Los resultados de rendimiento se publican en este sector para el acceso público de los paciente / familia. Los datos publicados en este sector refleja la atención prestada a todos pacientes.
Estamos comprometidos a mejorar la calidad de la atención que prestamos a nuestros pacientes / familias. Nuestros médicos proveedores aceptan críticas para mejorar sus servicios. Esto es a través de la participación voluntaria en la medida y evaluación de su desempeño. Estamos continuamente buscando mejorar la calidad de la atención médica y los servicios que ofrece la práctica.
Medidas de atención preventivas:
In the screen shots below eClinicalWorks shows report displaying preventive care measures for BMI Calculated, Cervical Cancer Screening and Smoking Screening.
From 07/01/2013 to 09/31/2013 we ran reports in our EMR. Samples of the report are displayed in the table below.The report also shows the reporting period from 10/01/2013 to 12/31/2013, where we demonstrated small improvements for BMI and Smoking Screening.
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BMI Calculated
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Reporting Period
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Numerator
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Denominator
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Percentage
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07/01/2013
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09/31/2013
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Previous Period
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1792
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1849
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96.92
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10/01/2013
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12/31/2013
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Demonstrates
Improvement
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1781
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1824
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97.64
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Cervical Cancer Screening
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Reporting Period
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Numerator
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Denominator
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Percentage
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07/01/2013
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09/31/2013
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Previous Period
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75
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874
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8.58
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10/01/2013
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12/31/2013
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Same Outcome
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74
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862
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8.58
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Smoking Screening
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Reporting Period
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Numerator
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Denominator
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Percentage
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07/01/2013
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09/31/2013
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Previous Period
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1655
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1838
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90.04
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10/01/2013
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12/31/2013
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Demonstrates
Improvement
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1684
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1814
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90.85
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Cuidado en las medidas clínicas crónicas y agudas:
In the screen shots below eClinicalWorks shows report displaying preventive care measures for BP Control 140/90, Depression Screening and LDL Testing High Risk.
From 07/01/2013 to 09/31/2013 we ran reports in our EMR. Samples of the report are displayed in the table below.The report also shows the reporting period from 10/01/2013 to 12/31/2013, where we demonstrated improvements for BP Control 140/90 and Depression Screening.
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BP Control 140/90
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Reporting Period
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Numerator
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Denominator
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Percentage
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07/01/2013
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09/31/2013
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Previous Period
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10
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12
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83.33
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10/01/2013
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12/31/2013
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Demonstrates
Improvement
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321
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386
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84.99
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Depression Screening
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Reporting Period
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Numerator
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Denominator
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Percentage
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07/01/2013
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09/31/2013
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Previous Period
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0
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0
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0
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10/01/2013
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12/31/2013
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Demonstrates
Improvement
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70
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1816
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3.85
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LDL Testing High Risk
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Reporting Period
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Numerator
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Denominator
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Percentage
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10/01/2013
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12/31/2013
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321
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386
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83.16
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A1C Testing
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Reporting Period
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Numerator
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Denominator
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Percentage
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10/01/2013
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12/31/2013
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162
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375
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43.20
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Utilization measure affecting health care cost (Sample 1):
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PT Complaining of sciatica, muscle spasm, back pain, from 04/03/2013 to 04/03/2014 did not order x-rays.
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Reporting Period
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04/03/2013
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04/03/2014
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Number of Patients with sciatica, muscle spasm, back pain.
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182
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Patients treated at the clinicdid not order x-rays.
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174
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Percentage of patients with sciatica, muscle spasm, back pain did not order x-rays.
.
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95%
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Utilization measure affecting health care cost (Sample 2):
Prescribed medicine to control HTN on patients.
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Medicine used to control HTN patients from 10/01/2013 to 12/31/2013.
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Reporting Period
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01/01/2014
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04/03/2014
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Number of patients prescribed with Name Brand Azor
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15
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Number of patients prescribed with cheaper Generic Alternative Losartan
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25
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Percentage of patients prescribed with Cheaper Generic Alternative
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62%
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Performance data stratified for vulnerable Populations (Sample 1):
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PT Complaining of sciatica, muscle spasm, back pain, from 04/03/2013 to 04/03/2014 did not order x-rays.
