Quality Areas of Focus:
Department centered Improvement Projects
Mammography Project
This population includes female EPN patients aged 40 and above. Our overall goal is to improve outreach and care to our EPN patients who are due or overdue for their mammogram. In order to support our goal, we have initiated a number of programs to identify those patients who may be due for a mammogram. These ongoing efforts include:
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The Elliot Physician Network currently follows and reports on mammograms based on the following age groups and screening intervals
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Mammography Care Measure |
EPN Goal |
Current Performance |
| % of Female Patients age 40+ with Mammogram documented | >85% | 76% - March 2008 |
These figures may not include mammograms that may have been performed other facilities.
Current Performance
| Initiative | Mammography Outreach |
| Metric | Appropriate mammogram screening |
| Definition | Female patients age 40+ having a satisfied mammogram health maintenance topic based on their age and screening interval |
| Measurement | Percentage of patients meeting the metric definition |
| Numerator | Number of Female patients age 40+ having a satisfied mammogram health maintenance topic |
| Denominator | Number of female patients age 40+ |
| Exclusions | Patients residing in a nursing home |
| EPIC Support | Best Practice Alert appears and identifies patient as overdue for mammography screening Health Maintenance Topic appears as overdue based patient's age, recommended screening interval, and last documented screening mammogram received into EPICare medical record Monthly reports distributed to practices identifying patients overdue for mammography screening |
| Network Goal | >85% |
