August 2024
Upcoming Events
Registration Now Open
Statewide Quality Improvement Event & WCHQ 20th Anniversary Recognition
November 7, 2024
DoubleTree by Hilton Madison East
Madison, WI
Featuring speakers Imran Andrabi, MD, President and CEO of Froedtert ThedaCare Health, Julie Schuller, MD, President and CEO of Sixteenth Community Health Centers, Maureen Smith, MD, Health Innovation Program, University of Wisconsin – Madison, School of Medicine and Public Health and John Toussaint, MD, Executive Chairman at Catalysis and one of the founding healthcare leaders of WCHQ.
“Colon Cancer Screening Demystified”
Part two of the WCHQ three-part webinar series, "Improving Colorectal Cancer Screening Rates and Shared Decision Making"
September 17, 2024
12:00PM-1:00PM
Featuring: Jennifer Weiss, MD, MS, Associate Professor of Gastroenterology and Hepatology, University of Wisconsin – Madison
Learning Objectives:
- discuss common barriers to colorectal cancer screening and resources to support patients
- share current guidelines for both colorectal cancer screening and surveillance post colorectal cancer screening
- describe the colonoscopy process in depth, including the various options for bowel preparation
Funding provided in part by the Funding Opportunities for CRC Screening Uptake Strategies (FOCUS) grant through Exact Sciences.
“Alcohol and Cancer Risk”
Part three of the WCHQ three-part webinar series, "Improving Colorectal Cancer Screening Rates and Shared Decision Making"
October 29, 2024
12:00PM-1:00PM
Learning objectives:
- describe cancer risks related to alcohol
- discuss barriers to lifestyle change in clinical practice and strategies to improve
- share strategies to reduce excessive alcohol use
Funding provided in part by the Funding Opportunities for CRC Screening Uptake Strategies (FOCUS) grant through Exact Sciences.
WCHQ Oral Health Collaborative Members Demonstrate High Quality Care, Family Health Center of Marshfield Reports Results for the First Time
WCHQ’s Oral Health Collaborative, the only oral health collaborative in the United States, has reported outstanding patient care in 2023. The collaborative shared the following information, demonstrating that care as well as providing opportunities for improvement. This public reporting of quality metrics also drives improvement by fostering collaboration and sharing.
Pediatric Care
- Over 96% of children cared for by WCHQ members were assessed for carries (cavities). Nationally, nearly one half of children have an untreated cavity.
- Nearly 95% of Oral Collaborative members provided patients under the age of 21, who are considered high risk for cavities, with at least one topical fluoride application.
Adults with Gum Disease
- Oral Health Collaborative members improved their care for patients with gum disease (periodontitis) by 50% since last reporting cycle. With an additional Oral Health Collaborative member contributing public reporting data in 2023, the population for this measure increased nearly 50% since the last reporting cycle.
Member Recognition
Family Health Center of Marshfield is publicly reporting with WCHQ for the first time. Congratulations to all WCHQ Oral Health Members on continuing their work in the first Oral Health Collaborative in the nation. The work of WCHQ’s Oral Health Collaborative reflects Wisconsin’s commitment to advancing oral health and ensuring that every resident has access to high-quality dental care.
Are you affiliated with an oral health practice and interested in joining the WCHQ Oral Health Collaborative? Contact Jen Koberstein at jkoberstein@wchq.org to learn more.
WCHQ Chronic Disease Assembly Inspires Action Among Attendees
The "Breaking Barriers: Advancing Care for Chronic Diseases – A Focus on Cardiometabolic Health" assembly on August 15, 2024, offered invaluable insights that health system members can directly apply to improve care in their health systems.
Dr. Mikhail Kosiborod, Executive Director, Cardiometabolic Center Alliance and Vice President of Research at St. Luke’s Mid- America Heart Institute, emphasized the importance of a holistic approach to treatment as metabolic disorders continue to increase in prevalence. Obesity and insulin resistance are not isolated issues, but they are central to a cascade of health complications, including cardiovascular and kidney diseases.
