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Rendimiento de la Clinica

Los resultados de rendimiento se publican en este sector para el acceso público de los paciente / familia. Los datos publicados en este sector refleja la atención prestada a todos pacientes.

Estamos comprometidos a mejorar la calidad de la atención que prestamos a nuestros pacientes / familias. Nuestros médicos proveedores aceptan críticas para mejorar sus servicios. Esto es a través de la participación voluntaria en la medida y evaluación de su desempeño. Estamos continuamente buscando mejorar la calidad de la atención médica y los servicios que ofrece la práctica.

 

Medidas de atención preventivas:

 

In the screen shots below eClinicalWorks shows report displaying preventive care measures for BMI Calculated, Cervical Cancer Screening and Smoking Screening.

 From 07/01/2013 to 09/31/2013 we ran reports in our EMR. Samples of the report are displayed in the table below.The report also shows the reporting period from 10/01/2013 to 12/31/2013, where we demonstrated small improvements for BMI and Smoking Screening.           

 

BMI Calculated

 

 

 

Reporting Period

Numerator

Denominator

Percentage

07/01/2013

09/31/2013

Previous Period

1792

1849

96.92

10/01/2013

12/31/2013

Demonstrates

Improvement

1781

1824

97.64

 

Cervical Cancer Screening

Reporting Period

Numerator

Denominator

Percentage

07/01/2013

09/31/2013

Previous Period

75

874

8.58

10/01/2013

12/31/2013

Same Outcome

74

862

8.58

 

Smoking Screening

Reporting Period

Numerator

Denominator

Percentage

07/01/2013

09/31/2013

Previous Period

1655

1838

90.04

10/01/2013

12/31/2013

Demonstrates

Improvement

1684

1814

90.85

 

Cuidado en las medidas clínicas crónicas y agudas:

 

In the screen shots below eClinicalWorks shows report displaying preventive care measures for BP Control 140/90Depression Screening and LDL Testing High Risk.

From 07/01/2013 to 09/31/2013 we ran reports in our EMR. Samples of the report are displayed in the table below.The report also shows the reporting period from 10/01/2013 to 12/31/2013, where we demonstrated improvements for BP Control 140/90 and Depression Screening.           

 

BP Control 140/90

 

 

 

Reporting Period

Numerator

Denominator

Percentage

07/01/2013

09/31/2013

Previous Period

10

12

83.33

10/01/2013

12/31/2013

Demonstrates

Improvement

321

386

84.99

 

Depression Screening

Reporting Period

Numerator

Denominator

Percentage

07/01/2013

09/31/2013

Previous Period

0

0

0

10/01/2013

12/31/2013

Demonstrates

Improvement

70

1816

3.85

 

LDL Testing High Risk

Reporting Period

Numerator

Denominator

Percentage

10/01/2013

12/31/2013

 

321

386

83.16

 

A1C Testing

Reporting Period

Numerator

Denominator

Percentage

10/01/2013

12/31/2013

 

162

375

43.20

 

 Utilization measure affecting health care cost (Sample 1):                                                                                

 

PT Complaining of sciatica, muscle spasm, back pain, from 04/03/2013 to 04/03/2014 did not order x-rays.

 

Reporting Period

 

 

04/03/2013

 

04/03/2014

 

Number of Patients with sciatica, muscle spasm, back pain.

 

182

 

 

 

 

 

 

Patients treated at the clinicdid not order x-rays.

 

 

174

 

 

Percentage of patients with sciatica, muscle spasm, back pain did not order x-rays.

.

 

95%

 

 Utilization measure affecting health care cost (Sample 2):

Prescribed medicine to control HTN on patients.

                                                                                         

 

Medicine used to control HTN patients from 10/01/2013 to 12/31/2013.

 

Reporting Period

 

 

01/01/2014

 

04/03/2014

 

Number of patients prescribed with Name Brand Azor

 

15

 

 

 

 

 

 

Number of patients prescribed with cheaper Generic Alternative Losartan

 

25

 

 

 

Percentage of patients prescribed with Cheaper Generic Alternative

 

62%

 

 

Performance data stratified for vulnerable Populations (Sample 1):

 

PT Complaining of sciatica, muscle spasm, back pain, from 04/03/2013 to 04/03/2014 did not order x-rays.

