Quality Improvement Committee(QIC Health & Wellness Health Care - - PowerPoint PPT Presentation

Quality Improvement Committee(QIC

Health & Wellness Health Care Review Monitoring Tool Data for Q1 April 2, 2019

Objectives

• To understand how issues are categorized
• To learn about the top focus areas for issue

resolution

• To discuss some ideas to address these top

focus areas

2

Health & Wellness Health Care Review Tool

• The first quarter is October 1, 2018 – December 31, 2018
• A minimum of 86% of an RN’s caseload is reviewed per year.
• This averages to about 120 persons per nurse per year. For a total of

1080 persons per year.

• DDS RNs provide technical assistance to the provider nurses

and staff to help remediate issues.

• The timely closure of issues is a goal for Health & Wellness.

3

Top 10 Areas Generating Issues

4 Issue Number % of Total Missing Record/Data/Documents 71 5.2% Were the medical specialist’s recommendations addressed/implemented within the time frame recommended? 70 5.1% Does the immunization record show that the person has received all recommended vaccinations? 64 4.7% Were the PCP’s recommendations addressed/implemented within the time frame recommended by the PCP? 59 4.3% Has the HP been updated to reflect any changes within the timeframes according to the Health and Wellness Standards? 57 4.1% Health Passport (HP) and/or Health Care Management Plan (HCMP) 47 3.4% If recommended by the IDT and ordered by a physician at any point in the person’s plan year, was the there a current occupational therapy/Speech Language/Physical Therapy assessment? 45 3.3% Is there evidence that age and gender appropriate preventative health care is provided in a consistent and current manner? 40 2.9% Is the HCMP being updated according to the standards or as new changes in the person’s health care status occurs in accordance to the timeframes identified in the Health & Wellness Standards? 37 2.7% Is the Medication Administration Record (MAR) documented appropriately? 36 2.6% Total 526 38.3%

Age Distribution

5

8 26 16 19 24 11 22 32 20 26 20 6 4 1 1

5 10 15 20 25 30 35 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90

# of People Receiving Services Age

Represents the number of unique individuals reviewed (Unduplicated)

Issues by Facility Type

6 50 100 150 200 250 300 350 Supported Living Intermediate Care Facility Residential Habilitation Host Home 350 45 11 44 344 113 34 4 198 45 39 19 # of Issues OCT NOV DEC

H&W Timely Closure Rate

7

Month Total # of Issues Closed On Time Closed Late On-Time % FY17 Target

Oct 286 281 5 98% 86% Nov 451 402 49 89% 86% Dec 409 352 57 86% 86%

FY19 Q1 Target met in Oct, Nov, and Dec Measure shows a decline in performance over the quarter