Measurement and Quality Improvement

Telling our Story: External Presentations on Measurement and Quality Improvement

People across Ontario and North America are keen to learn about the ground-breaking advances AFHTO members are making to meaningfully measure and improve primary care. Presentations are listed by theme below, with brief descriptions.

Presentations on AFHTO members’ approach to the Starfield Principles
Presentations on approaching measurement that is meaningful to providers and patients
Presentations on optimizing the use of EMRs for quality improvement
Presentations on moving beyond measurement to improvement
List of upcoming presentations
List of past presentations

Presentations on AFHTO members’ approach to the Starfield Principles:

Presentations on approaching measurement that is meaningful to providers and patients:

Presentations on optimizing the use of EMRs for quality improvement:

Presentations on moving beyond measurement to improvement:

  • The Care and Feeding of QI Specialits in Ontario: The First Five Years. This poster describes the experience of the first five years of the QIDS program, from the perspective of those coordinating, delivering, and receiving QIDS Specialist support.
  • Using Mobile Technology to Collect Patient-Reported Outcomes for Quality Improvement in Primary Care: There’s an App for That (with C. Steele Gray, J. Nie, J. Gravesande, P. Hans, and C. Cott). This presentation demonstrates how mobile technology can be used to improve care for patients with multiple chronic conditions and complex needs and to gather data which support research and system-level planning. Abstract.
  • Readiness for Patient Engagement in Ontario’s Primary Care Teams (with N. Sunderji, V. Tang, A. Ion, and J. Rayner): This poster/presentation describes research into the question of how ready and willing primary care teams are to practice meaningful patient engagement in quality improvement related to mental health care. Abstract.
  • Learning How to Get Lucky: Enablers of High-Performing TeamsThis presentation describes what D2D is telling us about enablers of high performance in primary care teams. Some of these factors may be out of teams’ control (e.g. panel characteristics), others, such as single- vs. multi-site design, EMR management, and governance may be amenable to change. Abstract.
  • Engaging Ontario’s Primary Care Teams: Learning the secrets of success from those who have achieved it. D2D data reveals that patients of single-site teams had statistically lower per capita health system costs, even when patient complexity is considered, regardless of whether the team is rural or urban. This paper explores how single-site design might be a useful place to start exploring what drives better outcomes in primary care teams.
  • Evidence of the positive impact of co-location on quality and healthcare system costs in Ontario’s primary care teams. This poster describes the finding, observed over 6 iterations of D2D, that single-site teams are associated with lower system costs, and it explores the implications for quality improvement in all team, including multi-site teams.
  • Ontario’s primary care teams are moving beyond measurement to improvement This poster described patters of improvement observed over the first five iterations of D2D. “Increasers” began below average in the first iteration but were among the highest overall performers by the most recent iterations. “Decreasers” began among the highest performers but became the worst performance in the most recent iterations. Differences in characteristics between these groups are being examined and will be shared in the poster.

List of upcoming presentations

TopicTitleConferenceLocationFormatDate
Moving Beyond Measurement to ImprovementLearning how to get lucky: enablers of high performing primary care teamsNorth American Primary Care Research Group (NAPCRG) Annual Meeting 2018Chicago, ILOral2018-11-13
Approaching measurement that is meaningful to providers and patientsSelf-assessment of a composite measure of quality of primary care using National Quality Forum evaluation criteriaNorth American Primary Care Research Group (NAPCRG) Annual Meeting 2018Chicago, ILOral2018-11-13
Approaching measurement that is meaningful to providers and patientsPatient priorities regarding relationships with their providers only marginally affected by socioeconomic and health statusNorth American Primary Care Research Group (NAPCRG) Annual Meeting 2018Chicago, ILOral2018-11-13
Approaching measurement that is meaningful to providers and patientsChanging primary care performance measurement: Honey, we need to talkNorth American Primary Care Research Group (NAPCRG) Annual Meeting 2018Chicago, ILOral2018-11-13
Moving Beyond Measurement to ImprovementReadiness for Patient Engagement in Ontario's Primary Care TeamsNorth American Primary Care Research Group (NAPCRG) Annual Meeting 2018Chicago, ILOral2018-11-13
Moving Beyond Measurement to ImprovementUsing Mobile Technology to Collect Patient-Reported Outcomes for Quality Improvement in Primary Care: There’s an App for ThatNorth American Primary Care Research Group (NAPCRG) Annual Meeting 2018Chicago, ILOral2018-11-13

List of past presentations

TopicTitleConferenceLocationFormatDate
Approaching measurement that is meaningful to providers and patientsGetting started with involving patients in improving qualityTrillium Primary Care Research DayToronto, ONOral2016-06-01
Optimizing the use of EMRs for quality improvementFeasibility and impact of using EMR to trigger automated patient experience surveyingTrillium Primary Care Research DayToronto, ONOral2016-06-01
Approaching measurement that is meaningful to providers and patientsWhat do interprofessional healthcare providers need and want to get better at what they do?Trillium Primary Care Research DayToronto, ONOral2016-06-01
AFHTO Members' Approach to the Starfield PrinciplesOntario data support Starfield’s theory on primary care quality and costTrillium Primary Care Research DayToronto, ONOral2016-06-01
Approaching measurement that is meaningful to providers and patientsImpact of a ground-up voluntary performance measurement initiative on the use of data for QI in primary careNAPCRG Practice-Based Presearch Network ConferenceBethesda, MDOral2016-07-11
AFHTO Members' Approach to the Starfield PrinciplesMaking composite measures of primary care useful for front-line providersNAPCRG Practice-Based Presearch Network ConferenceBethesda, MDOral2016-07-11
Approaching measurement that is meaningful to providers and patientsBuilding a Mosaic: Using locally-gathered data to develop a province-wide program planning toolHQO Health Quality Transformation: Quality Matters 2016Toronto, ONPoster2016-10-20
Optimizing the use of EMRs for quality improvementMoving the needle on diabetes careHQO Health Quality Transformation: Quality Matters 2016Toronto, ONOral2016-10-20
AFHTO Members' Approach to the Starfield PrinciplesOntario data support Starfield’s theory on primary care quality and costCCFP Family Medicine ForumVancouver, BCOral2016-11-09
Approaching measurement that is meaningful to providers and patientsDeveloping a more meaningful way to measure performance in primary care: the impact of getting startedNAPCRG 2016 Annual MeetingColorado Springs, COPoster2016-11-12
AFHTO Members' Approach to the Starfield PrinciplesOntario data support Starfield’s theory on primary care quality and costNAPCRG 2016 Annual MeetingColorado Springs, COOral2016-11-12
Optimizing the use of EMRs for quality improvementReduce, reuse, recycle: Digging for gold in EMR dataOCFP 545th Annual Scientific AssemblyToronto, ONOral2016-11-24
AFHTO Members' Approach to the Starfield PrinciplesCentre for Health Services and Policy Research (CHSPR) 2017 Health Policy ConferenceVancouver, BCOral2017-03-09
Optimizing the use of EMRs for quality improvementEvidence of improving EMR data quality in primary care teamsCanadian Association for Health Services and Policy Research (CAHSPR) 2017 ConferenceToronto, ONPoster2017-05-24
AFHTO Members' