Quality Improvement Plans: Primary Care Priority Indicators. January 27, :30 to 8:30am

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1 Quality Improvement Plans: Primary Care Priority Indicators January 27, :30 to 8:30am

2 Welcome & Introductions Presentation Team Margaret Millward QIP and Capacity Building Specialist Health Quality Ontario Anne Speares QIP and Capacity Building Specialist Health Quality Ontario Patricia Dwyer QIP and Capacity Building Specialist Health Quality Ontario 1

3 How to Participate Today 2

4 Learning Objectives Understand the fine print for the three priority indicators under the quality dimensions of Access, Integration and Patient- Centred as identified in the QIP workplan (where to get the data and how to calculate the value) Understand the relationships between Quality Improvement Planning Priority Indicators and their process measures 3

5 Patient response to survey question The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in their office? same day next day 2-19 days (enter number of days: ) 20 or more days not applicable (Don t know/ refused) PRIORITY INDICATOR: ACCESS 4

6 Provincial Priority Dimensions Access Current Performance from survey data Total # responses same day + next day Total # of responses per year total # response ( not applicable (Don t know/ refused) ) (x100) 5

7 Patient response to survey question The last time you were sick or were concerned you had a health problem, how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him/her or someone else in their office? same day next day 2-19 days (enter number of days: ) 20 or more days not applicable (Don t know/ refused) POLL: 6

8 Total # responses same day + next day If Total # of responses per year (110) total # response ( not applicable (Don t know/ refused) ) (10) WITH THE POLLING RESULTS 7

9 Provincial Priority Dimensions Access What should your target be? 8

10 Provincial Priority Dimension Access Current performance: Survey Data : % of practices with TNA less than 3 days per month 9

11 Provincial Priority Indicators : % of practices with TNA less than 3 days per month Access Current performance: Survey Data : Average number of visits per day available for same day booking per practice : Average number of appointments in backlog per practice per month 10

12 Measures related to QIP Access Current % PDSA PDSA PDSA PDSA PDSA Integrated Current % PDSA PDSA PDSA Patient Centred Current % PDSA PDSA PDSA PDSA 11

13 Current Performance To measure progress on this indicator the following 3 patient/client survey questions should be used: Patient Centred Opportunity to ask questions Involvement in care decisions Enough time Responses: always often sometimes rarely never not applicable (don t know/ refused) 12

14 Measures Patient Centred Opportunity to ask questions (%) 13

15 Goal column Patient Centred Opportunity to ask questions (%) Goals 14

16 Integrated: Each organization s QIP will include core transformational priorities where improved performance is co-dependent on collaboration with other sectors. Core cross-cutting metrics: Hospital LTC Primary care CCAC ( 15

17 INTEGRATED: PRIMARY CARE VISITS POST-DISCHARGE 16

18 FHT CHC NPLC AHAC MOHLTC Health Data Branch Web Portal. Click on Primary Care then Quality Improvement Plan. Contact ntario.ca Jennifer Rayner Under development Under development WHERE DOES THE DATA COME FROM? 17

19 Integrated: Primary Care Visits Post-Discharge Specific to selected case mix groups (CMGs1). These CMGs reflect the primary reason why they were in the hospital. For a full list of the CMGs that are included in this indicator, please see the Resource for Indicator Standards sheet are: stroke, chronic obstructive pulmonary disease (COPD), pneumonia, congestive heart failure, diabetes, cardiac conditions and gastrointestinal disorders. 18

20 Integrated: Primary Care Visits Post-Discharge Data and metrics have been suppressed where numerator (events) are fewer than five (5) and denominator (population admitted with selected conditions) is fewer than 30. ** many organizations will not have a value ** 19

21 Integrated: Primary Care Visits Post-Discharge Inclusion Criteria for FHT: Includes patients rostered at the time of discharge to an Ontario physician in a primary care practice model. Follow-up is restricted to professional services provided by any GP/FP, geriatrician or pediatrician in the practice group the patient is rostered to. 20

22 Integrated: Primary Care Visits Post-Discharge Exclusion Criteria for FHT: DAD records with missing valid data on admission/discharge date, health number, age and gender; deaths; transfers, patient sign-outs against medical advice and discharge destinations of acute, ambulatory, day surgery, ER and palliative care settings. Negated Ontario Health Insurance Plan (OHIP) claims, duplicate claims and lab claims are also excluded. 21

23 Integrated: Primary Care Visits Post-Discharge For CHC: Patients who have seen a provider in the CHC in the last 2 years; Excluding patients who are rostered to an FHT and who have seen the FHT provider more often (in the previous 2 years) than the CHC providers 22

24 Integrated: Primary Care Visits Post-Discharge For CHC: Patients (in the denominator) who within 7 days of discharge have seen either an Nurse Practitioner or a physician* (any GP/ FP, geriatrician or pediatrician)) in the practice group they are rostered to 23

25 Supports Offered by HQO HQO s Quality Compass HQO s Advanced Access & Efficiency initiative Public Reporting BestPATH IDEAS QIP inbox: QIP@hqontario.ca Additional Supports for the Primary Care Sector: Primary Care Performance Measurement Framework Primary Care Patient Experience Survey Pilot (Coming Soon) Primary Care Physician Practice Report (Coming Soon) 24

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