Quality Matters – July 2015


In this issue:

Improving Quality Together
Primary Health Care Quality Indicators – A Consistent Approach
Be a Quality Improvement Winner
Learn from the Best
Be Part of a Change for Good
Top Resources

Improving Quality Together

QP Logo Vertical RGB SmallOur dynamic new initiative for Primary Health Networks (PHNs), the PHN Quality Partnership is aimed at supporting PHNs to improve patient health outcomes and foster a culture of continuous quality improvement through the following services:

Innovation Collaborative
The Innovation Collaborative brings PHNs together to work collaboratively at a national level. By creating an environment of innovation and purposeful action, PHNs will be supported to engage in data driven improvement aimed at improving the safety and quality of primary care.

National Online Data Collection
Our leading edge web portal, qiConnect, will provide PHNs with access to health service level data using reliable and robust primary healthcare measurement sets. This powerful tool will assist practice support professionals to focus their efforts and achieve demonstrable improvements.

PHN Improvement Council
All PHN Chairs and CEOs will be invited to be part of this council to influence the development of national data sets and practical resources, using economies of scale, that can be applied to regionally based quality improvement initiatives.

For more information about the PHN Quality Partnership, please contact Susan Hannigan on 08 8422 7438 or email susan.hannigan@improve.org.au


Primary Health Care Quality Indicators – A Consistent Approach

technologyOver the past ten years, the Improvement Foundation (IF) has developed a considerable number of quality indicators (or measures) to support our numerous programs. Commencing with 12 quality indicators for the APCC Program in 2005, they have now grown to over 220 that range across chronic disease topics and eHealth. In some cases these quality indicators exist in different structured national data sets (i.e. APCC Program, NEHTA clinical data self-assessment and Indigenous Primary Health Care National Key Performance Indicators (nKPI)).

As these structured national data sets were developed by different entities over time there were key differences in the way they were derived, principally in the definition of the denominator. Over the past 12 months, we have been working with our key clinical consultants to evaluate the APCC Program quality indicators and align these with the nKPIs (where appropriate). This alignment will remove duplication and improve consistency across quality indicators and our programs. While undertaking this review the quality indicators were also reviewed with current clinical guidelines.

What are the key changes?
As a result of the review, we have reduced the number of quality indicators from 220 to 150. The key change is the alignment of the APCC Program quality indicators, where appropriate, with the denominator used by the nKPIs (regular client/patient as defined by the Royal Australian College of General Practitioners (RACGP). Traditionally the APCC Program had used the count of active patients as the denominator.

In many cases the denominator will now be defined as any patient that has had three or more visits recorded within the previous two years. We considered this necessary as when archiving patients is not regularly undertaken in the clinical system the denominators of quality indicators can become quite large and this affects measurement and associated benchmarking. By changing the denominator to a time limited one this improves measurement and benchmarking and brings about improved consistency.

Additionally, there are some minor changes to individual measures. i.e. changing smoking status assessment from the number of patients aged 18 years to all patients 15 years and older.

For OCHREStreams Users
If you are required to report to the Department of Health through OCHREStreams, there has been no change to the nKPIs, or data required for OSR and HCP reports.

What does this mean?
By reducing the number of measures and aligning with the RACGP definition of regular client/patient, we are aiming to introduce consistency across structured national data sets. This will enable health services to benchmark consistently and improve overall accuracy.

There will be a difference to your graphs on qiConnect. It is expected that you will see movement in your results due to the change in the way the denominator is calculated. Your historical data is also available on qiConnect for your reference, however they will reflect the previous denominator used.

When will this happen?
The changes will be introduced in July 2015 and will be available through the improved Canning Tool. The introduction of the Canning Tool provided an ideal opportunity to implement changes with as little disruption to health services as possible. No other extraction tool will feature these updated quality indicators.

Further information on the measure changes read our FAQ’s.


Be a Quality Improvement Winner

Trophy GreyOur Quality Improvement Awards provide the opportunity to showcase the commitment and results that individuals make towards quality improvement work.