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Reporting Period
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# Patients
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Race/Ethnic
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Language
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Age
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Sex
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Problem List
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04/03/2013 to 04/03/2014
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182
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Hispanics 156
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Spanish 83
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18-39, 40
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Male 70
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Diabetes 34
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Asian 15
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English 97
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40-64, 106
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Female 112
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HTN 67
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Black 6
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65 +, 27
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Hyperlipidemia 14
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White 2
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Smokers 31
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Performance data stratified for vulnerable populations (Sample 2):
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Medicine used to control HTN patients from 10/01/2013 to 12/31/2013.
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Reporting Period
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# Patients
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01/01/2014 to 04/03/2014
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40
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Race/Ethnic
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Language
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Sex
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Number of patients prescribed with cheaper Generic Alternative Losartan
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25
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Hispanic 17
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Spanish 11
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Male 9
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Black or African-American 5
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English 13
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Female 16
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Number of patients prescribed with Name Brand Azor
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15
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Hispanic 10
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Spanish 6
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Male 12
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Asian 2
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English 9
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Female 3`
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Black or African-American 1
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Sciatica, Muscle Spasm, Back Pain GENDER DISPARITY IN HISPANICS
From 04/03/2013 to 04/03/2014 we ran reports in our EMR and found 182 patients with Sciatica, Muscle Spasm and Back Pain. Our data shows among Hispanics females have a higher rate for Sciatica, Muscle Spasm and Back Pain than males. Females in our communities have 23% more Sciatica, Muscle Spasm and Back Pain than males.
Azor Name Brand, GENDER RX COST DISPARITY
From 10/01/2013 to 12/31/2013 we ran reports in our EMR and found 40 patients prescribed AZOR. Our data shows among males have a higher rate for AZOR prescription than females, Males have 60% more AZOR prescription than females.
Also as you may be aware we randomly distributed a patient satisfaction survey to our patients in an attempt to identify problems areas. We are trying to establish the patient perception of access to care, quality of communication, patient confidence on the care we provide and the overall patient satisfaction.
A random sample of 30 patients was questioned and the scoring results are as follow:
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Scores of 3.5-4.0
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Indicate high satisfaction
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Scores of 3.0-3.4
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Indicate general satisfaction
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Scores of 2.0-2.9
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Indicate low levels of satisfaction
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Scores of 1.0-2.0
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Indicate very low levels of satisfaction
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The results are as follow:
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1
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When requesting an appointment, I’m always given the opportunity to see my primary physician.
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3.1
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2
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The office tries to coordinate my care so that I can see and get all the medical information I need to see and get such as referral specialist, medications, labs and imaging during one visit.
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3.4
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3
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I am able to get an urgent care appointment as soon as I need it.
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3.5
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4
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I am able to get a same-day appointment when I request one
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3.3
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5
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When I call the office for advice or help, I get a call back on the same day, if my doctor is in the office.
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3.4
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6
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When I talk with my Doctor’s office on the phone, I usually receive adequate information and I feel satisfied with the quality of the call.
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3.5
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7
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When I call the Doctor’s office with a medical urgency, I get a response from the doctor within a reasonable amount of time, 24 hours a day, 7 days a week.
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3.4
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8
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My family and I are satisfied with the level of care, treatment options and timely responses of our Doctor’s office.
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3.3
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9
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My family and I are satisfied with the level of communication with the practice, doctor and staff.
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.3.3
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10
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I know that my Doctor’s office has a web site that I can login to request my clinical information.
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3.2
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11
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If I request information using my Doctor’s office web site/portal, I receive an adequate response within 3 business days.
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3.3
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12
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My doctor’s office gives me information in my language or helps to provide someone who will understand.
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3.4
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13
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My doctor’s office helps me identify health insurance options when I need them.
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3.3
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14
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My Doctor communicates effectively about my health providing/help me with self management education material and helping change my health habits.
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3.5
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15
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My Doctor communicates effectively about my health, including information about diagnoses, medications prescribed, treatment plans, and follow-up care.
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3.4
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16
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I feel that my Doctor and I work as partners to take care of my health and my family’s health, helping make informed health care decisions.
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3.6
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17
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I feel that I am able to follow my Doctor’s instructions regarding self care, including taking medications as instructed, following any exercise programs provided, and reporting changes in symptoms I am experiencing.
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3.7
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