PHC-Nabors Family Medicine Works Toward Patient-Centered Medical Home Recognition

Nabors Family Medicine has implemented several quality improvement projects throughout 2019 & 2020.  The practice worked to improve in the following areas:

• Decrease in number of women ages 50-75 who needed a mammogram – improved scores by 35.5%.
• Decrease in number of patients who need a Prevnar immunization – improved scores by 15.55%.
• Focus on ensuring that all diabetic patients have an A1C < 8 – only 7.95% of diabetic patients in this practice have an A1C > 8  – well below the national benchmark of 30% compliance.
• Focus on educating patients around colorectal cancer screenings and getting colonoscopies – reduced the % of eligible patients needing colonoscopies by 11% in less than a year.
• Focus on decreasing hypertension in patients 60+.
• Focus on getting patients in for their Medicare Annual Wellness Visit with a goal of 85% receiving the service by end of year – surpassed their goal reaching 90% completion of AWVs for their Medicare population.
• Focused on cost reduction, by making generic medications available to patients
• Opened up daily same day appointment slots, to allow patients to get appointments in a timely manner, as well as extended office hours.
• Implemented a Care Coordination department staffed with nurses and a clinical team. Their role is to reach out to patients by phone in-between their visits to the office, working with patients to help them meet their health goals (lowering blood pressure, lowering blood sugar, increasing exercise, weight loss, etc.).
• Conducted patient satisfaction and customer service surveys to learn best what patients would like to see improved within the practice. The practice worked to improve wait time and showed improvement throughout the year.