There are impressive stories of quality improvement work being undertaken in the healthcare sector that has not only transformed the organisation but improved the lives of patients. These awards provide a great opportunity for you to share your story and let others learn from your experience.

This year’s winners will receive a complementary delegate pass, with travel and accommodation expenses included, to attend our Improving Healthcare International Convention in Melbourne on the 16 to 18 November 2015. Entries close on 8 October 2015 so act quickly. For more information and to submit your entry visit our website.


Learn from the Best

Masterclass stock pic SmallThe Improving Healthcare International Convention masterclasses on Monday 16 November will feature world renowned quality improvement experts that will share their knowledge in an interactive and intimate format. Expand and enhance your skills with the following sessions:

How to Lead Large-Scale Change
Mr Paul Plsek, Internationally Recognised Quality Management Consultant, Atlanta, US
Expand the boundaries of thinking to understand how the principles of complex systems can impact our behaviour. Tools and practical methods that support large-scale change will be explained including leadership models and how to overcome challenges along the way.

Utilising Research to Improve Patient Care
Dr John Ovretveit, Director of Research, Karolinska Institute, Stockholm, Sweden
What does the latest research show about improving clinical coordination and integrated care? Based on evidence and experience, this session will provide practical solutions on how to improve clinical coordination and integrated care and cover the advantages and disadvantages in using research and researchers.

Essentials of Optimising Systems for High Value Performance
Dr Marjorie Godfrey, Co-Director, The Dartmouth Institute Microsystems Academy, New Hampshire, US
Dr Julie Johnson, Professor, Department of Surgery and the Center for Healthcare Studies, Northwestern University, Chicago, USA
Health systems around the world face similar challenges in a changing environment. Learn how to apply microsystem theory and discuss the role of team coaching, leadership development, and whole system measures via case studies and interactive practical exercises.

Numbers are strictly limited on the Masterclasses, so get in quick by registering here.


Be Part of a Change for Good

qiCommunity logoFrom July 2015, we will be introducing new arrangements for the continued safe and secure submission of primary healthcare data to our web portal; qiConnect.

The Canning Tool software (developed by Arche Health), is a well-established product with a proven track record of almost ten years of collecting primary healthcare data. We are dedicated to remaining a trusted and ethical partner within the health sector, and the Canning Tool allows us to continue to provide a safe and secure method for primary healthcare data submission.

Be Involved
We are committing to work consultatively with the our community to further develop the Canning Tool’s features to meet current and future needs of primary health services and Primary Health Networks. If you would like to be actively involved in the development of the Canning tool, please email us on data@improve.org.au


Top Resources

ToolboxAccess the Latest Healthcare Apps and Reviews in one Easy to Find Location
iMedicalApps is an online publication that provides reviews, research, and commentary of mobile medical technologies and apps that is designed for medical professionals and patients. The review team consists of physicians and allied health professionals.

Better Management of Chronic Obstructive Pulmonary Disease
Watch and learn our latest qiCommunity webinar about which medications are ineffective when prescribed together and how the ‘COPD-X Concise Guide for Primary Care’ can help to improve patient care. Guest speakers Professor Ian Yang, Thoracic Physician and Director of Thoracic Medicine at The Prince Charles Hospital and Chair of the National COPD Committee together with Pharmacist Mr Miltos Miltiadous discuss new medications and inhaler devices. The vodcast is now available on qiConnect.

Can’t access the resources or discussion forum in qiConnect? It’s free and easy to join, register online here.

Latest Aboriginal and Torres Strait Islander Health Data
The Australian Institute of Health and Welfare collects healthcare data about Aboriginal and Torres Strait Islander patients through our web based reporting tool OCHREStreams. The following key reports have been released based on the outcomes of that data.

Smarter Healthcare by Smarter Use of Data
Dr Paul Grundy is many things. Known as the “godfather” of the patient centered medical home movement, he is also the Global Director of Healthcare Transformation for IBM, President of the Patient-Centered Primary Care Collaborative and he is also one of the keynote speakers at our upcoming Improving Healthcare International Convention. In this TEDx Talk, Paul discusses how the current model of care is broken and that health care is the last industry that still uses the master builder concept. View the video here.

July 10, 2015

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