KENTUCKY REGIONAL EXTENSION CENTER

Kentucky REC 2023 Client Grant Awards

Kentucky REC 2023 Client Grant Awards

2023 was a very busy year for grant funded quality improvement programs. Kentucky REC is proud to work with so many organizations committed to improving the health of our fellow Kentuckians. Awardees were chosen by the advisor team and presentations were made at our Annual Conference. Below are the organizations chosen in 2023 for their exemplary performance.

Hypertension Learning Collaborative: The Blood Pressure Buster Award

University of Kentucky North Fork Valley Community Health Center participated in the Hypertension Learning Collaborative over the past year. Their focus has been to improve hypertension in their population of focus, by identifying patients to refer to and educate patients through the CARE SMBP program and implement workflows that improve rates in statin therapy.

North Fork Valley has a wonderful physician champion, Dr. Douthitt, along with a great team that helped to facilitate the PDSA cycles that were tested and provide CARE SMBP education to their patients. They met and exceeded all of the goals that were set for each measure of the Collaborative and had great patient success stories throughout the process. This in itself is a huge accomplishment, but they were also able to make these improvements during a very hard time for Eastern Kentucky with the devastating floods that impacted their patients and staff. This clinic’s strong desire for their community of patients and their health outcomes is a driving force in their success. Congratulations to North Fork Valley for their “Blood Pressure Buster Award!”

The Colorectal Cancer Crusader Award

Pennyroyal Healthcare Services is headquartered in Princeton, Kentucky and became a FQHC in 2013. They have 3 locations: Princeton, Oak Grove, and Hopkinsville. They have participated over the past several years in multiple grants around improving Colorectal Cancer screening rates.

They have implemented several PDSA cycles such as provider assessment and feedback reports, provider reminders, and patient reminders such as writing due dates of FIT tests, and wonderful community events have led to CRC screening improvement across all clinic locations. They recognize the need to work in multiple areas to improve this measure. This clinic’s commitment spans across their staff: from their CEO, Quality Improvement Coordinator, providers, and staff, make their work a true team effort.  Congratulations to Pennyroyal for their “Colorectal Crusader Award!”

Asthma Grant Practice Innovation Award

The Kentucky REC Team would like to recognize King’s Daughters Medical Center (KDMC) for their outstanding performance in the first year of their participation in Asthma Improvement grant. KDMC is a not-for-profit, regional referral center covering a 150-mile radius that includes southern Ohio and eastern Kentucky. KDMC’s primary service area encompasses four counties in two states, Boyd, Carter and Greenup counties in Kentucky, and Lawrence County, Ohio.

The organization serves a population of approximately 175,000 lives. As part of the first year of this grant, KDMC has engaged an internal multidisciplinary team comprised of Pulmonology Administration, Pharmacy, AS-ME Certified Educators, Health Informatics, Data Analysts, and Marketing resources to lead this quality improvement opportunity across their organization. KDMC is piloting focused improvement with three adult primary care provider practices and their outpatient pulmonology practice to develop, test, and optimize successful workflows that will be scaled throughout the ambulatory population.

KDMC has developed a system-wide database to identify and monitor patients with asthma for targeted outcome improvement. They have expanded AS-ME services and have launched marketing campaigns to outreach to the community to create awareness of asthma as a disease state and how their services can help.

The improvement team has created Clinical Decision Support tools such as EHR-embedded asthma screening tools, developed built-in alerts to aid providers in identifying patients with asthma to complete ACT screenings, and have developed a more robust AS-ME referral process and tracking mechanism to monitor completion of education so that no patient falls through the cracks who could benefit from services. KDMC has hosted numerous community engagement activities increasing asthma awareness and AS-ME resources since the start of this partnership.

The team has conducted health screening fairs, provided asthma awareness education to middle schoolers across the region and have conducted in-service trainings for school nurses, athletic trainers & coaching staff as well as area fire & rescue personnel as part of this grant.  Additionally, in an effort to promote the implementation of Kentucky’s Stock Albuterol program, KDMC has partnered with Greenup County Public School System school-based clinics to provide clinic staff training & guidance in the implementation of this valuable and potentially life-saving resource for area children.

Prediabetes Learning Collaborative: Diabetes Prevention Pioneer Award

KDMC is a hospital system based in Ashland, Kentucky. They also have locations in Boyd, Carter, Johnson, Floyd, Elliott, Lawrence, Greenup Counties in KY; Lawrence, Scioto Counties in Ohio. They are currently working with patients of 2 providers; Jane Strader, MD and Shayne Bennett, APRN, for their population of focus in the Prediabetes Learning Collaborative.

These two providers currently have 1776 patients between them. Their goal is to improve the health outcomes of their patients with prediabetes by referring them to the National Diabetes Prevention Program. They are also working on identifying patients with prediabetes who are not currently listed as prediabetic in their chart. They have made impressive strides in improvements with all these measures, surpassing all goals in just the first six months of the project. This clinic’s commitment from their provider champions and improved workflow is a driving force in their success. Congratulations to KDMC for their “Diabetes Prevention Pioneer Award!”

