ToC+-+Success+Metrics+Meeting+Minutes+09-20-2011

include component="page" wikiName="siframework" page="TOC Header" **Date**: 09/20/11 **Name**: ToC Success Metrics UCR Workgroup Meeting

Agenda/Objectives:

 * **Topic** || **Owner** || **Time Allotted** ||
 * F2F discussion || Smriti / Amy || 3:00-3:10 ||
 * Review and continued completion of Metrics Matrix || Holly || 3:10-3:55 ||
 * Closing/Next Steps || Holly || 3:55 -4:00 ||
 * Adjourn || Holly || 4:00 ||

Attendees:
__Workgroup Attendees:__ //Andriy Selivenko, Cyndalynn Tilley, Laura Herrmann Langford, Russell Leftwich, MD, Susan Campbell// __Panelist Attendees:__ Dr. Miller, Amy Berk, Smriti Singal

Action Items:

 * **Date** || **Description** || **Status** || **Notes** ||
 * 09/27/11 || Attend ToC Success Metrics Workgroup || In Progress || All SWG members to attend on 09/27 ||
 * 09/27/11 || Continue Walkthrough of Metrics with a more focused approach; flesh algorithms of each metric || In Progress || All SWG members ||
 * 9/20-9/26 || Post Comments to the Wiki || In Progress || All SWG ||
 * 10/17-10/19/11 || Attend F2F Oct 17-19, 2011 || In Progress || All ||

=Workgroup Discussion:=
 * __General Topic(s):__**
 * F2F meeting agenda**
 * Review of Matrix as a first agenda item for the F2F
 * How we will get data is a prime topic for the F2F


 * __Matrix Updates:__**


 * Walkthrough of the Matrix:**
 * Leads meeting; some of the measures of the outcomes measures were subjective; so these should be moved into the category of survey questions
 * The yellow line under Process Metrics, Patient Satisfaction; move to survey questionnaire ---makes sense
 * Outcome Metrics; Provider and then the Patient; first objective and then the other a subjective measure and should be moved to a survey
 * How would we measure adherence to the care plan? Figure this out at F2F; there are a number of ways to quantify
 * If we can get the data, we can measure the data; you can get objective data from patients (if implemented Direct)
 * Patient Satisfaction to the process and putting in the Patient Survey
 * Would need to change the definition of the metric for true objective data to demonstrate better adherence
 * E.g. Pain; even subjective it is an outcome
 * Really valuable to get true objective data if at all possible; would have a big impact ---those measurements that are solid
 * Process is grouping the surveys; need to move row 8 on Outcome metrics
 * Survey on patient adherence and then also objective data; report vs. measure
 * Measures that don’t have inherent bias; Lipids, Weight Loss; BMI/Lbs, Smoking Cessation, BP, HgA1c
 * How is Direct affecting this? The push of data will keep the provider informed of acute changes of these parameters; better informing the patient and making them more engaged in their care ; and then the patient have a link to the PHR/portal
 * Added for provider; improving clinical outcomes
 * Process and Adoption metrics; ensure all definitions are completed and work our way through; completed
 * Outcomes; Adverse Events-fewer AEs because Direct is flowing the information and avoid making bad clinical decisions ---tackle this at the face to face; need to understand how to collect the data
 * Cost and Efficiency Measure; HEDIS data could be collected for re-admissions is decreased post-Direct hospital discharge after the implementation of DIRECT
 * ER visits---track it relative to MDs using DIRECT
 * Review of all metrics per each category; adoption, process, outcomes
 * Need to be very specific about the metrics e.g. Use the Consolidated CDA for Row 5 on adoption metrics
 * Need to consider the meta-data that goes with the data elements
 * Workgroup members will post comments to the Wiki

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