Leading your practice in a digital era Practice Manager Development - - PowerPoint PPT Presentation

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Leading your practice in a digital era Practice Manager Development - - PowerPoint PPT Presentation

Jan 16, 2023 34 likes •624 views

Leading your practice in a digital era Practice Manager Development Day Coordinare 2017 Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au katrina@trainitmedical.com.au Our Learning Objectives: 1. Prepare your

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Presented by Katrina Otto Train IT Medical Pty Ltd www.trainitmedical.com.au katrina@trainitmedical.com.au

Leading your practice in a digital era

Practice Manager Development Day

Coordinare 2017

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  • 1. Prepare your practices for impending accreditation and PIP changes with a

focused approach on data quality.

  • 2. Discuss how software can be used as a tool for data analytics to improve

clinical and business outcomes.

  • 3. Design a planned approach for practice improvements related to data.
  • 4. Learn about recent advances in My Health Record including opt-out and ways

to maximise benefits for patients and clinicians.

  • 5. Explore new apps and innovative technology for medical practices.

Our Learning Objectives:

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  • 1. Prepare your practices for impending accreditation and PIP changes with a

focused approach on data quality.

Our Learning Objectives:

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Data is a hot topic for Practice Managers

Accreditation Changes:

  • linked to data

Practice Incentive Payment (PIP) changes:

  • linked to data
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5th Standards for Accreditation - RACGP Third Consultation phase - summary 5th Standards for Accreditation - RACGP Webinar Slides

Accreditation: Quality Improvement (QI) Module

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PIP payment changes:

PIP Redesign FAQs Webinar recording

Q: “How will the new PIP Incentive Payment work? A: Practices will be paid for focusing on quality.

The quality will be determined by the information (i.e. data) about the care that has been provided. With time, practices will be paid for demonstrating data driven quality improvement.”

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  • 2. Discuss how software can be used as a tool for data analytics to

improve clinical and business outcomes.

Our Learning Objectives:

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“If you can’t measure it, you can’t improve it”

Peter Drucker

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The ‘Data Quality’ Checklist

Download the ‘Data Quality’ Checklist: https://www.digitalhealth.gov.au/using-the-my-health-record- system/digital-health-training-resources/guides/879-data-quality- checklist-for-active-patients Learn more, watch the ‘Standards for Digital Health’ Webinar: https://www.digitalhealth.gov.au/news-and- events/events/1147- webinar-meeting-accreditation-standards-for-digital-health
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Clean up in your clinical software:

  • 1. Inactivate patients by searching for patients not

seen for two years.

  • 2. Mark deceased patients as ‘deceased’ not ‘inactive’.
  • 3. Delete Sample patients.
  • 4. Delete records with no clinical data.
  • 5. Merge duplicate patient records.
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Data Aggregation Tools – Pen Suite of Tools

These tools work at all 3 levels to improve data capture at point of care, analyse data at practice level and aggregate data for service planning at a population level.

CAT4 Top Bar

PAT CAT

PAT CAT

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CAT4, Cleansing CAT & topbar

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Use CAT4 to analyse your data

  • 1. Collect an Extract
  • 2. Apply filters
  • 3. Analyse the Extract
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  • 1. CAT4 – Collect an Extract
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  • 2. CAT4 – Apply Filters to an Extract
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  • 3. CAT4 – Analyse the Extract
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Export to a spreadsheet (or set prompts for topbar)

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Data Quality Dashboard

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Why Improve Data Quality?

  • 1. Improved Patient Safety
  • 2. To enable sharing of data (My Health Record, eReferrals etc)
  • 3. Proactive population vs episodic care
  • 4. For analysis and to identify exceptions
  • 5. To improve process quality & financial opportunities
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Comply with Australian Standards

RACGP Accreditation Standards Criterion 1.7.2 % of patients RACGP threshold Allergies/Adverse Reactions 90% Current Medications 75% Past Medical History 75% Current Health Summary 75% Clinical Coding ALL
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Use Pen CAT4 for Accreditation Compliance

Data Quality Report Card ie Allergies, Smoking Status etc

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Acknowledgement to Abhijeet Ghosh, Population Information Manager & Project Manager, SPDS project.

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  • 3. Design a planned approach for practice improvements related to data.

Our Learning Objectives:

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Patient Safety: Cleansing CAT

Identify patients on 5 or more medications who might benefit from a

Medication Review.

Your patient names & dob would appear in this list.

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Patient Safety

Cleansing CAT – Identify patients with indicated CKD but no diagnosis

Your patient names & DOB would appear in this list. Doubleclick to

  • pen patient

record in clinical software.

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Proactive Population Based Approach

Build a Register of patients with a particular condition e.g. Asthma or Diabetes etc

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SLIDE 27 www.nevdgp.org.au
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Screening and Prevention

Identify all eligible patients NOT screened for FOBT, Mammograms or PAP Smears

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Business Process Improvements

Identify all patients with a chronic condition without a GP Management Plan

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Analyse & set your improvement goals

