Theme 6. Using data to demonstrate value and improve quality of care
In 2010, Markham FHT created a multidisciplinary committee charged with researching and recommending evidence-based clinical practice guidelines for use in the FHT collaborative model of care. The Guidelines and Protocols Advisory Committee (GPAC) oversaw the standardization of many processes and workflows and made a significant impact on EMR efficiencies. It was not until the launch of Choosing Wisely Canada that the Markham FHT realized GPAC may have indeed been ahead of its time. By partnering with other FHTs in the ARTIC initiative (Adopting Research to Improve Care), Markham FHT leveraged the work already done by GPAC and gave traction for future QI projects. The simple act of collecting baseline data was in and of itself an eye-opening experience. Few providers could have guessed the surprisingly high number of TSH’s ordered for FHT patients, and at once a team approach to lowering that data point began. The FHT model afforded an excellent opportunity for interdisciplinary health professionals to engage in QI efforts, and to practice to full scope, by leading a PPI deprescribing initiative. The thoughtful application of shadow billing codes (IHP tracking codes) enables fast, reliable data searches. The presentation will focus on the benefits of examining clinical practice, scrutinizing EMR workflows, and how to achieve quick, simple successes without the need for formal involvement in external projects or research studies.
Authors & Contributors