All participants were moved by the personal story shared by Ottis Anderson, a former NFL player and two-time Super Bowl Champion. Mr. Anderson spoke candidly about his journey with Type 2 Diabetes, underscoring that patient education and support are essential components of effective chronic disease management. Anderson’s message, "Knowledge is power," was a reminder that empowering patients with the right information and resources can make a profound difference in their health outcomes.
A major theme was the significant role that social determinants play in health outcomes. Presentations by Dr. Brenda Rooney, Epidemiologist, Gundersen Health System and Dr. Courtney Jordan Baechler, Medical Director of Health Equity and Promotion, Minneapolis Heart Health Institute, highlighted how factors like environment, race, and socioeconomic status can impact everything from obesity rates to heart disease outcomes. Health providers need to integrate social determinants of health into care planning and work closely with community health services to close the gaps in care and ensure equitable access for all patients.
The discussions on chronic kidney disease (CKD) highlighted the crucial need for practical application of life-saving guidelines. Dr. Andrew Bland, Nephrologist, Medical Associates Clinic and Dr. Mark Meeker, Vice President of Community Medicine, OSF HealthCare, emphasized that knowing the guidelines isn’t enough; disciplined integration into daily practice is essential for improving patient outcomes. Finally, the importance of data in improvement is crucial. Dr. Christopher Weber, Internist and Obesity Medicine Specialist from Ascension and Dr. Bret Pasiuk, Nephrologist, SSM Health, Fond du Lac Regional Clinic provided analysis of CKD and obesity trends in Wisconsin, highlighting significant geographic disparities. We have the tools and the responsibility to use data to identify care gaps, guide interventions, and improve patient outcomes.
The insights shared at this event were a call to action to integrate new treatments, considering patient’s broader social context, and leverage data to refine care strategies. Anyone interested in collaborating further on this work should contact Jen Koberstein at jkoberstein@wchq.org.
Funding for this assembly provided in part by Bayer and Novo Nordisk.
“Partnering for Patient Engagement in Health Screening”
First of Three-Part Colorectal Cancer Webinar Series Had Over 140 Attendees
WCHQ hosted the first in a three-part webinar series aimed at improving colorectal cancer screening rates. This webinar was focused on health screening and how primary care teams can work with patients to understand barriers to colorectal cancer screening, and partner with an equity mindset to reduce those barriers.
Kelly Kruse Nelles, MS, RN, SPRN-BC, Executive Director of National RN Practice Development Center, LLC, shared strategies around patient engagement. Kruse Nelles stated, “There are many reasons why people may not engage in health screening, and many of those barriers are related to social determinants of health. To ensure equity in screening, it is important for clinicians to partner with patients to identify work together to address these barriers.”
Nelles challenged the categorization of patients as “non-compliant” when they are unable to complete health screenings. Shared Decision-Making and Teach Back are evidence-based strategies to truly understand and work through barriers. For example, with good rapport, a provider may uncover struggles to miss work or find alternative childcare as barriers to screening. The techniques shared in this webinar will increase screening rates for colorectal cancer and other interventions needed in the future.
Upcoming Webinars:
September 17, 2024:
“Colorectal Cancer Screening Demystified” presented by Jennifer Weiss, MD, MS, Associate Professor of Gastroenterology and Hepatology, University of Wisconsin – Madison. Dr. Weiss will share all the ins and outs of colonoscopy, including many different prep options and the colonoscopy process. Dr. Weiss will also share guidelines for post colonoscopy surveillance.
October 29, 2024:
“Alcohol and Cancer Risk” presented by Noelle LoConte, MD, Associate Professor of Medicine, University of Wisconsin – Madison. Dr. LoConte is passionate about cancer prevention and will share how alcohol contributes to cancer risk.
