Please note – this is only a sample, draft and is not intended for distribution. Please feel free to contact to the contract monitor, Bambi Bevill, listed below. REQUEST FOR PROPOSALS CHRONIC DISEASE PREVENTION AND CONTROL BUREAU Health Systems Interventions for Coordinated Chronic Disease Prevention and Management Date of Issuance: TBD Deadline for Submission: TBD PUBLIC HEALTH DIVISION Chronic Disease Prevention and Control Bureau Diabetes Prevention and Control Program Heart Disease and Stroke Prevention Program Cancer Prevention and Control Section Contact: Bambi Bevill DOH/PHD/CDPCB/HDSP 5301 Central Ave. NE, Ste. 800 Albuquerque, NM 87059 Telephone: (505) 383-0158 OF NEW MEXICO DEPARTMENT OF HEALTH PUBLIC HEALTH DIVISION TABLE OF CONTENTS
5. Multi-site FQHCs and FQHC Look-Alikes in New Mexico Organization Cities (County) EHR Data Sharing Across Locations? Presbyterian Medical Services Reserve, Quemado (Catron) Artesia, Carlsbad, Loving (Eddy) Gallup, Ojo Encino, Thoreau (McKinley) Chaparral, Cloudcroft, Tularosa (Otero) Cuba, Counselor, Jemez Valley, Rio Rancho, Torreon (Sandoval) Cerrillos, Santa Fe (Santa Fe) Magdalena, Socorro (Socorro) Estancia, Mountainair (Torrance) NextGen Yes Hidalgo Medical Services Bayard, Mimbres, Silver City (Grant) Animas, Lordsburg (Hidalgo) eClinical Works (eCW) Yes Data Available to NMPCA through Data Warehouse Ben Archer Health Center Doña Ana, Hatch, Radium Springs (Doña Ana) Columbus, Deming (Luna) Intergy Yes La Clinica de Familia • Anthony, Chaparral, Las Cruces, San Miguel, Santa Teresa, Sunland Park (Doña Ana) Intergy Yes EHR hosted by Servers S. Central Colfax Special Hospital District: Mora Valley • Angel Fire, Cimarron (Mora) eCW Yes EHR hosted by Servers La Casa Family Health • Clovis, Melrose (Curry) Intergy Yes Nor Lea Hospital District • Lovington, Tatum (Lea) Yes Las Clinicas del Norte • Abiquiu, El Rito (Rio Arriba) eCW Yes Data Available to NMPCA through Data Warehouse First Choice Community Healthcare • Los Lunas (Valencia) Cerner Yes Rural Health Clinics (RHCs) RHCs must be in a non-urbanized area located in a Health Professional Shortage Area (HPSA) or Medically Underserved Area (MUA); designations are assessed and updated every three years.
also helps health care providers prepare for health care reform, including future federal and state requirements for reporting on quality of health care. Organizations in New Mexico submitting HEDIS data on controlling high BP for public reporting and their overall scores are displayed below in Table 8. 8. New Mexico Coalition for Healthcare Quality Medical Group Snapshot (2012) Overall Community Score: 73 Percent Organization Insurance Type Clinics Medical Groups Overall Scores Atrinea Health Commercially insured, Medicare patients Atrinea Albuquerque Family Health Center 74% First Choice Community Healthcare (FCCH) Commercially insured, Medicaid, Medicare patients FCCH Edgewood Center, Los Lunas Center, North Valley Center, South Broadway Center, South Valley Center 73% Nations Community Health Source Number of patients is too (<30 ) to reliably tell how well they are doing across all insurance types N/A N/A New Mexico Heart Institute (NMHI) Commercially insured, Medicare patients NMHI Albuquerque 77% Presbyterian Medical Group (PMG) Commercially insured, Medicaid, Medicare patients PMG Clinics: Atrisco, Belen, Kaseman, Los Lunas, Northside, Rio Rancho High Desert, San Mateo, Wyoming 69% UNM Medical Group (UNMMG) Commercially Insured, Medicaid, Medicare patients UNMMG 1209 University Clinic, Family Practice Center, Medicine Faculty Center, NE Heights Clinic, SE Heights Clinic, Westside Clinic 73% The Role of Electronic Health Records (EHRs) in Reporting An important component to facilitating data reporting is an EHR system. An EHR is a digital version of a paper chart that contains a patient’s medical history. An EHR is mostly used by providers for diagnosis and treatment. The main objective of health information technology is to advance the quality and safety of patient care. The overarching goal of a fully functional EHR is to create a single record that includes all of a patient's health information and is up to date,
AHRQ Patients 18-85 years who had a diagnosis of hypertension and whose BP was adequately controlled (below 140/90) during most recent office visit during measurement period. Initial patient population Birthdate >=18 years before start of measurement period and < 85 years before start of measurement period. Diagnosis: Active Hypertension If no BP is recorded during measurement period, patient’s BP is assumed “not controlled”. Exclusion: Pregnancy, ESRD AHRQ US Health Information Knowledge Base CMS Percentage of patient 1885 years who had a diagnosis of hypertension and whose BP was adequately controlled (<140/90 mmHg) during measurement period. Percentage of patients in denominator whose most recent BP is adequately controlled (systolic BP <140 mmHg and diastolic BP <90 mmHg) during measurement year. For a patient’s BP to be controlled, both systolic and diastolic BP must be <140/90. Patients 18-85 years who had a diagnosis of essential hypertension and whose BP was adequately controlled (below 140/90) during most recent office visit during measurement period. Exclusion: diagnosis of pregnancy during measurement year, all patients who had an admission to a non-acute inpatient setting during measurement year, evidence of end stage renal failure on or prior to end of measurement year.
