Measures that are under performing will be identified in the Monthly Review, and a single measure will be selected for improvement. This decision is to be made by the provider and staff with guidance from WRS. (IE. Don't let them pick a measure that shows little promise of growth/improvement).
During the Monthly Review (or immediately after if re-educating different staff) demonstrate the process of documenting the measure.
1 week after Monthly Review
1. Perform Manual Review on Measures ID’d in previous week.
- Run QM report for that single measure x past 3 weeks (one report per week for mapping)
- Complete a manual review using the Manual Review Starters (attached)
- Run QM report for that single measure YTD.
2. Prepare PowerPoint slides
- Gauge
- Progress
- Action Plan
3. Record PowerPoint presentation & analysis.
4. Email edited recording to practice no later than 2 weeks after the Monthly Review.
Note: Percentages from the outlined cells in the Manual Review will get entered under the Missed Opportunities, and identified patients who fall into each category of missed opportunities will be listed for the practice to review with their staff to identify any non-data influencers on the workflow. Always end with reviewing the plan, and demonstrating exactly where the most Missed Opportunities occur.
