Welcome to 5th edition - the key changes

Transcription

1 QPA, e г l. We GPs. We д w d to be a GP. O νт n be a ch d þ a þ at, p or s, ŋ a ch d þ в be l x s. O νт n be a нt þ k, siŋ y X y or not, ŋ a нt þ x ch c e. GPs, д þat г l n t st t r нt s t storеs, рe w y в. We a ffрн to sפ вs or e st s рy y. QPA, n t st г l s: д m. Dr Paul Mara Welcome to 5th edition - the key changes Webinar certificates of participation Certificates can only be issued to participants who have attended today s session The link to the evaluation survey will now be sent directly to those who attended, using the attendee list generated by our web conferencing company, and the addresses used to log in today If you had multiple people participate from one link today, you can re-click the survey link in the and complete multiple surveys to acknowledge all participants The evaluation survey must be completed within two business days of this presentation, after which the survey will be closed and the certificates issued Please check your data entry as your name will appear as you enter it, and the certificate will be ed to the address you enter in the survey If you have any difficulty with completing the survey, please contact us as soon as possible so that we can work to resolve the issue before the survey closes 3

2 Structure of the Standards Meeting the Standards New mandatory and aspirational indicators Indicator-by-indicator: what s new Where to find resources 4 The new structure Source: RACGP 5 Modules, standards, criteria and indicators 4th edition involved Five Sections 15 Standards 41 Criteria 137 Indicators 5th edition involves Three modules 17 Standards 42 Criteria 123 Indicators 6

3 Modules, standards, criteria and indicators in 4th edition, the format at indicator level was Section.Standard.Criterion<flag>indicator letter for example: A In 5th edition, the format at indicator level is Module.Standard.Criterion<flag>indicator letter C1.1 A 7 Must and could In the context of the indicator and the criterion Must indicates that something is mandatory Could indicates that something is optional 8 Outcomes-focused and patient-centred 5th edition seeks to encourage practices to develop their own processes that focus on achieving desired outcomes for patients This allows flexibility for the practice to develop systems and processes that reflect its preferred way of working, instead of prescribing the way the outcome must be achieved 9

4 How to use the Standards Read the Standards description For each Criterion, read Why this is important to understand the safety and quality aspects Read about how to meet the Criterion Then look at each Indicator in terms of must and could 10 New indicators C1.4 C Aspirational C1.5 A C1.5 B Our patients can access resources that are culturally appropriate, translated, and/or in plain English Our patients are informed of the out-of-pocket expenses for health care they receive at our practice Our patients are informed that there are potential out-of-pocket expenses for referred services. C2.1 E Our clinical team considers ethical dilemmas C2.2 A Our practice obtains and documents the prior consent of a patient when the practice introduces a third party to the consultation C3.1 A Our practice plans and sets goals aimed at improving our services. 11 New indicators C3.1 B Aspirational Our practice evaluates its progress towards achieving its goals C3.1 C C4.1 A Our practice has a business risk management system that identifies, monitors and mitigates risks in the practice Our patients receive appropriately tailored information about health promotion, illness prevention and preventative care C6.4 F Our practice has a policy about the use of C6.4 G Our practice has a policy about the use of social media 12

5 New indicators QI1.1 C QI1.3 B QI3.2 A GP2.2 E Aspirational Our practice seeks feedback from the team about our quality improvement systems and the performance of these systems Our practice uses relevant patient and practice data to improve clinical practice (eg chronic disease management) Our practice follows an open disclosure process that is based on the Australian Open Disclosure Framework High-risk (seriously abnormal and life-threatening) results identified outside normal opening hours are managed by our practice GP2.2 D Aspirational Our practice initiates and manages patient reminders. 13 New indicators GP3.1 C Our clinical team is trained to use the practice s equipment that they need to properly perform their role. GP3.1 D Our clinical team is aware of the potential risks associated with the equipment they use. GP4.1 F Aspirational Our practice records the sterilisation load number from the sterile barrier system in the patient s health record when sterile items have been used, and records the patient s name against those load numbers in a sterilisation log or list. 14 Now mandatory in 5th C5.2 A GP5.2 A Our clinical team can exercise autonomy, to the full scope of their practice, skills and knowledge, when making decisions that affect clinical care. A pulse oximeter is now required practice equipment. GP6.1 D Our practice has a written, practice-specific policy that outlines our cold chain processes 15

6 C1.4 C O нʦ n ss с þat y ate, at, /or p Н h This aspirational indicator builds upon the requirement for practices to not only provide services to support communication with patients, but to also provide resources. 16 C1.5 A O нʦ d t- - ck פ с þה y e at r C1.5 B O нʦ d þat ten t- - ck פ с с New mandatory indicators around providing patients with information regarding the costs associated with care, instead of the 4th edition requirements at criterion level. 17 C2.1 E O т рs l An entirely new mandatory indicator, requiring practices to document the consideration and outcome of ethical dilemmas. 18

