Registry data is a valuable tool for accountable care, explains Dr. Gregory Spencer, chief medical officer with Crystal Run Healthcare, and can be effectively used to monitor everything from routine health maintenance issues to high risk diabetes diagnoses.
Early on we used registries for routine health maintenance issues, specifically for women that were due for a mammogram, for example. We went from about 60 or 65 percent of women getting mammograms early on to the high 80 percent range. Similarly, prostate-specific antigens went way up to above 90 percent. Registries do work when you have a concerted effort of everybody thinking about these groups of patients and then reporting on it on a regular basis and bringing results to people.
We are also working on showing people where they stand. We are incorporating more of these registry data into dashboards. People that are due for prostate-specific antigens, etc., are incorporated onto the dashboard.
The other more dramatic use has been a list of patients who have diabetes with an A1C greater than 9 (poorly controlled.) We use that registry for our quarterly calls. We have a primary care physician who is on a conference call once a quarter with a dietician and an endocrinologist, and we will go over the registry of patients who have poorly controlled diabetes to talk about them, look at them in detail and have the dietician reach out to them. Or we will have the patient change something to make their diabetes better. We have had a dramatic improvement in poorly controlled A1Cís.
Source: Health Management Tools for Accountable Care Organizations, September 2011
Health Management Tools for Accountable Care Organizations
This 40-page resource examines the building blocks of population health management that drive improvements in healthcare quality and efficiency in ACOs while positioning healthcare organizations for core measure improvement and increased reimbursement. One such building block is an effective patient registry, which provides usable, actionable data a true snapshot of the patient population being served and for which the organization is accountable.
Health Management Tools for Accountable Care Organizations is available from the Healthcare Intelligence Network for $149 by visiting our Online Bookstore or by calling toll-free (888) 446-3530.