Question No 34:
What is Process Lead Time (PLT)?
The time from release of a product into a process until its completion
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Thursday 31 December 2015
Thursday 17 December 2015
CPHQ Exam Question No 33
Question No 33:
What is confidence factor?
A certainty or truth factor expressed as a numeric value. Used to describe the reliability of a piece of information whose truth is unclear or uncertain.
What is confidence factor?
A certainty or truth factor expressed as a numeric value. Used to describe the reliability of a piece of information whose truth is unclear or uncertain.
Thursday 10 December 2015
CPHQ Exam Question No 32
Question No 32:
What is CPOE?Computerized physician/provider order entry. Used by physicians and other providers to order medications, tests, or treatments for patients.
Sunday 6 December 2015
New Challenges and Opportunities in Immunization Quality Metrics
Despite the availability of vaccines have been shown to reduce the risk of vaccine-preventable diseases, published remain low vaccination rates, especially among adults. This has contributed to a substantial burden of disease.
In 2013, the CDC identified that took place more than 53,000 deaths from pneumonia, while only 60% of seniors and 30% of high-risk patients received the pneumococcal vaccine. In that year, it is estimated that among adults 50 or older, influenza, pneumonia, herpes zoster, pertussis and the health system in the United States combined cost of about $ 26.5 billion. On average, the seasonal flu alone costs about $ 10.4 billion in direct medical costs and $ 87 billion in lower productivity almost lost working day and job loss and death.
Similarly, the influenza vaccination season preventer During 2013-2014 more than seven million illnesses and 90,000 hospitalizations, according to the CDC projections.
However, with only 42% of adults vaccinated against influenza during the season in 2013-2014 there were significant to reduce the burden of disease and the economic drag associated with the disease missed opportunities.
Improving immunization rates and reducing preventable infectious diseases are two of the objectives outlined in Healthy People 2020 goals of 10 years set by the national Department of Health and Human Services of the United States to improve the health of all Americans over 80 with 6 goals to reduce preventable diseases and increase the rate of vaccination in patients of all ages.
Healthy People 2020 calls for a higher rate of influenza vaccination compared with 70% of adults 18 and older, pneumonia and 90% of adults 65 and older, and tiles to 30% of adults 60 or older.
While rates for certain vaccines are, there are significant gaps remain between current vaccination coverage and objectives articulated in Healthy People 2020.
A lever to improve the assessment of vaccination, administration and documentation is by using indicators of quality of care. Immunization measures are currently included in several of the 26 federal programs of quality and performance (Table 1).
Vaccination rates used include evaluation of the patient or health care professional vaccination status, the administration of vaccination as well as a structural measure for immunization reports.
, Although many other immunization programs state, federal quality, and have adopted quality metrics, measurement there are still many gaps. Most vaccination measures were developed ASSESS influenza and pneumococcal vaccination. In 2014, the National Quality Forum (NQF) convened a Committee on Immunization for adults to identify gaps and prioritize measures for vaccination of adults.
In addition, the Committee was to study the "cost of measures harmonization and alignment and load measurement, measurement of inequalities and the availability of data" on your committee to identify and prioritize process.The difference measurement identified 10 areas for developing measurement development. These measurement gaps can be found in Table 2.
There are many challenges in the ability to develop measures in these areas due to the sources of the underdeveloped and disparate data. Data quality measures to inform vaccination from a variety of sources, including administrative complaints, immunization information systems (IIS), electronic health records (EHR), paper files and patients surveys.
An example of the use of patient surveys is the measure of the state of pneumococcal vaccination for older people, including efficacy data on Health and Information Set (HEDIS). This measure patients reported using the answers to the questions on the evaluation of consumption Medicare health care and Systems (CAHPS) survey.
The measure, such as this, transmits the proportion of respondents who answered "Yes" to the question "Have you ever been vaccinated against pneumonia? This plan usually given once or twice in the life of a person and is different from the flu shot. It is also called the pneumococcal vaccine. "
With more nuanced immunization programs associated with some vaccines in the CDC Advisory Committee on Immunization Practices (ACIP), the data provisioning for vaccination activities was questioned.
