1. Quality Management Partnership IDCA 2015 Annual Conference Dr. Rene Shumak, Clinical Lead, Mammography September 25, 2015

2. 2 QUALITY MANAGEMENT PARTNERSHIP T ODAY ’ S A GENDA Quality Management Partnership: Recap Implementation Timeline Phase 2 Report Recommendations Building the Governance Model Quality Reporting Discussion/Wrap-Up

3. 3 B ACKGROUND In March 2013, the Ministry announced a formal partnership between CCO and CPSO to develop provincial quality management programs for pathology, mammography and colonoscopy QUALITY MANAGEMENT PARTNERSHIP

4. 4 G OALS QUALITY MANAGEMENT PARTNERSHIP Increase the quality of care and improve patient safety Increase the consistency in the quality of care provided across facilities Improve public confidence by increasing accountability and transparency

5. 5 O UR A PPROACH QUALITY MANAGEMENT PARTNERSHIP Health System Leaders Providers / Clinical Expertise Patients Facility Leaders Administrative foundation Built on foundation of committees, working groups, internal team of CCO and CPSO staff Driven by expert advisory panels, patient/service users and clinical expertise Shaped by extensive stakeholder consultations

6. 6 Q UALITY M ANAGEMENT P ROGRAM F RAMEWORK QUALITY MANAGEMENT PARTNERSHIP Introduction of standards and guidelines to improve the consistency of care provided to all women across facilities Quality reporting at the provincial, regional, facility and provider levels A supportive three-tiered clinical leadership structure Resources and opportunities to support quality improvement

7. 7 K EY I MPLEMENTATION A CTIVITIES QUALITY MANAGEMENT PARTNERSHIP Stakeholder engagement, consultation, communications and change management Stakeholder engagement, consultation, communications and change management 2015/16 Release overview report on quality in Ontario Begin to establish clinical leadership structure (provincial, regional and facility leads) Prioritize recommendations for implementation Release overview report on quality in Ontario Begin to establish clinical leadership structure (provincial, regional and facility leads) Prioritize recommendations for implementation Finalize clinical leadership structure First release of QMP reports at provider, facility, regional and provincial levels Develop strategy to collect data on all mammography (screening and diagnostic) Finalize clinical leadership structure First release of QMP reports at provider, facility, regional and provincial levels Develop strategy to collect data on all mammography (screening and diagnostic) 2016/17

8. 8 QUALITY MANAGEMENT PARTNERSHIP P HASE 2 R EPORT R ECOMMENDATIONS Mammography Expert Advisory Panel made recommendations to ensure consistently high mammography quality across Ontario Focus today on key recommendations that align with existing programs Will also discuss some program design elements

9. 9 QUALITY MANAGEMENT PARTNERSHIP QMP R ECOMMENDATION #1: OBSP All eligible women screened in OBSP Physics inspections of all units Outcome reports for all radiologists reading mammography Image reviews for all mammography MRTs CAR-MAP accreditation for all radiologists, MRTs and mammography units at all facilities

10. 10 QUALITY MANAGEMENT PARTNERSHIP QMP R ECOMMENDATION #2: P EER R EVIEW Health Quality Ontario has developed recommendations for DI peer review Mammography peer review will align with HQO o Retrospective vs. prospective

11. 11 QUALITY MANAGEMENT PARTNERSHIP QMP R ECOMMENDATION #3: I MAGE AND R EPORT R EPOSITORY eHealth Ontario has developed 4 regional DI repositories that include images and reports from all hospitals and some IHFs Currently building DI common service that will integrate all hospitals, IHFs and referring physicians across Ontario Allows important comparison of images and information

12. 12 QUALITY MANAGEMENT PARTNERSHIP QMP R ECOMMENDATION #4: D IGITAL M AMMOGRAPHY Advantages include: More efficient image acquisition, archiving and portability Improved integration with other imaging modalities and with DI repository Film screen becoming obsolete Most sites already digital (Nov 2014 survey) HospitalIHFTotal SitesUnitsSitesUnitsSitesUnits DR105166124134231302 FS8109 1720 Total113176133144248322

13. 13 QUALITY MANAGEMENT PARTNERSHIP 9%9% I MPACT ON F ACILITIES

14. 14 QUALITY MANAGEMENT PARTNERSHIP O UR I MPLEMENTATION G OVERNANCE M ODEL Partnership Steering Committee Citizens’ Advisory Committee Health System Reference Group Pathology Provincial Committee* Mammography Provincial Committee * Colonoscopy Provincial Committee * Facility Leads (new) *Each Provincial Committee provides leadership and guidance to the Quality Management Program for the health service area: Regional Leads Radiologists Provincial Lead

15. 15 QUALITY MANAGEMENT PARTNERSHIP N EW : F ACILITY L EAD R OLE Selected by facility Must be radiologist with expertise in mammography Will be supported by training opportunities Responsibilities  Work closely with regional leads to review radiologist and facility quality reports and initiate quality improvement initiatives  Champion the QMP at the facility  Foster a culture of continuous quality improvement for the facility

16. 16 QUALITY MANAGEMENT PARTNERSHIP S UMMARY : W HAT THE M AMMOGRAPHY QMP M EANS FOR F ACILITIES Well-defined, consistent processes and practices for providing quality care More support and tools for continuing professional development/quality improvement Access to comparative quality data Implementation will be phased in, and we will continue to seek your input and advice.

17. 17 QUALITY MANAGEMENT PARTNERSHIP 9%9% Q UESTIONS ? C ONTACT U S : INFO @ QMPONTARIO. CA