Transforming CBPHC Delivery Through Comprehensive Performance Measurement and Reporting.

Slides:

Advertisements

Similar presentations

Physician Assistants Optimizing Patient Care. Presentation Objectives What is a PA? Scope of Practice PAs in Canada PAs benefiting the Health Care System.

Advertisements

Family Doctor for All Overview & Research Opportunities Kristin Anderson Director, Primary Health Care Branch Applied Health Research.

11 Securing the Future of Canada’s AHSCs… NATIONAL CONSULTATION FORUM Sheraton Hotel – Ottawa January 28 & 29, 2010 Dr. Nick Busing Co-chair, Steering.

YOU’VE BEEN FLAGGED Improving Patient Outcomes Using a Patient Admission Notification System Team : Kim Norman (Clinical Nurse Educator). Katie Cave (Patient.

The Commonwealth Fund 2014 International Health Policy Survey of Older Adults in Eleven Countries International Survey Webinar April 1, 2015 Donald Moulds.

Primary Healthcare Reform The Australian Experience Professor Mark Booth First Assistant Secretary Primary and Mental Health Care Division Department.

Collaboration Between a Health Plan and a Community Health System to Improve Care Coordination for a Medicaid Population Karen Michael, RN, MSN, MBA Vice.

The primary care excellence model Increasing Colorectal Cancer Screening Uptake with a Patient Navigator Dr. Brian Mitchell, Co-Investigator Northern Ontario.

1 Canadian Institute for Health Information. Disparities in Primary Health Care Experiences Among Canadians With Ambulatory Care Sensitive Conditions.

How to Measure Quality of Care in Family Practice Using Administrative Data Alan Katz, Ruth-Ann Soodeen, Bogdan Bogdanovic, Carolyn De Coster, and Dan.

Inter-jurisdictional Service Delivery Initiatives Overview of Key Potential Opportunities Victor Abele Public Sector Service Delivery Council February.

MaineHealth ACO in Context W 5 Who? What? Why? When? HoW? 1.

Reporting to consumers - International, national and local experience Principles, guidelines and practical steps Hilary Russell Director - Development,

The Commonwealth Fund 2006 International Health Policy Survey of Primary Care Physicians in Seven Countries Cathy Schoen, Robin Osborn, Phuong Trang Huynh,

Building a Community of Practice and leveraging Collaboration towards shared Innovations Jane Hsieh, Executive Director SCIKMN June 3, AM Theme 1B.

1 Medicaid Quality Incentive: Plan for Reducing Preventable Emergency Room Visits Department of Social and Health Services Health & Recovery Services Administration.

ORIENTATION SESSION Strengthening Chronic Disease Prevention & Management.

Alberta Health and Wellness CHILDREN’S MENTAL HEALTH PLAN FOR ALBERTA: THREE YEAR ACTION PLAN ( )

A Major Collaborative Research Initiative funded by the Social Sciences and Humanities Research Council of Canada OWNERSHIP MATTERS Pat Armstrong, PhD,

Positive Spaces. Healthy Places. An Ontario wide, community-based research study which aims to explore the intersections of HIV, Housing and Health. XVI.

Patient Centered, Community Designed, Team Delivered A framework for achieving a high performing Primary Health Care system Saskatchewan has embarked.

OntarioMD’s EMR Maturity Model & Reporting Advancing Optimization and Use e-Health 2013 Accelerating Change Conference Presented By: Darren Larsen, MD,

Picture Seniors Health Services Presentation to Health Advisory Councils October 13, 2012 Cheryl Knight, Seniors Health Primary & Community Care

Developing a Patient Centric Geriatric Home Based Care Management Model Presented by: Gail Silver, MS, APRN, GNP, BC.

Health Statistics Information on STC website Calgary–DLI training–Dec 2003 Michel B. Séguin, Statistics Canada,

What we Measure Matters Sharon Johnston, MD, LLM, CCFP University of Ottawa William Hogg, Hons. BSc, MSc, MClSc, MD, CCFP, FCFPC University of Ottawa.

From Policy to Implementation World Bank Washington, D.C. Rodrigo Saucedo-Martínez Principal Investigator Wireless Communication for Health.

The BC Clinical Care Management Initiative as a Case Study in Large Scale Change CARES International Conference on Realist Approaches, October 29,

Intersectoral Collaboration on Non-Medical Determinants of Health: The Role of Health Regions in Canada Dr. James Frankish Institute of Health Promotion.

