Performance Improvement 2000. Health Care Delivery

01/01/2000

Continuation and Completion of a Study to Analyze Quality Assurance and HP/DP Monitoring, and Analyze Methods Using Patient Care Component

This study will analyze quality assurance (QA) and health promotion and disease prevention (HP/DP) monitoring and analysis methods using the Patient Care Component (PCC) and Resource and Patient Management Systems (RPMS). These systems are currently in use at the Indian Health Service (IHS) facilities in the Billings area. The project goal is to improve the health status of Indians living in the Billings area by using the PCC database to monitor quality assurance activities and HP/DP objectives, while improving the database's accuracy and completeness.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 5018

PERFORMER: IHS Billings Area Office
Billings MT

EXPECTED DATE OF COMPLETION: 12/20/1999

Eastern Band of Cherokee Indian Health Care Delivery System Assessment

This study will provide the Eastern Band of Cherokees with relative data on their current health care service delivery system. This data is intended for use in a re-design of the system so that it can be more responsive to all client and tribal member needs.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 6408

PERFORMER: Nashville Area Indian Health Service
Nashville TN

EXPECTED DATE OF COMPLETION: 09/01/2001

Evaluating the Effects of Medical Nutrition Therapy on Patient Outcomes Among Native Americans with Newly Diagnosed Type II Diabetes Mellitus

This study will: (1) evaluate the effectiveness of medical nutrition therapy (MNT) on clinical/behavioral outcomes in American Indians/Alaska Natives (AI/AN) with newly diagnosed Type II diabetes, (2) create a uniform methodology for collecting nutrition-oriented outcome data that is consistent among participating tribes, service units and urban programs, (3) analyze the type and amount of MNT provided with regard to patient outcomes, and (4) link this information with current clinical data from the IHS Diabetes Program which identifies Continuous Quality Improvement performance measures.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 6746

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 11/30/1999

Impact of a Structured, Comprehensive, Multi-Disciplinary Patient Education Initiative--Year 2

This study will: (1) promote wellness and prevent disease by providing comprehensive, accurate and understandable education to each patient, (2) study the impact of this multidisciplinary, planned patient education program on the health and wellness knowledge base of the patient population, and (3) document positive lifestyle/behavioral changes as a result of the education provided. The study population encompasses all American Indian/Alaska Native (AI/AN) patients eligible for care at the Service Unit (predominantly Cherokees). The Service Unit covers 12 counties in northeastern Oklahoma with 149,939 outpatient visits, accounting for 32,105 patients. This study will be submitted for publication in current medical journals by the Indian Health Service (IHS) provider. Information generated from this study will be disseminated to all tribes in the service area and all IHS facilities.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 7140

PERFORMER: Indian Health Service
Rockville MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Quality Care Project

This project will identify existing office management and information systems, or recommend improvements to the existing one. This will enable the Oneida Nation of New York to initiate services at its permanent comprehensive health facility using the most effective: (1) patient scheduling, (2) billing, and (3) medical records systems available. The project will review the Oneida's current information systems and those used by other Native American health centers. It will evaluate ten other systems and recommend a model for integration into the tribal health department's quality assurance and managed care plans.

AGENCY SPONSOR: Office of Public Health

FEDERAL CONTACT: Fowler, Elizabeth A.
301-443-3024

PIC ID: 4994

PERFORMER: Oneida Indian Nation Health Department
Oneida NY

EXPECTED DATE OF COMPLETION: 12/20/1999