Crestview Hills, Kentucky
859-341-5400
513-820-2312 (after hours)
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Pediatric Associates PSC Quality Report 2017

At Pediatric Associates, we pride ourselves on providing consistent high quality care to all of our patients.  Additionally, we strive to improve our care of individual patients and groups of patients.  In order to do this, we have ongoing practice wide measures that we track in the areas of clinical quality, care coordination/utilization, and patient/family satisfaction.
 

Pediatric Associates PSC Quality Report 2017
 
At Pediatric Associates, we pride ourselves on providing consistent high quality care to all of our patients.  Additionally, we strive to improve our care of individual patients and groups of patients.  In order to do this, we have ongoing practice wide measures that we track in the areas of clinical quality, care coordination/utilization, and patient/family satisfaction.
Current areas we are measuring  as a practice include Vaccination rates,  Asthma care, Constipation treatment, Mental Health Care, Care Coordination for Children with Special Healthcare Needs, Vision Screening (at preschool checkups) and  Cholesterol screening in childhood.  Individual providers also have specific areas of interest in evidence based care that are used to improve our clinical care.
We are pleased to share with our families and our staff some examples of these measures.  If you have any questions, please do not hesitate to call our office manager or to contact us through our website “Contact Us” feature.
 
Vaccination Rates:
One of the most important measures a pediatric practice can perform is vaccination status of our patients.  Vaccination is an important part of keeping children protected against diseases like measles and pertussis (whooping cough).   We follow national recommendations for vaccination (from the AAPand the CDC) which protect children from 14 serious illnesses by the age of 2 years.  Organizations such as the CDC allow us to compare our rates to national and state rates.  Two measures we follow are our overall rates of vaccination with one dose of MMR and four doses of DTaP (Diphtheria, Tetanus, and acellular Pertussis) by 2 years. We track the rates quarterly by site and look at our cumulative annual rates.  We are happy to share with you these results in the following summary table for the practice and by site.  For each vaccine, the percentage is children who were seen at the office at least once during the year and turned 2 during that time period (March 1, 2016-March 1, 2017).  For MMR, one dose is recommended before 2 years and for DTaP, 4 doses are recommended by age 2 years. 
 
 
 
 
 
Vaccination status for children turning 2 between 3/1/16 and 3/1/17 compared to KY and US rates (also split by site patient was seen):
Vaccine All  2 year old patients seen any office Patients seen at CVH Patients seen at MZ Patients seen at CS KY rates 2015 United States rates 2015
MMR (one dose recommended before 2 yrs) 98.76% 98.63% 98.37% 97.83% 89.3% 90.1%
DTaP (4 doses recommended before 2 yrs) 97.13% for 4 doses 96.34% for 4 doses 94.57% for 4 doses 98.55% for 4 doses 95.3% for 3 or more doses** 94.3% for 3 or more doses **
 
*** CDC reporting is only for greater than or equal to 3 doses of DTaP but our report is for 4 doses (which is the recommended number of doses by 2 years following the schedule) Information about national and state monitoring of vaccine status is available at this site: https://www.cdc.gov/vaccines/imz-managers/coverage/childvaxview/data-reports/index.html
 
Asthma care and utilization:
Pediatric Associates is a member of the Tristate PHO, a pediatric physician-hospital organization which strives to improve the quality of care and outcomes for children in the region through collaboration among community physicians at 39 practices, hospital physicians, and Cincinnati Children’s Hospital. 
Since 2003, Pediatric Associates has participated in the PHO Asthma Collaborative, an improvement project which has improved the care of children with asthma.  By annually assessing the severity, control and contributing factors in patients with asthma, the PHO has been able to reduce (and sustain) lower rates of ED and hospitalizations compared to both non-PHO practices locally and to national rates.  Our goal  is to review this with at least 80% of our asthma patients each year.
This graph shows our collection of important clinical information on our asthma patients each site for 2016 (our “asthma form”).   We were able to assess asthma control in 80% by year end.This chart shows the cumulative PHO practice asthma ED utilizations over time (upper line) compared to Pediatric Associates CCHMC ED utilizations for asthma over time (lower line).  Both the PHO and the Pediatric Associates rates (about 1 per 1000) are lower than the national rates for ED visits in children.  National rate of ED visits for asthma between 2001-2010 was from 8.2 to 9.3 visits per 1000 children (source: https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=25596899)
 

 
Constipation treatment:
In June of 2015, our practice began to participate in another improvement project through the Tristate PHO on the treatment of constipation.  Our providers and nurses were educated on the most up to date clinical standards in the summer of 2015.  Patient tools were developed by a workgroup of PHO pediatricians and a pediatric GI doctor at Cincinnati Children’s.   Our goal was to make sure that 90% of our patients diagnosed with constipation in the office received a “Constipation Action Plan” that enabled the patient/ family to provide evidence based care for this condition, and that at least 90% of patients/families were informed about proper length of treatment.  We are pleased to report that we accomplished both of these goals by January of 2016 for all sites and we are continuing to monitor this.
 
Patient/Family Satisfaction:
We are also happy to report we achieved improvement in satisfaction with staff in our September 2016 Patient/Family Satisfaction Survey.  
As you may recall, our annual Patient/Family Satisfaction survey was conducted twice in 2016 to assess our improvements in the area of customer service.   The initial survey was done in January.  Customer service was a very specific topic addressed in staff meetings from February-August of 2016.  Our goal was to increase the number of families responding "Always" when asked about how often they found staff groups "courteous and helpful" by September 2016.  We again had an excellent response from our families in completing this survey.  We are happy to report that your survey results showed improved ratings of "always" for our PSRs, nurses, scheduling staff, and billing!  We also want you to know that a committee of managers and physicians reviewed the results and all of your comments.  The results were also discussed with our staff.  We appreciate your willingness to help us in this effort.  As you know, Pediatric Associates also underwent a major change this year as we converted to a more updated Electronic Medical Record system.  We appreciate your patience as we work on process improvements in our new system.  We look forward to asking for your feedback in another survey later this year.
 

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Pediatric Associates PSC - Crestview Hills | 2865 Chancellor Drive | Suites 225 (Upstairs) and 120 (Down Under) | Crestview Hills, KY 41017 | Phone: 859-341-5400 | Fax: 859-578-3172
Pediatric Associates PSC - Mt. Zion Road | 9920 Berberich Drive | Florence, KY 41042 | Phone: 859-341-5400 | Fax: 859-578-3172
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