D1a. Implementation Effects Implementation of this project had a positive impact in the organization because it improved the quality of care for the 1-6-year-old patients. The screening rates increased in 2015 by 23.38% from the 2013 rate. In addition to the increased rates the parents are receiving the blood lead level results at the point of care. In doing so the patients are no longer lost to follow 5
Carmen Rivera-Torres Western Governors University C157 QIA Form Summary up because the 3-4-week turnaround time no longer exists. According to the CDC no level of lead is acceptable for a child, but a result greater than 3.3ug/dl can be identified and addressed during the visit. Care coordination is initiated for the patients that have been identified, therefore increasing the quality of care they receive. Early screening and detection is the ideal prevention/treatment option for this age group in all healthcare settings. Furthermore, according to the HEDIS report the health center has surpassed the 81.50% benchmark that the state of CT currently has. The providers are empowered because they can implement a care plan at the point of care and the parents are educated on decreasing and eradicating the environmental risks of lead in their homes. D2. Stakeholder Roles The stakeholders in this change project were the Chief Pediatrician, RN Coordinator, Director of Nursing (DON), Chief Medical Officer (CMO), the Quality Improvement Director (QI) and the parents of the patients. The fact that the screening rates were at 96% for the 2015 year indicates succession in the stakeholder roles. The Pediatrician ordered the lab test on the patients that were coming in for their physical exam and the patients that were identified to be at risk as evidenced by the 96% compliancy rate. The RN Coordinator implemented the screening process in the department, made sure that an order was in the electronic health record and ensured proper documentation. The DON served as the administrative liaison with the CMO to ensure that the reimbursement was received by the insurance companies. The QI director ensured that the quarterly reports were generated and the meetings with the committee were planned accordingly. The parents were successful in their roles as evidenced by the high compliancy rate. Blood lead screening was no longer a forgotten lab order that only 75.64% of 6
Carmen Rivera-Torres Western Governors University C157 QIA Form Summary patients obtained. Only 4% of the parents were noncompliant in 2015 out of 150 patients that had a visit to the health center. D3. Improvement I believe that the change project could have been improved by generating monthly reports through the electronic health record. This monthly reporting would help the organization with stage 3 of Meaningful Use reporting because it will improve healthcare outcomes for 1-6-year- old patients as well as empower the parents to make identified changes. It will also ensure compliance with the National Patient Safety Goals (NPSG) with regards to the laboratory testing and timely result reporting.
- Spring '16
- Lead poisoning, community health center, Blood lead level, Western Governors University, Health Centers