Presentation to the Virtual Ward June 7 th, 2011 Physician eHealth Program David Banh eHealth Ontario.

Healthy Canada by Design (HCBD) Coalition Linking Action & Science for Prevention (CLASP) Initiative Presentation to the Federation of Canadian Municipalities.

Monitoring public satisfaction through user satisfaction surveys Committee for the Coordination of Statistical Activities Helsinki 6-7 May 2010 Steve.

Hospital Discharge Transitions: Follow-up in Primary Care for High Risk Medicaid patients CFCC PCMH High Risk Patient working- group.

The Commonwealth Fund 2006 International Health Policy Survey of Primary Care Physicians in Seven Countries The Commonwealth Fund 2006 International Symposium.

Health System Strategy in British Columbia BCSLA Annual Conference Doug Hughes, ADM, Ministry of Health September 28,

Regulation Inside Government: Approach and lessons learned Punita Goodfellow, Better Regulation Executive, Cabinet Office, UK.

Female Condom Intervention Trial (FEMIT) Kyung-Hee Choi, PhD, MPH, Principal Investigator Cynthia Gomez, PhD, Co-Investigator Olga Grinstead, PhD, MPH,

Health data in Ontario Susan Bondy, U. of Toronto Dalla Lana School of Public Health Presented at: Health Over the Life Course, Pre-conference Workshop.

Craig Kuziemsky April 24, The need for a MDS for HPEOLC 2. Existing work – Canada 3. Existing work - International 4. Discussion 5. Questions.

EMBARGOED UNTIL TUESDAY DECEMBER 8, 2015 Robin Osborn and Eric Schneider The Commonwealth Fund 2015 Commonwealth Fund International Health Policy Survey.

Innovations in Primary Care: Implementing Clinical Care Management in Primary Care Practices Judith Steinberg, MD, MPH Deputy Chief Medical Officer Jeanne.

Health Planning Group November 2015.

Meaningful measurement TRANSFORMing primary care by improving the science and reporting of performance Sabrina T Wong; Rebecca S. Etz; Fred Burge; Robert.

BC SUPPORT Unit: Overview and update

Martin-Misener, R. , Wong, S. , Johnston, S. , Burge, F. , Scott, C

Health Links: Excerpts from the Q3 Report

Knowledge Translation for Policymakers

An automated practice-based patient survey

IT Solutions – Improving Timely Access to Health Care

Developing population segments with

ACCESS-MH Atlantic Canada Children’s Effective Service Strategies in Mental Health Barriers and Facilitators in Access to Child/Youth Mental Health Services.

Readiness Consultations

In a sea of data and measures how do we navigate to ensure the right information reaches its destination? Creating a learning system using primary care.

embargoed until 12:01 A.M Nov 15, 2012 Teleconference Chart Pack

Citizen, consumer, and patient roles in using publicly reported primary healthcare performance information Lessons from citizen-patient dialogues in three.

A feasibility study of an automated practice-based survey

Yung-En Chung, Julie Abelson, Sabrina T

Performance Measurement and Rural Primary Care: A scoping review

Improving the performance reporting of primary care patient experience

Primary health care performance measurement initiatives across three Canadian provinces Martin-Misener, R., Johnston, S., Burge, F., Blackman, S., Scott,

Patient-Reported Dimensions of Primary Care Performance TRANSFORMATION Study Results for the Central Zone Presented by Fred Burge and Stephanie Blackman.

Schizophrenia Care for Adults in Hospitals

Primary Care Performance Measurement and Reporting

Major Depression Care for Adults and Adolescents

Citizen, consumer, and patient roles in using publicly reported primary healthcare performance information Lessons from citizen-patient dialogues in three.

