2017 - Competency QI-A

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.

Description	Example/Screenshot/Documentation	Source	Date Added
Using Dashboard you can generate measure data for behavioral health measures including: ADHD Patient Followup Depression Screening Rates - Adolescents
Using Dashboard you can generate measure data for behavioral health measures including: ADHD Patient Followup Depression Screening Rates - Adolescents
Using PCC EHR Report Library Reports Patient List or Preventive Care Recall, you can generate measure data for: Patients in need of maternal depression screening

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.