Kansas Quality of Care Project
Project Overview
The Kansas Quality of Care Project (KQOCP) pilot was launched in 2004 by KDHE’s Diabetes Prevention and Control Program (DPCP) in 95 healthcare clinic sites across the state and is currently collecting quality of care diabetes data to guide improving care for Kansans with diabetes. The Chronic Disease Electronic Management System (CDEMS),is public domain software program utilized at each site to collect patient and clinic level data thereby improving the health of people with chronic illness (in this case, diabetes) which requires transforming a system that is essentially reactive (responding mainly when a person is sick) to one that is proactive (focused on keeping a person as healthy as possible). There are currently about 12,000 diabetes patients in the CDEMS registry. De-identified patient aggregate data is transferred from each KQOCP Project clinic to a central repository bi-monthly providing the capability to query aggregated data from an individual clinic, group of clinics, clinics by county and all clinics statewide. Queries can also be run for selected indicators such as HbA1c levels, lipid levels, blood pressure and so on.
In 2007, the DPCP collaborated with the Heart Disease and Stroke Prevention Program (HDSSP) to add a Hypertension Demonstration Project to the KQOCP.
One of the unique aspects of this project is the variety of participating healthcare organizations. The number of diverse organizations increases the capacity to collect data across a broader demographic segment of the Kansas population. The types of participating organizations include:
- Safety Net Clinics
- Local Health Departments
- American Indian Health Clinic
- Home Health Agencies
- Hospital Affiliated Practices
- Private Practices
- Rural Health Clinics
- Farmworker Program
- Lay Health Worker Program
By reviewing CDEMS data at the patient and clinic level, providers are able to make adjustments in their practice procedures to improve the quality of care leading to better patient outcomes. The CDEMS data analysis for 2005-2008 showed improvements by 50% in almost all clinical process measures.
As a result of this project, individual clinics reported other improvements and innovations including:
- Lower aggregate HbA1c and cholesterol levels across the practice
- Greatly increased community awareness of diabetes issues
- Increases in average patient visits
- Patients meeting their self-management goals increased from 65% to 80%
- YMCA scholarships awarded to patients as an incentive
- Implemented quarterly chronic care and foot clinics
- Exercise physiologists added to the diabetes team
- Partnered with community leaders to develop walking trails
- Blood sugar meter fairs for providers to help them practice with new products
To download full report click on the link below
KQOC Workshop Presentations- Oct 4-5, 2012
KanCare Update- Dr. Robert Moser
Kansas Health Information Network (KHIN)- Laura McCrary
Lewis and Clark Information Exchange (LACIE)- Ryan Harper
Day 1 Breakout Sessions:
Social Media and Medicine- Dr. Jen Brull
Meaningful Use Stage II- Donna Garwood
NCQA Diabetes Recognition Program- Shirley Orr & Julie Oler-Manske
ABC's- Why Does it Matter (Cardiac Prevention)- Dr. Brian Hunt
Day 2 General Session:
Patient Centered Medical Home- Carolyn Gaughan & Leslea Roach
Day 2 Breakout Sessions:
Motivational Interviewing- Dr. Jim Early
QI: Improving Health for Populations and Communities- Sarah Irsik-Good, Cathy Cordova & Donna Garwood
Accountable Care Organizations- Chris Wilson
Recorded Webinars/Conference Calls