 

Reporting Period

 

 

 

 

 

# Patients

Race/Ethnic

Language

Age

Sex

Problem List

 

04/03/2013 to 04/03/2014

 

182

 

Hispanics 156

 

Spanish 83

 

18-39, 40

 

Male 70

 

Diabetes 34

 

 

 

 

Asian 15

 

 

English 97

 

40-64, 106

 

Female 112

 

HTN 67

 

 

 

Black 6

 

 

 

65 +, 27

 

 

Hyperlipidemia 14

 

 

 

White 2

 

 

 

 

 

Smokers 31

 

 Performance data stratified for vulnerable populations (Sample 2):

 

Medicine used to control HTN patients from 10/01/2013 to 12/31/2013.

 

Reporting Period

 

# Patients

 

 

 

 

01/01/2014 to 04/03/2014

 

 

 

40

 

Race/Ethnic

 

Language

 

Sex

 

Number of patients prescribed with cheaper Generic Alternative Losartan

 

25

 

Hispanic 17

 

 

Spanish 11

 

Male 9

 

 

Black or African-American  5

 

English 13

 

Female 16

 

Number of patients prescribed with Name Brand Azor

 

15

 

Hispanic 10

 

 

Spanish 6

 

Male 12

 

 

 

Asian  2

 

English 9

 

Female 3`

 

 

Black or African-American  1

 

 

 

DISPARITIES

 

 Sciatica, Muscle Spasm, Back Pain GENDER DISPARITY IN HISPANICS

 

From 04/03/2013 to 04/03/2014 we ran reports in our EMR and found 182 patients with Sciatica, Muscle Spasm and Back Pain. Our data shows among Hispanics females have a higher rate for Sciatica, Muscle Spasm and Back Pain than males. Females in our communities have 23% more Sciatica, Muscle Spasm and Back Pain than males.

 

 Azor Name Brand, GENDER RX COST DISPARITY

From 10/01/2013 to 12/31/2013 we ran reports in our EMR and found 40 patients prescribed AZOR. Our data shows among males have a higher rate for AZOR prescription than females, Males have 60% more AZOR prescription than females.

 

Also as you may be aware we randomly distributed a patient satisfaction survey to our patients in an attempt to identify problems areas. We are trying to establish the patient perception of access to care, quality of communication, patient confidence on the care we provide and the overall patient satisfaction.  

A random sample of 30 patients was questioned and the scoring results are as follow:

Scores of 3.5-4.0

Indicate high satisfaction

Scores of 3.0-3.4

Indicate general satisfaction

Scores of 2.0-2.9

Indicate low levels of satisfaction

Scores of 1.0-2.0

Indicate very low levels of satisfaction

 

The results are as follow:

1

When requesting an appointment, I’m always given the opportunity to see my primary physician. 

3.1

2

The office tries to coordinate my care so that I can see and get all the medical information I need to see and get such as referral specialist, medications, labs and imaging during one visit. 

3.4

3

I am able to get an urgent care appointment as soon as I need it.

3.5

4

I am able to get a same-day appointment when I request one

3.3

5

When I call the office for advice or help, I get a call back on the same day, if my doctor is in the office. 

3.4

6

When I talk with my Doctor’s office on the phone, I usually receive adequate information and I feel satisfied with the quality of the call.

3.5

7

When I call the Doctor’s office with a medical urgency, I get a response from the doctor within a reasonable amount of time, 24 hours a day, 7 days a week.

3.4

8

My family and I are satisfied with the level of care, treatment options and timely responses of our Doctor’s office.

3.3

9

My family and I are satisfied with the level of communication with the practice, doctor and staff.

.3.3

10

I know that my Doctor’s office has a web site that I can login to request my clinical information.

3.2

11

If I request information using my Doctor’s office web site/portal, I receive an adequate response within 3 business days.

3.3

12

My doctor’s office gives me information in my language or helps to provide someone who will understand.

3.4

13

My doctor’s office helps me identify health insurance options when I need them.

3.3

14

My Doctor communicates effectively about my health providing/help me with self management education material and helping change my health habits.

3.5

15

My Doctor communicates effectively about my health, including information about diagnoses, medications prescribed, treatment plans, and follow-up care.

3.4

16

I feel that my Doctor and I work as partners to take care of my health and my family’s health, helping make informed health care decisions. 

3.6

17

 I feel that I am able to follow my Doctor’s instructions regarding self care, including taking medications as instructed, following any exercise programs provided, and reporting changes in symptoms I am experiencing.

3.7

 

 

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