204783 Measuring quality care for kids in public health clinics in Philadelphia

Tuesday, November 10, 2009: 12:45 PM

Yvonne Claudio, DM, MS , CQI Coordinator, Philadelphia Department of Public Health, Philadelphia, PA
Susan W. Robbins, MD, MPH , Ambulatory Health Services, Philadelphia Department of Public Health, Philadelphia, PA
Jessica M. Robbins, PhD , Division of Ambulatory Health Services, Philadelphia Department of Public Health, Philadelphia, PA
The Philadelphia Department of Public Health (PDPH) Ambulatory Health Services (AHS) has oversight of the City's 8 publicly-funded Federally Qualified Look-Alike health centers. The health centers care for almost 21,000 pediatric patients accounting for over 66,000 visits in FY2008. The patients served are an inner city medically underserved population, with close to 45% of the children being uninsured, and nearly 47% being covered by Medicaid. AHS has a Pediatric and Adolescent Quality Care Committee that works to help ensure the quality of services delivered at the sites. In January 2008 this group embarked on a Continuous Quality Improvement (CQI) initiative, with key activities focused on 1) adopting industry recognized HEDIS (Healthcare Effectiveness Data and Information Set) and CAHPS (Consumer Assessment of Healthcare Providers and Systems program) performance indicators to create a baseline performance scorecard, 2) refining provider evaluation tools, and 3) rewriting clinical practice guidelines. The presentation will highlight a baseline performance scorecard developed for pediatrics and the strategy implemented to continue refining performance documentation. We will share key lessons learned regarding some issues inherent in adopting industry acceptable indicators (e.g., issues created by data systems, paper record reliance, and documentation practices), and possible ways to address those challenges. Next steps will be presented revealing the opportunities that the CQI initiative offers for effecting change in provider practice and public health clinic operations.

Learning Objectives:
Understand the impetus for a CQI focus List core measures relevant to a Pediatrics scorecard Design a scorecard to present performance measures Explain challenges and opportunities in using industry-recognized measures in a non-managed care inner city setting Formulate a plan for action based on findings

Keywords: Pediatrics, Quality of Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Serve as the Medical Director of Pediatric and Adolescent Services for Philadelphia Department of Public Health's Ambulatory Health Services--providing oversight of Pediatric services in the City's 8 publicly-funded health centers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.