1. Welcome Alberta Screening & Prevention Initiative Improvement Facilitator Training Session 2

2. Objectives Agenda Updates Quick Review of Session 1

3. Today’s Agenda TimeActivity 9:00Welcome & Updates 9:30Who Does What? 10:15Break 10:30Process Redesign 12:00Lunch 12:45EMR 1:30QI Tools 2:15Break 2:30Facilitation Skills 3:15Partnerships & Supports 4:00Wrap Up

4. ASaP Training Plan Improvement Facilitators & Chart Reviewers You Are Here

5. 5 Quality is a system property; if we want better results, we have to change the system. - Berwick, 2003 “Some is not a number, soon is not a time.” - Dr. Don Berwick, Institute for Healthcare Improvement

6. EPICS IIb Results % of age/gender appropriate patients to whom screening was offered 50 patient charts per review (October, December, March) Patients having presented for an encounter and due for screening Females (21-74 years), Males (50-74 years) Also reviewed for patient screening completion rates No significant change, but evidence of regular “reminding” at encounters Chart ReviewCervicalBreastColorectal Pre-intervention 74%85%80% Post-intervention 94%100%88% Sustainability 100%

7. Updates Since Session 1 Binder Documents – B1 First Visits with Provider Checklist – B11 HQCA Report Consent Form – G2 ASaP Literature Search Summary – G7 HQCA Report

8. The ASaP Intervention 8 Panel Identification Focused Improvement Build on Success Document process to ID patient/provider attachment Generate patient lists for screening Choose + document screening methods: opportunistic and/or outreach Choose + document screening maneuvers Define & document team roles & responsibilities Test small change (PDSA) Standardize processes Measure reliability of processes Apply for CME credits Identify other clinical improvement opportunities Baseline Chart Review & Current Screening Process Assessment 4-Month Follow Up Chart Review & Screening Process Assessment Sustainability Chart Review & Continued Follow-up Reviews 30 days 60 days Ongoing

9. Improvement Facilitator Training Improvement Facilitator – Building PCN Quality Improvement (QI) Knowledge and Capacity TOP Clinical Process Advisor Designated QI support specialist Quality Improvement Training in Cohort 2+1+1 = 4 days face- to-face Cohort Webinars Community of Learning Training Cohort Other Cohorts QI community building QI Knowledge Resources Institute for Healthcare Improvement (IHI): Open School Other resources Electronic Medical Record Knowledge Resources Screening and prevention