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Approved QI ProjectDescriptionQuality Improvement Project Manager
Falls Screening and Follow-up CareFalls is the leading cause of fatal and non-fatal injuries among people over 65 years of age. They occur frequently – more than one out of three people in this age group fall each year. The human impact is significant and includes death, loss of independence, reduced quality of life, and lost time to work.

The American Geriatrics Society (AGS) developed clinical practice guidelines for identifying individuals most at risk of falling and performing a comprehensive falls-risk assessment.

The project’s goal is to implement evidence-based falls screening and follow-up for patients over 65 in primary care practices and improve performance in the related Accountable Care Organizations (ACO) measure.
R. Evan Richardson,
MSN, CNM, Quality Improvement Consultant
Mountain Area Health Education Center (MAHEC)
Pediatric Asthma Improvement ModuleAsthma affects 6.3 million children nationally. It exacts a huge toll on children, families, communities and the health care system and disproportionately impacts black, Hispanic, multi-race, Native American, and poor children and families.

Although the rate of pediatric hospital stays for asthma has declined nationally, pediatric asthma continues to be a leading cause of hospital admissions.

This project aims to engage pediatric and family medicine practices in implementing evidence based Asthma care processes and improve performance on key asthma outcome measures.
R. Evan Richardson,
MSN, CNM, Quality Improvement Consultant
Mountain Area Health Education Center (MAHEC)
Improving Medical Office Patient Safety Culture in Mountain Area Health Education Center (MAHEC) Clinical SitesAccording to the IOM, ‘‘the biggest challenge to moving toward a safer health system is changing the culture from one of blaming individuals for errors to one in which errors are treated not as personal failures, but as opportunities to improve the system and prevent harm.’’ (Institute of Medicine, 2001)

This project aims to engage ambulatory care medical offices in assessing their performance on patient safety culture domains, identifying opportunities for improvement, and to apply a quality improvement framework to strengthen their safety culture (using AHRQ’s Medical Office Survey on Patient Safety Culture).
R. Evan Richardson,
MSN, CNM, Quality Improvement Consultant
Mountain Area Health Education Center (MAHEC)
Delivering Evidence Based Outpatient Based Opioid Treatment (OBOT)This project’s focus is to improve the reliability of delivering evidence-based Outpatient Based Opioid Treatment (OBOT). The primary aim is to increase access to OBOT in primary care settings through supporting effective implementation of evidence informed screening and treatment for opioid use disorder. The project hopes to increase provider knowledge in prescribing and treating. A secondary aim is to increase the number of providers with a DEA license waiver (to prescribe buprenorphine).R. Evan Richardson,
MSN, CNM, Quality Improvement Consultant
Mountain Area Health Education Center (MAHEC)
MAHEC Virtual Health ServicesDue to the COVID-19 pandemic, there is a need to care for patients outside of the clinical setting. Patients may be reluctant to be seen in the clinical setting for routine care (such as Annual Well Visits and preventive care visits) and for acute issues. MAHEC is working with physician practices in the region to implement a telehealth platform and increase the availability of virtual health services by provider.Tammy Garrity, BS, PCMH-CCE
Quality Improvement Program Manager

Approved QI ProjectDescriptionQuality Improvement Project Manager
Opioid StewardshipOpioid abuse, addiction, and attributable deaths have been on the increase for many years. This project aims to utilize evidence-based guidelines to decrease the number of patients with current opioid prescriptions and the number of patients on >/= to 60 Morphine Milligram Equivalents (MME). Kenneth Robert, Project Lead
ECHO Autism - TEACCH Screening for autism in the pediatric population helps to identify those in need of further testing. This project aims to increase the screening of 18-24-month-olds so that children can be identified as early as possible and access services to improve their outcomes.Lisa Renfrow, MSN, RN, CDP
Director-CME
Area L AHEC

Approved QI ProjectDescriptionQuality Improvement Project Manager
NC AHEC Practice Support ProgramThe goal of the NC AHEC Practice Support Program is to give clinicians the tools and systems to provide consistent, high-quality care to all patients. This project provides quality improvement coaches/facilitators who work with clinical practices to transform the provision of care. Monique Mackey, MLS