ASPIRE: A Continuous Quality Improvement
Model for the Improvement of
Patient Population Health
MedBiquitous Annual Conference 2013
April 8-9, 2013
Johns Hopkins University School of Medicine
Collaborative Scalable Model
Improving Patient adherence & Medicare Star Ratings
CECity’s case study:
Pennsylvania Collaborative
Health Plan
Role
Health Plan Role
Data provider
Continuous
monthly
Performance
program
Reporting
& incentive
programs
Adherence measure:
Sustained over time
Role
Role
HCP learner
Platform, connector and
converter
Role
Organization
CPI &
incentives
Role
Measure provider
Role
Interventions
ASPIRE Performance
Benchmarking & Assessment
3
How do I Improve?
Screening Brief Intervention (SBI)
University of Pittsburgh
Aimed at improving professional practice to engage patients
in medication adherence
• Universal Screening: Identify patients at high or moderate risk of
non-adherence
• Motivational Interviewing (MI) Techniques: Pharmacists trained in
MI techniques to facilitate positive relationships with at-risk patients
and affect behavior change
• Targeted Resources: Links to online evidence based
tools/education targeted at the PQA measures
4
ASPIRE ..Key Value Points and
Success Demonstrated
Adoption
Pharmacist (Professionalism)
Process
Scaled Performance Improvement via
Cloud/Web Platform (n=117 )
Organization (Leadership)
Integrated Interventions
Fostered Culture of Improvement
at Point of Care & Process Redesign
Scaling Performance
Improvement via
Cloud Platform
Outcomes
Financial
Improved Patient Adherence as
Evidenced by improvement
of
PQA Measures…Across Sites and
Systems
Scaled PI with Minimal Field
Support / Related Expenses
Streamlined Data Integration
Impact ($) of Health Costs – Reduced
5
Questions & Discussion
Thank you
Annette D.Boyer,RPh
CECity.com
aboyer@cecity.com
Jan Pringle, PhD
PERU, University of Pittsburgh
jlp127@pitt.edu