An Evaluation of the HEDIS Countdown Call Campaign at Community Care Plan
Project Description: Community Care Plan uses the Plan Do Study Act (PDSA) cycle to implement and perform its quality improvement initiatives. With one hundred (100) days left in the 2016 calendar year, over thirteen thousand (13,000) enrollees displayed gaps in their HEDIS measures. These gaps were identified across 7 different HEDIS measures: Adult Access to Preventative Care (AAP), Cervical Cancer Screenings(CCS), Breast Cancer Screenings (CBS), Well-Child visit for ages 3 through 6 (W34), Adolescent Well-Care ages 12 through 17 (AWC 12-17), Adolescent Well-Care ages 18 through 20 (AWC 18-20), and Children and Adolescent Access to Primary Care (CAP). To alleviate this gap, CCP implemented the HEDIS Countdown Call Campaign. The HEDIS Countdown Call Campaign was performed to improve quality and health outcomes for its members. The HEDIS Countdown Call Campaign was an after business-hours outreach call campaign that took place from October 26th 2016 through December 17th, 2016. The employees used a AHCA approved script to collect qualitative data. This evaluation will look at the “Study” facet of PDSA by evaluating the data set. The HEDIS Countdown Call Campaign data set includes the number of enrollees, the month the call was made (October, November, December), and if the call made to him or her was “successful” or “not successful”. A “successful” call was a call a patient answered and listened to the caller on the line. Subcategories for this data include reasons for the failure of the call. The call campaign data also includes if his or her HEDIS gap was closed (Yes or No) for all calls made. The evaluation will focus on two process and two outcome questions: Process: 1. Were the number of successful calls made reaching or exceeding industry standard by December 2016? 2. Did the month the call was made effect the success of the call? Outcome: 1. By March 2017, were the gaps of all “successful” calls closed? 2. Did the month a successful call was made effect the number of gaps closed?
QPI: Marissa, Stone, (email@example.com)
Collaborators: Kalyani, Sonawane, (firstname.lastname@example.org)
UF Health Big Aims: Reduce Variation None