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Improvement in Quality Metrics by the UPMC Enhanced Care Program: A Novel Super-Utilizer Program
Jodie Bryk1,2, Gary S Fischer1,2, Anita Lyons1,2
11 Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania.
Population Health Management
|September 26, 2017
Summary
The Enhanced Care Program (ECP) significantly improved quality of care for super-utilizer patients. Key health metrics for diabetes, hypertension, and cancer screenings showed notable improvements after enrollment.
Area of Science:
- Primary Care
- Health Services Research
- Chronic Disease Management
Background:
- Super-utilizer patients often experience fragmented care and poor health outcomes.
- Intensive primary care programs aim to improve care coordination and quality for high-need populations.
Purpose of the Study:
- To evaluate pre-post quality of care measures for super-utilizer patients in the Enhanced Care Program (ECP).
- To assess the impact of ECP on key health indicators and access to mental health services.
Main Methods:
- A pre-post analysis was conducted on quality of care metrics for patients enrolled in ECP for at least six months.
- Metrics included diabetes care (hemoglobin A1c, foot exams), hypertension control, cancer screenings (colon, cervical, breast), and mental health care connection.
Main Results:
- Statistically significant improvements were observed in hemoglobin A1c, retinal exams, blood pressure, and colon cancer screenings.
- Trends toward improvement were noted for diabetic foot exams and cervical/breast cancer screenings.
- A significant increase in connecting patients to mental health care was documented.
Conclusions:
- The Enhanced Care Program (ECP) demonstrates effectiveness in improving quality of care metrics for super-utilizer patients.
- ECP facilitates better chronic disease management and enhances access to essential mental health services for high-risk populations.
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