SHC Practice Assessment: Atrial Fibrillation Screening

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By answering a few questions about your practice’s organization, quality improvement experience, and current approach to atrial fibrillation, as well as the impact of COVID-19, we will be able to assist you in developing a quality improvement project that suits your needs and experience. Only one person per practice need complete the assessment, gaining the input of colleagues as necessary. Please respond to the questions below as it relates to your specific practice location.

Practice name:

Your name:

Your profession/role in the practice:

Physician

Resident

Physician assistant

Nurse practitioner

Nurse

Medical assistant

Practice manager

Front desk/administrative staff

Other:

Clear selection

Practice address (street):

Practice address (city):

Practice address (state):

Practice address (zip code):

Practice type: (Check all that apply.)

Family practice

General internal medicine

Pediatrics

Geriatrics

Multi-specialty

Other:

Number of health care providers at your practice location. Check one response for each row.

None

1 to 2

3 to 5

6 to 10

More than 10

Physicians

Residents

Physician Assistants

Nurse Practitioners

Nurses

Pharmacists

Medical Assistants

LPNs

Practice Managers

Front desk staff/receptionists

Social workers

Patient navigators

Psychologists

Patient advisors

Other

Practice setting.

Independent physician-owned practice

Hospital- or health system-owned practice

Academic medical center/residency program

Federally qualified health center

Other:

Clear selection

Estimated number of patients at practice site annually (panel size).

Estimated patient demographics. Check one response for each row.

More than 50%

25 to 50%

10 to 25%

Less than 10%

White, non-hispanic

African American or black

Hispanic or Latino

Asian

American Indian or Alaskan Native

Native Hawaiian or other Pacific Islander

Medicare recipient

Medicaid recipient

Primary language is English

Indicate the quality improvement experience of your practice’s staff?

Rarely implements QI projects

Commonly implements QI projects

Clear selection

What quality improvement (QI) resources does your practice have (check all that apply)?

External QI experts support staff (e.g., QIO)

EHR can be used for QI (e.g., identifying patient population for projects; addition of reminders to EHR)

Strong relationship with IT department to help run reports and add reminders, etc.

Strong leadership support for QI at practice site

There are practice staff with implementation of QI programs as part of their job

QI is required of practice for reimbursement (e.g., value-based payment programs)

QI is required to meet professional qualifications (e.g., ACGME requirements in residency programs; part IV requirements in medical boards)

Practice ownership, such as the health system, provide support for QI

Other:

What priorities for quality improvement, in general, does your practice have (check up to three)?

Enhance team-based care

Improve work flow so as to create efficiencies in the practice

Increase knowledge and implementation of motivational interviewing and shared decision-making

Increase staff knowledge of QI approaches

Meet performance improvement requirements for reimbursement or value-based payment

Meet performance improvement requirements for professionalism

Improve linkages with community representatives or services

Improve care coordination with specialists

Reduce provider burn-out

Improve health equity

Address health literacy

Understand health status and needs of patient population

Understand health status and needs of surrounding community

Other:

What barriers, if any, does your practice face to QI activities (briefly describe)?

How does your practice approach community engagement (check all that apply)?

The health system of which we are a part leads community engagement.

We have compiled a list of contacts in the community who can educate the public on health issues or provide social services or other supports for our patients.

We have a patient/family/community advisory group that meets with us to help us understand community needs.

We have a staff person that has the responsibility for connecting our patients in the community to other service providers and supports (e.g., patient navigator).

People from our practice routinely speak at community events and health fairs, educating the community about health issues and services.

Other:

Estimated total number of patients with AF at practice site:

Does your practice currently screen patients for undetected AF?

Yes

Sometimes

Unsure

Clear selection

If so, what screening method(s) do you apply (check all that apply)?

Photoplethysmography via smartwatch or watch (e.g., Apple Watch)

Blood pressure monitor to detect AF

Handheld device or smartphone compatible ECG recorder (e.g., Kardia)

Patch ECG monitors

Other:

With AF screening, what patient population is or would be targeted (check all that apply)?

Older adults (if so, what age group?)

CHA2DS2-VASc score (if so, what score?)

Other:

Briefly describe your response to the above question: "What age group and/or what score?"

Screening approach (check all that apply)

Systematic for all patients identified for screening

Upon patient request

Periodic community screening events

Other:

Does your practice currently track anticoagulation therapy adherence in your AF patients?

Yes, routinely (briefly describe how)

Yes, some of the time (briefly describe how)

Unsure

Clear selection

Briefly describe your response to the above question.

How do or would you like to educate your patient population about AF (check all that apply)?

Currently used to educate our patients

Would like to implement so as to educate our patients

Provide print information to patients diagnosed with AF concerning risk stroke and importance of anticoagulation

Display posters in the office regarding the risks posed by AF

Use decision aids in conversations with your AF patients to help choose medications

Provide video or web-based education to patients with AF or at risk of AF

Use the patient portal to distribute education to patients about AF and its treatment

Text patients with AF about the importance of treatment/adherence

Have patient education materials in languages other than English

Use patient education materials that are at the appropriate health literacy and numeracy level

Give presentations at community events on AF

Other (please describe)