measuring the value of interprofessional primary care teams · measure the value of...
TRANSCRIPT
Background
Measuring the Value of Interprofessional Primary Care Teams
Catherine Donnelly, OT Reg. (Ont.) PhD,1,2 Nicole Bobbette, OT Reg. (Ont.) PhD (c)1,2 , Amanda Mofina, OT Reg. (Ont.) PhD (c)2, Rachelle Ashcroft, SW, PhD3, Carol Mulder, PhD4
1. Department of Family Medicine; 2. School of Rehabilitation Therapy, Queen's University; 3. University of Toronto; 4. Association of Family Health Teams of Ontario (AFHTO)
Objective
Methods Key Messages
References/Contact
The purpose: 1) identify current practices supporting and measuring the impact of collaboration in IPC teams, and 2) identify IPC performance indicators from an interprofessional health provider (IHP) perspective.
Despite the increasing emphasis on interprofessional primary care (IPC) models across Canada there is relatively little evidence as whether or not the intended outcomes of IPC teams have been achieved1. To date, little is known about performance indicators of the collaborative process in IPC teams1,2. Part of the challenge is determining how to measure the value of interprofessional collaboration3.
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1. Participants were able to identify what supports collaboration but had more difficulty identifying performance indicators to measure impact of IP collaboration on the team or population.
2. Ongoing challenges exist in determining performance indicators for IPC collaboration.
3. Understanding the interprofessional provider perspective is critical to ensuring performance indicators are meaningful to practitioners and relevant to IPC practice.
A qualitative study; part of a larger mixed methods developmental evaluation to examine performance measurement in IPC teams. Focus groups were held at the Association of Family Health Teams of Ontario Annual Meeting. A total of 283 interprofessional health providers from fourteen health professions working in IPC teams participated. Six questions on IPC performance indicators guided the focus groups.
Participant responses were documented on worksheets and flip charts. All responses were collected and entered verbatim into a word document. Each question was individually reviewed and categories that best represented the responses were created. Response frequencies for each category were determined.
1. The Conference Board of Canada (2014). An external review of the Family Health Team Initiative. Ottawa: The Conference Board of Canada. 2. Zygmunt, A., & Burge, F., (2014). Interprofessional variation and determinants of access to team based primary care in Canada. DMJ., 4, 3-9. 3. Ashcroft, R. (2014). Inadequate Performance Measures Affecting Practices, Organizations and Outcomes of Ontario's Family Health Teams.
Healthcare Policy, 10(1), 86.
Catherine Donnelly: [email protected] 613-533-6385Nicole Bobbette: [email protected] Mofina: [email protected]
10% (46)
16% (75)
18% (81)
32% (146)
24% (112)
Top 5 Characteristics of Collaboration in PrimaryCare Teams (n=607)
8.7% (21)
9.1% (22)
12.4% (30)
14.5% (35)
29.5% (71)
Top 5 Measures of Collaboration in Primary Care Teams(n=241)
Cobookedappointments
Workloadmeasurement
Referrals - IntraAgency
Patient HealthStatus
PatientExperience
Staff Experience
Workload Measurement
Intra-Agency Referrals
Patient Health Status
Patient Experience
Attitudes, Values, Beliefs
Communication
Co-Treatment
Pt. Based Conferences
Intra-Agency Referrals
0 10 20 30 40 50 60 70
dietician
ADMIN
chiropodist
mixed group
chiropractor
health promotor
nurse prac.
OT
other
PA
SW/Mental Health
Nursing
Quidds
Resp
Profession-specific Perceptions of Collaboration Team Member Responses for Top 3 Characteristics (%)
Communication Co-treatment Patient based conference
0 5 10 15 20 25 30
dietician
ADMIN
chiropodist
mixed group
chiropractor
health promotor
nurse prac.
OT
other
PA
SW/Mental…
Nursing
Quidds
Resp
Profession-specific Measures of Collaboration: Team Member Responses for Top 3 Measures
workload measurement (including # of visits) - made Workload Measure a broader heading and place visits under this
Patient experience
patient health status - outcomes, knowledge, confidence, falls etc
Workload MeasurementPatient ExperiencePatient Health Status
Access to CareIntersectoral Linkages
Health Utilization
Interprofessional Education
Workload Measure
Communication (Meetings)
Interprofessional Education
Patient Health StatusPatient Experience
Resources