1	Clinical Measures: Health Care Plan 2009 Service Area Competition Applications and Budget Period Renewals March 4, 2008 printer-friendly version of this presentation
2	HRSA/BPHC Data Strategy Simplify and streamline data reporting 2008 UDS modifications Report more meaningful data New UDS clinical measures demonstrate value and quality Align UDS measures with grant applications UDS measures for Quality and Performance also in grant application health care plan (SAC/BPR) Report and access data electronically Report 2008 UDS data via the web EHB portal is the single point of entry for grants, applications, and program information/updates Integration of grants and program information across the BPHC
3	Health Care Plan Quality of Care Indicators Trimester of entry into prenatal care Childhood (2 year old) immunization rate *
4	Health Care Plan Quality of Care Indicators Adult (21 to 64 year old) women who received one or more Pap tests during the reporting year or during the 2 years prior to the reporting year *
5	Health Outcomes and Disparities Measures Percent births < 2,500 grams to health center patients Diabetes (HbA1c level indicating adequate control vs. inadequate control)*
6	Health Outcomes and Disparities Measures* (Table 7) Percent of patients 18 years and older diagnosed with hypertension and last BP < 140/90
7	Measures Alignment All Clinical Measures aligned in UDS and SAC/BPR Health Care Plan (HCP) For diabetes measure, the HCP focuses on not poor control (HbA1c < 9), whereas the UDS measure further separates adequate control (between 7 and 9) from good control (<7)
8	Implementation of HCP Clinical Measures Establish a baseline for each measure (optional) For prenatal and LBW, use numbers from most recent UDS For the 4 new measures, use current baseline or a newly created baseline
9	UDS Sampling Method 1. Identify patient population to be sampled (N = the universe) 2. Determine sample size for manual chart review (n = max 70 patients) 3. Calculate the sample interval Divide the patient population by the sample size to obtain the sample interval. Sample Interval (i) = Population size (N)/ Sample size (n) 4. Conduct systematic sample 5. Random Start: - Randomly pick a patient from the first sampling interval. - Then, select every ith patient (i = sample interval) until the desired sample size is reached.
10	Implementation of HCP Clinical Measures Use measures to track performance through project period Report progress in subsequent Budget Period Renewals
11	Technical Assistance Grantees with questions regarding implementation of SAC/BPR performance measures are encouraged to contact their Primary Care Association.