In August 2015, CMS announced the final rule in the Federal Register including changes in the system of quality information to hospitalized patients. The changes include the elimination of a pneumococcal vaccine measurement Because it was "impossible to apply measurement specifications incorporating new guidelines given its complexity.
"CMS continues to assert that "to implement is compatible with the new [ACIP] guidelines, providers need, detailed and reliable data on: 1) whether or not a pneumococcal vaccine was administered before 2) What type of pneumococcal vaccine (PCV13 vs PPSV23) was given; and 3) when administered "CMS suggests that a national registry of immunization records of patients could provide a solution to the challenge of providing data..
CMS rule recognizes that integration and better use of EHR and IISS between vaccination is essential to make records ever increasing not only the amount of data about the vaccination of adults, but also data integrity collected.
Whereas information on the immunization of multiple and in some cases the ill-sources there is a need for mechanisms to collect solids. Information systems of immunization are confidential, computerized databases This population-based immunization record all doses administered by the participants to persons residing in a certain area suppliers. He also referred to immunization records, IISS serve as a tool for both the individual and the public, providing information to a wide range of stakeholders, including suppliers of public and private health programs, public health, emergency services, among others.
In 2012, the CDC reported that the participation of almost adult is defined as having one or more vaccines to adults documented in a record-ranged between 0.5% and 85.4%, with an average of 25%.
Pharmacy Quality Alliance (PQA) is a multi-stakeholder, consensus nonprofit collaboration that promotes proper use of medicines and to develop strategies to measure and report performance information related to drugs.
PQA is currently developing a measurement called Immunization Information Reporting System, which aims to capture the adult fare on what vaccines are reported almost IIS. Calculate measurement reporting rates of vaccines to IIS using medical claims and prescription claims data and correlate the immunization record in the IIS.
The information collected by measuring the RSIS provides an overview of the appropriate vendor documentation registration. Ensure that people receive all vaccines because without duplicate or unnecessary dose required Immunization complete data is available to vaccine providers. Access to the full patient history campaigns quality of care and eventually vaccination, reducing vaccine-preventable diseases in the improved population.
Adult, Although immunization rates in the United States are of inferior quality, efforts are made to optimize them. The current use of quality performance measures and federal programs have performance've and new development efforts metric vaccination where shortcomings have been identified.
There are certainly challenges to the measurement and the development of new measures and solutions will be in the more robust sources of data. IIS must be further improved and EHR across the country to provide the most reliable indicators of supply quality data to inform vaccination.
In 2013, the CDC identified that took place more than 53,000 deaths from pneumonia, while only 60% of seniors and 30% of high-risk patients received the pneumococcal vaccine. In that year, it is estimated that among adults 50 or older, influenza, pneumonia, herpes zoster, pertussis and the health system in the United States combined cost of about $ 26.5 billion. On average, the seasonal flu alone costs about $ 10.4 billion in direct medical costs and $ 87 billion in lower productivity almost lost working day and job loss and death.
Similarly, the influenza vaccination season preventer During 2013-2014 more than seven million illnesses and 90,000 hospitalizations, according to the CDC projections.
However, with only 42% of adults vaccinated against influenza during the season in 2013-2014 there were significant to reduce the burden of disease and the economic drag associated with the disease missed opportunities.
Improving immunization rates and reducing preventable infectious diseases are two of the objectives outlined in Healthy People 2020 goals of 10 years set by the national Department of Health and Human Services of the United States to improve the health of all Americans over 80 with 6 goals to reduce preventable diseases and increase the rate of vaccination in patients of all ages.
Healthy People 2020 calls for a higher rate of influenza vaccination compared with 70% of adults 18 and older, pneumonia and 90% of adults 65 and older, and tiles to 30% of adults 60 or older.
While rates for certain vaccines are, there are significant gaps remain between current vaccination coverage and objectives articulated in Healthy People 2020.
A lever to improve the assessment of vaccination, administration and documentation is by using indicators of quality of care. Immunization measures are currently included in several of the 26 federal programs of quality and performance (Table 1).
