QUALITY … … the final frontier. Quality in Family Practice Purpose: “To recommend and pilot test a programme in Ontario which promotes and celebrates.

Slides:

Advertisements

Similar presentations

VANDERBILT HOME CARE SERVICES Quality Of Documentation Of Rehab Staff Over The Course Of Patient Treatment.

Advertisements

Introduction to Competency-Based Residency Education

Tad P. Fisher Executive Vice President Florida Academy of Family Physicians Patient Centered Medical Home A Medicaid Managed Care Alternative.

Monthly Diabetes Team Meeting First Things First.

99.98% of the time patients are on their own “The diabetes self-management regimen is one of the most challenging of any for chronic illness.” 0.02% of.

Health Federation of Philadelphia

CVD Risk Factor Reduction Kelly Moore, MD, FAAP IHS Division of Diabetes Treatment & Prevention.

Diabetes.ca | BANTING ( ) 2008 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada Canadian Diabetes Association.

Process Redesign Connie Sixta, RN, PhD, MBA Patricia L. Bricker, MBA.

CCC Team Assessment of Care Coordination Capacity February 26, 2014 Care Coordination Collaborative California Institute for Mental Health Care Coordination.

ASaP Screening Methods Improvement Facilitator Training Session 1 Day 2.

Karen Scott Collins, MD, MPH July Public Benefit Corporation Governing:  11 Acute Care Facilities  Four Long Term Care Facilities  Six Diagnostic.

ACGME OUTCOME PROJECT : THE PROGRAM COORDINATOR’S ROLE Jim Kerwin, MD University of Arizona.

The Tayside Experience The Long Road To Implementation Peter Rice, Consultant Psychiatrist, NHS Tayside Alcohol Problems Service.

UPMC Matilda Theiss Health Center. UPMC hospital-based clinic  Only federally qualified health center within UPMC Serving a total of 1600 patients 

1 The Three Phases of Collaboration: Chronic Disease Management, Cancer Prevention, and Capacity Kim Salamone, Ph.D. Vice President, Health Information.

20,000 Days Campaign Storyboard Learning Session 3, March 2013

Implementing Self Management Support.

Diabetes Registry. The Care Model Informed, Empowered Patient Productive Interactions Prepared, Proactive Practice Team Improved Outcomes Delivery System.

PATIENT- AND FAMILY-CENTERED CARE: Partnerships for Safety & Quality Staff Physician & Resident Physician Toolkit.

Riverside County Health System Texting for Better Care Diabetes Self-Management Geoffrey Leung, M.D., Ed.M. Safety Net Innovation Network Gallery of Innovations.

A Pilot Study of a Care Coordination Model in a Community Health Center Peak Vista Community Health Centers September 16, 2015 Public Health in the Rockies.

1 Community-Based Care Readiness Assessment and Peer Review Team Procedures Overview Guide Department of Children and Families And Florida Mental Health.

1 CareFirst BlueCross BlueShield is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and.

UNIVERSITY OF MISSOURI Family & Community Medicine Improving Perfect Diabetes Care Performance Improvement Leadership Develop Program February 19, 2010.

Capital Coast Palliative Care Forum Waikato Experience of Developing a District Palliative Care Strategy Jan Hewitt.

Improving Nurse Record Keeping NORTHERN IRELAND NURSING/MIDWIFERY AGENCY EVENT FRIDAY 25 TH JANUARY 2013.

Marathon Family Health Team (MFHT). Marathon Family Health Team.

Gripesand Performance Improvement In Residency Auxford Burks, MD Albert Einstein College of Medicine Department of Pediatrics/ Jacobi Medical Center.

California Chronic Care Learning Communities Initiative Collaborative Final Outcomes Congress December 9, 2005.

Community Care Physicians Quality of Care Initiatives 2006 Bridges to Excellence Bridges to Excellence Performance Improvement Projects Performance Improvement.

New York State Department of Health Hospital-Medical Home Demonstration Reflections, Celebrations and Transformations.

Advanced Access Project Team Presentation San Mateo Medical Center Innovative Care Team October 30, 2008.

Benton Community Health Center January 2008 Benton Community Health Center  Total Number of Sites – 4  Initial Condition of Focus – Diabetes  Number.

AAP’s Chapter Quality Network Asthma (CQN2) Collaborative Put Names of QI Team/Practice Here Put Date Here Put your chapter logo here.

Orientation and Summer Institutes Implementer’s Forum October 2005 Susan Barrett PBIS Maryland.

Improving Clinical Processes: The Million Hearts ® Hypertension Control Change Package for Clinicians Erica K. Taylor, PhD, MPH, MA Million Hearts ® Minority.

Improving Medical Education Skills. Many Family Medicine graduates teach… D6 students New doctors who do not have post-graduate training Other healthcare.

Institutionalizing Quality Improvement in a Family Medicine Residency Fred Tudiver, MD East Tennessee State University.

Hamilton Family Health Team & Hamilton Developmental Service Organizations Better Health through Collaboration.

