Quality Book of Tools
www.qualitybookoftools.ca1 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools
www.qualitybookoftools.ca2 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools
www.qualitybookoftools.ca3 Copyright © 2010 Cheryl Levitt and Linda Hilts
Quality Book of Tools
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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
Quality Book of Tools
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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.
Quality Book of Tools
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Institute for Healthcare ImprovementThe Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement.
Diabetes Spectrum. 2004;17(2):97-101.
Quality Book of Tools
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Indicators
Indicators identify the common elements that can be assessed
8 categories have 70 indicators:- 43 practice management- 27 clinical
Quality Book of Tools
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Types of Criteria
– required by law*
– required to demonstrate best practice
– required to demonstrate additional quality
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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
Quality Book of Tools
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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
Quality Book of Tools
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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
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