
  • Followup Care for Children Prescribed ADHD Medication
How to Chart for each CQM in PCC EHR PCC 11/19/18
Using PCC EHR Report Library Reports Chronic Condition Recall and Patients Overdue for Weight Management, you can generate measure data for:
  • Obesity patient followup
  • Patients seen at the office within a week of ER or hospital discharge

D. Behavioral health measures.

QI 02 (Core): Monitors at least two measures of resource stewardship (must monitor at least 1 measure of each type):

A. Measures related to care coordination.

B. Measures affecting health care costs.

QI 03 (Core): Assesses performance on availability of major appointment types to meet patient needs and preferences for access.

QI 04 (Core): Monitors patient experience through:=

A. Quantitative data. Conducts a survey (using any instrument) to evaluate patient/family/caregiver experiences across at least three dimensions such as:

  • Access
  • Communication.
  • Coordination.
  • Whole-person care, self-management support and comprehensiveness.

B. Qualitative data. Obtains feedback from patients/families/caregivers through qualitative means.

QI 05 (1 Credit): Assesses health disparities using performance data stratified for vulnerable populations (must choose one from each section):

A. Clinical quality.

B. Patient experience