Transcript Building and Sustaining Data

Next Steps in
Progressive Cardiovascular Care
part 1 of 2
HHQI Announcements
 Current HHQI National Campaign Participation
– 13,192 participants from 5,293 agencies
 Blood Pressure Medication Management, How to
Check My Own Blood Pressure and Smoking &
Your Heart
http://www.homehealthquality.org/Education/Be
st-Practices.aspx
 Agency of the Month - Greenspring Village Home
Support from Springfield, VA
Announcements
 Save the Date - Underserved Populations (UP)
Quarterly Networking Event
 Wednesday, July 22, 2015 | 2-3pm (ET)
HHCDR Updates
 Most abstracted: Tobacco
#2 Blood pressure
#3 Aspirin as Appropriate
#4 Cholesterol
 Congratulations to Beyond Home Health Care
Services, LLC from Jacksonville, Florida
HHCDR Updates
 Challenge for this month: Tell us your goals. How are
you using the HHCDR?
 Reach 6 months of data submission, and all other
Milestone 3 requirements, and HHQI will assist with
an Assessment of Data Reliability for your agency.
Next Steps in Progressive
Cardiovascular Care (Part 1 of 2)
Aspirin as appropriate &
Blood pressure control
Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic
Percentage of patients aged 18 years or older with ischemic vascular disease (IVD) documented within
the most recent 12 months while under the care of the home health agency with documented use of
aspirin or other antithrombotic or anticoagulant therapy**
HHCDR Report
Topic: Aspirin As Appropriate
Hypertension: Controlling High Blood Pressure
Percentage of patients aged 18-85 years who had a diagnosis of hypertension (HTN) documented
within the most recent 12 months while under the care of the agency and whose blood pressure (BP)
was adequately controlled (<140/90 mm Hg) while under the care of the home health agency
HHCDR Report
Topic: Blood Pressure Control
Controlling High Blood Pressure: Follow-Up Documented
Percentage of patients aged 18-85 years who had a diagnosis of hypertension (HTN) documented
within the most recent 12 months while under the care of the home health agency and a recommended
follow-up plan is documented while under the care of the home health agency
HHCDR Report
Topic: Blood Pressure Control
Aspirin Education Picks
 Cardiovascular Health Part 1 BPIP
– Clinician Fact Sheet
– Taking Aspirin to Prevent Heart Attacks
(men)
– Taking Aspirin to Prevent Stokes (women)
– Spanish also available for all
So How Can You Integrate
ASA Tools?
 Email clinician sheet to staff
 Create tips of the week from the clinician sheet
 Pull key points from clinician sheet and integrate
into education pathways
 Add the brochure to your admission packet and
set up process to review with all patients
– Even if patient is already on ASA, education reinforces
why to adhere with treatment
Bulletin Board
CVH Part 1 BPIP Webpage
Blood Pressure Staff Education Picks
 Fundamental Focus: Blood Pressure
Control & Smoking Cessation BPIP
 HHQI University Courses
– Master the Maze of Blood Pressure
Medications (coming 7/1)
– Blood Pressure Control and Smoking
Cessation
– Antihypertensive Medication Reference
More Blood Pressure
Staff Education Picks
 Cardiovascular Lifestyle Management Video BPIP
– Lifestyle Modifications Part 1: Weight Reduction,
DASH eating Plan; and Sodium Reduction (7 min.)
– Lifestyle Modifications Part 2: Physical Activity,
Alcohol Modification, and Smoking Cessation (7 min.)
– Following the DASH Eating Plan
One More Critical Staff Education Pick
 Quiz Time!!
 Cardiovascular Health Part 1 BPIP
– Blood Pressure Accuracy & Accurately
Assessing Orthostatic Hypotension
So How Can You Integrate
Clinician BP Tools?
 Include BP assessment as a competency with
annual field evaluation or with a competency fair
 Show one of the short videos at the next several
team/staff meetings
– Explain why leadership (and CMS) value CVH quality
improvement
– Roll out a tool or education pieces
 Check out any of the HHQI University courses and
then incorporate one (or more) into your
education plan for your staff to take
Blood Pressure Patient Education Picks
 Cardiovascular Blood Pressure Control Video BPIP
– Blood Pressure Medication Management (7 min.)
More Blood Pressure
Patient Education Picks
 Cardiovascular Blood Pressure Control Video BPIP
– How to Check My Own Blood Pressure (7 min.)
– AHA Blood Pressure Tracker tool
My Healthy Heart Workbook
My Healthy Heart
Workbook – also
available in Spanish
So How Can You Integrate
Patient BP Tools?
 Download video files on laptops or tablets to share
with patients during visits when appropriate
– If paper-based HHA, make DVD with both videos and
provide one to each staff member
 Check with your insurers if they cover electronic
blood pressure cuffs
– FYI the Blue Cross Blue Shield Association for the Federal
Employee Program now offers free monitors
 Collaborate with local pharmacy or store for
discounted electronic blood pressure cuffs
– Create cute cards for patients to ask family members to
buy a monitor for their birthday or a holiday
What About the Workbook?
 Consider doing a pilot with the workbook
– Educate staff on the components of the workbook by
watching the videos or doing HHQI University courses
– Discuss how and where to document
– Roll out to one or two clinicians, get feedback, make
changes, try a few more clinicians or few more
patients, get some patient feedback… then SPREAD
 Can alter the workbook with your own tools and
definitely add your logo and contact information
 Restock the staff at team meetings
Thank You!
[email protected]
www.HomeHealthQuality.org
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health
Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of
Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-061815