QAPI Program Utilization_Manual

• Asthma • Chronic wounds • Diabetes • Depression • Chronic Obstructive Pulmonary Disease Disease Management Action Plan for Home Health 1. Determine agency readiness for an outcome-based culture and for DM as a business strategy. • Identify DM program coordinator • Select or develop the system of implementing consistent evidence-based practice among clinicians 2. Prioritize and select DM patient population(s) through a variety of factors: • Large volume • Chronic diagnoses • Critical/New referral sources • Co-morbidities • Business strategy 3. Determine evidence-based practice that will be sed and how. 4. Determine if new product formularies, supplies, and/or equipment are needed for the new service or program. 5. Determine the disciplines appropriate for providing care. 6. Define staff competencies that are needed. 7. Determine “Best fit” technology for your agency and cost effectiveness. 8. Plan education and training. 9. Develop or select evidence-based patient teaching materials that support interventions provided. 10.Contact DME and supply vendors to establish product formularies and pricing. 11. Select OBQI outcomes for integration into DM approach. For example: Improvement in dyspnea for patients with CHE. 12. Consider additional outcomes of patient knowledge and compliance to measure. 13. Decide how these outcomes will be measured, aggregated and trended. 14. Identify the persons or groups to include in your outcomes reporting and feedback loop. 15. Select best of sharing outcomes data. 16. Conduct annual agency DM program evaluation and include in business plan. 17. Plan outcome-based marketing strategies. Evaluate efectiveness. » Selecting Agency “Best Fit” Technology Golden rule of buying and using technology: Use the technology you have to its maximum capability before purchasing more. 1. List the technoloy you have. Include phone and fax. 2. List what your technology is currently used for. 3. Review business plan and strategy in light of technology use and need. 4. Identify primary patient populations served. 5. Evaluate current management of supplies. Discuss how technology cold help you manage supply use and costs more effectively. Call upon vendors to discuss if needed 6. Prioritize clinical and financial outcomes that agency will collect and monitor. 7. Determine if potential revenues are being lost that technology could rectify. 8. Investigate technology needs that will enhance agency alliance relationships, outcomes sharing, care efficiency, and information flow. 9. Evaluate ease of use as perceived by both staff and patient/caregiver, as appropriate. 10.Develop a realistic change management protocol to assist agency staff in transition from 109