WelcomeAlberta Screening & Prevention Initiative

Improvement Facilitator Training Session 2

Objectives

• Agenda• Updates• Quick Review of Session 1

Today’s Agenda

Time Activity

9:00 Welcome & Updates

9:30 Who Does What?

10:15 Break

10:30 Process Redesign

12:00 Lunch

12:45 EMR

1:30 QI Tools

2:15 Break

2:30 Facilitation Skills

3:15 Partnerships & Supports

4:00 Wrap Up

ASaP Training PlanImprovement Facilitators & Chart Reviewers You Are

Here

5

Quality is a system property; if we want better results, we have to change the system.- Berwick, 2003

“Some is not a number, soon is not a time.”- Dr. Don Berwick, Institute for Healthcare Improvement

EPICS IIb Results% of age/gender appropriate patients to whom screening was offered

• 50 patient charts per review (October, December, March)

• Patients having presented for an encounter and due for screening

• Females (21-74 years), Males (50-74 years)• Also reviewed for patient screening completion rates

• No significant change, but evidence of regular “reminding” at encounters

Chart Review Cervical Breast Colorectal

Pre-intervention 74% 85% 80%Post-intervention 94% 100% 88%Sustainability 100% 100% 100%

Updates Since Session 1

• Binder Documents– B1 First Visits with Provider Checklist– B11 HQCA Report Consent Form– G2 ASaP Literature Search Summary– G7 HQCA Report

The ASaP Intervention

8

Panel Identificatio

n

Focused Improvemen

t

Build on Success

Document process to ID patient/provider attachment

Generate patient lists for screening

Choose + document screening methods:

opportunistic and/or outreach

Choose + document screening maneuvers

Define & document team roles & responsibilities

Test small change (PDSA)

Standardize processes

Measure reliability of processes

Apply for CME credits

Identify other clinical improvement opportunities

Baseline Chart Review & Current Screening Process Assessment

4-Month Follow Up Chart Review & Screening Process Assessment

Sustainability Chart Review & Continued Follow-up Reviews

30 days

60 days

Ongoing

Improvement Facilitator Training

Improvement Facilitator –

Building PCN Quality Improvement (QI)

Knowledge and Capacity

TOP Clinical Process Advisor•Designated QI support

specialist

Quality Improvement

Training in Cohort

•2+1+1 = 4 days face-to-face

•Cohort Webinars

Community of Learning

• Training Cohort• Other Cohorts• QI community

building

QI Knowledge Resources•Institute for

Healthcare Improvement (IHI):

Open School•Other resources

Electronic Medical Record

Knowledge Resources•Screening and

prevention