QA Coach Intro Webinar Presented by: Kathleen Bokrossy, RDH
Why QA Program? In Ontario, the Regulated Health Professions Act, 1991 (RHPA) requires all health regulatory colleges under the Act to develop and to maintain a Quality Assurance Program to ensure the provision of optimal quality care to the public and to promote continuing quality improvement among its members. The role of the Regulatory College is to assure the public that dental hygiene care is safe, ethical, effective and of high quality.
Why QA Program? The Quality Assurance Program was developed to help dental hygienists reflect on their dental hygiene practice to identify areas of their practice that require enhancement/improvement to customize their continuing quality improvement activities in a manner that suits their personal situation and resources. These guidelines are provided to further assist dental hygienists in the selection of appropriate learning goals and activities.
Requirements: 1. For all registrants annually 2. For registrants being audited 3. For registrants who have not been selected for audit
Requirements: 1. For all registrants annually Each year verify your employment status and practice address(es) in the SMILE portal Make sure accurate and up to date Required within 14 days to notify CDHO of personal data change (name, address, etc.) Make sure this is done first otherwise you may not be given the correct tools in the SMILE portal Select I m all done Green check mark will show This will allow you to proceed to Step 2 The MANDATORY Self-Assessment
Cont d. Any registrant who is inactive or not practising dental hygiene or practising dental hygiene outside of Ontario will not have a practice listed and the option for Practice Profile will NOT show up Any registrant who is on maternity leave and plans to return at the end of the leave should select practising full or part-time as their option and will have a Practice Profile Registrants who work as a Temp will be required
Self-Assessment For College to monitor registrants participation in and compliance with the QA Program Goals will be set for you; depending on your responses, suggested goals will be generated 109 Questions Once all done select I m all done Everyone must complete the Self-Assessment By January 31 st, each year Educators have an additional Self-Assessment to complete
Being Audited? You will receive either an email or mail correspondence It will reflect on your SMILE Portal (dashboard) Notifications to be sent out by January 31 st each year This year s numbers end in either 3 or 8 (not anyone who was previously audited 2014, 15, 16)
Being Audited: 2. For registrants being audited Dashboard will reveal Steps 3, 4 and 5 Step 3: Select a Path Path 1: Learning Portfolio and Practice Profile Path 2: Completing the National Dental Hygiene Certification Board Examination and a Practice Profile Path 3: National Dental Hygiene Certification Board Examination and Onsite Practice Review Once you have selected a path, select I m all done If you re unsure select Save and Continue Working
Being Audited:
Being Audited Path 1: Learning Profile Add Goals and Activities Add more than one activity (Add a New Activity) Final Step I m all done If you are unsure Save and Continue Working Once done a Green checkmark will show that you have completed Step 4
Being Audited: At least 80 percent of your learning activities must be directly related to your learning goals and practice Each activity must be entered separately. Do not list all activities for a particular goal in the same text box Since you are in your audit year, your hours will only be cumulated once you have marked all your goals as Complete
Being Audited: Path 2 or 3 Your dashboard will show NDHCB Assessment You will be able to generate an email to the NDHCB expressing your interest in attempting the examination. The NDHCB will email you instructions on how to take this examination (QA Test) Once you successfully pass the exam, you will need to upload your email of successful completion in this step (original email or screen shot) Once uploaded, select I m all done to get the green checkmark indicating Step 4 is Complete
NDHCB Exam Plans should be made to prepare for the NDHCB written assessment Full details at www.ndhcb.ca You will be prompted to notify the NDHCB that you wish to take the QA Test and receive an email with a link to the test $125 Sample questions are available Case Presentation type of multiple choice questions real- world examples Open-book 200 questions to ensure knowledge of DH Theory and Practice including Behavioral, Biomedical, and Oral Health Science
Being Audited Step 5 Will vary depending on what path you have selected Path 1 or 2, you dashboard will show Practice Profile under this step Previously known as your Typical Day Check marks and short answers More than one type of practice? You will be required to prepare a Practice Profile for each type More than one practice of one type note on any differences between practices
Being Audited: Any registrants not practicing dental hygiene, inactive or practicing in Ontario will NOT have to complete a practice profile Practice Profile for the year you are being audited ONLY Path 3: A Quality Assurance Assessor will contact you sometime in February to schedule your onsite review For 2016: 557 registrants selected Path 1, 90 registrants selected Path 2 and 1 registrant selected Path 3
Requirements: 3. For registrants who have not been selected for audit Steps 3, 4 and 5 will not be shown on your dashboard Optional: Learning Portfolio and Practice Profile Strongly recommended to keep up with your goals and activities annually
2016 Submission as of July/16 757 records requested 558 Met the assessment guidelines 93 Met the assessment guidelines with an additional submission 18 were still in assessment phase 68 Resigned 20 in Remediation 0 Deferred to another assessment period 113 Assessed with deficiencies
2016 Submission as of September/16 757 records requested 564 Met the assessment guidelines 113 Met the assessment guidelines with an additional submission 0 were still in assessment phase 68 Resigned 12 in Remediation 0 Deferred to another assessment period 118 Assessed with deficiencies
Common Deficiencies Missed, expired or unacceptable forms of CPR Certification Clinical Practice: Basic support level, including one-rescuer and two-rescuer CPR for adults, children, and infants; the relief of foreign body airway obstructions; the use of an automatic external defibrillator (AED) and the use of ambu-bags. Typically, Level C or Health Care Provider HCP CPR certification or recertification by the Heart & Stroke Foundation of Canada, the Canadian Red Cross or an entity with equivalent requirements are acceptable. Must include hands-on portion Online not acceptable
Common Deficiencies Insufficient time spent on Continuing Quality Improvement (CQI) Activities 3 year 75 hours of CQI Activities 80% or 60 hours Goal related 20% or 15 hours (optional) Non-goal related
Common Deficiencies Not providing enough information in the report on learning What did you learn while completing the goal? Did you make changes to your practice because of your learning? Please explain How did/will your learning make things better for your clients and/or practice? Please explain
Common Deficiencies Submitting goals or activities listed as unacceptable in the Continuing Competency Guidelines Clinical Practice should be related to: Dental hygiene science Dental hygiene practice Ethical & legal obligations Communication, cultural awareness, inclusive practice Infection Control Record Keeping
Brief Overview of Option 1: Practice Profile (formerly known as The Typical Day) For the current year of selection ONLY Learning Profile (formerly known as Forms 6, 7 and 8)
Setting Goals/Goal Statements Through Self-Assessment (whether through the CDHO Self-Assessment or you feel unsure about a topic) no set number
Bibliography
Cont d
Practice Profile
Practice Profile ADPIE Process of Care Infection Control Record Keeping
When complete Practice Profile I m all done Each Goal mark as complete and then click all boxes and Submit Goals Non-Goal Activities select all boxes and Submit Activities I m all Done Declaration Submit! January 2018 not sooner not later!
Sign up for QA Coach!
Audit Compliance Questionnaire Attached will be the Questionnaire App on your Smartphone schedule a 15 min call
QA Coach Access to QA webinars which can be added as activities for a QA Goal or non-goal hours 2017 Webinars: Practice Profile, Learning Portfolio, Infection Control, Record Keeping, Instrument Maintenance Help along the way call and email Campaigns step-by-step Recommendations to resources and sample goals providing activities $110 per year (25% ODHA membership benefit)