Patients & Visitors For Professionals LEAN Academy

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Ambulatory Quality

Federally Qualified Health Centers (FQHC) are required to track and report quality of care indicators through the Bureau of Primary Health Care. Denver Health reports indicators for each of its community clinics and benchmarks when possible against HEDIS 75th percentile. Denver Health’s quality improvement is driven by the Ambulatory Quality Improvement Committee which directs the efforts of chronic disease and preventative care workgroups.

Denver Health provides data to demonstrate its ambulatory services quality of care in the following areas:

Core Measures

Denver Health reports adherence to CMS-defined core measure sets including: Acute Myocardial Infarction (AMI), Heart Failure (HF), Pneumonia (PN), and Surgical Care Improvement Project (SCIP). Denver Health has achieved continuous improvement in the CMS Appropriate Care Overall Bundle score.

For surgical quality of care, the CMS measure set exposed inconsistent processes, poor documentation, and opportunities to enhance quality in 2007. Denver Health used LEAN (standard work and systems engineering) to improve its performance in SCIP measures. It has been sustained for over five years. Performance improvement in heart failure care reflects an unrelenting focus on education related to the discharge medication process.

CMS Appropriate Care Measure

Acute Myocardial Infarction

Heart Failure


Surgical Care