Quality Book of Tools 1 Copyright © 2010 Cheryl Levitt and Linda Hilts.

Quality Book of Tools

www.qualitybookoftools.ca1 Copyright © 2010 Cheryl Levitt and Linda Hilts







Comparison of Categories

Quality Book of ToolsOntario Health Quality

CouncilInstitute of Medicine

Patient-Centred Patient-Centred Patient-Centred

Equitable Equitable Equitable

Timely & Accessible Accessible Timely

Safe Safe Safe

Effective Clinical Practice Effective Effective

Efficient Efficient Efficient

Integrated & Continuous Integrated

Appropriate Resources Appropriately Resourced



Plan Develop a plan for improving quality

Do Execute the plan, first on a small scale

Study Evaluate feedback to confirm or to adjust the plan

Act Make the plan permanent or study the adjustments

Don BerwickBerwick DM. A Primer on Leading the Improvement of Systems. BMJ. 1996;312:619-622.



Institute for Healthcare ImprovementThe Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement.

Diabetes Spectrum. 2004;17(2):97-101.





Indicators

Indicators identify the common elements that can be assessed

8 categories have 70 indicators:- 43 practice management- 27 clinical



Types of Criteria

– required by law*

– required to demonstrate best practice

– required to demonstrate additional quality



EfficientSub-Category F.1 Efficient Information Management Indicator F.1.1 There is a system to manage patients’ tests and reports efficiently Criteria F.1.1.1 The practice team has a system for avoiding duplication of tests and

referrals F.1.1.2 The practice team has a system for ensuring patients’ test results are

ready and available for the next appointment F.1.1.3 The annual patient satisfaction survey asks whether the patient had

unnecessary repeat testing or delays in receiving test results or consultant reports



Criteria and InterpretationF.1.1.1 The practice team has a system for avoiding duplication of tests and

referralsInterpretation• The practice management can describe how tests and

referrals are tracked to avoid duplication

F.1.1.2 The practice team has a system for ensuring patients’ test results are ready and available for the next appointmentInterpretation• Management can describe how the practice team ensures

that test results and reports are available for the next appointment

F.1.1.3 The annual patient satisfaction survey asks whether the patient had unnecessary repeat testing or delays in receiving test results or consultant reportsInterpretation• A patient satisfaction survey includes question(s) on

unnecessary repeat testing and delays in receiving results or consultant reports



Further Information (see up to date links at http://quality.resources.machealth.ca)

White B. Preventing Errors in Your Practice: Four Principles for Better Test-Result Tracking. Fam Pract Manag [Internet]. 2002 Jul/Aug [cited 2010 Jul 22];9(7):41-44.Available from: www.aafp.org/fpm/20020700/41four.html

College of Physicians & Surgeons of Ontario. Medical Records [Internet]. 2006 Mar/Apr [cited 2010 Jul 21].Available from: www.cpso.on.ca/policies/policies/default.aspx?id=1686

http://quality.resources.machealth.ca/

http://quality.resources.machealth.ca/

http://www.aafp.org/fpm/20020700/41four.html

http://www.cpso.on.ca/policies/policies/default.aspx?id=1686

http://www.cpso.on.ca/policies/policies/default.aspx?id=1686



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Quality Book of Tools 1 Copyright © 2010 Cheryl Levitt and Linda Hilts.

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