/ 4665 Business Center Dr.
Fairfield, CA 94534

Quality Improvement Program (QIP) 2013-2014

Handout for Peer Sharing Webinar: How to get started with the QIP

I. Practice Site Organizational Profiles

Panelist Name and Role

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Organizational Profile

Jennifer Durst,
QI Project Specialist / Marin Community Clinics is a Federally Qualified Health Center (FQHC) with 4 sites, operating 6 days a week for medical visits and 7 days a week for dental. Our scope of service includes Primary Medical, Behavioral Health, Reproductive Health, OB, Dental, Optometry, and multiple specialty providers (Podiatry, physical therapy, neurology, and more).
We serve over 34,000 patients (including dental) and see well over 100,000 visits per year. Our payer mix is about 60% MediCal (Partnership) and 25% uninsured.
We implemented EHR in 2011 and were live at all sites and specialties a little over a year (mid-2012). Our first QIP measurement year was 2011-12 and some of our biggest challenges were with our EMR transition and getting data populated to file for reporting to Partnership.
Sara Pierce,
Analyst / Ukiah Valley Rural Health Center is a Rural Health Center (RHC) and Hospital- Based Outpatient Clinic (HBOC). Our scope of services includes: Family Practice, Internal Medicine, Pediatrics, Women’s Health, ENT, Pain Management, Behavioral Health, Allergy, Neurology, Oncology, Urology, General Surgery and Ophthalmology.
We have over 115,000 visits annually. Our patient mix is about 6% uninsured, 94% insured, of which 31% is MediCal (Partnership).
We use Cerner for our EMR and also use the California Immunization Registry.
Lucresha Renteria,
Director of Administrative Services at MCC
Chief Operating Officer at Anderson Valley Health Center / Mendocino Coast Clinics (MCC) is an FQHC. Our scope of services includes: Primary Care including OB and Pediatrics, Dental, Behavioral Health Counseling and Integrated Behavioral Medicine.
We have a patient volume of 16,590and have 49,705 visits annually. Our patient mix is about 24% uninsured, 27% MediCal (Partnership), 15% Medicare and 24% Privately insured.
Medical record and disease registry systems we use include: Next Gen EPM and EMR, i2i for much of our QI tracking and reporting and our dental practice uses QSI EDR.
Anderson Valley Health Center is an FQHC. Our scope of services includes: Primary Care, Dental and Behavioral Health Counseling.
We have a patient volume of 2,517 and have 9,567 total visits annually; 37% of patients we see are agricultural workers. Our patient mix is about 43% uninsured, 18% MediCal (Partnership), 12% Medicare and 23% Privately insured.
Medical record and disease registry systems we use include: eClinical Works EPM and EMR, i2i for most of the QI tracking and reporting and our dental practice uses Open Dental.

II. Questions that will be addressed during the webinar include:

1.What kind of infrastructure do you have in place to support your success in the QIP? Please describe how many resources you have dedicated to the QIP, their roles and the meeting or team structure you have in place.

  1. How did you get your leadership engaged in the QIP? How did you get your clinicians engaged in the QIP?Please describe specific strategies you used.
  2. What data do you share with your leaders and providers related to the QIP? Please describe reports you provide, how often, and where the data comes from (e.g. Reports from disease registries, PHC monthly reports, QIP eReports, etc.)
  3. What are the top three actions a new site should focus on within the first few months of the QIP to facilitate success in the program?
  4. Please describe one major challenge for you during your first year in the QIP and how you overcame it?
  5. What other tips or lessons learned would you like to share to providers new to the QIP?