Exemplary Coverdell Stroke Grant Partner

Cumberland Family Medical Center has been instrumental in helping to grow our work within the Coverdell grant. Their excitement and dedication for utilizing the CARE Collaborative program to help their patients has led to numerous stories of success within their patient population by improving the self-management of their own blood pressure and encouraging lifestyle modifications.

Beyond the success they’ve had with their patients, they have also provided best practices for implementation and monitoring of the CARE Collaborative program as it has spread to other grant participants. Their stewardship on implementing the CARE Collaborative and cooperation to share their barriers as well as successes has made working with this practice extremely beneficial and enjoyable. We can’t thank them enough for their hard work on the Coverdell Stroke Grant.

Diabetes Learning Collaborative: The Sweet Success Award

Mt. Sterling clinic is a small practice in Montgomery County, Kentucky.  They currently have 3 providers and are utilizing one of those providers in the current Diabetes Learning Collaborative with us and the Kentucky Department for Public Health.  They currently serve nearly 2500 patients in their rural practice.  Their goal is to improve the health outcomes of their diabetic patient population by improving A1C Poor Control, BP Control, Referrals to the DSMES program and Diabetic Eye Exams.

They have made strong strides in improvements with all these measures, nearly surpassing all goals ahead of schedule, and achieved this while learning their newly implemented EHR software earlier in the year.  They’ve also begun electronic DSMES referral usage with eClinical with staff and clinicians; resulting in more workflow efficiencies for their staff. This clinic’s strong desire for their community of patients and their health outcomes is a driving force in their success.  Congratulations to Mt. Sterling Clinic for their “Sweet Success!”

PILL PODCAST: A Look into the KHIE Image Exchange

PILL PODCAST: A Look into the KHIE Image Exchange

Mobilizing Clinical Images with KHIE: A Look into the KHIE Image Exchange

Andrew Bledsoe is back with another exciting episode! Join cohosts Brent McKune and Stephen Williams as they sit down with KY State HIT Director and KHIE Deputy Executive Director, Andrew Bledsoe. Gain a comprehensive overview of KHIE’s role in facilitating health data exchange, with a special focus on the Image Exchange component. If you’re a healthcare organization looking to connect, find out how KHIE can assist you on this journey. Tune in for valuable insights into enhancing healthcare interoperability and ensuring seamless data exchange.

Learn more about KHIE at their website, KHIE.ky.gov

Andrew Bledsoe is currently KY State HIT Director and KHIE Deputy Executive Director

The intersection of health information technology with quality care delivery has provided Andrew with a unique perspective over his nearly 20 years in healthcare. Starting his career in a regional hospital, he quickly learned the challenges in healthcare, especially rural medicine, and began investing in the concept of leveraging health information technology to improve outcomes for patients. His current appointment within the Kentucky Cabinet for Health and Family Services primarily focuses on implementing the KHIE Strategic and Operational Plan, promoting the statewide exchange of patient health information, spearheading a number of new services designed to improve care coordination, and offer new avenues to reduce reporting burdens and foster inter-agency collaboration.

Listen to our podcast on Buzzsprout, or Spotify and Apple Podcasts. All previous episodes are available.

If you need assistance with health information technology, contact the Kentucky REC at 859-323-3090 or by email.

PILL Podcast: KHIE – Connecting Kentuckians to Community Resources

KHIE: Connecting Kentuckians to Community Resources

Cohosts Brent McKune and Stephen Williams of the Kentucky REC introduce Episode 11 of Kentucky REC’s PILL Podcast. In this episode, they sit down with KY State HIT Director and KHIE Deputy Executive Director, Andrew Bledsoe, to delve into the significance of Social Drivers of Health (SDoH) and the state of Kentucky’s efforts to address them.

Learn more about KHIE at their website, KHIE.ky.gov

Episode Highlights:

  • Unpacking the vital concept of SDoH and its pivotal role in healthcare
  • Gaining insights into Kentucky’s unique SDoH challenges and the proactive measures taken to tackle them
  • Exploring the integration of kynect resources with KHIE and its advantages for healthcare organizations
  • Understanding the challenges that KHIE faces and its vision for the future
Andrew Bledsoe is currently KY State HIT Director and KHIE Deputy Executive Director

The intersection of health information technology with quality care delivery has provided Andrew with a unique perspective over his nearly 20 years in healthcare. Starting his career in a regional hospital, he quickly learned the challenges in healthcare, especially rural medicine, and began investing in the concept of leveraging health information technology to improve outcomes for patients. His current appointment within the Kentucky Cabinet for Health and Family Services primarily focuses on implementing the KHIE Strategic and Operational Plan, promoting the statewide exchange of patient health information, spearheading a number of new services designed to improve care coordination, and offer new avenues to reduce reporting burdens and foster inter-agency collaboration.

Listen to our podcast on Buzzsprout, or Spotify and Apple Podcasts. All previous episodes are available.

If you need assistance with health information technology, contact the Kentucky REC at 859-323-3090 or by email.

