Date post: | 11-Jun-2015 |
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EAP
VIC
EQUIP
D’ASSISTÈNCIA
PRIMÀRIA VIC
COMPUTERIZED EVALUATION OF THE PRIMARY CARE PRODUCT AND HEALTH PROFESSIONALS: ITS
EFFICIENCY AND TECHNICAL QUALITY
Casanovas J, Serrarols M, Ledesma A, Carvajal JA, Gorrindo S, Ausió J.
DURBAN-WONCA 2001DURBAN-WONCA 2001
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VIC
Equip d’Atenció Primària Vic S.LCatalonia. Spain
OUTLINES
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Introduction: Why do we want to evaluate?
The computer skill to evaluate Primary Care product: PROSA. Episode and its indicators. Efficiency and technical quality.
Results of several indicators
Conclusions
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VIC
PRIMARY CARE
SERVICES
Why do we evaluate?
Health problems
•Optimal work conditions
•Evidence-based practice
•Appropiate technical resources
•Mr. Money!
•Limited resources
?
A computer skill: PROSA
Computerized clinical report
We evaluate patients, professionals and health provide company
EFFICIENCY
TECHNICAL QUALITY
SATISFACTION
INDICATORS EPISODES
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INDICATORS
numerical variables
effective, precise, quantitative, easily drawn
can be monitored to be followed
result indicators
set of basic indicators established with public health service
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Efficiency, tech. quality, satisfaction
EPISODE
Rx
Consulting
Patientsleave
Drug prescrip.
Time
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Laboratory
test
PROSA WORKING•Model
•Task manager
•PGD status
•Unit relative value index
•Configuration of costs
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Several indicators...
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Smoking screening in last two years
Screaning
SM
OK
E
PO
PU
LA
T>
15 y.o.
GP1 1081 2175
GP2 1343 1728
GP3 1222 1693
GP4 980 1681
GP5 839 1614
GP6 857 1707
GP7 176 489
6498 11087EAPVIC
49
,75
0,3
77
,72
22
,28
72
,18
27
,82
58
,34
1,7
51
,98
48
,02
50
,21
49
,79
35
,99
64
,01
58,6141,39
0
10
20
30
40
50
60
70
80
90
100
GP1 GP2 GP3 GP4 GP5 GP6 GP7
% Screaned % NO
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65
,81
34
,19
71
,16
28
,84
71
,37
28
,63
81
,17
18
,83
70
,38
29
,62
68
,41
31
,59
55
,17
44
,83
70,729,3
0
10
20
30
40
50
60
70
80
90
100
GP 1 GP 2 GP 3 GP 4 GP 5 GP 6 GP 7
MESURES IN MEASURES OUT
EAP
VIC2916GP 7
19321366
364249GP 6
341240GP 5
308250GP 4
248177GP 3
215153GP 2
427281GP 1
Nº
HB
P
<160/95
HBP (Average 3 last measures< 160/95)
EAPVIC
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% Diabetic with glycated haemoglobin < 7.5
A1c<
7.5%
Nº
DIA
B.
GP1 34 120
GP2 36 73
GP3 25 73
GP4 62 101
GP5 45 93
GP6 33 103
GP7 3 10
241 573EAPVIC
28,3371,67
53,4246,58
34,2565,75
61,3938,61
48,3951,61
32,0467,96
3070
42,0657,94
0
10
20
30
40
50
60
70
80
90
100
GP1 GP2 GP3 GP4 GP5 GP6 GP7
% HbA1c<7.5% % NO
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5000150002500
103125
20000225005000
104625
2500325002500
124875
7500
52500
17500194000
1000040000
25000
235125
5000
55000
10000
139750
25002500012500
107250
0
50000
100000
150000
200000
250000
300000
350000
400000
450000
GP1 GP2 GP3 GP4 GP5 GP6 GP7
Lab. Radiol. Consulting Drug presc. Time
Back pain; breaking down costs (whithout patients’ leave)
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Conclusions (1)
1. The evaluation of the result of our daily work not only with process indicators, bearing in mind patients and professionals opinion about their satisfaction with the public health service provider.
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Prosa allows us:
Conclusions (2)
2. The monitoring of the level of implementation of preventive activities and the control of chronic diseases in order to identify areas which can we improved by some health programmes. PROSA makes the identification of such areas an easy and fast process.
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Conclusions (3)
3. The creation of an incentive system for the professionals
4. The identification of differences in results between different
kinds of health services providers
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Conclusions (4)
5. The provision of clinical investigation lines after studying the results
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You can visit us in:You can visit us in: www.eapvic.comwww.eapvic.com
THANK YOU FOR THANK YOU FOR YOUR ATTENTIONYOUR ATTENTION