Slide Presentation from the AHRQ 2007 Annual Conference

Use of Technology to Bring Improvements to the System of Care

• Quality in California Indian Clinics Prior to EHR
  • Tribal/Intertribal Health Board leadership
    • Healthcare governance and accountability
  • Six years+ of building QI capabilities (with paper/legacy software)
    • State IHS diabetic registry training on RPMS
    • CRIHB initiatives to fund/train clinic staff in QI
      • annual quality improvement, redesign training (resources: NAAHC, IHI and ANMC consultants & coaches
      • Clinics achieved open access, some redesign
  • IHS National Dashboard of Health Indicators
    • Annual and Quarterly reporting requirements for: Clinic users, visits, DM audit, Immunizations, GPRA Indicators
    • Some CRIHB clinics found RPMS legacy hard to use, maintain