Kentucky REC Annual Conference Oct 26: HIPAA Presentation

Hybrid Event with Special Guest Speakers – In Person and Virtual

Oct. 26 2023, Lexington Kentucky, Harper Hall

Kentucky REC HIPAA Team Speaker: Amy Daley

Security Incident Response Planning

Security incident response and reporting is a required standard of the HIPAA Security Rule. All covered entities are required to have security incident procedures in place. Ransomware is the #1 security threat for all healthcare organizations, making this security standard more important than ever.

During our time together, Kentucky REC HIPAA team lead Amy Daley will provide guidance and templates for creating a security incident response plan, which focuses on a cyberattack.

Amy Daley, CHPS, has been a Health IT Advisor for Kentucky Regional Extension Center since 2014, and is the HIPAA Team Lead. She specializes in HIPAA Security guidance for healthcare organizations across the state. Amy obtained her B.S. in Computer Information Systems from the University of Louisville. She has been a guest speaker at various conferences in Kentucky presenting on topics related to HIPAA Security, and Promoting Interoperability (formerly Meaningful Use). Her background includes expertise in the areas of implementation, training and management of EHR systems.

 

Questions? Contact us at Kentucky REC or call us at 859-323-3090.

Kentucky REC Annual Conference Oct 26: Trudi Matthews on SDOH

Hybrid Event with Special Guest Speakers – In Person and Virtual

Oct. 26 2023, Lexington Kentucky, Harper Hall

UK HealthCare Featured Speaker: Trudi Matthews

Social Drivers of Health – Strategies and Best Practices
for Implementation, Screening, and Follow-up

Trudi Matthews serves as Senior Director of Quality and Value Strategy in the Office of the Executive Vice President for Health Affairs at UK HealthCare, the health system of the University of Kentucky (UK). In this role, Trudi works with UK HealthCare’s executive team and ambulatory leadership to ensure success in value-based programs for Medicare Medicaid, and commercial insurers. Trudi also serves as government affairs and policy lead for UK HealthCare overseeing a team responsible for reviewing and analyzing state and federal government policy initiatives.

Trudi is also Executive Director of the Kentucky Regional Extension Center (REC) at UK. Trudi oversees this state-wide center charged with assisting health care leaders, practices, and hospitals across Kentucky with using technology, connectivity, process improvement and value-based care models to improve the quality and value of health care. From 2015-2019, she was Managing Director of the Kentucky REC, leading and supporting multiple externally sponsored projects such as Kentucky’s Practice Transformation Network Grant, Medicaid Meaningful Use/Promoting Interoperability Support and several CDC-funded projects with the Kentucky Department for Public Health.

Trudi formerly served as Director of Policy and Business Development with the Health Collaborative/HealthBridge. Between 2008-2014, Trudi served in leadership roles on a variety of grant-funded technology and quality improvement initiatives including Cincinnati’s Beacon Community Program, the Tri-State Regional Extension Center, RWJF-funded Aligning Forces for Quality, the Kentucky and Indiana State Health Information Exchange Programs, and the Nationwide Health Information Network, among other initiatives.

From 2005-2007, Trudi was Senior Policy Advisor with the Kentucky Cabinet for Health and Family Services, where she served as coordinator for Kentucky’s statewide e-Health efforts and worked on Medicaid transformation initiatives. Trudi worked for the Council for State Governments from 1999-2005, where she was lead staff for its national health policy task force and oversaw a portfolio of health policy grants and programs for state legislators and executive branch officials. She began her career working for the Iowa Board of Medical Examiners.

Over her career, Trudi has managed more than $50 Million in grants and contracts aimed at improving health and health care through policy, technology and quality improvement.

In her presentation, Trudi will share useful resources and takeaways for healthcare practices small and large as they work to incorporate SDOH screening effectively in their patient care.

 Questions? Contact us at Kentucky REC or call us at 859-323-3090.

Kentucky REC Annual Conference Oct 26: Quality Presentation

Hybrid Event with Special Guest Speakers – In Person and Virtual

Oct. 26 2023, Lexington Kentucky, Harper Hall

Kentucky REC Quality Team Speakers: Jessica Elliott & Vance Drakeford

Balancing Cost & Quality: Strategies for Providing Safe and Efficient Care

Providing high quality care at low cost often seems impossible to achieve. However, research studies indicate that higher per beneficiary spending is NOT a predictor of improved long-term patient outcomes.

Through the Quality Payment Program, CMS has established Value in Healthcare as the sum of quality care and patient outcomes proportional to the total cost of care. Regardless of which track you elect to participate in as an eligible clinician or group in the Quality Payment Program, maximizing performance in the Quality and Cost Performance categories is vital for success.

Quality team lead Jessica Elliott, and colleague Vance Drakeford will explore the relationship between clinical quality performance and related cost measures. They will share how to navigate cost measure feedback from prior evaluation and apply QI principles to impact performance across categories.

 

Questions? Contact us at Kentucky REC or call us at 859-323-3090.