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LOCAL EXPERIENCES
Innovation practices and experiences related to FIC development and implementation
Mireia Fàbregas
EQA: Indicators to improve quality of care in primary health care
EQAIndicators to improve
quality of care in primary health care
Mireia Fàbregas
EAP La Marina, Barcelona
SISAP Management Information Systems
Catalan Health Institute, Spain
From data to eHealth tools
3
1 minute background
Primary Care
Catalan Institute of Health (ICS)
325 Practices
4.463 GP
4.165 Nurses
Other Providers
6.096.802
People
From data to eHealth tools
4
over 8.000 professionals
ECAP
Data collection
eHealth tool: clinical quality
indicators (EQA)
What do we aim?
5
We pursue clinical excellence
EQA
Best evidence available
Improve the quality of our health care
Other eTools
Reminders
Alerts
Self-made queries
Research
Where does our data come from?
6
Structured data• Diagnoses• Prescriptions• Tests and measure values• Lab tests• Immunizations• Tests requested
Unstructured data
clinical notes
Diagnoses ICD-10
7
Diagnoses ICD-10
8
Prescriptions
9
ATC
Test and measure values
10
over 2.000
Lab tests, immunisations and tests requested
11
From data to eHealth tools
12
Data collectioneHealth tool: clinical quality
indicators (EQA)
1. Indicator
2. Result
3. Number of patients with clinical condition to improve
From data to eHealth tools
From data to eHealth tools
14
From data to eHealth tools
15
Are we getting what we aimed for?
16
05-AVC: Tractament antiagregant
76,00
78,00
80,00
82,00
84,00
86,00
88,00
90,00
92,00
94,00
96,00
98,00
mesos
% patients
2007 2008 2009 2010 2011 2012 2013
% patients with stroke who receives antiplatelet treatment
Feedback assessment: improving results
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To conclude
18
Daily work
Data collectio
n
Clinical healthcare indicators
+other eTools
Better quality of care
thank you
19