Part 2 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: April 2, 2014
PRESENTED BY:  Hans Dethlefs, MD and Ed Zuroweste, MD

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If you have any follow up questions for this webinar, feel free to contact Dr. Ed Zuroweste at kugelzur@migrantclinician.org or 512.579.4540 .

At their best, clinical core measures serve as an important window to examine the impact and quality of care being delivered at health centers. However, without an effective system in place clinical core measures can require a great deal of time and effort without yielding important quality improvement. This session will examine both short and long term strategies health centers can employ to make the best use out of the clinical core measures to improve care for patients. Drs Zuroweste and Dethlefs will examine the building blocks health centers need for an effective quality improvement system. Through a series of case studies, this session will explore the role of clinical leadership, technology and strategies for building a short and long term quality infrastructure that works.

Learning Objectives:

1. Identify common pitfalls health centers encounter related to the clinical core measures.
2. Discuss strategies for assessing a health center’s current capacity to engage in meaningful quality improvement.
3. Through case studies, evaluate different approaches to clinical quality improvement using the clinical core measures.

This is the final webinar in a series of seven in our Clinician Orienatation to Migration Health.

DATE RECORDED: Wednesday, August 7th, 2013
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network

To view the recorded version of this webinar, click here

This is a nice example of a screen shot for documenting self-management goals in EHR and the kind of thing centers want to see as they develop their tools. This can be adapted any number of ways. 

OneWorld Community Health Center created a demographic extended table and put it in on a medical record pop-up template for tracking self management goals. This grid can be displayed on other templates or the popup can be launched from other templates depending on the workflows.   

The scope of the quality improvement program is organization wide and includes activities that monitor and evaluate all phases of the health care delivery system through objective, criteria-based audits, outcome audits, tracking tools, and reporting systems.

“Quality Improvement” (QI) refers to the betterment or enhancement of programs or services. QI develops solutions to the problems noted in the quality reviews and progress reports. Tools used to improve quality include referencing clinical standards, tracking defined programs and measuring outcomes and key indicators, and benchmarking against programs with high levels of performance.

Setting goals with patients is an important step in helping them self-manage their own health-related behaviors. Experienced healthcare teams find that following the two basic principles described below helps patients have more early success, and small successes one after the other builds confidence and effective self-management.

High quality goals are patient-centered and behaviorally specific. Developing high quality goals increases the likelihood of early and sustained self-management success. Modeled after one team’s efforts, the rating scale below represents a simple way to assess if the goals we set are behaviorally specific.