Quality of Care Reports


Part of Patient Centered Medical Home practices is to constantly monitor quality factors, report and make adjustments to our practice to optimize health care outcomes. Here are our reports completed February 2015.

Pneumococcal Pneumonia Vaccination

After reviewing our vaccination rates for PPSV-23 vaccination, we conducted a campaign by telephone, letter and text messages to all patients over age 65 who did not have a record of previous vaccination. Of 151 patients identified, 68 received vaccination or provided evidence of prior vaccination.  That's a 45% improvement with just one campaign.


INFLUENZA VACCINATION 2014

We sent telephone and text reminders to 356 patients for their annual flu shot, and 93 responded, for a 26% response rate.  Unfortunately, that is the average rate for vaccination for influenza in Arizona, ranked last in our 50 States by the CDC.

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BMI categories

Body Mass Index is a number that represents height and weight proportions.  A BMI of less than 25 is normal, 25.1-29.9 is categorized as overweight, 30.0-39.9 as obese, and more than 40 as morbidly obese.  How long you live, how comfortable your life is, and how many health complications you endure is directly related to your BMI.  At last count, Arizona has about 60% of adults overweight or worse.  

of 373 patients, here is how we rate:

BMI Normal -- 104/28%

BMI Overweight -- 115/31%

BMI Obese -- 115/31%

BMI Morbidly Obese -- 39/10%


Diabetes Control

The Hemoglobin A1C measures your average blood sugar for the past 3 months and is used to monitor diabetes control. We have 46 diabetics we are actively managing. The general goal is to get the A1C less than 7.  Between 7-8 the diabetes is not ideal but partly controlled, and greater than 9 it is not controlled and the risk for complications from blindness to kidney failure is the highest.

For our patients 75 years old and younger:

A1C greater than 9 = 16 or 35%

A1C less than 9 = 30 or 65%

A1C less than 8 = 28 or 61%

A1C less than 7 = 16 or 35%

These numbers are all worse than national averages.  I don't have a big trending upwards in any patients, mainly there are a lot of folks who have never been well controlled.  We're working on it, but ultimately its the patient's choice to control their diabetes.


Patient Survey February 2015

The practice conducted a paper satisfaction survey which included established patient’s presenting to the office for appointments throughout the months of September 2014 and February 2015.

September 2014 yielded 42 completed surveys from a total of 110 unique patient visits, representing a 38% response rate.  Survey responses are summarized below:

ACCESS:  41/42 (98%) responded with a score of 4 or 5

COMMUNICATION:  42/42 (100%) responded with a score of 4 or 5

COORDINATION OF CARE:  40/42 (95%) responded with a score of 4 or 5

WHOLE PERSON CARE/SELF-MANAGEMENT SUPPORT: 40/42 (95%) responded with a score of 4 or 5

VULNERABLE POPULATION:  29/42 (69%) were 70 years of age or over

 

February 2015 yielded 58 completed surveys from a total of 109 unique patient visits, representing a 53% response rate.  Survey responses are summarized below:  

 

ACCESS:  58/58 (100%) responded with a score of 4 or 5

COMMUNICATION:  58/58 (100%) responded with a score of 4 or 5

COORDINATION OF CARE:  53/55 (96.4%) responded with a score of 4 or 5

WHOLE PERSON CARE/SELF-MANAGEMENT SUPPORT: 55/57 (97%) responded with a score of 4 or 5

VULNERABLE POPULATION:  14/58 (24%) were 70 years of age or over

 
[1 was worst, 5 the best possible response]

Employee of Month

So you want to reschedule after your 3rd no show?