Strengthening Data Collection Practices Beyond Reporting Symposium - - PowerPoint PPT Presentation

Strengthening Data Collection Practices

Beyond Reporting Symposium March 11, 2015

Setting a New Standard in Quality & Value

Overview

• Our Journey
• Health Equity as an Organizational Priority
• Lessons Learned

Setting a New Standard in Quality & Value

Our Journey

2013 Maternal Newborn Pilot 2014 Setting the Stage for Spread 2015 Quality Improvement Plan

Setting a New Standard in Quality & Value

2013: Maternal Newborn Pilot

TEGH’s serves five times as many obstetrical patients from low income neighbourhoods than high neighbourhoods.

• 60% of mothers born outside of Canada
• 89% Heterosexual mothers

9%

Participation Rate

Setting a New Standard in Quality & Value

The Problem

• How do we get to 60% of patients?

“We are

• vercommitting
• ur resources.”

“Patients wouldn’t want to fill this out.” “How can we protect their information?” “This will add too much extra time.” “We don’t have the infrastructure or budget to make this work.” IT Clinicians Privacy Org. Learning Reg. Staff Dept. Managers

Senior Leadership

PR Patient

Relations

“We’re doing this for the LHIN.”

Setting a New Standard in Quality & Value

2014: Setting the Stage

x 100

• Leadership
• Registration Staff
• Patients
• Community Members
• Thorncliffe Park reps

Setting a New Standard in Quality & Value

2014: Setting the Stage – TEGH Story

Health Outcomes:

• Premature mortality
• Diabetes
• Hypertension
• Screening rates
• Mental health issues

Demographics:

• Income disparity
• Ethnic diversity
• Thorncliffe Park Example

Setting a New Standard in Quality & Value

2014: Setting the Stage – A Shift

Health Equity = Quality

Setting a New Standard in Quality & Value

2015: Quality Improvement Plan

• Organizational support for QIP
• 1. Benchmarking
• 2. Baseline Data
• 3. Targets
• 4. Tactics
• 5. Sustain

Setting a New Standard in Quality & Value

Planning Session

• How are other organizations collecting data?

– Contact Rate – Participation Rate – Information Rate

• Participants:

– IT, Privacy, Communications, Registration, Senior Leadership, Organizational Learning

Benchmarking Baseline Data Targets Tactics Sustain

Setting a New Standard in Quality & Value

• Emergency Department Trial
• Patient Videos

Benchmarking Baseline Data Targets Tactics Sustain

Contact rate 72.0% Participation Rate 51.6% Information rate 42.9%

Setting a New Standard in Quality & Value

• Implementation Schedule

Benchmarking Baseline Data Targets Tactics Sustain

Description Registration Area Phase 1 Family Birthing Centre Emergency Phase 2 Day Surgery - OR Admitting Day Surgery - OR - Cataract Admitting Haemodialysis Unit Haemodialysis Unit Oncology Clinic Oncology Clinic Haemotology Clinic Oncology Clinic Phase 3 Emergency Emergency All Inpatient Units (incl. G5, J5, H6) Admitting / ER Phase 4 Cardioversion Admitting Cath Lab Admitting Endoscopy Admitting Urology - Cystoscopy Admitting Medical Short Stay Unit Admitting

Setting a New Standard in Quality & Value

Key Tactics

Benchmarking Baseline Data Targets Tactics Sustain Build Awareness

• Campaigns
• Education materials

Equip Staff

• Conversational Tools
• Process

Measure Results

• Contact rate
• Participation Rate
• Information Rate

Setting a New Standard in Quality & Value

• Weekly Operations Huddle
• Performance Monitoring and Quality

Committee of the Board

Benchmarking Baseline Data Targets Tactics Sustain

Setting a New Standard in Quality & Value

Next Steps

• Continue Implementation Schedule
• Electronic reporting
• Monitor
• Engage patients

– Patient videos, Patient Experience Panel

Setting a New Standard in Quality & Value

Lessons Learned

• Make health equity meaningful to your
• rganization
• Involve patients in designing rollout
• Test ideas and learn
• Measure the right things

Setting a New Standard in Quality & Value

Thank You!

Contact: Saleem Chattergoon

Manager, Corporate Communications, Planning & Partnerships Toronto East General Hospital

sacha@tegh.on.ca @S_Chattergoon