In order to serve our patients and families better, we at Pediatric Care have embarked on a process to seek national accreditation from the National Committee for Quality
Assurance (NCQA). This accreditation will deem us to be a Medical Home practice. We are reviewing and revising every policy and procedure to bring an evidence-based, holistic
approach to patient care. Everyone from administration and billing, to our front and back office staff and providers are involved in the process and we want our families to be stake
holders in the process as well. To that end, we will be checking with you periodically for your opinion on how these changes are meeting your needs. We look forward to your
feedback and suggestions.
In the summer of 2016, we began the process with a satisfaction survey. We plan to invite your input at least twice a year. The areas targeted in these surveys will vary over time so
we can measure your satisfaction over a range of topics. Thank you in advance for your participation in this process.
Compton Road Results
0.8
1.0
1.2
Average Score
1.3
1.5
1.57
1.8
2.0
Satisfaction with appointment availability
Average Score
Goal Line
West Chester Results
1.0
1.19
1.33
Average Score
1.5
2.0
2.5
3.0
Satisfaction with appointment availability
Average Score
Goal Line
Compton Road Results
0.8
1.0
1.16
Average Score
1.3
1.39
1.5
1.8
2.0
Satisfaction with ability to refill Rx by phone
Average Score
Goal Line
West Chester Results
0.8
1.17
1.25
Average Score
1.3
1.8
Satisfaction with ability to refill Rx by phone
Average Score
Goal Line
We are tracking our immunization rates for two vaccines. We have chosen to focus on meningococcal vaccine ( Menactra) and HPV vaccine (Gardisil). The present goals are to reach
75% vaccination for Menactra and 50% for HPV with a hope to increase the goals in the near future. We hope that our families will realize the value of immunizing for these
potentially catastrophic illnesses.
Compton Road Results
% of Patients ages 11 to 16 who have completed the HPV series
% of Patients
Goal Line
75%
70%
65%
60%
55%
% Patients
50%
45%
40%
35%
31%
30%
25%
30%
32%
32%
31%
25%
20%
15%
10%
5%
0%
Time Period
West Chester Results
% of Patients ages 11 to 16 who have completed the HPV series
% of Patients
Goal Line
75%
70%
65%
60%
55%
% Patients
50%
45%
40%
35%
31%
30%
25%
30%
30%
30%
30%
25%
20%
15%
10%
5%
0%
Time Period
Compton Road Results
% of patients 16-18 who have been seen and had Menactra vaccine
% of Patients
Goal Line
100%
90%
80%
% Patients
70%
60%
50%
49%
51%
51%
52%
53%
53%
40%
30%
20%
10%
0%
Time Period
West Chester Results
% of patients 16-18 who have been seen and had Menactra vaccine
% of Patients
Goal Line
100%
90%
80%
% Patients
70%
60%
56%
56%
56%
54%
56%
56%
50%
40%
30%
20%
10%
0%
Time Period
Lead exposure has been a national focus in recent months. We know that lead is dangerous for developing brains. Pediatric Care has been testing patients for lead exposure for
decades. The goal is to be sure that all 9 month – 30-month-old children get tested twice for lead exposure. For the start of this tracking we want to achieve a goal of 50% of this
age group being tested. Reviewing this data will help us see where we need to improve and develop strategies for improvement.
Compton Road Results
% of active patients 15-30mo with lead screening
% of Patients
Goal Line
75%
70%
65%
60%
55%
% Patients
50%
45%
40%
35%
30%
30%
32%
27%
25%
27%
28%
28%
20%
15%
10%
5%
0%
Time Period
West Chester Results
% of active patients 15-30mo with lead screening
% of Patients
Goal Line
75%
70%
65%
60%
55%
% Patients
50%
45%
40%
35%
30%
25%
35%
28%
30%
32%
32%
32%
20%
15%
10%
5%
0%
Time Period
It is now recommended by the American Academy of Pediatrics that children be tested for cholesterol twice during childhood and late adolescence. We currently test our patients
at 10 years and 17 years (unless they missed one of those time periods, then we would test at a different age). The goal for the start of this tracking is 50% of all 9year to 12 year
olds.
Compton Road Results
% of patients 9-12 with lipid screen
% of Patients
Goal Line
75%
70%
65%
60%
55%
% Patients
50%
45%
40%
35%
30%
25%
20%
20%
21%
21%
22%
22%
21%
15%
10%
5%
0%
Time Period
West Chester Results
% of patients 9-12 with lipid screen
% of Patients
Goal Line
75%
70%
65%
60%
55%
% Patients
50%
45%
40%
35%
30%
33%
33%
33%
34%
33%
33%
25%
20%
15%
10%
5%
0%
Time Period
Another area that NCQA evaluates is management of acute and chronic illness. We have selected asthma and constipation as the two conditions that we wish to impact. For
asthma, we hope to improve outcomes by following these patients more closely. We intend to do this by seeing them twice a year for status checks. In the case of constipation, we
will be tracking how patients are doing with a phone call a week after beginning a protocol for managing their symptoms.
Compton Road Results
% persistent asthmatics seen twice a year
% of Patients
Goal Line
100%
90%
80%
% Patients
70%
60%
50%
40%
30%
40%
31%
32%
31%
33%
30%
20%
10%
0%
Time Period
West Chester Results
% persistent asthmatics seen twice a year
% of Patients
Goal Line
100%
90%
80%
% Patients
70%
60%
56%
50%
56%
55%
51%
47%
47%
40%
30%
20%
10%
0%
Time Period
Compton Road Results
% of patients on Constipation Action Plans who receive follow-up calls
% of Patients
100%
Goal Line
100%
% Patients
80%
60%
40%
20%
0%
0%
Time Period
West Chester Results
% of patients on Constipation Action Plans who receive follow-up calls
% of Patients
100%
100%
% Patients
80%
60%
50%
40%
20%
0%
Time Period
Goal Line
In the area of utilization, we decided to track how many families got a follow up phone call after an emergency room or urgent care visit and how many of those emergency
room/urgent care visits.
Compton Road and West Chester Results Combined
% of follow-ups on ER visits
% of Patients
Goal Line
100%
80%
% Patients
75%
60%
58%
55%
51%
40%
42%
20%
0%
Time Period
We are committed to bringing our patients and families comprehensive and excellent care. Watch how we continue to grow and improve to
serve you better!