7 C2.2 A O s s ёr нt a нt н u s a þ d y to ul You now need to ensure that you obtain prior consent for a third party introduced by the practice, while in 4th edition, you needed to obtain consent for any third party in a consultation. 19 C3.1 A O p s s d at r с A new mandatory indicator, within the business operations management domain. Practices must define their business goals, and may wish to support this with a documented business or action plan. 20 C3.1 B O тs s s to s s s A new aspirational indicator within the business operation systems criterion. This focuses on the quality improvement aspect of evaluating the organisation s progress in achieving the goals set as part of C3.1 A 21

8 C3.1 C O s a si ss г stм þat н fiс, to тs s Building on the 4th edition requirements for contingency and business continuity plans, as well as clinically-based risk management systems, this new mandatory indicator requires practices to maintain documented processes and procedures around holistic business risk management. 22 C4.1 A O нʦ e atлy or t þה ॐ ёn, ss н н в As with costs associated with care, the criterion-level 4th edition requirements under Health promotion and preventive care transition to a mandatory indicator in the 5th edition. Practices must ensure that discussions and activities relating to preventive care are documented in the patient s health record. 23 C6.4 F O s a t e м l C6.4 G O s a t e a Two new essential policies, reflecting our changing society, and the increased use of digital communication within general practice. Practices must ensure that a policy for both the use of , and the use of social media, are developed, and these may subsequently be shared with your patients. 24

9 QI1.1 C O ck f т t r y мнt stмs or eפ stмs Elements of this new mandatory indicator existed in 4th edition, however practices must now record feedback, from members of the practice team, about quality improvement systems. Methods for collecting feedback are similar to ongoing patient feedback processes, and this indicator is demonstrative of the quality cycle focus. 25 QI1.3 B O с нt to e ( ch c e г, н в ( þה A new mandatory indicator requiring practices to show evidence of the engagement in a quality improvement activity (such as a PDSA cycle or clinical audit) once every three years. 26 QI3.2 A O ll s н сs þat d st Oפn D e ork A brand new inspirational indicator, with no cross-reference back to the 4th edition. While meeting this indicator is not mandatory, open disclosure is an important concept in general practice, and practices are encouraged to familiarise themselves with the concepts. 27

10 GP2.2 D O ятs гs нt рs A new aspirational indicator recommending practices have reminder systems that engage patients in periodic preventive and clinical activities. Practices may document the reminder system itself, record the cycle of reminder and action in the patient health record, and demonstrate the methods used to issue reminders. 28 GP2.2 E ( y no -þ atн ) ulʦ н fi ʦ e no н s гd by r A new mandatory indicator requiring practices to ensure that diagnostic services are provided with the contact details of the practitioner who ordered the investigation, and that a process is in place for managing high-risk results identified outside of normal opening hours. 29 GP3.1 C O т d to e s u þat y to р ormפ A new mandatory indicator which falls under qualifications, education and training of healthcare practitioners. Practices must be able to demonstrate that training on the use of clinical equipment has been provided to their practice team. 30

11 GP3.1 D O т ten s ятd þ u y e Another new mandatory indicator relating to practice equipment, and practices must be able to demonstrate that the clinical team has been educated on the safe use of equipment. 31 GP4.1 F O s stр atёn ν р f stр e еr stм нt s þה н stр e мs в beн, s нt s þ e ν рs a stр atёn g or st The final new aspirational indicator, encouraging practices to have a process that links patients to the sterilisation process through a load number. 32 C5.2 A O т n р tono, to ll e, s know e, н ŋ д si s þat aff t. Another area that has transitioned from criterion level in 4th (1.4.2 Clinical autonomy for general practitioners) to indicator level in 5th. 33

12 GP5.2 A P'ãTe ÕuÖ While a pulse oximeter was an unflagged indicator in 4th, it is now on the list of required practice equipment. 34 GP6.1 D O ()*+ 3s a w äн, ()*+-åâæt y¼ Cat \çjс \r n (ËсPs. Cross-referencing with Vaccine potency in 4th edition, this indicator requires that practices have a documented, specific policy that describes their cold chain management processes. 35 Where can I find resources? The QPA website has links to the new College Standards, the Patient Feedback Guide, the Resource Guide, and the Open Disclosure Framework QPA has developed a Quick Guide to the 5th edition, which allows you to see the indicators, within their new structure, at a glance. QPA clients can contact us for a copy of the Guide. The QPA fact sheets will be updated in the coming weeks to provide you with 5th edition content. 36

13 Question time To ask a question please use the Question function in your GoToWebinar control panel. If you type your question in, we can read it out and answer it to share the knowledge with the audience. 37 Webinar certificates of participation Certificates can only be issued to participants who have attended today s session The link to the evaluation survey will now be sent directly to those who attended, using the attendee list generated by our web conferencing company, and the addresses used to log in today If you had multiple people participate from one link today, you can re-click the survey link in the and complete multiple surveys to acknowledge all participants The evaluation survey must be completed within two business days of this presentation, after which the survey will be closed and the certificates issued Please check your data entry as your name will appear as you enter it, and the certificate will be ed to the address you enter in the survey If you have any difficulty with completing the survey, please contact us as soon as possible so that we can work to resolve the issue before the survey closes 38 Thank you for joining us