CLINIC QUALITY IMPROVEMENT FOR POPULATION HEALTH Chronic Disease Evidence Based Intervention Portfolio Public Health Measures Colorectal Cancer Screening

Breast Cancer Screening

Cervical Cancer Screening

Hypertension Control

Diabetes Control

Tobacco Screening and Cessation

Clinic develops

Utilizing team-based care Utilizing decision tools to educate patients on disease area Utilizing patient reminders for cancer screenings (i.e. postcards)

Implementing medication adherence tools

Utilizing high sensitivity FOBT/ FIT kits

Linking clients to evidence-based healthy living interventions

Providing self-management support

Clinic uses health informatics in policy and standard workflow by

Utilizing health literacy concepts

Utilizing central location (summary screen) and discrete fields to document client status on disease area Creating accurate reports for public health measures Creating disease registry (often reports listing clients due for certain services) Moving client status on measures into discrete fields within EHR Implementing provider reminder system with appropriate intervals Implementing family history screening tool into EHR

connections with

Other clinics using same EHR for best practices and report building capacity Community Health Workers to reduce client barriers and refer to evidence based health living interventions Local Public Health Agencies to create clinical community linkages

Clinic makes

Evidence-Based Strategies

policy and standard workflow by

Utilizing national guidelines at point of care

Last updated November 2015