IPRO's Quality Improvement Report

From August 2011 through July 2014, IPRO collaborated with healthcare providers and other stakeholders to address a set of priorities established by the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. These priorities aligned IPRO's local QIO responsibilities with a bold national plan for making dramatic improvements in healthcare quality and decreasing healthcare costs for all Americans. Download the full report: IPRO’s Medicare Quality Improvement Report for New York State (2011-2014) (PDF)

Reducing Health Care-Associated Hospital Infections
62% reduction in central line-associated blood stream infections.
21.5% improvement rate in days with urinary catheters.

Improving Cardiac Population Health
As part of the Million HeartsTM national initiative, 181 clinical offices were recruited and a Cardiac Population Health Initiative with the NYSDOH was established.

Improving Community Transitions of Care
Developed and assisted 20 community coalitions across New York State. In the two communities that IPRO focused its most intensive efforts of remeasurement, rehospitalization rates showed between 30% and 40% relative improvement. The relative improvement rate for all 20 communities was 19%

Reducing Potential for Adverse Drug Events
IPRO formed the New York Anticoagulation Coalition which brought together clinical pharmacists, primary care practices, and other ambulatory care providers who care for at-rish older patients with multiple chronic conditions. The project emphasized improved time in therapeutic range (TTR) for warfarin - a key measure that concerns whether the drug is being used safely - in order to prevent adverse events in Medicare Beneficiaries.  Providers who joined this effort contributed to a national goal of reducing 265,000 adverse drug events per year.

Integrating HIT for Meaningful Use
IPRO convened a learning and action network (LAN) of 346 physician practice locations that implemented an EHR in a given time period. IPRO brought valuable expertise to these providers who needed assistance acting on clinical quality data.

Preventing or Healing Pressure Ulcers in Nursing Homes
Pressure Ulcers reduction from 14.65% to 10.45% in nursing homes.

Improved Health for Populations and Communities
178 clinicians were assisted with PQRS Electronic Health Record reporting

Minimizing the Use of Physical Restraints in Nursing Homes
Use of physical restraints reduced from 6.14% to 1.86% in nursing homes

Facilitating Diabetes Self-Management
More than 3,000 New York City Latino seniors completed the Everyone With Diabetes Counts (EDC) self-management education program. IPRO was on track to graduate an additional 2,500 latino EDC participants by the end of July 2014.

Helping Caregivers Manage Loved Ones' Dementia
IPRO aimed to help improve the care provided to 2,000 beneficiaries diagnosed with the symptoms of dementia by training 1,000 caregivers through 100 community-based organizations and workshops.