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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
Building on 10 years of primary care data for improvement. Tony - - PowerPoint PPT Presentation
Building on 10 years of primary care data for improvement. Tony - - PowerPoint PPT Presentation
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
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alstonville
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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.
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Breakthrough Collaborative Series
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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
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Dale Ford
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Alstonville Clinic 2005
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Improving systems and processes to deliver high quality patient care
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Measurement is the Oxygen of Improvement
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Data-driven improvement
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Does General Practice Have Data?
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Is it accurate data?
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Will general practice share data?
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What value is collated data?
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Does General Practice Have Data?
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The computerisation of general practice has created “the largest electronic database of clinical information in the country” (Pearce and Haikerwal MJA 2010).
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What happened
Local workshops –206 health services joined
- ne of 15 locally based QI Collaboratives
delivered by their support organisation. Virtual workshops- 60 health services joined
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by IF. Medicare Local QIP - 359 health services joined their Medicare Locals in locally based QI workshops delivered by their Medicare Local.
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Participation
Total services participating 1949 (unique 1230 approx. 18% of total) Diabetes registers 302536 CHD registers 177740 COPD registers 41816 PDSAS 36000
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Topics
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Is it accurate data?
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Measures for Improvement
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Expert Reference Panels, Technical Groups Extractions now collect 4060 measures containing 6860 unique data points
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What happened –Hba1c
Mean percentage of patients with an HbA1C ≤ 7% n-743
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What happened – HbA1C recorded
Mean percentage of patients on register with HbA1C results recorded
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What happened – cholesterol in CHD
Mean percentage of patients with cholesterol at target
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What happened – spirometry in COPD
Mean percentage of patients with spirometry recorded
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What happened – plans in chronic disease
Mean percentage of patients with care plan recorded
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Data Driven Improvement
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Motivated Practice Teams
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your Mission
1 Improve Patient Outcomes 3 More sustainable practice 2 More satisfying for patients, staff and clinicians.
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Meaningful topics,measures and aims
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On the Ground Support
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Extraction and transmission tool
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Data Repository
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Data - Knowledge
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Improvement Feedback Loop
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Trust
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Community
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PHN / Regional level
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Alstonville Clinic 2005
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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