Are You Making a Difference? Prove It with William Murphy, MS, RDN, - PowerPoint PPT Presentation

Are You Making a Difference? Prove It with William Murphy, MS, RDN, LD Senior Manager, Outcomes Research ANDHII Project Leader 10/12/2015

Disclosure: Mr. Murphy is an employee of the Academy of Nutrition and Dietetics, an organization that may have a commercial interests in the ANDHII technology discussed in this presentation. 2

About Me Sr. Manager, Outcomes Research Academy of Nutrition and Dietetics Trained at Louis Stokes VA Hospital / Case • Western Reserve University (Cleveland, OH) Former Spinal Cord Injury Unit RDN at Memphis • VA Hospital At the Academy for 3 years • Creator of ANDHII • Certified Specialist in Data Science • CAND Secretary 2014-2016 • 3

Objectives After this presentation, learners will: 1. Name three reasons for collecting outcomes and quality data 2. Have experience collecting outcomes data and quality measures for their practice using ANDHII 4

 Prove my impact 5

Patients need nutrition care My clients get better RDNs make a difference 6

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Patients need nutrition care PROVE My clients get better IT RDNs make a difference 8

 Prove my impact  Advance the profession 9

Evidence Based Practice 2001 1996 2004 • MNT Evidence- • EBP Defined • Evidence Analysis based practice • Medical Nutrition Library guidelines Therapy Across the Continuum of Care The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients 10

Evidence Based Practice 2001 1996 2004 • MNT Evidence- • EBP Defined • Evidence Analysis based practice • Medical Nutrition Library guidelines Therapy Across the Continuum of Care 2014 2007 • eNCPT • International 2005 • Academy of • Nutrition Care Dietetics & Nutrition and Process Model nutrition Dietetics Health and Diagnostic Terminology Informatics Terminology Reference Manual Infrastructure 1 st Edition 11

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The Evidence Based Practice Cycle Evidence Clinical and Based Translational Practice Research Guidelines Clinical Practice

The Evidence Based Practice Cycle EAL Evidence Clinical and Based Translational Practice Research Guidelines Clinical Practice Assessment Diagnosis Outcomes Intervention Monitoring & Evaluation NCP EAL: Evidence Analysis Library, NCP: Nutrition Care Process, NCPT: Nutrition Care Process Terminology (formerly IDNT) ANDHII: Academy of Nutrition and Dietetics Health Informatics Infrastructure, DPBRN: Dietetics Practice Based Research Network

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Class I recommendations: Addition of an aldosterone antagonist is reasonable in selected patients with moderately severe to severe symptoms of HF and reduced LVEF who can be carefully monitored for preserved renal function and normal potassium concentration... risk of death was reduced from 46% to 35% (30% relative risk reduction) over 2 years, with a 35% reduction in HF hospitalization and an improvement in functional class. 16

Class I recommendations: Addition of an aldosterone antagonist is reasonable in selected patients with moderately severe to severe symptoms of HF and reduced LVEF who can be carefully monitored for preserved renal function and normal potassium concentration... risk of death was reduced from 46% to 35% (30% relative risk reduction) over 2 years, with a 35% reduction in HF hospitalization and an improvement in functional class. 17

The Evidence Based Practice Cycle EAL Evidence Clinical and Based Translational Practice Research Guidelines Clinical Practice Assessment Diagnosis Outcomes Intervention Monitoring & Evaluation NCP EAL: Evidence Analysis Library, NCP: Nutrition Care Process, NCPT: Nutrition Care Process Terminology (formerly IDNT) ANDHII: Academy of Nutrition and Dietetics Health Informatics Infrastructure, DPBRN: Dietetics Practice Based Research Network

The Evidence Based Practice Cycle EAL Evidence Clinical and Based Translational Practice Research Guidelines Clinical Practice Assessment Outcomes Diagnosis NCPT Research Intervention Monitoring & Evaluation ANDHII/DPBRN NCP Positions and Public Policy EAL: Evidence Analysis Library, NCP: Nutrition Care Process, NCPT: Nutrition Care Process Terminology (formerly IDNT) ANDHII: Academy of Nutrition and Dietetics Health Informatics Infrastructure, DPBRN: Dietetics Practice Based Research Network

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 Prove my impact  Advance the profession  Get paid 21

Quality and Value Outpatient Inpatient Physician Quality Hospital Value- • • Reporting System Based Purchasing (PQRS) (VBP) 2015 Participation: 2015 Participation: • • Avoid 2017 payment Incentive Payments adjustment penalty 22

Quality and Value Outpatient PQRS Requirements Physician Quality Medicare Practitioner • • Reporting System Registered Dietitian • Paid under Medicare • (PQRS) Physician Fee 2015 Participation: • Avoid 2017 payment Schedule (PFS) adjustment penalty Bill by National • Provider Identifier (NPI) 23

PQRS Participation 24

PQRS Participation 25

 Prove my impact  Advance the profession  Get paid  ANDHII 26

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Case Study 28

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Thank you! Feel free to contact me: wmurphy@eatright.org andhii@eatright.org 34