Inside HRSA - June 2007
 
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Duke Urges Top Grantees to “Spread the Good News” at Quality Meeting

HRSA celebrated the success of its grantees in achieving improved health outcomes for their patients at a day-long meeting April 18 in Rockville, Md.  After listening to grantees’ presentations, HRSA Administrator Betty Duke said she was “extraordinarily impressed” with their accomplishments and urged them to continue building on their successes and to “figure out how we can share the good and spread it beyond the walls of this room.”

Pictured are (left to right) health center patient Bertucci Scott, HRSA Administrator Betty Duke and CQ Director Denise Geolot

Listening and responding to action steps proposed by HRSA grantees and staff are (left to right) health center patient Bertucci Scott, HRSA Administrator Betty Duke and CQ Director Denise Geolot.

The meeting, “Celebrating Quality at HRSA: An Event to Glean, Align, and Take Action,” showcased HRSA grantees and their impressive results in improving care for patients, specifically in the key areas of HRSA’s clinical quality performance measures (see box at end of story).

Convened by HRSA’s Center for Quality (CQ), the meeting was attended by more than 25 grantees from a diverse cross-section of HRSA programs and the agency’s senior leaders. The meeting format was designed with interactivity in mind using panel discussions and audience participation to generate discussion, enthusiasm and commitment to action. Participants focused on developing answers to the question: “What can each of us do to get more quality health care results?”

CQ Director Dr. Denise Geolot presented an overview of HRSA’s quality strategy and CQ’s mission, followed by CQ’s Senior Medical Advisor Dr. Deborah Willis-Fillinger, who described the role of performance measurement in achieving quality care. CQ Medical Officer Dr. Almed Calvo then talked about new aspects of HRSA’s quality strategy, including the concept of “DNA” – Decide, Notice, and Acknowledge – as a method to increase quality (see blue box this page).

Throughout the day, grantees gave five-minute snapshots of their program accomplishments. The first group talked about their work in measuring performance, with each highlighting solid improvements in health outcomes. Dr. Thomas MacKenzie of
Denver Health and Hospitals described their work to ensure pediatric immunizations for one in three children in Denver.
Mario Drummonds with the Northern Manhattan Perinatal Project in New York, a Healthy Start grantee serving 10,000 women, talked about the dramatic rise in the number of women entering prenatal care in the first trimester. The rate has grown from 25 percent in 1990 to 92 percent in 2004, Drummond said. One after another, grantees from South Carolina, Kentucky, Nebraska, Arkansas and other states told similar stories of success.

During the course of the meeting, attendees were asked to list actions they plan to take to improve patient outcomes. More than 40 people committed to over 100 specific actions, a sampling of which was read to a panel consisting of Dr. Duke, HRSA Senior Advisor Steve Smith, Dr. Geolot and Bertucci Scott, a patient from PCC Wellness, a health center in Chicago. The CQ will be hosting a similar event in the fall.

Discussing quality improvements at the meeting are: (l-r) HRSA's Lou Coccodrilli, Anne Camp of Fair Haven Community Health Center in New Haven, Conn.; Steve Taplin of the National Cancer Institute; and Elizabeth Magenheimer, Fair Haven CHC.
Discussing quality improvements at the meeting are: (l-r) HRSA's Lou Coccodrilli, Anne Camp of Fair Haven Community Health Center in New Haven, Conn.; Steve Taplin of the National Cancer Institute; and Elizabeth Magenheimer, Fair Haven CHC.
     

Using "DNA to get the Outcomes You Want...

Doug Krug, co-author of Enlightened Leadership, explained the “DNA” concept featured in the book to meeting participants: First, you consciously DECIDE what you want to see more of in the world. Next, because you have decided this and given thought to it, you will begin to automatically NOTICE when more of this thing (whatever it is) appears in your life and work. When you notice examples of it, then you ACKNOWLEDGE and call attention to it in a positive way.


HRSA’s Clinical Quality Performance Measures

HRSA has begun implementing a set of Clinical Quality Performance “Core” Measures as part of an agency-wide initiative led by the Center for Quality to improve the quality of care grantees deliver. The new initiative not only standardizes core measures across HRSA’s health care delivery programs, but also aligns them with national quality measures endorsed by the National Quality Forum and others.

The core measures address important public health conditions that impact patients served by HRSA programs. These include measures for:

access to prenatal care;
appropriate immunizations by life cycle and for persons living with HIV;
screening for colon, breast and cervical cancers; and
chronic disease management for diabetes and hypertension.