An Overview of the Alberta Screening & Prevention Initiative

1. An Overview of the Alberta Screening & Prevention Initiative Improvement Facilitator Training Session 1 Day 1

2. Objectives • Overview of TOP • The Origins of ASaP • The ASaP Opportunity • The Benefits of ASaP • The ASaP Intervention • Improvement Facilitator Support • The Medical Home

3. Toward Optimized Practice • Clinical Practice Guideline Program • Clinical Process Improvement Program/s • Customized • Targeted initiatives

4. The Origins of ASaP National Context • Council of Federation Health Innovation Initiative Working Group • C – Change Cardiovascular Harmonized National Guideline Endeavour Alberta Context • Integrated clinics project • Pharmacy project • Worksite project • ASaP project in partnership with key organizations AHS TOP

5. The ASaP Partnerships A7

6. Why ASaP? A2 • Family physicians do an outstanding job of screening individual patients during focused screening visits. • The challenge is more than one-third of patients simply do not “self-present.” • The majority of these patients are attached to physicians • Evidence says the most effective behavior change tool is an invite from their primary care provider and team to complete screening • There are a number of physicians in Alberta who have tried opportunistic and/or outreach engagement of patients for screening – it works ! • Methods are time and cost effective • ASaP will bring those methods to PCNs for PCNs to provide to participating clinics

7. The ASaP Opportunity The ASaP Initiative is focused on supporting primary care providers ( physicians and nurse practitioners) and team members to offer a screening and prevention bundle to all their patients through enhanced opportunistic and planned outreach methods, targeting patients who do not present for screening care.

8. Maneuvers Menu for Adults A3

9. Practice Points

10. A2 Benefits of ASaP to Primary Care Providers & Their Teams • Customized screening processes • Patient panel processes and lists • Enhance role of teams & EMR • Improvement Tools & Resources

11. A2 Benefits of ASaP to Primary Care Organizations • Practice Facilitation Identification & Training • EMR support • Improvement Results reported for providers, clinic and PCO • Access to QI training Tools and resources

12. How will this occur? • Toward Optimized Practice will offer training, tools and resources to identified facilitators within primary care networks to support the screening and prevention improvements. • Following training, primary care organizations will: • engage physicians to participate • offer practice facilitation to primary care providers and team members to support the development of customized processes at the primary care organization and/or clinic levels.

13. A6 The ASaP Intervention Panel Identification Document process to ID patient/provider attachment 30 days Generate patient lists for screening Choose + document screening maneuvers Baseline Chart Review & Current Screening Process Assessment Choose + document screening methods: opportunistic and/or outreach Focused Improvement 60 days Define & document team roles & responsibilities Test small change (PDSA) Standardize processes Measure reliability of processes 4-Month Follow Up Chart Review & Screening Process Assessment Apply for CME credits Build on Success Ongoing Identify other clinical improvement opportunities Sustainability Chart Review & Continued Follow-up Reviews

14. H4 Improvement Facilitator Training

15. PCN will be invited to • Identify improvement facilitators who will be provided with the resources and mentorship to support clinics and primary care organizations implementing this initiative. • Participate in planning and implementation activities to locally select changes to maximize screening and prevention methods and results. • Participate in planning and implementation activities to support emerging communities of practice in facilitation and EMR use. • Coordinate and deliver, with support, physician engagement events. • Identify staff members who will receive resources, tools and methods to conduct standardized chart reviews.

16. A2 Benefits of ASaP to Albertans • Improve screening offers • Improve early detection • Progress toward patient-centred medical home

17. A9 The Medical Home What is the difference between a medical home and a medical hotel? In your home, someone cares about you even when you are not in their room.

18. A10 Primary Care Sustainable Results for Active Participation in ASaP