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Everyone, I'm going to be reviewing some metrics transition instructions for the character pregnant and postpartum people with substance use disorder patient safety bundle.

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This slide deck is for teams who have ever implemented the obstetric care for women with opioid use disorder. Patient Safety bundle, so that you can have your options for data transitions to CPPSU.

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So, like I said, This presentation is targeted to teams who have ever collected data or implemented aims obstetric care, the woman with would use disorder, using that original data collection plan.

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This also include states who might have collected this data but never submitted it to the aim data center team has never collected data for oud, please follow instructions for teams who have never collected data using HWD data collection plan.

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So, this presentation will detail recommended steps to land your team's desired CPP SPD data transition review questions, he will ask to implement your desired CPP to transition plans and aims data center and answer any potential questions about the data

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transition. And as a note before you get too far into this. This presentation will not detail the crosswalk metrics from oud to CPPSUD or their division rationales, we do have a pretty lengthy document that goes through every single metric oud, and CPP

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STD. What was changed in a brief description as to why that you can reference after this presentation.

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So just a quick walkthrough, our timeline of this data transition and what's been happening over the past year. So in January of 2021 on the oud bundle interest group call I solicited team feedback on the odd data collection plan to inform revisions so

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I asked him what was working, what wasn't what they've been collecting data on that has been helpful for them and their quality improvement goals, just so that I could integrate suggestions and feedback into the metrics revision and bring it to a subject

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Then there was about 10 months of revisions, and in October, 2021, the CPP CD metrics and transition were introduced to teams.

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And then in November, we finally released the final revise CPP STD metrics, they are added to the aim of site. I know some of you have reached out already with questions about the cube feeling free to reach out about that they are on the website, and

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in January 2022. So now, we are providing you more formal instructions to teams and giving you kind of a background on what your options are. And then looking ahead in February 2022.

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Once you've had time to digest all of the transition instructions and resources you've developed, and you've given us information on your desired data transition plan, we will start reflecting your desired transitions onto your teams dashboards and the

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aim data center.

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So our priorities for this data transition is to first and foremost, respect, existing state states and facilities pre existing quality improvement and data collection efforts.

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We know that this transition is happening in the midst of some of your team's pre existing substance use disorder related quality improvement projects, and we don't expect you to just stop one set of data or metrics and completely begin with something

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new, we know that that's not that's not something we want to force on people. So with that we have want to provide flexible data transition options. And, of course, and as always we want to provide technical assistance and support, either for you as you're

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thinking through your transition options, or as you're developing or refining your projects measurement strategies based on these revised metrics.

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So, with that background in place. Let's go through some of the steps of world, I recommend the steps you take for your transition. So the first step is to just compare the data you have been collecting to Ames, OUDNCPPS ed data collection fans as the

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screen shows we do have a transition document that has a crosswalk of the metrics revisions. And as you're reviewing the data you've been collecting and Ames data collection plan or project measurement strategies.

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Just think through which data have been most difficult to collect for you or for facility teams, which data have been the most meaningful to collect when it comes to measuring improvement or changes.

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And with that kind of tying in which data or most closely related to your project aims and which data might be more meaningfully collected and a different way.

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So as you're kind of reviewing your progress measurement strategy to AMS oud and CPP sec data collection plans, try to think about your projects, values, and what's been working well but hasn't been working well what could be improved, to help guide your

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decision making.

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Next, determine if your desired data collection plan, most closely reflects aims oud or CPP STD data collection plans. So, after you've reviewed and reflected on your current project measurement strategy, the quality improvement goals.

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What you think would be best to measure, go through the following transition options that we've identified as possibilities. So the first one being continue collecting data using am still UD data collection plan only.

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Like I said, we respect your teams and facilities hard work collecting the data and implementing the quality improvement projects, you have been implementing, and you do not have to do a complete transition or one ad to a different set of metrics that

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If you do not want to.

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The next option is collects data primarily using aims oud data collection plan, but add additional CPP STD metrics to support your work.

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That's completely reasonable as well. Additionally, you could collect data primarily using Ames CPP STD data collection plan, but add pre existing oud metrics so you could identify some of your pre existing metrics that you want to kind of collect data

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and monitor progress on over time. Well, ultimately transitioning to the CPP CD data collection plan. And then the last option is if you want to you can completely transition to collecting data using am CPP STD data collection plan only.

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So as you can see from these four options are trying to remain flexible for you, knowing that this is a hard thing to do to transition from one set of quality improvement tools to the next.

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So with that, I'm going to dive in more detail to transition plans, two and three, because those are the ones with the most nuance to it.

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So transition plan to is to collect data primarily using aim so UD data collection plan, but add additional CPP STD metrics. So for this, you plan to collect data using the odd metrics, but you want to collect data for any of the following CPPFCD metrics,

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and I just have a long list of what those possible additional metrics are that you could add to your web dashboard.

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Data Center.

