Welcome Alberta Screening & Prevention Initiative

1. WelcomeAlberta Screening & Prevention Initiative Improvement Facilitator Training Session 2

2. Objectives • Agenda • Updates • Quick Review of Session 1

3. Today’s Agenda

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

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

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

9. Improvement Facilitator Training