Alaska Native People Shaping Healthcare

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Alaska Native People Shaping Healthcare. Objectives. To find out what everyone is doing with Electronic Medical Records (EMR) To find out what Regional CEO’s direction is with EMR. Alaska Native People Became Owners of their Healthcare System. Self Governance - PowerPoint PPT Presentation

Text of Alaska Native People Shaping Healthcare

  • Alaska Native People Shaping Healthcare

  • ObjectivesTo find out what everyone is doing with Electronic Medical Records (EMR)To find out what Regional CEOs direction is with EMR

  • Alaska Native People Became Owners of their Healthcare System

    Self GovernanceAlaska is the only state tribes have assumed all contractible services from IHS

  • SCF 2009 Corporate ObjectivesReduce the rate of Domestic Violence, Child Abuse and Neglect. Reduce the rate of preventable cancers and improve the management of cancer. Reduce the incidence of suicide. Reduce the rate of obesity. Reduce the rate of substance abuse. Reduce the rate of and improve the management of diabetes.Improve oral health. Reduce the rate of and improve the management of cardiovascular disease.

  • EMR Data

    Decrease in ER/Urgent Care over 40%Decrease specialty care by about 50%Decrease in primary care visits by 20%Decrease in admissions and days by 30%Segment need and behavior

  • EMR DataMonitor health outcomes, customer and staff satisfactionMonitor costs - 5% of user population generates over 30% of total costs

  • Native ownership begins

  • Excludes Newborns and Delivery Moms and Length of Stay must be more than 1 dayNative ownership begins

  • Excludes Newborns and Delivery Moms. Denominator PCP patients includes non-village patients with visit during past two years. Includes LOS >1 day only to adjust for introduction of Observation Hospitalization.

  • Chart1

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    0.681

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    0.698

    0.716

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    0.681

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    0.7435197817

    0.751

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    0.66

    Timely A1C

    Basic

    DateChildImmBroncOMLipidScreenUTI/Cystitis1UTI/Cystitis2CRCPapMamPneumoDMSTDLIP1LIP2PMDPMD FUTimely A1C=10BMITobQstionTob CSTob FU RateTob Ref Rate

    7/1/010.160.15

    10/1/010.190.18

    1/1/028.000.25

    4/1/020.410.710.360.430.600.29

    7/1/020.870.280.710.460.220.440.500.350.21

    10/1/020.860.380.720.480.300.460.750.690.620.690.750.730.700.350.25

    1/1/030.850.410.710.480.200.470.750.690.650.690.780.850.690.340.25

    4/1/030.850.350.730.490.180.470.760.710.640.710.790.850.660.410.31

    7/1/030.860.590.760.490.460.480.750.700.640.740.820.850.750.430.34

    9/1/030.860.370.670.490.320.480.730.700.630.740.800.840.730.410.360.620.520.380.080.57

    10/1/030.850.670.680.470.230.480.730.700.620.770.780.860.700.430.390.620.540.400.070.62

    11/1/030.860.330.710.470.440.470.730.700.630.770.780.870.690.440.370.620.550.420.090.58

    12/1/030.870.390.660.470.310.480.730.700.610.780.690.870.810.460.390.630.520.400.070.58

    1/1/040.880.550.650.470.150.480.730.700.610.780.780.890.700.460.390.640.500.410.090.58

    2/1/040.870.380.680.480.180.480.730.700.610.780.780.890.720.460.380.640.490.430.090.58

    3/1/040.890.580.710.480.810.140.460.720.700.610.780.780.890.760.460.380.650.480.440.100.58

    4/1/040.890.670.680.480.760.400.460.720.690.620.790.780.890.940.470.390.680.330.560.110.57

    5/1/040.880.590.710.480.760.450.460.720.700.620.790.780.890.730.480.380.660.350.560.110.60

    6/1/040.880.590.690.490.760.190.460.720.690.620.790.790.890.820.480.360.690.330.560.120.57

    7/1/040.910.690.700.510.880.290.460.720.700.630.790.790.890.830.480.350.700.350.540.110.59

    8/1/040.910.690.610.510.880.370.470.720.690.630.790.750.900.730.520.340.720.510.480.090.58

    9/1/040.900.550.750.520.780.330.460.720.690.620.800.790.900.730.530.350.730.500.480.080.61

    10/1/040.900.420.620.510.740.210.450.720.690.630.800.780.900.830.540.350.690.490.430.080.59

    11/1/040.910.600.690.510.750.250.450.720.690.630.800.780.910.820.540.360.730.500.420.080.60

    12/1/040.930.210.780.520.800.210.450.720.690.620.800.770.910.840.540.370.760.510.430.060.58

    1/1/050.930.270.680.530.780.220.450.710.680.630.800.760.910.830.540.370.750.510.420.070.600.530.500.060.03

    2/1/050.930.240.700.530.620.390.450.720.690.630.810.770.920.830.560.400.720.520.420.060.620.570.490.040.03

    3/1/050.940.320.680.530.710.210.450.720.690.630.810.780.920.840.580.460.730.540.390.070.630.610.470.030.03

    4/1/050.920.320.660.530.690.380.450.720.690.630.810.780.920.830.580.460.700.570.360.070.630.610.470.030.03

    5/1/050.920.340.670.540.820.190.440.720.690.630.810.780.920.850.620.470.730.560.380.060.620.660.460.020.01

    6/1/050.940.390.660.540.820.180.450.720.700.610.810.780.920.840.620.590.740.560.440.050.660.690.450.020.02