Primary Care Performance Measurement and Reporting

Improving the performance reporting of primary care patient experience

Research Orientation & Training for Investigators and Research Staff

Towards Integrated Health in Ontario

and the Primary Care Networks

Presentation transcript:

Transforming CBPHC Delivery Through Comprehensive Performance Measurement and Reporting

Project Team Principal Investigators Nominated PI: Sabrina Wong (University of BC) Co-PI: Bill Hogg (University of Ottawa) Co-I: Fred Burge (Dalhousie University) Co-Investigators Julia Abelson (McMaster University) Antoine Boivin (U of Sherbrooke) John Campbell (University of Exeter, UK) Khaled El Emam (University of Ottawa) Rick Glazier (Institute for Evaluative Sciences) Jeannie Haggerty (McGill) Sharon Johnston (Bruyère Research Institute) Alan Katz (University of Manitoba) Jean-Fred Levesque (Bureau of Health Info, Australia) Kim McGrail (UBC Centre for Health Services & Policy Research) Walter Wodchis (University of Toronto) Cathie Scott (University of Calgary) Decision-Makers John Abbott (Health Council Canada) Heather Davidson (BC Ministry of Health) Victoria Lee (Fraser Health Authority) Michelle Rey & Wissam Haj-Ali (Health Quality Ontario) Paul Roumeliotis (Eastern Ontario Health Unit) Collaborators Annette Browne (University of BC) Marilyn Ford Gilboe (University of Western Ontario) Bev Holmes (Michael Smith Foundation for Health Research) Anthony Mar (Cliniconex) Steve Morgan (UBC Centre for Health Services & Policy Research) Monica Taljaard (Ottawa Hospital Research Institute) Colleen Varcoe (University of BC)

Funders, Stakeholders and Partners EQUIP Healthcare

1 2 3 The Study Regions 3 Sites in 3 Provinces 1.Fraser East (in Fraser Health) 2.Eastern Ontario Health Unit 3.Capital Health *All regions were selected from Peer Group A, groups identified by Statistics Canada as having similar social and economic make up

Sampling In each of 3 health regions: –40 practices –2 clinicians providing general medical care –20 patients per organization

What to Measure Framework for primary care organizations: the importance of a structural domain. Int J Qual Health Care, 2008; 20(5):

How to Measure –Linked Patient, Provider and Organizational Surveys –Health Administrative Data

The Patient Experience Survey Length of survey Linking responses Cost of survey

Study 2: Policy Context Case Study Objective: –To examine contextual facilitators and barriers that may explain regional variation in CBPHC performance

Research Questions What are the characteristics of: 1.The populations served by the CBPHC practices in each of the 3 study regions and 2.The CBPHC practices themselves? In the past five years, what CBPHC innovations have been implemented in each of the 3 study regions and how have they impacted practices’ performance?

Study 3:Deliberative Dialogues on PHC performance Reporting Research Questions: What dimensions of CBPHC are of greatest priority for measurement and public reporting to promote accountability and public engagement in health system decision-making? How is public information on CBPHC performance used by individuals; acting as patients and/or acting as citizens? What is the best way to report performance results to different stakeholders: governance level (clinic, region, province), format, mode?

Deliberative Dialogues Full day Deliberative Dialogue (DD) sessions in BC, ON, NS with patients from practices Each region: one DD with complex patients and one with low health system user patients Discussions on: Priority indicators to measure and report? How do patients and the public use publicly reported PHC performance data? Best formats for reporting on PHC performance.

Pilot study: Automating the Patient Survey Traditional patient survey in waiting room –Captures views of attenders –Long –Less flexibility to adjust centrally and redistribute when paper-based –Tablet-based more expensive and still requires survey administrator –Harder to link to ER –Follow-up timing options are limited

Automated Patient Survey Automated interactive voice response surveys linked to EMR eg. after hospital discharge Existing primary care practice-based platform for automated patient phone and reminders for appointments, practice notifications, etc. This is an opportunity to harness emerging technology to create a more flexible and sustainable patient survey method which can be scaled up or limited to a single practice.

Automated Patient Survey Patients who fill out the waiting room survey will be asked to consent to a follow up automated survey of 3-6 questions within 72 hours –Telephone, preference Analyse degree of reachabilty by this method and respondent profile

Automated Patient Survey Long term potential would be linked to EMR and deployed by preset parameters Automated survey questions could be linked to phone call reminders about flu shot clinics, appointment reminders, preventive care reminders, change of clinic hours notices, etc. Survey question burden per patient minimised as spread over large practice roster

Patient Survey Lessons Timing of questions for patients matters: Before or after visit, 1 week or 6 months later How you distribute a survey matters: Waiting room sample versus roster sample Be clear on purpose of questions: Is the question the right one for the purpose? General satisfaction is important –but not for the purpose of improvement

Thank you