SLIDE 1
10/12/2015
Disclosure:
- Mr. Murphy is an employee of the Academy of
Nutrition and Dietetics, an organization that may have a commercial interests in the ANDHII technology discussed in this presentation.
2
Are You Making a Difference? Prove It with William Murphy, MS, RDN, - - PowerPoint PPT Presentation
Are You Making a Difference? Prove It with William Murphy, MS, RDN, - - PowerPoint PPT Presentation
Are You Making a Difference? Prove It with William Murphy, MS, RDN, LD Senior Manager, Outcomes Research ANDHII Project Leader 10/12/2015 Disclosure: Mr. Murphy is an employee of the Academy of Nutrition and Dietetics, an organization that
SLIDE 2
SLIDE 3
About Me
- Sr. Manager, Outcomes Research
Academy of Nutrition and Dietetics
- Trained at Louis Stokes VA Hospital / Case
Western Reserve University (Cleveland, OH)
- Former Spinal Cord Injury Unit RDN at Memphis
VA Hospital
- At the Academy for 3 years
- Creator of ANDHII
- Certified Specialist in Data Science
- CAND Secretary 2014-2016
3
SLIDE 4
Objectives
After this presentation, learners will:
- 1. Name three reasons for collecting outcomes
and quality data
- 2. Have experience collecting outcomes data
and quality measures for their practice using ANDHII
4
SLIDE 5
Prove my impact
5
SLIDE 6
6
Patients need nutrition care My clients get better RDNs make a difference
SLIDE 7
7
SLIDE 8
8
Patients need nutrition care My clients get better RDNs make a difference PROVE IT
SLIDE 9
Prove my impact Advance the profession
9
SLIDE 10
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients
Evidence Based Practice
10
1996
- EBP Defined
- Medical Nutrition
Therapy Across the Continuum of Care 2001
- MNT Evidence-
based practice guidelines 2004
- Evidence Analysis
Library
SLIDE 11
Evidence Based Practice
11
1996
- EBP Defined
2001
- MNT Evidence-
based practice guidelines 2004
- Evidence Analysis
Library 2005
- Nutrition Care
Process Model and Diagnostic Terminology 2007
- International
Dietetics & nutrition Terminology Reference Manual 1st Edition 2014
- eNCPT
- Academy of
Nutrition and Dietetics Health Informatics Infrastructure
- Medical Nutrition
Therapy Across the Continuum of Care
SLIDE 12
12
SLIDE 13
The Evidence Based Practice Cycle
Evidence Based Practice Guidelines Clinical Practice Clinical and Translational Research
SLIDE 14
NCP EAL
The Evidence Based Practice Cycle
Evidence Based Practice Guidelines Clinical Practice
Monitoring & Evaluation
Assessment Diagnosis Intervention
Clinical and Translational Research
EAL: Evidence Analysis Library, NCP: Nutrition Care Process, NCPT: Nutrition Care Process Terminology (formerly IDNT) ANDHII: Academy of Nutrition and Dietetics Health Informatics Infrastructure, DPBRN: Dietetics Practice Based Research Network
Outcomes
SLIDE 15
15
SLIDE 16
16
Class I recommendations: Addition of an aldosterone antagonist is reasonable in selected patients with moderately severe to severe symptoms of HF and reduced LVEF who can be carefully monitored for preserved renal function and normal potassium concentration... risk of death was reduced from 46% to 35% (30% relative risk reduction) over 2 years, with a 35% reduction in HF hospitalization and an improvement in functional class.
SLIDE 17
17
Class I recommendations: Addition of an aldosterone antagonist is reasonable in selected patients with moderately severe to severe symptoms of HF and reduced LVEF who can be carefully monitored for preserved renal function and normal potassium concentration... risk of death was reduced from 46% to 35% (30% relative risk reduction) over 2 years, with a 35% reduction in HF hospitalization and an improvement in functional class.
SLIDE 18
NCP EAL
The Evidence Based Practice Cycle
Evidence Based Practice Guidelines Clinical Practice
Monitoring & Evaluation
Assessment Diagnosis Intervention
Clinical and Translational Research
EAL: Evidence Analysis Library, NCP: Nutrition Care Process, NCPT: Nutrition Care Process Terminology (formerly IDNT) ANDHII: Academy of Nutrition and Dietetics Health Informatics Infrastructure, DPBRN: Dietetics Practice Based Research Network
Outcomes
SLIDE 19
ANDHII/DPBRN NCP EAL
The Evidence Based Practice Cycle
Evidence Based Practice Guidelines Outcomes Research Clinical Practice
Monitoring & Evaluation
Assessment Diagnosis Intervention
NCPT
Positions and Public Policy
EAL: Evidence Analysis Library, NCP: Nutrition Care Process, NCPT: Nutrition Care Process Terminology (formerly IDNT) ANDHII: Academy of Nutrition and Dietetics Health Informatics Infrastructure, DPBRN: Dietetics Practice Based Research Network
Clinical and Translational Research
SLIDE 20
20
SLIDE 21
Prove my impact Advance the profession Get paid
21
SLIDE 22
Quality and Value
Outpatient Inpatient
22
- Hospital Value-
Based Purchasing (VBP)
- 2015 Participation:
Incentive Payments
- Physician Quality
Reporting System (PQRS)
- 2015 Participation:
Avoid 2017 payment adjustment penalty
SLIDE 23
Quality and Value
Outpatient PQRS Requirements
23
- Physician Quality
Reporting System (PQRS)
- 2015 Participation:
Avoid 2017 payment adjustment penalty
- Medicare Practitioner
- Registered Dietitian
- Paid under Medicare
Physician Fee Schedule (PFS)
- Bill by National
Provider Identifier (NPI)
SLIDE 24
PQRS Participation
24
SLIDE 25
PQRS Participation
25
SLIDE 26
Prove my impact Advance the profession Get paid
26
ANDHII
SLIDE 27
27
SLIDE 28
Case Study
28
SLIDE 29
29
SLIDE 30
30
SLIDE 31
31
SLIDE 32
32
SLIDE 33
33
SLIDE 34
Thank you!
Feel free to contact me: wmurphy@eatright.org andhii@eatright.org
34