    7/1/050.940.440.610.550.820.260.430.7269.740.610.810.780.920.840.630.560.740.530.420.050.660.700.450.010.02

    8/1/050.940.430.670.550.720.430.450.720.690.600.810.770.920.830.510.560.750.480.480.060.600.710.450.000.02

    9/1/050.940.390.890.550.750.490.430.710.680.600.810.760.920.850.530.600.730.550.480.050.570.720.450.010.01

    10/1/050.950.5386%0.5676%52%0.440.710.690.600.810.710.910.850.530.580.740.560.450.050.580.720.440.010.01

    11/1/050.940.1785%0.5460%37%0.430.710.680.560.800.750.910.830.520.580.720.540.460.060.590.710.440.010.01

    12/1/050.940.6281%0.4967%35%0.410.670.650.420.730.710.910.790.430.600.660.560.450.060.530.730.450.010.01

    Immunization: Impaneled Patients age 3-27 months overdue for immunizations (DTAP, Hep B; HIB; IPV; MMR)

    Bronchitis: Empaneled pts >=18 w/o chronic bronchitis or smokers, Anchorage Bowl, Pct with AntiBiotics

    Otitis Media: Acute Otitis in age < 5 impaneled pts. Excludes OM visits where patient had OM visit with AB in prior 30 days

    UTI Cystitis: Empaneled Anchorage Bowl female pts >=18. Correct Short Course among those with AB

    TobQuestion

    DateTob Question

    1/1/050.53

    2/1/050.57

    3/1/050.61

    4/1/050.64

    5/1/050.66

    6/1/050.69

    7/1/050.70

    8/1/050.71

    9/1/050.72

    10/1/050.72

    11/1/050.71

    12/1/050.73

    TobQuestion

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Tob Question

    CurrentSmkr

    DateCurrent Smoker

    1/1/050.50

    2/1/050.49

    3/1/050.47

    4/1/050.46

    5/1/050.46

    6/1/050.45

    7/1/050.45

    8/1/050.45

    9/1/050.45

    10/1/050.44

    11/1/050.44

    12/1/050.45

    CurrentSmkr

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Current Smoker

    Tobacco Followup

    DateTob F/U

    1/1/050.06

    2/1/050.04

    3/1/050.03

    4/1/050.02

    5/1/050.02

    6/1/050.02

    7/1/050.01

    8/1/050.01

    9/1/050.01

    10/1/050.01

    11/1/050.01

    12/1/050.01

    Tobacco Followup

    0

    0

    0

    0

    0

    0

    0

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    0

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    Tob F/U

    Tobacco Referral

    DateTob Referral

    1/1/050.03

    2/1/050.03

    3/1/050.03

    4/1/050.02

    5/1/050.0136

    6/1/050.0168

    7/1/050.019

    8/1/050.02

    9/1/050.01

    10/1/050.01

    11/1/050.01

    12/1/050.01

    Tobacco Referral

    0

    0

    0

    0

    0

    0

    0

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    0

    0

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    0

    Tob Referral

    CRCScreen

    DateCRC Screening

    7/1/010.16

    10/1/010.19

    1/1/020.30

    4/1/020.43

    7/1/020.44

    10/1/020.46

    1/1/030.47

    4/1/030.47

    7/1/030.48

    9/1/030.48

    10/1/030.48

    11/1/030.47

    12/1/030.48

    1/1/040.48

    2/1/040.48

    3/1/040.46

    4/1/040.46

    5/1/040.46

    6/1/040.46

    7/1/040.46

    8/1/040.47

    9/1/040.46

    10/1/040.45

    11/1/040.45

    12/1/040.45

    1/1/050.45

    2/1/050.45

    3/1/050.45

    4/1/050.45

    5/1/050.444

    6/1/050.4474

    7/1/050.4348

    8/1/050.447

    9/1/050.43

    10/1/050.44

    11/1/050.43

    12/1/050.41

    CRCScreen

    0

    0

    0

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    CRC Screening

    PapScreen

    DatePap Screening

    10/1/020.75

    1/1/030.75

    4/1/030.76

    7/1/030.75

    9/1/030.73

    10/1/030.73

    11/1/030.73

    12/1/030.73

    1/1/040.73

    2/1/040.73

    3/1/040.72

    4/1/040.72

    5/1/040.72

    6/1/040.72

    7/1/040.72

    8/1/040.72

    9/1/040.72

    10/1/040.72

    11/1/040.72

    12/1/040.72

    1/1/050.71

    2/1/050.72

    3/1/050.72

    4/1/050.72

    5/1/050.72

    6/1/050.72

    7/1/050.72

    8/1/050.72

    9/1/050.71

    10/1/050.71

    11/1/050.71

    12/1/050.67

    PapScreen

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

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    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    Pap Screening

    MamScreen

    DateMam Screen

    10/1/020.69

    1/1/030.69

    4/1/030.71

    7/1/030.70

    9/1/030.70

    10/1/030.70

    11/1/030.70

    12/1/030.70

    1/1/040.70

    2/1/040.70

    3/1/040.70

    4/1/040.69

    5/1/040.70

    6/1/040.69

    7/1/040.70

    8/1/040.69

    9/1/040.69

    10/1/040.69

    11/1/040.69

    12/1/040.69

    1/1/050.68

    2/1/050.69

    3/1/050.69

    4/1/050.70

    5/1/050.69

    6/1/050.70

    7/1/050.70

    8/1/050.69

    9/1/050.68

    10/1/050.69

    11/1/050.68

    12/1/050.65

    MamScreen

    0

    0

    0

    0

    0

    0

    0

    0

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