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Partner Scope of Work for WHPP Y5

Product

Products

Due Date

Status

Templates

Documentation

Deliverable 1: Foundational Work

Products:

1.1

Recruit 3 CHCs to participate and provide the CHC

name to

names on the NACHC on Partner Main Page.

Mar 2022 

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.

Mar 2022 

Complete

1.3

Provide monthly patient-level de-identified data for

November 2021 – December 2021

August 2022 – October 2022 using the Data Dictionary and any updated versions provided by NACHC staff.

31 Mar 2022 

Deliverable 2: HIT Quality Improvement

Products:

2.1

Design

Generate at least 12 months of data for 5 different postpartum quality measures by the end of year 5 

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

such as

in the following five areas:

  • Cardiovascular (blood pressure, cardiomyopathy, thromboembolic events)

  • Diabetes/GDM

  • Anemia

  • Post-partum depression/mental health

  • Substance abuse

Jul 2022 

Implementation Plan template

Amount $22,500

Deliverable 2: HIT Quality Improvement

Products:

2.

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.

31 Jul 2022 

2.

3

2

Provide monthly patient-level de-identified data for

January

November 2022 –

July 2022

January 2023 using the Data Dictionary and any updated versions provided by NACHC staff.

31 Jul 2022 

2.

4

Participate in the development of Post-Partum Quality Improvement Implementation Guide.

31 Jul 2022 

2.5

Participate in Harvest Meeting.

31 Jul 2022 

2.6

Upload completed Final Report on Confluence using NACHC template.

31 Jul 2022 

Strategy: Data and Information Systems

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 

 

PM1. Generate at least 12 months of data for 5 different postpartum quality measures by the end of year 5 

 

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. 

 

OP1. Project data dictionary for Year 5 

 

OP2. Year 5 Implementation Guide derived from partner plans [AA10] 

 

OP3. Recommendations for scale and spread 

 

OP4.

3

Submit metrics on impact of QI initiative on prenatal and postpartum measures 

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.

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.

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 .

3.4

Participate in the development and/or review of Post-Partum Quality Improvement Implementation Guide as requested by NACHC.

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.

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.

4.3

Link pregnancy outcomes data from 1 state registry to HCCN data warehouse 

4.5

Participate in Harvest Meeting including the following topics (per slide template)

  • Goal Statement for the project

  • Aims for the QI implementation

  • Accomplishments

  • Challenges

  • Best Practices

  • Recommendations for others adopting this strategy

  • Metrics on impact of QI initiative on prenatal and postpartum measures 

 

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. 

[AA1] 

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] 

 

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]

@Julia Skapik  [AP2] [AP2]

 [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]

 [JS7]agree [JS7]

how many HCCNs?   [AA8] [AA8]

[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

4.6

Upload completed Final Report on Confluence using NACHC template.

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]

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