Primary Health Care Measurement in Canada

Transcription

1 Primary Health Care Measurement in Canada 2012 Accelerating Primary Care Conference / Tuesday, November 20, 2012 Greg Webster Director, Primary Health Care Information & Clinical Registries gwebster@cihi.ca & Patricia Sullivan-Taylor & Tanya Flanagan

2 About CIHI Mandate CIHI works to improve the health of Canadians and the health care system by providing unbiased, credible and comparable information for better informed decisions Vision Better data > Better decisions > Healthier Canadians A national, independent, non-profit agency 2

3 Strategic Priorities Improve the comprehensiveness, quality and availability of data Support population health and health system decision-making Deliver organizational excellence Foundations Privacy & Security, Data Standards and Quality, Information Technology, Partnerships 3

4 Main Messages for Today 1) We cannot achieve effective and efficient primary care or a coordinated and sustainable health care system without relevant primary care data and information 2) Relevant primary care data and information is increasingly available and affordable 3) Maximum value can be achieved through effective collaboration between all major stakeholders 4

5 Need for Better PHC Information Across Canada PHC Measurement Improved PHC Policies, Programs & Practices Understanding 5

6 PHC Measurement - Multiple Needs - Quality improvement and benchmarking - Policy analysis & planning - System-wide coordination - Performance measurement & management - Accountability - Accreditation - Multiple Levels - Practice-level - Population-based/policy/system level - Multiple Data Sources - Patient experiences, provider/clinic characteristics & EMR/admin/lab data 6

7 CIHI s PHC Data and Information Program CIHI is leading several initiatives to improve primary health care data and information - Work with multiple stakeholders to strengthen and improve PHC data available to clinicians and health system decision makers - Program of work includes both data and information solutions 7

8 PHC Indicators - To identify two sets of priority indicators - for Policy Makers - for PHC Providers - To ensure the measures for the priority sets of indicators are standardized, aligned with evidence-based guidelines, and are compatible with existing and developing data sources - To include broad stakeholder input in the updating process to ensure the indicators meet the needs of endusers - Pan-Canadian PHC Indicators available for uptake and use in the Fall

9 PHC Survey Tools - Supplement to EMR and administrative data sources - Jurisdictions and clinics conducting surveys to understand patient experience, provider experience and models of care-results not comparable Patient Experience Survey Provider Experience Survey - Validated, standard set for clinic, regional, provincial or national use Practice Based Survey - Core set of survey questions and supporting tools will be available for update and use in the Spring

10 PHC EMR Content Standard Developed Pan-Canadian PHC EMR Content Standard to support improved PHC data and information Developed Pan-Canadian PHC EMR Data Extract Specification to support the standardization of EMR data for clinical quality improvement and health system use Continue to provide adoption and implementation advice, documents and support to jurisdictions, Infoway and EMR vendors 10

11 PHC EMR CS Jurisdictional Adoption Jurisdictions implementing or planning to implement PHC EMR CS Jurisdictions supported by CIHI EMR demonstration 2012/ /14 TBD- Pilot Planning 2012/ / /14 NWT is in requirements gathering phase AB is in early planning phase for pilot SK is planning 11

12 PHC Voluntary Reporting System CIHI s PHC VRS is an EMR data source available for health system analysis & quality improvement for clinicians who use an EMR Participation is voluntary (>500,000 patients) Clinicians inform the design of the PHC VRS quality feedback reports Clinicians do not need to collect new data to participate, so it s easy to receive the benefits of the QI tools CIHI only collects a minimum amount of EMR data in a privacy sensitive manner to support PHC clinicians with quality improvement 12

13 Clinical Practice Quality Tools: Comparative Performance Report in PDF Source: CIHI PHC VRS

14 Interactive Clinical Practice Quality Tools: Electronic Comparative Performance Reports Patients with a diagnosis of diabetes who have a prescription for diabetes-related medication with A1C > 9.0 Source: CIHI PHC VRS

15 Collaborating from Coast to Coast - Provinces & Territories - Health Canada - Public Health Agency of Canada - Canada Health Infoway - Health Council of Canada - Statistics Canada - College of Family Physicians of Canada - Canadian Primary Care Sentinel Surveillance Network - Accreditation Canada - Canadian Institutes of Health Research - Canadian Primary Health Care Research & Innovation Network 15

16 Questions 1) How can EMR data support our common measurement goals at multiple levels? 2) Who would like to learn more about participating in the VRS EMR data project? Better data > Better decisions > Healthier Canadians. 16

17 Thank You & Questions Greg Webster Director, PHC Information & Clinical Registries Patricia Sullivan-Taylor Manager, PHC Tanya Flanagan Project Lead, PHC 17