Please register for these no cost webinars. Feel free to email questions ahead of time to Renee Sutkay.
This project is funded in part by the Funding Opportunities for CRC Screening Update Strategies (FOCUS) grant through Exact Sciences.
Using Patient and Community Health Workers’ Voices to Better Understand Vaccinations in Different Communities
Video Storytelling as a Tool for Health Equity
Video storytelling is a powerful tool for advancing health equity by bringing the voices of historically marginalized populations forward. Through these stories, we gain a deeper understanding of the people we serve. The narratives foster a fundamental human connection, providing a platform for sharing experiences that highlight the complexities of navigating the U.S. health system —especially for those who face disparities in obtaining, accessing, and understanding healthcare, including vaccinations.
WCHQ has partnered to develop a video series that offers brief but powerful glimpses into the experiences of individuals navigating the U.S. health system. These stories, developed in collaboration with ethnographer Katinka Hooyer and filmmaker Justin Goodrum, highlight the challenges faced by members of populations that experience disparities in healthcare, particularly in the areas of vaccination access and understanding.
WCHQ members are encouraged to use the video portraits in training sessions for healthcare providers. They have already been utilized in healthcare systems, public health departments, Community Health Worker (CHW) trainings, and community partnerships focused on vaccinations.
A discussion guide to the videos is also available, which will facilitate meaningful conversations and solution-oriented discussions. The guide provides an overview of the videos and includes questions and prompts to help unpack the barriers discussed in the stories, fostering a deeper understanding and driving change at the individual and organizational levels. If you would like to receive a discussion guide, please email Carmen Craker.
By integrating video storytelling into healthcare and public health initiatives, we can bridge the gap between policy and lived experience, ultimately contributing to a more equitable and effective healthcare system for all.
Access all the videos’ YouTube channel.
This project is funded in part by the Wisconsin Department of Health Services.
Launch of Maternal Mortality and Morbidity Toolkit
Maternal health care is foundational to healthy children, families, and communities across Wisconsin. In response, WCHQ announces the launch of a new Maternal Mortality and Morbidity Toolkit on our website. This toolkit is a comprehensive resource for healthcare professionals, support service staff, policymakers, and anyone concerned with improving maternal health outcomes.
The toolkit provides resources and guidance to deliver optimal care and support to expectant mothers. The toolkit provides a wealth of resources covering critical areas including:
- Social Determinants of Health: Understanding the impact of socioeconomic factors on maternal health.
- Pregnancy-Related Conditions: Guidelines for managing common and high-risk conditions.
- Pregnancy Resources: A compilation of up-to-date information for expectant mothers and their families.
- Patient Resources: Tools and educational materials to empower mothers in making informed health decisions.
We invite all healthcare professionals and stakeholders to explore this new resource on the WHCQ website. Together, we can work toward a future when every mother in Wisconsin receives the care and support she needs for a healthy pregnancy.
This project is funded in part by the Wisconsin Department of Health Services.
WCHQ President Gabrielle Rude Featured in Interview Series
“What are some of the challenges WCHQ has faced working to identify and eliminate health disparities?”
“What opportunities are you seeing in WCHQ’s work in value acceleration?”
“Tell us about WCHQ’s Oral Health Collaborative.”
WCHQ President & CEO Gabrielle Rude recently participated in the interview series “Data Pioneers.” The series, hosted by WellStack President & CEO Rich Waller, is described as “bringing together the brightest minds in the healthcare industry supporting the transition to value-based care … with a focus on data and analytics.”
During Gabrielle’s interview, she shares a bit about her personal career journey and how she landed at WCHQ, as well as describing various aspects of the work WCHQ. If you are wondering what those topics are –check out the interview! Visit WellStack’s YouTube channel and look for Gabrielle’s interview – Episode 7!
Member Profile
In recognition of the WCHQ 20th anniversary in 2024, we are planning a member profile each month.
