art.  This chart will be transitioned into a SPC chart once we have enough data points to do so.  Thanks to Sarah Jane Satre of the PeaceHealth MOMS Team for her strong knowledge of SPSS and continued help with this analysis.

2)  Later this week we will begin the first analysis of the Clinic PSAT Touchscreen Survey data.  We currently have >250 completed surveys in the hopper which is a perfect amount to create the necessary anchor file.  In addition to the creation of the anchor file we will also be able to provide the clinics with actual PSAT scores.  With the feedback gathered from the most recent Implementation meeting we will hope to reformat the clinic specific PSAT report into a more user friendly manner.  The PeaceHealth Survey Subteam of Aaron Ignac, Sarah Jane and of course Bill Mahoney will be instrumental in making this analysis a reality.

3) Began work on the Systems Dynamics data pull for Congestive Heart Failure.  This has proven to be a bit confusing and more complex than the Diabetes data pull.  At the very least it looks like an impressive challenge that we look forward to tackling.

One of the main challenges is staying in compliance with the patient confidentiality rules and regs, especially the new HIPAA regs that go into effect April 2003.  While all of us truly have patients at the center and have an enormously high regard for patient confidentiality the new HIPAA regs are creating some challenges not previously experienced.  Simply relying on our self judgment of what is "reasonable" doesn't cut it anymore.  The HIPAA regs are very specific and have teeth.  Violating these regs, even inadvertently, could sink our efforts, on a personal level as well as community level.

The first step of the Systems Dynamics pull is fairly straight forward and we should be able to submit "Phase I" data to the consultants in the very near future.  The phase I data does not involve the release or sharing of any pt identified data so we will be able to move quickly on completing this request.

Many thanks to Dori Robart from SJH and Sarah Donelson of the MOMS Team for providing their continued support and guidance with the security and confidentiality rules and regs.

4)  We created a database to assist us in tracking the rate of completion of the clinic PSAT survey.  This has proved useful in providing the clinics with immediate (daily) feedback on the # of surveys completed at their offices.  Run charts are faxed or emailed to each pilot site on a weekly and/or daily basis depending on their preference.

5)  Data collection for the measure: 3rd Next Available Appt was conducted and completed.  This is the second month of data collection for this measure.  The processes, established last month, created a very useful and efficient template for this month's data collection.  We hit a few barriers with contact folks being out of the office but in each instance the specific clinics responded positively and quickly to getting the issues resolved and helping us complete the data collection.  A big thanks to all of the pilot sites!!