Below is a sampling of projects that have applied Collaborative-related strategies and tools for health IT-enabled quality improvement*.
These approaches include using a broad definition of CDS, the CMS-recommended CDS 5 Rights Framework, and a structured method to document, analyze and improve target-focused workflows and information flows.
Publicly accessible versions of these strategies and tools (e.g., the CDS/QI Worksheets) are presented most recently in this HRSA Guide to Improving Care Processes and Outcomes, which builds upon earlier resources including the HIMSS guidebooks on improving outcomes with CDS.
- HRSA-funded project to develop (and subsequently execute) a roadmap for transforming diabetes prevention and care in ~1400 health centers.
- Kaiser-funded PHASE project to 'prevent heart attacks and strokes every day' in 9 health centers and 9 other public hospitals and health center consortia
- Multi-state initiative to improve use of self-measured blood pressure monitoring (SMBP) to improve hypertension control (in progress)
- Multi-state initiative with 11 health centers to improve hypertension control using TMIT-developed CDS/QI methodology and hypertension control change package (article for publication in process)
- HRSA-funded project to improve colorectal cancer screening; produced this change package to complement CDS/QI worksheets in analyzing and improving care processes for this target.
- Improving BP & diabetes control in Trenton, NJ - funded buy NJ Dept. of Health (final report)
- Improve blood pressure control in a network of community health centers – funded by CHCF (final report)
- Improve statin use and asthma management in a network of community health centers - funded by AHRQ (final report)
- Million Hearts initiative to identify patients 'hiding in plain sight' with hypertension and improve HTN control (working with HCCNs and FQHCs). Produced 'HIPS Change Package'
- CDS/QI support for Crescent City Beacon Community
- Training on CDS/QI approaches for participants on ONC's LDL Challenge (see slide 22 for a description of this challenge)
- CHCF-funded pilot work on CDS-enabled QI: Improving VTE prophylaxis and diabetes management (Lehigh Valley success story)
Other Related Activities
- Supported HRSA in developing Guide to Improving Care Processes and Outcomes; launched training/technical assistance program to apply this Guide in community health centers.
- Improve in-hospital ADEs - in collaboration with SHM (contact info on last slide)
- See SHM website for more on their quality, patient safety, advocacy, education resources
- Presentation on CDS/QI approach/resources to Cerner Physician Community 10/2013 meeting (click here to download slides)
- Supported ONC in refining and updating CDS/QI tools (was posted on healthit.gov until superseded by Guide to Improving Care Processes and Outcomes on HRSA site; click here to download a description of the original development project)
- Developed with CDC/Million Hearts the Hypertension Control Change Package (used in Trenton and other projects above), and created change package templates to cover other inpatient and outpatient targets. An EHR vendor has created a vendor-specific version of this change package (email Jerry Osheroff for more info).
- Presentation to CDC community health grant awardees 9/2013 (click here to download slides)
- Provides recommendations on enhancing information flow between public health, community health and healthcare to improve population health (builds on CDS4MU deliverables above). A version of these slides was also presented to RECs at the ONC's Million Hearts meeting 8/13.
- Supported ONC/CDC in developing the "EHR Innovations for Hypertension Challenge" (which leverages ONC CDS4MU tools) - concluded/awarded
- Improve hospital readmissions – led by Society of Hospital Medicine (SHM) IT/Quality Committee
- CDS/QI worksheet with best CDS/QI practices for VTE prophylaxis from SHM mentored implementation program
- Recommendations on 'Closing the Gap' to 'best care at lower cost' as recommended by IOM
*For more information about any of these initiatives, email Jerry Osheroff