Primary healthcare data and national KPIs

Colin Frick, CEO, Improvement Foundation

Improvement Foundation

• Not for profit organisation

• Expertise in the development and delivery of quality

improvement programs in health

• Australian Primary Care Collaboratives Program

• eCollaboratives

• Integrated Care Collaboratives

• OCHREStreams and nKPIs

APCC• Australian Primary Care Collaboratives Program

(APCC Program)

• Is now a collaboration and not a funded program

• Groups like Australian Lung Foundation, Patient

Safety Foundation, Kidney Australia, Alzheimer's

Australia…

• Some PHNs have expressed interest in association

• The role of the collaboration is to protect and promote the use of the APCC Quality and Safety Indicators.

Topic Area Number

Asthma 2

CDPSM 36

CKD 13

COPD 10

CVD 15

Diabetes 22

eHealth 8

nKPI 1

Dementia 12

Cancer Screening 3

Subtotal 122

Topic Area Number

NSW Aboriginal

KPIs 23

nKPIs 25

OSR 23

Subtotal 71

Total 193

Why work with the APCC

• Leverage existing IP

• National consistency

• Reduced cost

• Existing systems and relationships

Indigenous nKPIs

• Two new nKPIs available

• Audit C

• Absolute CVD Risk

Indigenous nKPIs

• OCHREStreams contract extended (Sept 2018)

• Shift to direct vendor submission• Medical Director

• Communicare

• MMEX

• No longer support legacy data extraction tools

• Elicio will be used for Best Practice

NSW Aboriginal KPIs

• 23 Indicators

• Will be available nationally in:• MD Insights

• Communicare

• Elicio

NSW Aboriginal KPI Topic Area KPIs Measures

Data

Points

Chronic Kidney Disease 1 1 3

CVD 1 6 18

Diabetes 2 2 6

Drug & Alcohol Residential Rehabilitation 3 5 15

GPMP 2 8 24

Health Checks 1 2 6

Healthy Weight 1 4 12

Immunisation 5 7 30

Smoking 2 6 18

TCA 2 8 24

BBV/STI 5 7 21

Alcohol 3 3 9

Mental Health 2 8 24

Grand Total 30 67 210

Growing Capacity

• Becoming more available in software solutions

• Medical Director

• Communicare

• MMEX

• Elicio

• Others are expected to follow

Data Collection Trends

• Legacy data extraction tools

• Vendors specific business intelligence tools

• MD Insights

• Communicare BI Software

• Elicio

• Cloud Based Systems

Medical Director Insights

• Available to all Medical Director Clients, FREE

• Plans to option up with premium services

• Has nearly all APCC Q&S, nKPI, NSW KPIs

Medical Director Insights

Traditional Approach to Data Extraction

• Tools have been focussed on the health

service site in question

• Moved to patient level data collection and

geospatial identifiers

• Typically collected in silos

Why Elicio

• Issues of fragmentation, siloed data, quality and

safety in healthcare delivery

• Elicio can reliably and securely integrate data from

across the health system

• Effectively track patients’ health journeys

• Aggregate data at various levels

• Streamline patient enrolment

• Safe, secure with strong data governance

What is Elicio

• Data intelligence platform that can support a range of

activities:

• Population health

• Quality improvement including integration of care

• Improved workflows across professions

• Measuring commissioning outcomes

• Research, etc.

• An enterprise level system, flexible and scalable

The Unique Health Consumer

Health Consumer Data and Elicio

• Supports unique individual health

consumer data

• Data can be either identified or de-

identified depending on program design,

which drives permissions relating to the

collection, disclosure and use of data.

Health Consumer Data and Elicio

• Aggregated health service data

• Elicio will produce APCC Quality and

Safety Indicators and Indigenous nKPI to

support system level measurement for

quality improvement activities

Health Service

Health Consumer Data and Elicio

• De-identified program level

• Using Elicio health providers can enrol a

person into a program, such as a

commissioned diabetes care program, which

will allow the reporting of results over time

aggregated by health provider, health service

or at higher levels.

Health Consumer Data and Elicio

• Identified program level

• Health providers can enrol a person into a program

of care that specifically allows for the sharing of

identifiable healthcare data

• Capacity to write back to clinical information systems

and manage the enrolment process

• Benefits include:

• improved GP workflow

• improved consumer experience

How Elicio is Different• Ability to collect, use and aggregate data from across the health

system (and other data sets) in a timely manner

• Will generate APCC Quality and Safety Indicators and nKPIs, including indicators for dementia and musculoskeletal conditions

• Significant utility at meso-level while maintaining low administrative burden for practices

• Can identify unique health consumers across data sets

• Can enrol consumers into ‘programs’ for a range of purposes, either identified or de-identified

• Can transfer data back to clinical systems

• integrates with other Telstra Health products

Privacy & Security

• The Improvement Foundation is a trusted data

custodian

• APCC Program

• OCHREStreams

• Data hosted in the Polaris Data Centre, Brisbane

• Individual patient data is only identifiable if agreed

with the consumer

Data Ownership• IF does not have any ownership of data in our systems

• IF has never sort to acquire any ownership and has never commercialised the data.

• Ownership of the data remains with the contributing owner (like a general practice or Aboriginal health service)

• When data are used in a health program (such as a PHN program), the data owner agrees to licensing access to their data for the purposes of the program. The program terms of engagement are made quite clear in the legal agreement that we offer the participants

• While it’s technically feasible to transfer ownership of the data under agreement, this has never been done in IF’s systems or programs.

partnership power

Questions