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Use of Technology to Bring Improvements to the System of Care
- Quality in California Indian Clinics Prior to EHR
- Tribal/Intertribal Health Board leadership
- Healthcare governance and accountability
- Six years+ of building QI capabilities (with paper/legacy software)
- State IHS diabetic registry training on RPMS
- CRIHB initiatives to fund/train clinic staff in QI
- annual quality improvement, redesign training (resources: NAAHC, IHI and ANMC consultants & coaches
- Clinics achieved open access, some redesign
- IHS National Dashboard of Health Indicators
- Annual and Quarterly reporting requirements for: Clinic users, visits, DM audit, Immunizations, GPRA Indicators
- Some CRIHB clinics found RPMS legacy hard to use, maintain
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