Ambulatory Quality Update: Breast Cancer Screening and Medicare Wellness Visits

Breast Cancer Screening

One of our FY2025 Board Goals is to improve our Breast Cancer Screening rate from our FY2024 rate of 72.4% to 73% (with a stretch target of 75%) by the end of June.  We are well on our way to supporting this effort through the following Quality-led initiatives:

• Outreach and Community Health Facilitator outreach to patients without MyChart
• Leveraging Epic’s ability to send large groups of patient notifications; in March we sent out over 6,000 MyChart notifications to patients due or overdue for this service
• Supporting patient self-scheduling through MyChart activities (patient education, Quality Improvement Committee PDSAs, IT updates to scheduling)
• Communication with direct scheduling tickets attached sent to patients in MyChart
• Supporting content creation to display on our network lobby TVs; see the new DocTalk featuring Dr. Thuy Pham and Dr. Jason Mann!
• Updating Aspect auto-dialer outreach message to patients who are due

In addition, the Breast Center has increased its hours of operation to improve access for our patients. The hours are now the following:

• Renton:  Monday – Friday, 7 AM-5:30 PM and Saturday, 7:30-4PM
• Covington:  Monday-Friday, 8 AM-4:30PM (screening mammography only)

Medicare Annual Wellness Visits

The Quality Department is also focused on supporting the Clinic Network in achieving 78% completed Medicare Annual Wellness Visits for our MSSP and Medicare Advantage populations by the end of the year. Quality-led initiatives in support of this endeavor include:

• Creation of population-specific workbench reports out of Epic
• New patient ability to self-schedule MAWV through MyChart
• Outreach Coordinator calls to patients without MyChart
• Communication with direct scheduling tickets attached sent to 1,407 patients through MyChart
• Ensuring eligible patients have the Health Maintenance topic added to help us track completion of this service
• Leveraging Epic’s ability to send large groups of patient notifications; we’ll be sending out communication via MyChart again soon to all patients due/overdue for this service
• Content creation for patient education and our network lobby TVs
• Collaborating with the Value-Based Initiatives department to clean up payor rosters and identify patient engagement