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The PCMH model increases the satisfaction of our patients by making them participants in their care plans, working closely with their primary care providers. NCQA’s evaluations will help us bring our services into alignment with PCMH practices, and will also show how Mid Dakota Clinic rates in specific service areas compared to state or national ratings.

NCQA’s Patient-Centered Medical Home program highlights primary care providers who have shown us they can coordinate care among all a patient’s doctors and other health care providers.
  • You get better access through expanded hours.
  • You get help understanding treatment options and are a partner in decisions about your care.
  • Providers work in teams to prevent problems and manage chronic conditions to keep you healthy.
The result is better quality and fewer costly trips to emergency rooms and hospitals.
 
All of our tables below reflect the triple-aim of healthcare, in that if we are doing preventative care, making certain our patients are receiving recommended screenings and improving the patient experience.
 
The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which they call the “Triple Aim”:
  • Improving the patient experience of care (including quality and satisfaction);
  • Improving the health of populations; and
  • Reducing the per capita cost of health care.
While ratings provide valuable information, they don’t measure one of the most important elements of our practice, which is the relationship between the patient and our healthcare providers. Whether you’re a new patient or whether your family has been relying on us for generations, we value the trust you place in us. We are privileged to care for you, and we dedicate ourselves to providing the high quality of care you’ve come to expect from Mid Dakota Clinic.
 

Results for Breast Cancer Screenings

Patients receiving recommended breast cancer screenings
 
  Dec 2016   Mar 2017   Jun 2017   Sep 2017   Dec 2017   Mar 2018   Jun 2018   Sep 2018
Gateway Mall Clinic 67% 67% 68% 71% 71% 72% 80% 81%
Kirkwood Mall Clinic 66% 65% 66% 70% 73% 76% 79% 82%
Main Clinic 72% 72% 73% 77% 77% 77% 81% 82%
2015 National Average*   67.8% 67.8% 67.8% 67.8% 67.8% 67.8% 67.8% 67.8%
* www.cdc.gov/nchs/fastats/mammography.htm

 

Results for Childhood Immunizations

Patients receiving recommended childhood immunization series 4:3:1:3:3:1:4
  Q4 2016   Q1  2017   Q2 2017   Q3 2017   Q4 2017   Q1 2018   Q2 2018   Q3 2018
Gateway Mall Clinic 73.6% 82.1% 89.5% 88.5% 83.9% 84.2% 85.2% 82.2%
Gateway Mall Pediatrics   87.0% 86.1% 89.3% 88.6% 89.1% 90.0% 90.6% 91.1%
Kirkwood Mall Clinic 83.6% 82.4% 85.2% 82.0% 81.2% 80.3% 80.1% 77.4%
Main Clinic 87.5% 89.5% 86.7% 92.3% 75.0% 78.6% 83.3% 88.9%
ND Average* 80.2% 80.2% 80.2% 80.2% 68.2% 68.2% 68.2% 68.2%
National Average** 72.2% 72.2% 72.2% 72.2% 70.7% 70.7% 70.7% 70.7%
* North Dakota Department of Health https://www.ndhealth.gov/Immunize/NDIIS/Rates.aspx
** Centers for Disease Control and Prevention, United States 2015 https://www.cdc.gov/mmwr/volumes/65/wr/mm6539a4.htm#T1_down


 

Results for Care Coordination

Patients receiving medication reconciliation*
  Dec 2016   Mar 2017   Jun 2017   Sep 2017   Dec 2017   Mar 2018   Jun 2018  Sep 2018
Gateway Mall Clinic 100% 100% 100% 100% 100% 100% 100% 100%
Gateway Mall Pediatrics   96% 97% 99% 99% 100% 100% 100% 100%
Kirkwood Mall Clinic 99% 99% 100% 100% 100% 100% 100% 100%
Main Clinic 100% 100% 100% 100% 100% 100% 100% 100%
*The process of identifying the most accurate list of all medications a patient is taking, including name, dosage, frequency, and route by comparing the medical record to an external list of medications obtained from a patient, hospital, or other provider. 

 

Results for Patient Satisfaction

Patients who rated their provider with a score of 9-10 on the NCQA PCMH Survey

ADULT SURVEY
  2016 1st Half   2016 2nd Half   2017 1st Half   2017 2nd Half   2018 1st Half  
Gateway Mall Clinic 84.3% 83.1% 85.4% 85.5% 85.9%
Kirkwood Mall Clinic   82.4% 86.7% 85.0% 87.1% 87.3%
Main Clinic 84.4% 86.6% 87.8% 88.4% 83.1%
HealthStream® Top Box Score   81.0% 81.0% 81.0% 81.0% 81.0%
CHILD SURVEY
  2016 1st Half   2016 2nd Half   2017 1st Half   2017 2nd Half   2018 1st Half  
Gateway Mall Clinic 75.5% 88.1% 95.5% 81.3% 100.0%
Gateway Mall Pediatrics 87.6% 89.0% 89.1% 89.2% 94.4%
Kirkwood Mall Clinic 72.2% 72.3% 70.7% 78.3% 71.1%
Main Clinic 78.1% 88.9% 100.0% 100.0% 66.7%
HealthStream®Top Box Score   83.0% 83.0% 83.0% 83.0% 83.0%