Measuring for Improvement
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Privacy of Data & Information collected about practice
What happens to the data collected?
Organisation Level of data viewable
Practice Number and percentages for own practice population
Division Aggregated de-identified data by practices within the division
APCC Aggregated de-identified data for all the practices in the Program
DoHA Aggregated de-identified data by Wave
What are the Monthly Measures?
How to Extract Measures
CHD - clinical program
Diabetes - clinical program
Access & Care Redesign – manual collection
Extracting CHD & Diabetes MeasuresPen Computing System Clinical Audit Tool (CAT) – Automatic
Lodgement of data: MD2/3, Best Practice, Genie, ZedMed currently.
APCC native report:MD3, Genie, Communicare, Best Practice, Zedmed, Medtech 32
Canning NPI Tool & APCC extraction tool:MD2/3, Medical Spectrum, Practix, Best Practice, Medtech 32
Not currently supported:Profile and some smaller providers
Baseline Data Submission
CHD & diabetes baseline – 2 September 09 Access & care redesign baseline – 7 October 09
Your baseline data is your starting point Monthly measures & PDSAs - due before first
Wednesday of each month
Improvement Model: PDSAs
2 - 3 PDSAs cycles per month
Enter into Web Portal for feedback, support and good examples
Improvement Model challenge:23 September 2009 – change for 8 days after oriention date
Why Collect Measures?
View progress of improvement View the effect of PDSAs Make comparisons with others Better understand patient population
Improving Data Quality
• Rubbish in, Rubbish out
• Questions to consider in Handbook e.g. what is a disease register and how do I create one?
• Disease Coding
Using the Web Portal
Practice Home Page
Data Entry
PDSA Entry
Viewing Progress
Practice level graphs in the Web Portal APCC Program Graphs
Wave, Divisional level
Practice Trend Graphs in the Web Portal
Wave GraphsWave Three % Improvement
Baseline to Month 6 (December 2006)
9.66%
70.16%
0.79%
29.24%
49.58%
4.84%
106.91%
51.39%
13.18%12.65%
135.84%
9.23%9.66%
-20%
0%
20%
40%
60%
80%
100%
120%
140%
CHD No
CHD Asp
irin
CHD S
tatin
CHD MI
CHD BP
DIA N
o
DIA H
bA1c
DIA C
holes
tero
l
DIA B
P
DIA S
IP
ACC Day
of C
hoice
GP 3rd
Ava
il
Nurse
3rd
Ava
il
Division Graphs
Division and practice discuss monthly
feedback on measures & PDSA cycles
Monthly Feedback
Practice
APCC
Division
Practice submits monthly data (ORS)
1
3
2
APCC provides feedback graphs to
Division & gets feedback on practice
progress
Support
Measuring for Improvement section in Handbook
Website Division SBO APCC team
Key Data Submission Dates
CHD & diabetes baseline – 19 August 09 Access & care redesign baseline – 2 September 09 Improvement Model challenge – 23 September 09
(will change depending on date of session)
Monthly measures & PDSAs - due before first Wednesday of each month
(Except Jan 2010 and 2011 due by 2nd Wednesday due to the holiday period)
Key Data Submission Dates
PLEASE REFER TO THE DATA SUBMISSION
TIMETABLE IN YOUR PACK
Next Steps for the web portal
The IFA will send each of the practice participants a username and password to access the web portal.
Use this to log into the web portal To view results Access resources Maintain your contact details (check
them when you log on)
“The NPCC enabled us to achieve in six months what we failed to achieve in six years” Floreat Surgery, SA
“We went searching for gold? EUREKA we found it through the Collaborative experience”Carn-Brae Clinic, Ballarat
“Our practice would like to take this opportunity to thank APCC program for the opportunity to be part of this wave. It has most certainly been of benefit to our practice, but most importantly our patients”Ayr Medical Group, Qld
Remember: “IT’S ALL ABOUT IMPROVEMENT!”
Challenge for Phase 2