The Australian Primary Care Collaboratives Program: Building on 10 years of primary care data for improvement. Tony Lembke, Andrew Knight and Colin Frick 5th August 2015
alstonville
The Collaborative Quality Improvement Collaboratives ‘A Breakthrough Series Collaborative is a short -term (6 to15 month) learning system that brings together a large number of teams from hospitals or clinics to seek improvement in a focused topic area.’ IHI White Paper.
Breakthrough Collaborative Series 7
What we did Small teams - 18 months 3 workshops – aims, evidence, improvement, change principles, measures Activity periods – PDSA cycles, measures, Monthly reports and cohort comparisons Local support Sharing of ideas
Dale Ford
Alstonville Clinic 2005
Improving systems and processes to deliver high quality patient care 7
Measurement is the Oxygen of Improvement Data-driven improvement 7
Does General Practice Have Data? 7
Is it accurate data? 7
Will general practice share data? 7
What value is collated data? 7
Does General Practice Have Data? 7
The computerisation of general practice has created “the largest electronic database of clinical information in the country” (Pearce and Haikerwal MJA 2010). 7
What happened Local workshops – 206 health services joined one of 15 locally based QI Collaboratives delivered by their support organisation. Virtual workshops - 60 health services joined one of four online QI Collaboratives delivered by IF. Medicare Local QIP - 359 health services joined their Medicare Locals in locally based QI workshops delivered by their Medicare Local.
Participation Total services participating 1949 (unique 1230 approx. 18% of total) Diabetes registers 302536 CHD registers 177740 COPD registers 41816 PDSAS 36000
Topics
Is it accurate data? 7
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Measures for Improvement Expert Reference Panels, Technical Groups Extractions now collect 4060 measures containing 6860 unique data points 7
What happened – Hba1c Mean percentage of patients with an HbA1C ≤ 7% n -743
What happened – HbA1C recorded Mean percentage of patients on register with HbA1C results recorded
What happened – cholesterol in CHD Mean percentage of patients with cholesterol at target
What happened – spirometry in COPD Mean percentage of patients with spirometry recorded
What happened – plans in chronic disease Mean percentage of patients with care plan recorded
Data Driven Improvement 36
Motivated Practice Teams 37
your Mission 1 Improve Patient Outcomes 2 More satisfying for patients, staff and clinicians. 3 More sustainable practice
Meaningful topics,measures and aims 39
On the Ground Support 40
Extraction and transmission tool 41
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Data Repository 43
Data - Knowledge 44
Improvement Feedback Loop 45
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Trust 48
Community 49
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PHN / Regional level 51
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Alstonville Clinic 2005
Alstonville Clinic 2015
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The Australian Primary Care Collaboratives Program: Building on 10 years of primary care data for improvement. Tony Lembke, tony.lembke@improve.org.au 5th August 2015
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