Measuring for Improvement

Presented by

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