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Comparison of Categories. Plan Develop a plan for improving quality Do Execute the plan, first on a small scale Study Evaluate feedback to confirm or to adjust the plan Act Make the plan permanent or study the adjustments Don Berwick
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Plan Develop a plan for improving quality Do Execute the plan, first on a small scale Study Evaluate feedback to confirm or to adjust the plan Act Make the plan permanent or study the adjustments Don Berwick Berwick DM. A Primer on Leading the Improvement of Systems. BMJ. 1996;312:619-622.
Institute for Healthcare Improvement The Breakthrough Series: IHI’s Collaborative Model for Achieving Breakthrough Improvement. Diabetes Spectrum. 2004;17(2):97-101.
Indicators Indicators identify the common elements that can be assessed 8 categories have 70 indicators: - 43 practice management - 27 clinical
Types of Criteria – required by law* – required to demonstrate best practice – required to demonstrate additional quality
Efficient Sub-Category F.1 Efficient Information Management Indicator F.1.1 There is a system to manage patients’ tests and reports efficiently Criteria F.1.1.1The practice team has a system for avoiding duplication of tests and referrals F.1.1.2The practice team has a system for ensuring patients’ test results are ready and available for the next appointment F.1.1.3The annual patient satisfaction survey asks whether the patient had unnecessary repeat testing or delays in receiving test results or consultant reports
Criteria and Interpretation F.1.1.1 The practice team has a system for avoiding duplication of tests and referrals Interpretation The practice management can describe how tests and referrals are tracked to avoid duplication F.1.1.2 The practice team has a system for ensuring patients’ test results are ready and available for the next appointment Interpretation Management can describe how the practice team ensures that test results and reports are available for the next appointment F.1.1.3 The annual patient satisfaction survey asks whether the patient had unnecessary repeat testing or delays in receiving test results or consultant reports Interpretation A patient satisfaction survey includes question(s) on unnecessary repeat testing and delays in receiving results or consultant reports
Further Information (see up to date links at http://quality.resources.machealth.ca) White B. Preventing Errors in Your Practice: Four Principles for Better Test-Result Tracking. FamPractManag [Internet]. 2002 Jul/Aug [cited 2010 Jul 22];9(7):41-44. Available from: www.aafp.org/fpm/20020700/41four.html College of Physicians & Surgeons of Ontario. Medical Records [Internet]. 2006 Mar/Apr [cited 2010 Jul 21]. Available from: www.cpso.on.ca/policies/policies/default.aspx?id=1686