Member Name: ProHealth Care
Member Background: ProHealth Care strives to continuously improve the health of its community by delivering safe, reliable, effective, affordable and compassionate health care services. The health care system is the largest based in Waukesha County, serving more than 400,000 attributed lives. ProHealth operates a single electronic health record (EHR) and offers a wide range of services including primary, urgent, emergency, specialty and hospital care. Home health, palliative and hospice programs are also available along with employer-based clinics and a fitness center.
Number of Providers: : Approximately 1,000 providers (employed and aligned) who participate in ProHealth Care’s ACO, ProHealth Solutions.
Member of WCHQ Since: 2004
Current Quality Goals: “ProHealth’s medical group follows the WCHQ measure definitions for quality measures on: Breast Cancer Screening, Cervical Cancer Screening, Colorectal Cancer Screening, Diabetes Optimal Control and Controlling High Blood Pressure,” said Cathy Way, MD, family medicine provider and physician quality champion. “An interactive dashboard allows providers and staff to view performance and rankings, drill into patient-level detail and link to the EHR for seamless follow up on any gaps in care.”
WCHQ Engagement: Pete Bacon, ProHealth’s chief administration officer, serves as the WCHQ Board’s vice chair and treasurer. Cathy Way, MD, represents the health care system on the WCHQ Measurement Advisory Committee. ProHealth also participates in the collaborative’s educational sessions, uses its toolkits and submits data to allow for benchmarking to drive improvement.
How WCHQ has impacted health care at ProHealth Care: “Being a member of WCHQ has afforded us the opportunity to be aligned with quality focused healthcare systems,” said Pete Bacon. “It allows for meaningful benchmarking and engagement in data driven, evidence based quality improvement efforts, resulting in improved outcomes for our patients.”
SPOTLIGHT: Immunization Improvement Despite Pandemic
As WCHQ celebrates its 20th anniversary, we are reviewing our measurement results achieved over that time. August is Immunization Awareness Month. We are highlighting two of our immunization measures: Human Papillomavirus Vaccinations (by age 15) and Pneumococcal Vaccinations in Adults (see our May newsletter for additional immunization results).
Human Papillomavirus (HPV) Vaccinations (by age 15)
In 2017, when we began measuring HPV vaccination, only 52% of adolescents received 2 doses of the vaccine by their fifteenth birthday. Today, nearly 70%, or an additional approximately 4,700 adolescents were vaccinated on schedule, receiving protection from HPV and the cancers it can cause.
Adults with Pneumococcal Vaccinations
The Adults with Pneumococcal Vaccinations measure is our longest-standing immunization-based measure. In 2007, approximately 70% of eligible adults received the vaccine but within a decade, this number climbed to 89%, a 27.9% increase. As of 2023, due to increased patient volumes, WCHQ member growth, and improved vaccination rates, nearly 366,000 additional adults are protected by the pneumococcal vaccine compared to 2007. Following the COVID-19 pandemic, these rates began declining slightly, however our most recent data indicates the rates are starting to go back up.
COVID-19 had a large effect on all immunization measures. Our most recent data, through 2023 indicate that we may be turning a corner in getting patients current with their vaccinations and reducing the effects of COVID-19 had on vaccination hesitancy. If you or your organization are looking for methods to make sure your patients are protected via vaccinations, check out the Childhood and Adolescent Immunization Toolkit, created by WCHQ members.
Thank You to Our WCHQ Partners for Their Support of Our Work
GOLD LEVEL
Novo Nordisk
SILVER LEVEL
Genentech
Merck
Myriad
Pfizer
BRONZE LEVEL
AboutHealth • The Alliance • Alliance of Health Insurers (AHI)
Bayer • Business Health Care Group • Epic • Exact Sciences
GSK • Health Payment Systems • MetaStar • Moderna
Otsuka • Rogers Behavioral Health
Sanofi • WellStack • Wipfli • Wisconsin Hospital Association