National Center for Primary Care Morehouse School of Medicine
Rapid-Cycle Quality Outcomes Improvement George Rust, MD, MPH, FAAFP, FACPM Father of D...
National Center for Primary Care Morehouse School of Medicine
Rapid-Cycle Quality Outcomes Improvement George Rust, MD, MPH, FAAFP, FACPM Father of Dan & Christina, Husband of Cindy, Professor of Family Medicine Director, National Center for Primary Care
Three Layers of Quality
• Quality Assurance – System for assuring consistent delivery of the basics -- safe, effective, standard-of-care” services
• Quality Improvement – Team-driven targeting of high-priority, benchmark metrics for rapid-cycle, on-going improvement
Risk Management Systematic approach for preventing high-stakes adverse outcomes (when 99% isn’t good enough)
NCQA / HEDIS Quality Measures for Comprehensive Diabetes Care Quality Indicator
Performance (Medicaid)
Performance (Medicare)
Performance (Commercial)
A. Good HbA1c Control (< 7)
30.9%
45.9%
41.8%
B. Partial BP Control (26 000 patients. Hazard ratio (HR) for cardiovascular hospitalization by glycosylated hemoglobin, systolic BP, and LDL cholesterol levels in the Kaiser cohort
