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QUALITY …

QUALITY …. … the final frontier. Quality in Family Practice. Purpose: “To recommend and pilot test a programme in Ontario which promotes and celebrates a culture of continuous quality improvement (CQI) in family practice.”. QIFP – The Basics. McMaster Project ( 2000 )

jillian-erickson
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QUALITY …

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  1. QUALITY … … the final frontier

  2. Quality in Family Practice Purpose: “To recommend and pilot test a programme in Ontario which promotes and celebrates a culture of continuous quality improvement (CQI) in family practice.”

  3. QIFP – The Basics • McMaster Project ( 2000 ) • Programme Development –Phase 1 • September 2003 to March 2005 • Demonstration Pilot Project -Phase 2 • April 2005 to July 2007 • Implementation – Phase 3 • 2007-2008 • Quality In the Units – Phase 4 • 2008 - ??? • Next steps?

  4. Quality in Family Practice

  5. The Quality Process • Get the whole practice team involved • Identify projects in each area • Identify project leaders • Allocate tasks • Agree to meet regularly to work on projects • Complete the on-line assessment tool • External assessment visit • The Quality Report • Next steps?

  6. QIIP – The Basics • MOHLTC Initiative ( 2007 ) • To assist the Family Health Team Initiative • Linking FHT’s and staff from the same discipline • Regional workshops • Resources / tools for FHT’s • Improvement agenda • Learning Collaboratives • FHT facilitators for on-site support

  7. Learning Collaborative • Quality improvement teams from different FHT’s • Joint learning sessions, action periods • 12 – 15 month period • Plan Do Study Act (PDSA) cycles • Results are measured and reported monthly • Three areas of focus ( within a pilot practice ): • Chronic Disease Management • Prevention • Office Practice Redesign ( Access / Efficiency ) • “Spread initiative”

  8. Chronic Disease Management • Diabetes: - Increasing the percentage of diabetic patients registered in the Disease Registry - Increasing the percentage of DM patients with • A1C measurements / at-target A1C results • documented self-management goals • at-target BP readings • treatment with ACE-I or ARB • at-target LDL levels • retinopathy screening • foot examination • ACR screening re nephropathy

  9. Prevention • Colorectal cancer screening: - Increasing the rate of FOBT screening or colonoscopy - Increasing the efficiency of follow-up of FOBT + patients

  10. Office Practice Redesign • Access: - Increasing availability of appointment times for patients - Increasing continuity within practice teams, defined as supervising physician / residents - Decreasing patient waiting time / increased efficiency at the office visit

  11. QIIP and the Quality Project

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