Care Management initiatives

Preventive health and wellness

Initiative

Objective

Antibiotic Resistance Reduce inappropriate prescribing of antibiotics for pharyngitis in primary care
Breast and Cervical Cancer Screening Increase mammography and Pap test screening
Childhood Immunizations Increase the immunization rate among children 24 months of age
Colorectal Cancer Screening Increase screening for patients 50 and older (fecal occult blood testing, sigmoidoscopy, or colonoscopy)
Influenza Vaccination Increase influenza vaccination among high-risk patients
Low Back Pain Decrease incidence and optimize treatment of low back pain in our employee population; decrease costs associated with low back pain
Osteoporosis Increase screening (bone mineral density testing) for female patients 65 years of age
Smoking Cessation Identify patients who use tobacco and offer a standardized method to help patients who are ready to attempt quitting.

Acute care

Initiative

Objective

Acute Myocardial Infarction Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Anticoagulation Achieve therapeutic level of anticoagulation for patients with acute deep vein thrombosis and pulmonary embolus
Congestive Heart Failure Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Coronary Artery Bypass Grafting Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Pneumonia Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Pregnancy Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Spine Surgery Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Stroke Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Total Joint Replacement Achieve top quartile performance as compared to like organizations on clinical process, outcome and efficiency measures (medication use, length of stay, readmission, etc.)
Pressure Ulcer Prevention Decrease the incidence of nosocomial (hospital-acquired) pressure ulcers for Aurora inpatients

Chronic disease management

Initiative

Objective

Asthma Improve patients' self-management skills; reduce hospitalizations and emergency visits
Congestive Heart Failure Integrate care across the continuum; improve patients' self-management skills; increase use of appropriate medication
Depression Increase post-hospitalization follow-up; increase screening and treatment effectiveness across the care continuum
Diabetes Help patients achieve optimal blood sugar control (A1C level) and optimal LDL cholesterol level to reduce complications
Hypertension Help patients achieve optimal blood pressure control

Continuum of care

Initiative

Objective

Advance Care Planning Facilitate discussion and completion of advance directives.
Breast Biopsy Expedite time from biopsy date to diagnosis of breast abnormalities.
Cholesterol Management in Coronary Artery Disease Help patients with known coronary artery disease achieve an optimal LDL cholesterol level.
Patient Safety Prevent adverse medical events and promote a safe environment for patients and staff.