Healthy Hearts 

Well-Ahead Louisiana Promotes Quality Improvement Efforts within Health Clinics 

Improving the standard of care in health systems is vital to improving chronic disease rates.  Recently, Well-Ahead Louisiana partnered with the Louisiana Health Care Quality Forum to improve hypertension and diabetes outcomes by implementing Quality Improvement (QI) best practices.  To do this, the Quality Forum provided QI practice coaching and technical assistance to several Rural Health Clinics and Federally Qualified Health Centers throughout the state. 

Participating clinics selected different steps in the care continuum to target for improvement.  This ranged from scheduling follow-ups, increasing the use of diabetes management education, and improving coding within the Electronic Health Record.  All efforts supported the overall goal of controlling blood pressure and glucose levels.  To get started, participants performed a chart audit or added data to an existing patient registry to enable them to assess problem areas. For example, one clinic identified that it was not consistently receiving test results performed by an outside provider.  Upon tracking this, the clinic saw significant improvement in obtaining such results.  

Well-Ahead Louisiana would like to congratulate the following sites who participated in this effort: Total Family Medical; Abbeville General; RKM Primary Care Clinic; and Winnsboro Health Clinic. Special thanks to the Quality Forum for its dedication to improving patient care in Louisiana!

Did You Know?

  • Quality improvement in health systems is essential to improving chronic disease rates in Louisiana. In 2014, Louisiana had the fifth highest mortality rate for heart disease, seventh highest for diabetes, and fourth highest for stroke in the nation.

MOVING LOUISIANA'S HEALTH FORWARD

Are you interested in improving the standard of care in your health clinic? In 2018, Well-Ahead will partner with four additional Rural Health Clinics to provide Quality Improvement coaching.  Clinics will receive a $4,000 incentive payment upon completion of quality improvement activities. For more information, or to apply, email Marie Darr at marie.darr@la.gov.  Deadline to apply is November 30th, 2017!     

Oldies but Goodies

Innovative Team-Based Care: Integrating a Pharmacist Within a Primary Care Team

It is no secret that healthcare is evolving towards value-based services and team-based care.  One strategy to accomplish team-based care is to integrate a pharmacist within a primary care team.  According to the Journal of American Pharmacists Association, this is proven to improve medication adherence and therapeutic outcomes, which ultimately reduces healthcare costs.

 

In the Spring of 2016, our Healthy Hearts team partnered with the Louisiana Society of Health System Pharmacists (LSHP) to disseminate a survey that gauged interest in team-based care.  As a result, a partnership with Ochsner Clinic Foundation developed.  Together,  we designed and implemented a pilot that integrated a  pharmacist within a primary care clinic.  This pharmacist provides adherence counseling, medication reconciliation services, and evidence-based medication recommendations to patients and primary care staff. This pilot has created a model for pharmacist drivendisease state management clinics. We hope to use it to encourage similar practice transformations in health systems across Louisiana.

 

In May, our Healthy Hearts team and the Ochsner Clinic Foundation presented the pharmacist pilot at LSHP’s Annual Meeting. The presentation was successful, inspiring several Louisiana health systems to integrate team-based care. 


DID YOU KNOW?

  • According to the Centers for Disease Control and Prevention (CDC), about 1 in 3 adults have high blood pressure.
  • Only about half have their high blood pressure under control. 
  • More than 39% of Louisiana residents report having high blood pressure. (CDC, 2017)

MOVING LOUISIANA’S HEALTH FORWARD

Team-based care helps to improve treatment for Louisiana residents diagnosed with hypertension and diabetes. Are you interested in incorporating team-based care in your clinic? Are you passionate about chronic disease management and prevention innovation? Together, we can move Louisiana’s health forward.  Email wellahead@la.gov to learn more.