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Quality Improvement in today’s Community Health Center is a critical part operations.
Since 1996, health centers have been striving to improve their quality improvement/clinical metrics, as well as to understand their patient demographics and associated costs, by using data gathered for Uniform Data System (UDS) reporting.
The Health Services and Resources Administration (HRSA) utilizes this data to understand the populations that health centers work with and to develop methods for improving quality of care. During the summer of 2017, HRSA announced three goals for health centers to emphasize improvement in for the coming year:
- Increase access to Primary Health Care
- Advance health center quality and impact
- Optimize BPHC operations
The second goal aligns with other work already being done around Value Based Payment reform. This could affect the health centers' bottom-line through Value Based Payment due to health centers having effective quality improvement programs and tracking in place to improve patients' health through preventive and diagnostic measure collection. HRSA's focus on clinical quality improvement around diabetes, cardiac, and colorectal cancer screening measures has been in place for several years, and Arizona CHCs have received quality awards for their improvement in these areas.
One key piece of technology that health centers are using is a population health management tool, such as Azara DRVS or i2i. These tools allow health centers to measure UDS and HEDIS measures to monitor their patients at a closer level. These systems allow health centers to track clinical and quality measures from an overall organization level, by individual site location, or even by provider. This ultimately leads back to the patient when a measure has not been collected. Measures that could not be effectively tracked outside of UDS can now be followed once they have been entered into the EHR system. By utilizing this tool, missing screenings and tests can be captured before the patient sees the provider, allowing other levels of staff to follow up and capture them.
Using technology is a key component of quality improvement programs in today’s medicine and how health centers will be paid. AACHC is fortunate to be working with Azara DRVS to bring this high-powered tool to our health centers. Through training and effective capture of information in the EHR, DRVS will assist health center quality improvement staff in improving the lives of their patients.
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