Transcript TTUHSC Presentation - Ocular Car 20150930

1.1 Increasing Access to
Ocular Care
Region 15 RHP Meeting
El Paso First Healthplan, 1145 Westmoreland Drive
Rene Vallejo
September 30, 2015
2:00pm
Description of the Project
Improve utilization rates of clinical preventive services
(testing, preventive services, treatment) in target population
with identified disparity.
Benefits to the Community
Increasing the number of Ocular provider to the Region
Increasing access to Ocular Care
Increasing the amount of Diabetic Eye Exams (Dilated)
Improving HEDIS Markers
Milestone Progress:
PROJECT OPTION:
1.9.3 - Enhance
Specialty Care
Capacity in an
Innovative
Manner
MILESTONE:
1
1.9.3 - Enhance
Specialty Care
Capacity in an
Innovative
Manner
2
1.9.3 - Enhance
Specialty Care
Capacity in an
Innovative
Manner
CAT3-1
MENU NO:
DESCRIPTION:
METRIC:
DY:
3500 unique
I-23.1 Increase Specialty Care Clinic
patients seen in
Encounters Volume of visits and
DY4. 4700 specialty DY4
I-23.2 evidence of improved access
care encounters in
Patients for patients seeking services.
DY4
P-9.1
Implement referral
technology and processes
that enable improved and
more streamlined provider
communications
Document e-referral
technology being
DY4
implemented.
IT-1.1
Improve Time to 3rd
Available Apointment
Reduce Time 5% as
compared to DY3 DY4
Baseline
Increase Quality of
Life Scores 5% as
DY4
compared to DY3
baseline
Increase Diabetic
Eye Exams to MPL
(45%)
1.9.3 - Enhance
Specialty Care
Capacity in an
Innovative
Manner
CAT3-2
IT-6.2b
Improve VSQ-9 Patient
Satisfaction Survey
1.9.3 - Enhance
Specialty Care
Capacity in an
Innovative
Manner
CAT3-3
IT-1.12
Diabetes Care - Improve
Retinal Exams
DY4
Project 1.1 – Ophthalmology Unique Patients
Reporting Period: DY 2- October 2012 to September 2013 (Pre-DSRIP)
Super Department
DSRIP GROUPING
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Total
UNINSURED
MEDICAID
ALL OTHERS
133
31
219
75
20
149
87
12
125
89
16
137
103
20
138
115
10
113
102
5
113
124
16
140
103
14
131
127
14
116
117
7
124
97
13
89
1272
178
1594
Total Patients
% Uninsured
% Medicaid
383
35%
8%
244
31%
8%
224
39%
5%
242
37%
7%
261
39%
8%
238
48%
4%
220
46%
2%
280
44%
6%
248
42%
6%
257
49%
5%
248
47%
3%
199
49%
7%
3044
42%
6%
EL PASO OPHTHALMOLOGY
Reporting Period: DY 3- October 2013 to September 2014
Super Department
DSRIP GROUPING
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Total
UNINSURED
171
115
101
97
80
157
43
143
127
142
191
154
1521
MEDICAID
25
16
15
9
10
27
12
14
9
18
13
19
187
ALL OTHERS
189
119
73
111
112
159
286
148
128
168
98
153
1744
EL PASO OPHTHALMOLOGY
Super Department
Total Patients
385
250
189
217
202
343
341
305
264
328
302
326
3452
% Uninsured
44%
46%
53%
45%
40%
46%
13%
47%
48%
43%
63%
47%
44%
% Medicaid
6%
6%
8%
4%
5%
8%
4%
5%
3%
5%
4%
6%
5%
DSRIP GROUPING
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Total
UNINSURED
MEDICAID
ALL OTHERS
189
30
268
158
25
186
141
18
169
131
15
170
156
13
173
156
27
188
151
18
180
133
16
158
145
23
174
181
13
141
167
12
144
1708
210
1951
Total Patients
% Uninsured
% Medicaid
487
39%
6%
369
43%
7%
328
43%
5%
316
41%
5%
342
46%
4%
371
42%
7%
349
43%
5%
307
43%
5%
342
42%
7%
335
54%
4%
323
52%
4%
3869
44%
5%
EL PASO OPHTHALMOLOGY
