Strategies, processes, or tactics you would use to improve both your scheduled and kept Mammogram rates

 

 

 

 

You are the manager of the team in charge of patient outreach for various preventative exams which contribute to the organizations HEDIS STARS Rating. You meet biweekly with clinical leadership and HEDIS Leaders to discuss projections for how we are trending towards our Care Gap goals determined by our health plan partners. There is a trend amongst all markets that Breast Cancer screening is trending low. There is 4 months left in the year to get claims in to count towards your STARS Rating.

Please prepare a PowerPoint to promote any
strategies, processes, or tactics you would use to improve both your scheduled and kept Mammogram rates across all markets using the mock data below.

 

Sample Solution

Boosting Mammogram Rates: A Strategic Approach to Achieving HEDIS STARS Success

Slide 1: Introduction

  • Title: “Mammogram Momentum: Closing the Care Gap and Reaching HEDIS STARS Goals”
  • Headline: “4 Months to Go – Let’s Drive Mammogram Rates Across All Markets!”

Slide 2: The Challenge

  • Visualize national trend of low Breast Cancer screening rates.
  • Highlight mock data for your organization by market, showcasing the current gap towards Care Gap goals.
  • Emphasize the urgency of action with 4 months remaining in the year.

Slide 3: Our Strategy – Key Drivers of Success

  • Proactive Outreach:
    • Targeted Segmentation: Segment patient population by age, risk factors, and lapse in screening to prioritize outreach efforts.
    • Multi-Channel Communication: Utilize a mix of personalized phone calls, text messages, emails, and postcards to increase awareness and encourage scheduling.
    • Culturally Competent Communication: Tailor outreach content and language to resonate with diverse patient populations.
  • Streamlined Scheduling:
    • Offer online self-scheduling options
    • Extend evening and weekend appointment availability
    • Partner with imaging centers for convenient access across markets
  • Patient Engagement:
    • Provide educational resources in multiple languages on the importance of Breast Cancer screening
    • Address common concerns and anxieties through FAQs and educational webinars
    • Empower patients with decision-making tools and support resources
  • Provider Collaboration:
    • Educate and incentivize clinicians to consistently recommend and follow-up on mammograms
    • Develop electronic reminders and prompts within EMR systems for overdue screenings
    • Implement shared accountability measures with providers

Slide 4: Action Plan – Implementing the Strategy

  • Outline a timeline for implementing each key driver, with assigned responsibilities and milestones.
  • Define metrics for tracking progress and measuring the effectiveness of each strategy.
  • Allocate resources and budget to support the implementation plan.

Slide 5: Collaboration and Communication

  • Emphasize the importance of teamwork across patient outreach, clinical leadership, and HEDIS teams.
  • Establish regular communication channels to share updates, track progress, and address challenges.
  • Foster a culture of data-driven decision-making and continuous improvement.

Slide 6: Conclusion – Reaching for the Stars

  • Reiterate the importance of achieving HEDIS STARS goals for improving patient health and access to preventative care.
  • Motivate the team with a call to action and a celebratory vision of success.
  • Leave a lasting impression of commitment, collaboration, and momentum towards reaching care gap goals.

Bonus Slides:

  • Consider including success stories from previous outreach campaigns or testimonials from patients who completed their mammograms due to targeted interventions.
  • Showcase data visualizations to track progress and demonstrate the impact of implemented strategies.
  • Develop a slide with frequently asked questions and answers to address common concerns from team members or patients.

Remember, this is a sample framework. Tailor the content to fit your specific context, data, and organizational goals. With a clear plan, dedicated teamwork, and effective communication, you can dramatically improve your mammogram rates and achieve your HEDIS STARS aspirations.

 

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