UDS Proportion of patients born between Jan. 1, 1929 and Dec 31, 1995 with diagnosed hypertension whose BP was <140/90 (adequate control) at last reading. Number of patients in denominator whose last systolic BP measurement was <140 mmHg and whose diastolic BP was <than 90 mmHg. All patients 18-85 years as of December 31 of the measurement year; diagnosed with hypertension and were first diagnosed by health center as hypertensive at some point before June 30 of the measurement year and who have been seen for medical visits at least twice during reporting year OR a statistically valid sample of 70 of these patients. The diagnosis may have been made in a year prior to measurement year or at last visit of year or any time in between. Limited overlap with MU with the following differences: UDS also reports the number of patients, while MU reports only percentages UDS Table 7 reports health outcomes by race and Hispanic/Latino ethnicity. Patients who report race but do not check Hispanic/Latino on intake form are considered nonHispanic/Latino. MU data does not breakdown data this way. Exclude: pregnant patients and those with ESRD. Can include self-reported BPs if a clinical management decision is made using that reading. Patients who do not have a recorded measurement during the reporting year are considered to have failed the performance measure. ACO Percentage of patients 1885 years who had a diagnosis of hypertension and whose BP was adequately controlled (140/90 mmHg) during measurement year. Patients most recent BP <140/90 mmHg Patients 18- 85 years with diagnosis of hypertension Exclusion: pregnancy and ESRD
Percentage of members years who had a diagnosis of hypertension and whose BP was adequately controlled (<140/90) during measurement year. Patients 18-85 years who had a diagnosis of hypertension and whose BP was adequately controlled (below 140/90) during measurement year. Patients 18-85 years who had diagnosis of hypertension. 18-85 years as of December 31 of measurement year. Hypertensive if at least one outpatient visit with diagnosis of hypertension. Most recent BP reading is used. If there is no BP reading recorded during measurement year assumed patient’s BP is not controlled. Excludes: ESRD or kidney trans-plant, pregnancy during measurement year Optional: Non-acute inpatient encounter during measurement year. Most recent BP reading during measurement year (as long as it occurred after diagnosis of hypertension was made). If multiple BP measurements occur on same date or are noted in chart on same date, lowest systolic and lowest diastolic BP reading should be used. PQRS Percentage of patients 1885 years who had a diagnosis of hypertension and whose BP was adequately controlled (<140/90 mmHg) during measurement year. Patients whose most recent BP is adequately controlled (systolic BP <140 mmHg and diastolic BP <90 mmHg) during measurement period. Patients 18-85 years who had diagnosis of essential hypertension within first 6 months of measurement period or any time prior to measurement period. If no BP is recorded during measurement period, patient’s BP is assumed “not controlled”. Exclusions: BP readings from patient’s home, taken during outpatient visit for which sole purpose what having diagnostic test or surgical procedure. If multiple BP measurements on same date of service, use lowest systolic and lowest diastolic BP on that date. HP 2020 Adults with hypertension whose BP is under control (age adjusted, percent, 18+ years). Baseline: 43.7% (2005-08, 48.9% (2009-12) Target: 61.2% HDS 12) Target: 61.2%
REPORT: Appendix 2: Map of Regions of New Mexico as Used by the State Division of Epidemiology for Analysis Appendix 3: Contact Information Name Organization Title City Health Care Systems Janelle Raborn Lovelace Health System Chief Operations Office, Women's Hospital Albuquerque Sharon Prudhomme Lovelace Health System Assistant CNO, Hospital Albuquerque Janet Abernathy Lovelace Health System Director Quality/Risk Albuquerque Lorraine Hewitt University of New Mexico Health Sciences Center Manager, Systems and Programing Albuquerque Kim Williamson University of New Mexico Health Sciences Center Clinical Quality Manager Albuquerque Joe Anderson University of New Mexico College of Pharmacy Associate Professor of Pharmacy Albuquerque Janice Presbyterian Health Care Services Administrative Director, Quality Institute Albuquerque Jason Mitchell, MD Presbyterian Health Care Services CMIO, Presbyterian Health Care Services Albuquerque Paul Nelson Presbyterian Health Plan Project Manager Albuquerque Karen Dawson Memorial Medical Center of Las Cruces Patient Safety and Quality Officer Las Cruces Julie Reyes MountainView Regional Medical Center Chief Quality Officer Las Cruces Carol Moore New Mexico Veteran's Affairs Health Care System Director, Quality Improvement Albuquerque Karen Sakala FQHCs and FQHC Look-Alikes Clinical Quality Coordinator Albuquerque Robert Longstreet and FQHC Look-Alikes Director, Health Information Technology Albuquerque Joyce NaseyowmaChalan Indian Health Care, Sandoval Rust Medical Center Manager, Sandoval Rust Medical Center Native American Affairs Rio Rancho