Strategy: Data and Information Systems
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Using a human centered design framework work with 3 health centered controlled networks (HCCN) (OCHIN, Redwood Community Health Coalition and AllianceChicago) and their partner health centers:
A1. Publish 1 harmonized maternal quality data dictionary (containing data element documentation for pregnancy episodes, delivery date, post-partum visits, high-risk pregnancies, and other critical pre- and postpartum clinical concepts) in the Value Set Authority Center and propose value sets/data elements specific to maternal quality and women's health with ACOG and CDC US[AA1] [AP2] [JS3] [JS4] Interoperability Standards Advisory
A2. Continue to develop new data elements and maintain existing elements in the project data dictionary. These will include data elements on diabetes, hypertension, mood disorders, or substance abuse.
A3. Build and refine prenatal and postpartum[AA5] [AP6] [JS7] electronic quality measures with program eCQMs and other postpartum quality of care guidelines during quarterly Design Meetings
A4. Create implementation plans for proposed clinical quality improvement activities
A5. Use project metrics and data elements to support continuous quality improvement
A6. Work with each partner to link pregnancy outcomes data from state registry to HCCN data warehouse
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Partner Scope of Work for WHPP Y5
Products | Due Date | Status | Templates | Documentation | |
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Deliverable 1: Foundational Work Products: | |||||
1.1 | Recruit 3 CHCs to participate and provide the CHC names on the NACHC on Partner Main Page. |
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1.2 | Participate in monthly All Partners and/or Technical Assistance calls with NACHC project staff to design solutions, review progress and answer questions. Partner project staff should include at least: Lead, project manager, data analyst. |
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1.3 | Provide monthly patient-level de-identified data for August 2022 – October 2022 using the Data Dictionary and any updated versions provided by NACHC staff. Generate at least 12 months of data for 5 different postpartum quality measures by the end of year 5 |
OP1. Project data dictionary for Year 5
OP2. Year 5 Implementation Guide derived from partner plans [AA10]
OP3. Recommendations for scale and spread
OP4. Metrics
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PM2. Receive monthly data pulls from each partner and create and update dashboards for each quality measure
PM3. Calculate monthly metrics of post-partum follow-up visits for a total of 12 data sets by end of Year 5
PM4. Aggregate data from[AA8] [AP9] HCCNs to calculate maternal outcomes including maternal morbidity and mortality.
1.4 | Submit Implementation plan to design and conduct Health Information Technology (HIT)-enabled quality improvement (QI) strategies; implement an iterative process of using data to improve the interventions to improve results for comprehensive post-partum care in the following five areas:
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| Implementation Plan template | ||
Amount $22,500 | |||||
Deliverable 2: HIT Quality Improvement Products: | |||||
2.1 | Participate in monthly All Partners and/or Technical Assistance calls with NACHC project staff to design solutions, review progress and answer questions. Partner project staff should include at least: Lead, project manager, data analyst. |
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2.2 | Provide monthly patient-level de-identified data for November 2022 – January 2023 using the Data Dictionary and any updated versions provided by NACHC staff. |
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2.3 | Submit metrics on impact of QI initiative on prenatal and postpartum measures |
OP5. Best Practice examples identified as a result of the project disseminated to partners and stakeholders
OP6. One final report on project’s accomplishments, challenges and best practices collected in Harvest Meeting distributed to key stake holders and partners.
What are you proposing to the U.S. Interoperability Standards Advisory (Group, Board, Committee, etc)? [AA1] [AA1]
[JS3]Value sets/data elements specific to maternal quality and women's health [JS3]
[JS4]We will do it with ACOG and CDC [JS4]
hyphenated or not hyphenated, see A1 [AA5] [AA5]
We are going with single compound word. [AP6] [AP6]
3 [AP9]
OP2 mentions one Implentation, but A4 mentions implementation plans, plural-- how many are you actually looking to develop. [AA10] [AA10]
OM2. 10% increase in postpartum follow up for sites in the intervention by the end of the QI initiative
OM3. 10% increase in follow up for high-risk patients
Strategy: Communications and Information Technology
Continue work with 3 HCCNs (OCHIN, Redwood and AllianceChicago) and their health centers to develop quality improvement strategies to test and improve the data collection, data capture and data integrity around postpartum quality
A1. Present findings at one national medical, quality or HIT conference and at a national forum for FQHCs/partners.
A2. Build educational documents about opportunities to improve data capture and post-partum care pathways
A3. Communicate with strategic partners to provide feedback on maternal quality, including: CDC, ACOG, CMQCC
PM1. Publication of educational materials and/or academic papers to support improved data quality for pregnancy and postpartum care
PM2. Documentation to support approaches to pregnancy-related complex data elements/terminology
PM3. Outreach to national organzations about maternal quality data dictionary and measure set.
OP1. One national webinar on prenatal and postpartum quality improvement opportunities by end of Year 5
OP2. One white paper or academic submission for publication on misalignment and gaps in data quality for maternal care by end of Year 5
OP3. Submission of one presentation on project outcomes to at least one national meeting (AMIA, ACOG) by end of Year 5
OP4. Social media and press announcement about webinar and maternal quality data dictionary by end of Year 5 [AA2] [JS3]
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Amount $22,500 | |||||
Deliverable 3: Identify gaps in evidence-based care and contribute to an implementation toolkit for health centers to measure and improve post-partum care | |||||
3.1 | Participate in monthly All Partners and/or Technical Assistance calls with NACHC project staff to design solutions, review progress and answer questions. Partner project staff should include at least: Lead, project manager, data analyst. |
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3.2 | Provide monthly patient-level de-identified data for February 2023 – April 2023 using the Data Dictionary and any updated versions provided by NACHC staff. |
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3.3 | Vignette or story that details how this project affects a or a story about how the quality improvements made in this project resulted (partners may use a fictional composite or persona developed in a previous year to exemplify the change. i.e., a persona update). The story should show describe the impact of changing the system from the perspective of a. patient’s care, b. care team clinical process, and c. data process . |
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3.4 | Participate in the development and/or review of Post-Partum Quality Improvement Implementation Guide as requested by NACHC. |
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Amount $ 22,500 | |||||
Deliverable 4: Final Reporting | |||||
4.1 | Participate in monthly All Partners and/or Technical Assistance calls with NACHC project staff to design solutions, review progress and answer questions. Partner project staff should include at least: Lead, project manager, data analyst. |
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4.2 | Provide monthly patient-level de-identified data for May 2023 – July 2023 using the Data Dictionary and any updated versions provided by NACHC staff. |
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4.3 | Link pregnancy outcomes data from 1 state registry to HCCN data warehouse |
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4.5 | Participate in Harvest Meeting including the following topics (per slide template)
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4.6 | Upload completed Final Report on Confluence using NACHC template. |
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Amount $ 22,500 | |||||
Strategy: Data and Information Systems
| PM2. Receive monthly data pulls from each partner and create and update dashboards for each quality measure
| OP6.
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Strategy: Communications and Information Technology
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Need measures and timeline. Okay if the timeline is-- by end of Year 5 [AA1] [AA1]
Need measures and timeline. Okay if timeline is -- by the end of Year 5 [AA2] [AA2]
[JS3]Timeline is end of year 5 [JS3]
Can you provide more clarity on what is needed for measures?
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