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Electronic Innovations in Family Practice Quality Improvement. Shaheena Mukhi , Project Lead, PHC Information CIHI Selena Davis , Lead, Clinical Usability & Standards, PITO Ray Simkus , BC Primary Care Physician eHealth conference May 27, 2013. Outline.

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electronic innovations in family practice quality improvement

Electronic Innovations in Family Practice Quality Improvement

ShaheenaMukhi, Project Lead,PHC Information CIHI

Selena Davis, Lead, Clinical Usability & Standards, PITO

Ray Simkus, BC Primary Care Physician

eHealth conference

May 27, 2013

context setting and presentation objectives
Context Setting and Presentation Objectives
  • CIHI is collaborating with clinicians and jurisdictions to support PHC performance measurement through indicators, standards, survey tools, and EMR data collection and feedback reporting.
  • Presentation Objectives:
  • Share how BC clinicians, BC PITO, EMR vendors and CIHI:
  • Demonstrated the value of EMR data and PHC VRS clinician feedback reports
  • Highlight the priority areas for EMR standardization
bc pito innovation diffusion projects population health reporting background
BC PITO Innovation Diffusion ProjectsPopulation Health Reporting: Background
  • Provincial program to support adoption and effective utilization of EMRs
  • Collaborated with physician Communities of Practice (CoPs) to:
    • Identify gaps in the use of EMRs
    • Support clinical care (e.g., referral, population health care)
    • Improve population health for patients with chronic conditions
bc pito innovation diffusion projects population health reporting methodology
BC PITO Innovation Diffusion ProjectsPopulation Health Reporting: Methodology
  • Environmental Scan
    • Key informant interviews – Canadian jurisdictions
  • Demonstration Extraction
    • Vendors of the two EMR systems
      • Data mapping, extraction, and submission to CIHI
    • Clinician Feedback Reporting for Quality Improvement
      • Workshop to explore static and dynamic PHC VRS reports
achievements
Achievements
  • Baseline knowledge of the alignment between EMR data and PHC EMR Content Standard (2 vendors, 4 practices)
  • Drew from experiences of other jurisdictions implementing EMR standards and identified system-level enablers and barriers
  • Synthesized value and implications for BC for adopting EMR Content Standards and facilitating clinician feedback reporting for quality improvement
  • Identified reflections, opportunities, engagement strategies and implementation considerations
bc physician experience
BC Physician Experience
  • Physicians and staff
    • Data entry points knowledge transfer
    • Data quality efforts
    • Follow-up visits with vulnerable patient population
  • Enablers- Reports
    • Actionable comparative quality measures
    • Peer collaboration
    • Drive data discipline
  • Challenges
    • Vendor cost and extraction processes
    • Non-linear data capture, storage and extract points
baseline extraction and reporting findings
Baseline Extraction and Reporting- Findings
  • Opportunities
  • PHC EMR CS may supportdata quality, validation and optimization
  • Improve EMR system performance and data extract capacity
  • Ensure change management included with implementation
next steps1
Next Steps

Considerations for implementation:

  • Clinical support
  • Change management
  • Engagement
  • Collaboration
  • Governance
  • Policy enablers

Pre-standards

Post Implementation of Standards

phc emr content standard jurisdictional early implementation view
PHC EMR Content Standard Jurisdictional Early Implementation View

Jurisdictions implementing or planning PHC EMR CS-partial and phased

Jurisdictions supported by EMR demonstration projects

Planning

TBD

2013/14-TBC

P

Planning

2013/14

Planning

P

P

P

2011/12

2013/14

P

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