Department of Homeland Security (DHS) Medical Quality Management (MQM) Implementing Continuous Quality Improvement MQM Directive 248-01 - PowerPoint PPT Presentation

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Department of Homeland Security (DHS) Medical Quality Management (MQM) Implementing Continuous Quality Improvement MQM Directive 248-01

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Title: Department of Homeland Security (DHS) Medical Quality Management (MQM) Implementing Continuous Quality Improvement MQM Directive 248-01


1
Department of Homeland Security (DHS) Medical
Quality Management (MQM)Implementing Continuous
Quality ImprovementMQM Directive 248-01
Instruction 248-01-001
Latousha Leslie RN BSN, MS Latousha.Leslie_at_hq.dhs
.gov Medical Quality Management Analyst Office Of
Health Affairs Workforce Health and Medical
Support Division
2
Continuous Quality Improvement
  • Performance Measures
  • Performance Improvement
  • Clinical Competency
  • Risk Management Assessment
  • Records Management
  • Credentialing
  • Standard Operating Procedures Protocols

MQM Quality Framework
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  • DHS MQM Strategic Plan
  • Implementation

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MQM Strategic Vision and Mission
  • Strategic Vision
  • Provide guidance to DHS Components on the quality
    improvement of health care services delivered to
    DHS personnel and charges that is appropriate,
    timely, safe, and effective.
  • Mission Priority
  • Promote continuous quality improvement of medical
    services provided by DHS

5
IOM High Value Checklist OHA relevance/MQM Strategic Plan
Governance priority visible and determined leadership by CEO and Board Leadership buy-in, support, and enforcement
Culture of continuous improvementcommitment to ongoing, real-time learning Teaching, reinforcing Focus PDCA, standardize practices, identify/create efficiencies
Infrastructure fundamentals MQM Directive and Instruction, conduct site visits, provide recommendations, templates, dashboards, gather resources
IT best practicesautomated, reliable information to and from the point of care Start w/ ePCR and MCMS use best practices from USCG and industry (i.e. ONC and others)
Evidence protocolseffective, efficient, and consistent care Update SOPs HCQC wrkg grp, standardize documentation
Resource utilizationoptimized use of personnel, physical space, and other resources Sharing resources, lessons learned, contracts, etc.
Care delivery priorities Recommend performance metrics for priority gaps
Integrated careright care, right setting, right providers, right teamwork Track and analyze NM/AE/SE to improve care delivery, OHA continuous NPDB checks, core competencies of staff, ICE peer review process
Shared decision makingpatientclinician collaboration on care plans Encourage family involvement and contact review CRCL reports to see compilation of issues
Targeted servicestailored community and clinic interventions for resource-intensive patients Identify most frequent treatment, conditions, and diagnosis to implement quality metrics- may be regional specific for ICE facilities use HCQC measure wrk grp
Reliability and feedback Quarterly HCQC meetings
Embedded safeguardssupports and prompts to reduce injury and infection Use HCQC wrkg grp to keep standards current, Components have initial screenings for infectious dz in a timely manner, use of PPE communicate and encourage reporting to OHA MQM and/or Occ Hlth
Internal transparencyvisible progress in performance, outcomes, and costs Establish core DHS and Component specific measures, collect and analyze Dashboards provide technical assistance to Components
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HCQC TeamsiteDHS Connect
http//mgmt-ociosp.dhs.gov/oha/hcqc/sitepages/home
.aspx
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HCQC Resources
  • Component Dashboards
  • Component Measure Activity Plan
  • MQM Master Resource Planning Guide
  • National Quality Strategy (NQS)
  • National Prevention Strategy (NPS)
  • National Quality Forum (NQF)
  • National Priorities Partnership (NPP)
  • Institute for Healthcare Improvement (IHI)
  • Institute of Medicine (IOM)
  • Agency for Health Research Quality (AHRQ)
  • Centers for Medicaid and Medicare Services (CMS)
  • National Committee on Quality Assurance (NCQA)

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Continuous Quality Improvement ToolsTrend
Analysis (Dashboard)
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NQF Membership Request Form
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