Summary of Action Period 1 TN Patient Safety Collaborative: Reducing Physical Restraints Learning Session 2 April 7, 8 & 9 th, 2009.

New Patient Information Revised February Our Team – 10 Family Physicians – 2 Registered Nurses – 1 Nurse Practitioner – 1 Registered Dietician –

The Role of Health Information Technology in Implementing Disease Management Programs Donald F. Wilson, MD Medical Director Quality Insights of Pennsylvania.

Summary of Action Period 2 TN Patient Safety Collaborative: Reducing Physical Restraints Learning Session 3 October 6, 7 & 8 th, 2009.

Transforming Care in Patient Centered Medical Home and Accountable Care Organization Hae Mi Choe, PharmD Director, Pharmacy Innovations & Partnerships.

PRACTICE TRANSFORMATION NETWORK 2/24/ Transforming Clinical Practice Initiative (TCPI) Practice Transformation Network (PTN)  $18.6 million –

I MPLEMENTING INTEGRATED M ULTIDISCIPLINARY M ODELS OF C ARE. D EBRA S TARR I NTEGRATED S ERVICE AND P LANNING M ANAGER.

Primary Health Care. Current State Future State.

Group Health’s experience September 24, 2015| Kathryn Ramos Implementing CDSME in an integrated health care system.

Improving Diabetic Care through Implementing Point of Care HbA1C and Utilizing the Care Coordinator in PCMH Josh Strehle, D.O. Jen Kirstein, RN, BSN.

QIIP MFP Members Betty Delmore, Lisa McCarthy, Doug Oliver, Deb Payne, Paulettte Parks, Cathy Risdon, Nancy Robson, Mike Spoljar.

Improving IPC Clinical Measures Model for Identifying Areas for Improvement Colleen A. Hayes MHS, RN IPC Learning Session #2 Denver, CO.

The Patient Centered Medical Home. Learning Objectives Identify the attributes of a patient centered medical home Describe some processes that facilitate.

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

Working as a team to help patients become healthier for life Chronic Condition and Lifestyle/Weight Management in Primary Care.

Health Planning Group November 2015.

Memorial Hospital FY17-19 Strategic Plan

Improving access through Innovation

WellOne Primary Medical and Dental Care

At the end of this talk, the resident will be able to:

ANNIE RUTTER, MD, MS & ELIZABETH MEZA, MD UNC-CHAPEL HILL

Practice Re-design in Residency Training

SouthWestern Academic Health Network (SWAHN)

Tara Kiran1,2, Alex Kopp2, Rick Glazier1,2

WellOne Primary Medical and Dental Care

New Patient Information Revised January 2018

Falls Risk Screening Program- Project Update

Workshops, Assignments and Work place visits

Risk Stratification for Care Management

Presentation transcript:

QUALITY … … the final frontier

Quality in Family Practice Purpose: “To recommend and pilot test a programme in Ontario which promotes and celebrates a culture of continuous quality improvement (CQI) in family practice.”

QIFP – The Basics McMaster Project ( 2000 ) Programme Development –Phase 1 –September 2003 to March 2005 Demonstration Pilot Project -Phase 2 –April 2005 to July 2007 Implementation – Phase 3 – Quality In the Units – Phase 4 – ??? Next steps?

Quality in Family Practice

The Quality Process Get the whole practice team involved Identify projects in each area Identify project leaders Allocate tasks Agree to meet regularly to work on projects Complete the on-line assessment tool External assessment visit The Quality Report Next steps?

QIIP – The Basics MOHLTC Initiative ( 2007 ) To assist the Family Health Team Initiative –Linking FHT’s and staff from the same discipline –Regional workshops –Resources / tools for FHT’s –Improvement agenda Learning Collaboratives FHT facilitators for on-site support

Learning Collaborative Quality improvement teams from different FHT’s Joint learning sessions, action periods 12 – 15 month period Plan Do Study Act (PDSA) cycles Results are measured and reported monthly Three areas of focus ( within a pilot practice ): –Chronic Disease Management –Prevention –Office Practice Redesign ( Access / Efficiency ) “Spread initiative”

Chronic Disease Management  Diabetes: - Increasing the percentage of diabetic patients registered in the Disease Registry - Increasing the percentage of DM patients with - A1C measurements / at-target A1C results - documented self-management goals - at-target BP readings - treatment with ACE-I or ARB - at-target LDL levels - retinopathy screening - foot examination - ACR screening re nephropathy

Prevention  Colorectal cancer screening: - Increasing the rate of FOBT screening or colonoscopy - Increasing the efficiency of follow-up of FOBT + patients

Office Practice Redesign  Access: - Increasing availability of appointment times for patients - Increasing continuity within practice teams, defined as supervising physician / residents - Decreasing patient waiting time / increased efficiency at the office visit

QIIP and the Quality Project

QIIP - A few personal reflections … Provided structure and focus to the work of the teams … Increased inter-disciplinary and inter-team discussions and problem-solving … Involvement of learners – Resident QA audits of the clinic using QIIP parameters ( Diabetes Management, Open Access ) Sometimes outcomes are REALLY hard to change! Sometimes change will sweep you away!