Electronic innovations in family practice quality improvement
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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


Outline

Outline


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 steps

Next Steps:


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


Electronic innovations in family practice quality improvement

For more information please contact:

ShaheenaMukhi

416-549-5400

[email protected]


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