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So you might look at the crosswalk metrics and say, why these CPP STD metrics only, there's more that are not included in this list. So other CPP STD metrics maybe similar to the original oud data collection plan.

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And these minor distinctions and data collection may be confusing to facility teams. Additionally, other CPP SCD metrics may be duplicative with minor changes made to data collection methods.

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So, this is a concern to you, you might consider primarily using CPP sad metrics and retaining key odd metrics for your projects measurement strategy.

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We're trying to reduce the duplication and potential confusion as much as possible, so it might just be reflecting more on what your data collection goals are and or talking to us directly.

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Other transition plan is to collect data primarily using AMS CPPSE data collection plan, but your pre existing to store all your metrics. So, kind of like transition plan to, there's only going to be a finite amount of, like, oud metrics for carry over.

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So, and this is the list.

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So again, why these oud metrics only other oud metrics may be similar to revise CPP sad metrics and minor distinctions and data collection might be confusing to facility teams, and other or D metrics may be duplicative with minor changes to data collection

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methods. So again, if this is a concern to you consider primarily using oud metrics and incorporating select CPP sad metrics into your project measurement strategy, and your dashboard.

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So the next up is to just let us know your transition plans, we have a form, and air table. That's pretty comprehensive that you can fill out.

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So, Bert transition and one, you just might collect data using AMS oud data collection. Only you just need to answer.

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Has your state ever collected or ordered data for the oud patient safety bundle.

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And then, which metrics for your state team use for collecting and reporting data to the data center, you just answer those two questions, you're done.

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select that you want to use Ames odd data collection plan, but add additional CPP metrics. So for that, you will just select all the CPP CD metrics that you would like for your state teams, or you need dashboard.

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It is not to be have to be all from this list, you can select which most closely reflect your project priorities.

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Again, and this is just a facilities report this data directly to the M data center, you will just need to let us know, for which facilities are for which metrics facilities report data desegregated by race and ethnicity, if you want to have certain metrics

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to segregate race and ethnicity, and for which racial and ethnic groups. Again, it's optional, you'll have a question before this asking if your facilities report data to the data center, and if you want them to report any metrics to segregate race and

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ethnicity, before you see these options.

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Transition Plan three is, again, collecting data primarily using MCPPSUD data collection plan, but add some pre existing odd metrics. So you'll answer.

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The first two questions just letting us know that you want this option and then this question will pop up window at metrics, would you like for your state teams dashboard and from the that list you just pick which you would like.

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And because you will be transitioning to a new bundle and the aim of data centers eyes, you will be asked. Additional questions like setting up agency bundle in the data center, so be asked if your team has to collect data or CPP sec quarterly or monthly,

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and you will be asked when your state team plans to begin collecting data using the CPP SCD data collection plan so that's kind of like your project start date.

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And as you will see or in case you don't know when it comes to according to the data center for CPP STD, you need to choose if all measures will be reported and quarterly reporting intervals, or monthly reporting intervals.

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You can't have some for the same patient safety bundle reported quarterly and others not the best to be the same across the board, and as you will see, for the quarterly measures, you need to provide a date associated with the beginning of the calendar

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year quarter. So, and you can see the list of what those start dates are.

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So, again, you'll be asked at your facilities will be reporting data directly to the data center. And if you want to have the report any data aggregated by race and ethnicity, and then you'll be asked for which metrics and for which racial and ethnic

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groups. If you're now just submitting data to us that you've collected from facilities using your own homegrown data submission system, this will not be something that you will fill up.

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And next is collect data using aim CPP SAP data collection plan, only so says this is kind of in the same data centers, eyes, a start, quote unquote, have a new bundle, you will be asked the same questions you would otherwise be asked if we want to get

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a bundle set up in a data center. So are you collecting data or what your monthly with all those caveats I just touched on, and then, when does your state team plan to begin collecting data for the CPP sad data collection plan with all the caveats I just

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touched on, and then same thing I've been going through for all the other options will be asked.

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If your facilities are going directly to the M data center. If you want to collect data decide every race and ethnicity for rich metrics for rich racial and ethnic groups.

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And then for last steps for any of these options, you can always attach a copy of your team's data collection plan if you think that context will be helpful for us.

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And you can always share any additional comments, questions and concerns for follow up. And we will also be hosting time and always have our emails, open to answer any questions you might have.

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and blessed us is to complete your data transition. This is obviously going to be individualized to your transition data transition plans and your estate teams structures and processes but am will review your submitted as CPP SCD transition information

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and reach out for clarification, if needed. We will coordinate the addition of bundles and metrics to your dashboards and the data center, and we will notify you when the changes are made to your dashboards, and then depending on changes made to your

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project measurement strategy. We recommend that you update your data collection systems coordinate the analysis of new or additional outcome and surveillance measures and coach facility teams on how to collect data or new metrics.

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This, like I mentioned, will be dependent on your state teams transition, an existing structures and processes or collecting and analyzing data.

