Embed Size (px)
Citation preview
10/12/2015
William Murphy, MS, RDN, LDSenior Manager, Outcomes Research
ANDHII Project Leader
Are You Making a Difference?
Prove It with
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
About Me
Sr. Manager, Outcomes ResearchAcademy 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
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
Prove my impact
5
6
Patients need nutrition care
My clients get better
RDNs make a difference
8
Patients need nutrition care
My clients get better
RDNs make a difference
PROVE
IT
Prove my impact Advance the profession
9
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
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
12
The Evidence Based Practice Cycle
Evidence Based
Practice Guidelines
Clinical Practice
Clinical and Translational
Research
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
15
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.
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.
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
ANDHII/DPBRNNCP
EAL
The Evidence Based Practice Cycle
Evidence Based
Practice Guidelines
Outcomes Research
Clinical Practice
Monitoring & Evaluation
Assessment
Diagnosis
InterventionNCPT
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
20
Prove my impact Advance the profession Get paid
21
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
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)
PQRS Participation
24
PQRS Participation
25
Prove my impact Advance the profession Get paid
26
ANDHII
27
Case Study
28
29
30
31
32
33
