Wisconsin Collaborative for Quality Healthcare

WCHQ Quality Improvement Steering Teams Update

All of our quality improvement steering teams are working to establish goals for the entire WCHQ population as well as for individual members. Below are some highlights:

Colorectal Cancer Screening Team
2017 Goal: 80% of eligible patients screened

  • Helping design a survey for individuals who have downloaded our toolkit to determine what is useful and what needs improvement from their perspective.
  • Added Cologuard to the protocol (thanks to UW Health for sharing their protocol).
  • Analyzed results by various characteristics including: age, race, payer, type of test.
  • Conducted a survey of quality leaders to understand their needs.
  • Learned that we have 100 clinics within our WCHQ membership who have already met the goal of 80% colorectal cancer screening and they can be recognized by the National Colorectal Cancer Roundtable http://nccrt.org/tools/80-percent-by-2018/hall-of-fame/.

Diabetes Team
2017 Goal: Increase the number of patients with good A1c control (<8)

  • Examined follow-up patterns for patients with A1c >8. Data showed that 45% of patients were being seen by their provider within 1-29 days and an additional 11% were seen within 30-59 days of the lab result.
    • Based on the above and review of the literature, the team changed their strategy to: If a patient’s most recent A1c result is greater than or equal to 8, a diabetes intervention with provider, educator, or coordinator occurs within 30 days.
  • Listened to presentation from Wisconsin Institute of Healthy Aging on community education project called Healthy Living with Diabetes (HLWD) workshops. Received education on the algorithm for referring patients to this program.

Hypertension Team
2017 Goal: Increase the number of patients whose blood pressure is adequately controlled

  • Linda Murakami of the American Medical Association (AMA), provided education on the AMA’s recommendations for automated blood pressure cuffs and best practices for taking and retaking blood pressure readings. Quick tip posters were distributed to members to post in their clinics.
  • Reviewed “Hiding in Plain Sight” WCHQ data which estimates the number of undiagnosed hypertensive patients. WCHQ’s rate of undiagnosed hypertension is 20%, which is comparable to other studies.
  • Tim Nikolai from the American Heart Association (AHA) spoke about the Target BP project. The AHA and the AMA are proud to announce a joint initiative to help healthcare providers and patients achieve better blood pressure control at the best levels to improve health. WCHQ members can volunteer to participate and be recognized for their work on controlling HTN. For more information go to: http://targetbp.org/