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Oregon

Success
Stories: OREGON
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In 2003,
OMPRO, the QIO for Oregon, worked with Willamette Community Health
Solutions to improve the ambulation (ability to move around) of home
care patients from 14.2% to 38.9%, or 14% improvement. The national
average for this measure is 37.2%.
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OMPRO,
the QIO for Oregon initiated a recruitment campaign and assisted
the Oregon Diabetes Collaborative II (ODCII) with quality improvement
efforts aimed at increasing HbA1c testing, LDL -C testing, the use
of self-management goals, and other measures of diabetes care in
physician offices. Results indicate that the percentage of patients
receiving HbA1c testing increased from 65%–86%, with the percentage
of patients testing in the desirable range of less than 7% increasing
from 37% to 49%; LDL-C testing increased from 63% to 80%, with the
percentage of patients in the target range of less than 100 increasing
from 17%–35%; and the percentage of patients using self-management
goals increasing from 18%–56%.
- Oregon’s
Rogue Valley Home Care and Hospice improves treatment of pain: Working since mid-2002 with
OMPRO, the Oregon QIO, Rogue Valley Home Care improved treatment
of pain by more than 7 percentage points at its Rogue Valley agency
and by nearly 20 points at its Three Rivers agency, achieving levels
above the national average for both agencies.A pain management team
at Rogue Valley developed and instituted an action plan which included:
changing home visit notes to remind staff to use best practices in
pain treatment; developing a “bathroom newsletter” to
keep staff apprised of quality improvement efforts at the agencies,
creating a reminder system during staff meetings to discuss cases
of patients whose pain level responded more slowly, and developing “pain
competencies,” which involved presenting staff with pain scenarios
to work through with guidance on selection of pain reduction methods
and procedures. As a result, the agency’s measure of reducing
pain to acceptable levels within three days improved from 75% to
87%.
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