Using electronic feedback reporting to support clinicians ability to understand and improve population patient care in primary health care

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1 Using electronic feedback reporting to support clinicians ability to understand and improve population patient care in primary health care Shaheena Mukhi Primary Health Care Information CPHA 2011 Monday, June 20, 2011 RM 524C from 10:30 12:00 1

2 Presentation Outline Background Methods Results Conclusion Presentation Outline 2

3 Background Electronic medical record (EMR) data are not collected in a structured way and are not easily accessed PHC clinicians typically have limited access to patient population information Jurisdictions are increasing EMR deployment and pan- Canadian PHC EMR Content Standard adoption to improve structured data capture for primary and health system use CIHI collaborates with jurisdictions, clinicians and researchers to improve: Availability of PHC information in Canada Use of EMR data for performance monitoring, quality improvement, and patient care Background 3

4 Vision, Mission & Goals VISION MISSION Healthier populations and sustainable health care through better primary health care information Increase the availability and effective use of relevant primary health care data and information across Canada 1. Data and Information Standards STRATEGI C GOALS 2. Data Source Development 3. Information for Measurement, Understanding and Use Driven by and Responding to Stakeholders Needs 4

5 PHC Voluntary Reporting System (PHC VRS) Improves quality, usefulness and availability of EMR data to: Support clinician-driven quality improvement initiatives Support regional, jurisdictional and national comparisons on evolving information needs Inform policy development/evaluation, health system management and performance improvement at various levels Background 5

6 PHC VRS Methods Clinical Practice Quality Tools 1. Quality Management and Improvement Compass (QMIC) Clinicians use this dynamic comparative tool to evaluate their care across seven dimensions: Effectiveness, access, service utilization, care coordination, assessment measurement, outcomes and efficiency 2. Patient-Centric Provider Feedback Reports Clinicians use this report for quality improvement and population based planning; comparative analysis to practice and PHC VRS and trending over time Methods 6

7 QMIC Development Methods Environmental scan, literature review and clinical input on prototype designs A subset of priority EMR data extracted, transformed and calculated Free text, ICD 9 codified and numeric data Patient demographics, diagnosis, reason for encounter, lab results, measurements and risk factors Clinician user acceptance testing Hosted pan-canadian workshop Methods 7

8 QMIC Modules 1. e-reporting Module 2. e-case Confirmation Module 3. e-data Export Module Clinicians can increase clinical use of EMR data for patient care and quality improvement initiatives Clinicians can use their own EMR data to confirm cases of patients with chronic condition Clinicians can securely view a detailed summary report of at risk patients who may require priority follow up Methods 8

9 ereporting Module Modifiable Risk Factors EMR Data that Makes a Difference Source: CIHI PHC VRS

10 ereporting Module Uncontrolled Lab Results EMR Data that Makes a Difference Source: CIHI PHC VRS

11 ereporting Module Service Utilization EMR Data that Makes a Difference Source: CIHI PHC VRS

12 QMIC Case Confirmation Module Allows clinicians to confirm patients with asthma, CAD, COPD, diabetes, depression, hypertension or osteoarthritis Methods 12

13 QMIC Data Export Module Allows for the selection of individual patients based on specific criteria, used to prioritize patients for follow-up Methods 13

14 Results Clinicians use interactive reports to: Compare their own patient population to their practice and PHC VRS Identify high risk patients with multiple co-morbidities and prioritize follow-up care and interventions Identify chronic diseases program development opportunities for patient self-care management Build population health knowledge capacity in PHC Results 14

15 QMIC is Increasing the Use of EMR Data to Improve Patient Care in PHC Practices Dr. David Daien Family Physician Summerville Family Health Team Results

16 Conclusion Clinicians and jurisdictions participate in the PHC VRS and use dynamic reports to understand and improve quality, access and outcomes Feedback and lessons learned will: Inform quality initiatives aimed at transforming evidence to innovation Quantify benefits and disseminate knowledge in a privacy sensitive manner Increase utility of EMR data for primary and health system use Expand participation to support comparative regional, provincial and national reports by 2015 Conclusion 16

17 Thank You! For more information, please contact: Shaheena Mukhi (416)

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