Total Patients seen 1652 1749 1771 1798 1720 1735 1339 1490 1811 1866 705Long Health Assessment (45-60 mins) Non-ATSI 42 52 42 37 26 14 40 50 715ATSI Health Assessment 13 49 5 19 22 25 23 721Prepare GPMP 12 23 70 80 105 723Prepare TCA 12 23 9 12 40 732Review of GPGMP/TCA 4 5 8 2 739Organise CC 20-40 mins 3 743Organise CC > 40 mins 1 1 3short consult 9 21 15 21 28 23< 20 mins consult 522 1174 900 816 667 36>20 mins consult 304 497 350 339 279 44>40 mins consult 52 112 74 76 56 52Brief consult (non VR GP's) 53Standard consult (5-25 mins) (Non-VR) 54Long Consult (25-45 mins) ( Non-VR) 57Prolonged consult (>45 mins) ( Non-VR) 10962 (Podiatry) 10988Immunisation 1 7 41 42 10989Wound care 2 43 26 10990 Under 16 YO OR Concession Card Holder Add on Fee 619 1316 1088 1036 2700GP Mental Health Care Plan (not trained) > 20 mins 4 2701GP MH Plan > 40 mins 2712GP MH Plan review 7 2713MH Surgery Consult > 20 mins 10 2715Prep GP MH Plan > 20 mins 5 9 2717Prep GP MH Plan > 40 mins 8 8 2504 (PAP > 4 years) PAP > 4 years since last, Level C 1 2521Annual C of C Level C 2525Annual C of C Level D 30026(sutures) 30061 (removal foreign body) 11506 (Spirometry) 6 11700 (ECG)
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Your KPIs

Tips: Encourage a team effort to achieve the goals by setting a target on the graph & place graph in the staff room/noticeboard to encourage a proactive approach.

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Recipes – Maximise Business Potential

http://help.pencs.com.au/

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Use topbar for proactive reminders

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  • 4. Learn about recent advances in My Health Record including opt-out and ways

to maximise benefits for patients and clinicians.

Our Learning Objectives:

www.digitalhealth.gov.au www.myhealthrecord.gov.au

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Digital Health

Electronic medical record My Health Record Secure Messaging Telehealth Apps / wearable technology

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www.digitalhealth.gov.au www.myhealthrecord.gov.au NSW patients first to view their pathology results in My Health Record Download ‘My Health Record’ detailed presentation: www.trainitmedical.com.au/presentations

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  • 1. Complete the free eLearning module
  • 2. Download the cheatsheets for your

software

  • 3. Watch how My Health Record works in

your software with these software simulations

  • 4. Practise registering, viewing & uploading to

the My Health Record System in the ‘On Demand Training Environment’ aka ‘The Sandpit’

– 1st password is TrainMe, 2nd password is P@ssw0rd (that’s a zero not an O)

5. Design an ‘Assisted Registration’ workflow for your practice

My Health Record Homework:

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  • 5. Explore new apps and innovative technology

for medical practices.

Our Learning Objectives:

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Learn more: https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/appconnect

Apps that are authorised to connect to My Health Record:

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Read my blog: Online Appointments: ‘Do you want a Practice-centric or Patient-centric option, or both?’

Online appointments & communication Integration, connectivity, mobility!

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Best Practice Software ‘Best Health’ App

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Secure SMS & Email Preventive health campaigns Digital Health integration Results via secure portal

Patient Portals

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Patient education

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GoShare Healthcare – Real Time Health

http://goshare.realtimehealth.com/

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Patient education – Medical Channel

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Practice & patient education – Tonic

http://www.tonichealthmedia.com.au/

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✓Jayex ✓Healthsite ✓HotDoc ✓Check in via apps

Patient self-check in kiosks

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Did You Know?

73%

  • f people self-checking in

identified incorrect demographic information in their patient record

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languages via kiosk

Collect Consent | Educate | Patient Feedback Surveys

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New software that enables sharing with patient

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Patient Handheld Central Repository

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Tips for Data Quality Improvements

  • Encourage progress – no matter how small
  • Set small (achievable) clean-up goals (eg PMH, results)
  • Review & document key processes
  • Train all staff on software & new processes
  • Focus on key data items
  • Create a team spirit
  • Monitor and communicate performance
  • Celebrate progress – everyone wants to join the

winning team!

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Pen Clinical Systems CAT4 Recipes RACGP Using Data for Better Health Outcomes Australian Digital Health Agency: Importance of Data Quality Data Cleansing & Clinical Coding Data Quality Checklist Train IT Medical Data Aggregation using Pen Clinical Audit Tools (blog) Cancer Screening & Prevention – Free Resources (blog) 5 Steps to Data Quality Success (blog) Pen CAT4 summary sheet Other ‘A quality improvement tool for primary health care’ Crossland, Upham, Janamian and Jackson Primary Care Practice Improvement Tool (PC-PIT)

Data Quality & Improvements

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Australian Digital Health Agency:

www.digitalhealth.gov.au Get Started On Demand Training (practise in the sandpit) Training Resources www.myhealthrecord.gov.au Pathology ‘NSW patients first to view their pathology results in My Health Record’

Train IT Medical:

Digital Health Free Resources including Pen CAT4 Developing a ‘My Health Record’ Practice Workflow (blog) My Health Record – your questions answered (blog) Top 30 questions doctors ask about My Health Record with Katrina’s responses (blog) Event Summaries (blog) Katrina Otto’s ‘My Health Record’ detailed presentation

My Health Record

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RACGP 5th Standards for Accreditation - RACGP Third Consultation phase – summary 5th Standards for Accreditation - RACGP Webinar Slides Practice Incentive Payment Re-design: Webinar Webinar slides Health Care Homes About Health Care Homes Case Study: Claire’s story FAQs about Health Care Homes More Information: Health Care Homes Train IT Medical Practice Management Free Resources Online Appointments: Do you want practice-centric, patient-centric or both? (blog)

Practice Management:

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.

Thanks for inviting me

Katrina Otto

katrina@trainitmedical.com.au Twitter: trainitmedical Facebook: trainitmedical www.trainitmedical.com.au/presentations to download a digital version of this presentation & access more free practice resources & blog posts