RHCC: INC04, INC04A & INC04ART(HAB Measure-INC04, NCDHHS Measure-INC04A & RHCC Measure-INC04ART)

PROBLEMS IDENTIFIED•Poor documentation /lack of proper referral mechanism•Inadequate Staff Communication•Client non-compliance (taking medication vacation)•Improper use of medications (ie. Crushing meds, missing doses, etc.)•High Client turnover•Introduction of new interface between EMR and CAREWare (January 2013)•CAREWare Data Issues

INTERVENTIONS •Increased the number of staff in program (Oct-Nov 2012)•Increased Staff and Client interactions•Increased staff internal/in-house training•Increased CAREWare training for all staff and required all to input their own data. Data must be checked by Care Coordinator•Required staff members to communicate with one another•Required labs before MD visit – initiated by provider•Required by provider that provider be give the list of clients that were delinquent in their HAB measures•New Clinic was started at Scotland County Health Department (location, decreased transportation issues and increased client access)

12/1/2

011

1/1/2

012

2/1/2

012

3/1/2

012

4/1/2

012

5/1/2

012

6/1/2

012

7/1/2

012

8/1/2

012

9/1/2

012

10/1/2

012

11/1/2

012

12/1/2

012

1/1/2

013

2/1/2

013

3/1/2

013

4/1/2

013

5/1/2

013

6/1/2

013

7/1/2

013

8/1/2

01360.00%

65.00%

70.00%

75.00%

80.00%

85.00%

71.71%

64.71% 64.07%

71.52%73.05%

71.71%

78.69%

69.50%70.37%

76.76% 75.97% 75.91%

80.36%

72.87%71.77%

80.00% 79.37% 79.46%

INC04INC04AINC04ART