Vaccination rates used include evaluation of the patient or health care professional vaccination status, the administration of vaccination as well as a structural measure for immunization reports.
, Although many other immunization programs state, federal quality, and have adopted quality metrics, measurement there are still many gaps. Most vaccination measures were developed ASSESS influenza and pneumococcal vaccination. In 2014, the National Quality Forum (NQF) convened a Committee on Immunization for adults to identify gaps and prioritize measures for vaccination of adults.
In addition, the Committee was to study the "cost of measures harmonization and alignment and load measurement, measurement of inequalities and the availability of data" on your committee to identify and prioritize process.The difference measurement identified 10 areas for developing measurement development. These measurement gaps can be found in Table 2.
There are many challenges in the ability to develop measures in these areas due to the sources of the underdeveloped and disparate data. Data quality measures to inform vaccination from a variety of sources, including administrative complaints, immunization information systems (IIS), electronic health records (EHR), paper files and patients surveys.
An example of the use of patient surveys is the measure of the state of pneumococcal vaccination for older people, including efficacy data on Health and Information Set (HEDIS). This measure patients reported using the answers to the questions on the evaluation of consumption Medicare health care and Systems (CAHPS) survey.
The measure, such as this, transmits the proportion of respondents who answered "Yes" to the question "Have you ever been vaccinated against pneumonia? This plan usually given once or twice in the life of a person and is different from the flu shot. It is also called the pneumococcal vaccine. "
With more nuanced immunization programs associated with some vaccines in the CDC Advisory Committee on Immunization Practices (ACIP), the data provisioning for vaccination activities was questioned.
In August 2015, CMS announced the final rule in the Federal Register including changes in the system of quality information to hospitalized patients. The changes include the elimination of a pneumococcal vaccine measurement Because it was "impossible to apply measurement specifications incorporating new guidelines given its complexity.
"CMS continues to assert that "to implement is compatible with the new [ACIP] guidelines, providers need, detailed and reliable data on: 1) whether or not a pneumococcal vaccine was administered before 2) What type of pneumococcal vaccine (PCV13 vs PPSV23) was given; and 3) when administered "CMS suggests that a national registry of immunization records of patients could provide a solution to the challenge of providing data..
CMS rule recognizes that integration and better use of EHR and IISS between vaccination is essential to make records ever increasing not only the amount of data about the vaccination of adults, but also data integrity collected.
Whereas information on the immunization of multiple and in some cases the ill-sources there is a need for mechanisms to collect solids. Information systems of immunization are confidential, computerized databases This population-based immunization record all doses administered by the participants to persons residing in a certain area suppliers. He also referred to immunization records, IISS serve as a tool for both the individual and the public, providing information to a wide range of stakeholders, including suppliers of public and private health programs, public health, emergency services, among others.
In 2012, the CDC reported that the participation of almost adult is defined as having one or more vaccines to adults documented in a record-ranged between 0.5% and 85.4%, with an average of 25%.
Pharmacy Quality Alliance (PQA) is a multi-stakeholder, consensus nonprofit collaboration that promotes proper use of medicines and to develop strategies to measure and report performance information related to drugs.
PQA is currently developing a measurement called Immunization Information Reporting System, which aims to capture the adult fare on what vaccines are reported almost IIS. Calculate measurement reporting rates of vaccines to IIS using medical claims and prescription claims data and correlate the immunization record in the IIS.
The information collected by measuring the RSIS provides an overview of the appropriate vendor documentation registration. Ensure that people receive all vaccines because without duplicate or unnecessary dose required Immunization complete data is available to vaccine providers. Access to the full patient history campaigns quality of care and eventually vaccination, reducing vaccine-preventable diseases in the improved population.
Adult, Although immunization rates in the United States are of inferior quality, efforts are made to optimize them. The current use of quality performance measures and federal programs have performance've and new development efforts metric vaccination where shortcomings have been identified.
There are certainly challenges to the measurement and the development of new measures and solutions will be in the more robust sources of data. IIS must be further improved and EHR across the country to provide the most reliable indicators of supply quality data to inform vaccination.
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