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Electronic Innovations in Family Practice Quality Improvement

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

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  1. 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

  2. Outline

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. Next Steps:

  10. Next Steps Considerations for implementation: • Clinical support • Change management • Engagement • Collaboration • Governance • Policy enablers Pre-standards Post Implementation of Standards

  11. 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

  12. For more information please contact: ShaheenaMukhi 416-549-5400 smukhi@cihi.ca

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