Goal 3,500
Project 1.1 – Ophthalmology Patient Encounters
Super Department
DSRIP GROUPING
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Total
UNINSURED
MEDICAID
ALL OTHERS
209
26
164
142
26
121
130
17
127
142
17
140
186
26
141
175
12
127
172
13
151
203
24
180
161
31
165
221
29
164
190
23
182
170
22
184
2101
266
1846
EL PASO OPHTHALMOLOGY
Total Encounters
399
289
274
299
353
314
336
407
357
414
395
376
4213
% Uninsured
% Medicaid
52%
7%
49%
9%
47%
6%
47%
6%
53%
7%
56%
4%
51%
4%
50%
6%
45%
9%
53%
7%
48%
6%
45%
6%
50%
6%
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Total
193
26
223
142
21
157
120
16
101
124
14
155
117
18
160
211
37
238
202
28
250
187
32
294
181
20
240
326
27
222
271
25
213
277
32
283
2351
296
2536
Reporting Period: DY 3- October 2013 to September 2014
Super Department
EL PASO OPHTHALMOLOGY
UNINSURED
MEDICAID
ALL OTHERS
Total Encounters
442
320
237
293
295
486
480
513
441
575
509
592
5183
% Uninsured
44%
44%
51%
42%
40%
43%
42%
36%
41%
57%
53%
47%
45%
% Medicaid
6%
7%
7%
5%
6%
8%
6%
6%
5%
5%
5%
5%
6%
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Total
266
37
280
238
32
217
224
29
221
201
26
222
234
25
247
253
37
278
258
37
335
238
33
286
279
46
293
287
38
287
277
32
301
2755
372
2967
Super Department
EL PASO OPHTHALMOLOGY
UNINSURED
MEDICAID
ALL OTHERS
Total Encounters
583
487
474
449
506
568
630
557
618
612
610
6094
% Uninsured
% Medicaid
41%
6%
45%
7%
44%
6%
41%
6%
46%
7%
45%
6%
41%
6%
43%
6%
45%
7%
47%
6%
45%
5%
45%
6%
Goal 5,600
Project 1.1 – Ophthalmology
Category 3
Patients Diagnosed with Diabetes who Received a Dilated Retinal Eye Exam
Milestone Data
DSRIP Project 084597603.1.1
IT-1.12: Diabetes Care: Retinal Eye Exam
Category 3.3
Ophthalmology
Unique Patients
Reporting Period:
10/01/2014 to 08/30/2015
Identifiers:
Patients with Diagnosis of Diabetes
Patients seen in The Family Medicine and Internal Medicine Clinics
Patients with 2 or more
appointments in the last
24 months
Patients Who Turn 18-75 Years of Age During the DY
Patients who received a dialated retinal eye exam
DSRIP Category
DY
DY 2
Total Unique Patients Seen
4725
4515
4757
Patients with an Eye Exam
783
775
1387
16.57%
17.17%
29.16%
Total % Patients with a Current Eye Exam
Count of Patients (non duplicated)
DY 3
DY 4
DY 5
2/6/2015
Goal 45.00%
Project 1.1 – Ophthalmology
Category 3
VSQ9 Patient Satisfaction Survey
DSRIP Project 084597603.1.1
IT-6.2.b: Visit Specific Satisfaction Instrument (VSQ 9)
Ophthalmology
Category 3 .2
Milestone Data
Reporting Period:
Identifiers:
10/01/2014 to 08/30/2015
All Patient Visits in the
Ophthalmology Clinic
VSQ9 Scores Normalized on 0-100
Scale
No Blank Responses Allowed
Survey Platform-IPad
English or Spanish Provided
Number of Surveys
Sum Of All Scores
Percent
DY 2 Totals
1244
85256
69
DY 3 Totals
4553
356461
78
DY 4 Totals
5708
451760
79.15
Goal 79.38%
Innovation
Electronic Referrals with outside entities
RMS-Texas Tech (Upgrades)
ROBO Calls
IM Fundus Camera/ walk-ins
Expansion of Clinic from 7 lanes to 19 lanes
2015-2016
Continuous Quality
Improvements
Collaboration with Internal Medicine Eye
Screening
Family Medicine “ROBO” Calls flow process
Decreasing Registration times
Decreasing Patient wait times
Efficient Patient flow with 3 providers