Creating, Improving & Tracking your PHN QI program

Alessandro Luongo, Digital Partnerships Manager

MPH/MHM candidate, B. Sci (Ex Sci), B. Sci (Diet)

Learnings and examples from South Western Sydney

Creating & Improving

1. Dedicated QI Lead• Understands QI• Project management • Understands data, people, change• Drive internal CQI• EffecEve feedback systems

2. PHN Staff Training, Motivation & Culture• Continuously upskill and bring it back to the outcomes• Acknowledge internal achievements and milestones• Overcome Internal Resistance to change• Keep it new and exciting for the team

Image Source: https://www.lynda.com/learning-paths/Business/https://www.lynda.com/Business-Skills-tutorials/Strategic-Partnerships/

Creating & Improving

3. Say “Patient Information”, not data

4. Form & Leverage Partnerships• Other PHN Teams (matter experts)• Local Steering/Advisory Committee• Universities – research, students, data management,

evaluation • NGOs• Content & Communications Plan

Image Source: h`ps://www.lynda.com/learning-paths/Business/h`ps://www.lynda.com/Business-Skills-tutorials/Strategic-Partnerships/

NG

OG

OV

UN

IEndorsements and

content collaboration

Creating & Improving

5. Steal Shamelessly (but ask nicely)• PHN SharePoint, pick up the phone, websites• PDSA’s, Action Plans, Quality Journeys• Present a menu to your steering group

6. Continue to Learn & Contribute to Evidence• NINCoP, research, submit abstracts, conference pres/posters• Professional Development • Tertiary study/courses

Journal of Primary Care & Community HealthAustralian Journal of Primary Health Public Health Research & Practice

Creating & Improving

ü Monthly Team Meetings/ huddles/1on1s

ü Ongoing Compliments and Complaints register

ü Ongoing Improvements and Corrective actions register

ü Quarterly QI Coaching

ü QI Calendar

7. Regular Team MeeEngs

Creating & Improving

Image Source:Lumos Illuminating the patient Journey slide deDay 2, 7th August 2019 Adrian Power & Ian Corless

GPs, Nurses, Practice Managers, Admin, project partners

• Perceived impact on Patient Health Outcomes• Quality of Service• Quality of Resources (ease of use)• Adequate time needed

2019 SWSPHN

• GP Satisfaction: 94.8% (76 responses)• PN Satisfaction: 93.1% (24 responses)• PM & Admin: Topbar +++• Highest value: in-practice training/education, • Lowest value: Independent CAT4 use• Best CPD outcome: relevance to daily practice (98.7%)• Worst CPD outcome educationally valuable (92.7%)

8. Annual Stakeholder Feedback

Tracking

Tier 2 AcEon Areas Tier 3

Clinical Action Areas

Patient Information

↑20.4% Ethnicity recorded+60,000 records across 68 practices

↑14.2% Alcohol Assessment recorded+80,000 records across 105 practices

↑7.5% BMI Assessments recorded+50,000 records across 110 practices

Clinical Focus Areas

1400+ coded CKD Diagnoses madeacross 42 practices

34 addiIonal GP Management Plans billed per pracIce for paIents with CVD

Compared to same Eme 12 months ago across 13 pracEces

3,500+ Diabetes Diagnoses Confirmed

across 38 practices

Most PHNs

• Categorising practices • engagement, tiers• community clusters• specific project/target area• by quality of data patient information

• Ready for PIPQI• Have a QI Lead• Seek feedback

Some PHNs

• Dedicated QI team• Recording CQI modules practices are working on• Recording PDSA start and end dates• Recording QI focus areas• Tracking outcomes

Image Source: https://www.lynda.com/Graphic-Design-tutorials/Creating-your-teams-culture

Few PHNs

• Tracking and presenting outcomes• Developing insights from their data (CRM/PATCAT/Hospital)• Using third party QI projects/programs