BEACON Projects Metrics

Current State Discussion Draft→ November 22, 2010

PROJECT / METRICS / SOURCE
Childhood Obesity / For OH Chapter AAP & OCHA (use for MOC application to the AmericanBoard of Pediatrics):
  • Documentation of BMI percentile at well-child visits of children ages 2-11
years of age
  • Documentation of counseling for nutrition or referral for nutrition
education at well-child visits of
children ages 2-11 years of age
  • Documentation of counseling for physical activity or referral for physicalactivity at well-child visits of children ages 2-11 years of age
  • Documentation of BMI percentile at well-child visits of children ages 12-17years of age
  • Documentation of counseling for nutrition or referral for nutrition ages 12-17
  • Education at well-child visits ofchildren ages 12-17 years of age
  • Documentation of counseling for physical activity or referral for physical activity at well-child visits of children ages 12-17 years of age
  • Office processes aligned to the prevention, identification, and treatment ofchildren with overweight
and obesity;percent of practices
reporting 'Yes'thatsystems exist in
their practices
  • Linkage to community resources
ODH Obesity contract specific:
  • To improve childhood obesity prevention, screening and referral in practices setting through Ohio (physician practices and community health centers; Note: project aim is combined with AAP initiative called Healthy Kids Ohio and Ounce of Prevention)
  • By June 30, 2011 increase obesity screening and referrals in clinics by 20% over baseline and improve coordination with community resources
/ Melissa Wervey Arnold & NickLashutka
Maximizing Medicaid eligible children enrollment & maintaining stability of coverage /
  • Stability of coverage
  • Decrease the child turnover rate
  • Improve continuity of coverage
  • Decrease number of cases closed due to procedural reasons
/ Mary Applegate GerryFairbrother
Pediatric Psychiatry Network (PPN) /
  • Reduced emergency room use bychildren having PPN consultations
  • Reduced consultation costs
  • Patient satisfaction
  • Primary care physician satisfaction
  • Number of primary care physicians participating in network
  • Improved referral timeliness to providers
  • Quality of technical/equipment/electronic capability
/ KayRietz & Beth Ferguson
Healthchek Medicaid Managed Care Plans/MCPs well child screening initiative (Performance Improvement Project/PIP) / HEDIS Measures:
  • Well-child visits in the first 15 months of life = zero
  • Well-child Visits in the first 15 months of life 6+ visits
  • Well-child visits in the third, fourth, fifth, and sixth years of life
  • Adolscent well care visits ages 12 – 21
/ Kara Miller (Ohio Medicaid)
Help Me Grow/HMG home visiting including maternal depression screening /
  • Improved maternal and newborn health
  • Prevention of child injuries, child abuse, neglect or maltreatment and reduction of emergency department visits
  • Improvement in school readiness and achievement
  • Reduction in crime or domestic violence
  • Improvements in family economic self-sufficiency
  • Improvements in the coordination and referrals for other community resources and supports.
/ Karen Hughes & Sue Wolfe
Ohio Children’s Hospitals Solutions for Patient Safety (SPS) /
  • Reducing preventable codes, cardiac and pulmonary arrests occurring outside neonatal and pediatric Intensive Care Units
  • Reduce surgical site infections in designated procedures by 50%
  • Reduce overall adverse drug events by 33%
  • Reduce opiate over-sedations by 50%
  • Reduce by 50% the baseline rate of SSE’s across the 8 OH pediatric hospitals by 12/31/12
  • Reduce by 75% the baseline rate of SSE’s across the 8 OH pediatric hospitals by 12/31/15
/ Nick Lashutka
ODH Ohio Hospital Compare:
1. Children’s asthma care:
* Asthma relievers for
pediatric patients
* Asthma corticosteroids for
pediatric patients
2. Prophylactic antibiotic
received one hour prior to
surgical incision (overall
rate) - specific focus of
OCHSPS
3. Central lineassociated
bloodstreaminfection for
ICU patients
4. Urinary catheterassociated
urinary tractinfection rate for
ICU patients
5. Surgical site infection rate
(all surgeries)Class I and II;
specific focus of OCHSPS
System Of Care for Kids Mental Health & At Risk for Out of Home Care /
  • Reduce costly out of home
placements including institutional-
izations
  • Use evidence-based practice
  • Provide non-clinical family-centered services
  • Address early childhood behavioral health needs in child care settings in high-risk areas
  • Divert youth fromDYS
  • Other TBD
/ Kay Rietz
Concerned About Development & Autism Screening (CADLC) /
  • Increase in statewide childrens’ developmental screenings (CPT code 96110) for 9, 12, 18 and 24 months
  • Number of primary care practices trained
  • Number of primary care physicians trained
  • Number of primary care physician referrals to Help Me Grow
  • Other TBD
/ John Duby & Carole Lannon
Ohio Perinatal Quality Collaborative (OPQC) /
  • Infants 22 - 29 weeks discharged with at least one Nosocomial Infection
  • Percent of births 36 – 38 weeks scheduled for delivery without medical or obstetrical indication
(c-section or induced)
  • Number of births 36 – 38 weeks scheduled for delivery without medical or obstetrical indication (c-section or induced)
/ Ed Donovan

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