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Slide Presentation from the AHRQ 2007 Annual Conference

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Use of Technology to Bring Improvements to the System of Care

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  • Quality in California Indian Clinics Prior to EHR
    • Tribal/Intertribal Health Board leadership
      • Healthcare governance and accountability
    • Six years+ of building QI capabilities (with paper/legacy software)
      • State IHS diabetic registry training on RPMS
      • CRIHB initiatives to fund/train clinic staff in QI
        • annual quality improvement, redesign training (resources: NAAHC, IHI and ANMC consultants & coaches
        • Clinics achieved open access, some redesign
    • IHS National Dashboard of Health Indicators
      • Annual and Quarterly reporting requirements for: Clinic users, visits, DM audit, Immunizations, GPRA Indicators
      • Some CRIHB clinics found RPMS legacy hard to use, maintain

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