1. HQCA & Primary Care Measurement
Roland Simon, Markus Lahtinen, Jody Pow

2. HQCA Primary Healthcare Panel Reports

3. Primary Healthcare Patient Panel Reports
Started this work in 2011
Currently reporting to ~900 family physicians and 42 Primary Care Networks (PCNs)
Available to all practicing family physicians (~4,000)

4. Changes
The HQCA and Alberta Health put together a reference committee to guide the contents and layout of the reports
Three working groups:
report design
subject area
education (2018)
Informed by annual evaluation survey

5. Updated measures are useful and actionable

6. New dashboard to help identify successes and areas for improvement

7. New format for easier reading and interpretation

8. Sections of the report Practice characteristics Panel characteristics
Preventative care and imaging
Chronic conditions and frequent diagnoses
Pharmaceuticals
Utilization
Practice Char’tics: Total visits, m/f visits, return visit rate
Panel: Size, gender, physician & clinic continuity
Preventive: Screening measures diabetes, lipids, CRCancer, breast - schedule b measures
Chronics: top 10 treated conditions, kidney disease screening, annual care plans
Pharma: Aligned with Choosing Wisely. Antipsychotics in adults 65+, antibiotics for acute sinusitis. Removed opioids – reported by CPSA
Utilization: GP Visits, specialist visits, GPSCs

9. Types of reports Physician Proxy Panel Report
Physician Confirmed Panel Report
Clinic Report
PCN Report

10. Primary Care Patient Experience Survey

11. Development Incorporate stakeholder feedback and needs Patients
Does survey content resonate?
Is it easy to understand?
Physicians
Are results actionable?
Can they inform practice improvement?
PCNs
Does the content help inform needs?
Inclusion of Schedule B measures
Rapid & low cost

12. Could you get today’s appointment when you wanted?
Access
Could you get today’s appointment when you wanted?

13. How would you rate the way this doctor listened to you?
Communication
How would you rate the way this doctor listened to you?

14. Coordination of care/team-based care
How often did your healthcare team seem to effectively coordinate your care?

15. Treatment plans and care priorities
How often were members of your healthcare team consistent in what they told you about your treatment plan?

16. patient reported outcome measures
EQ-5D-5L
patient reported outcome measures

17. Demographics
E.g., age, gender, income

18. Overall ratings Physician Visit today
Using any number from 0 to 10, where 0 is the worst doctor possible and 10 is the best doctor possible, what number would you use to rate this doctor?
Physician
Visit today

19. Schedule B Indicators Patient satisfaction indicator
Overall, how would you rate the care you received in your visit today?
Patient-reported quality of life
EQ-5D-5L
Self-management supports (?)
Multiple questions on survey

20. Primary Care Patient Experience Survey
Website: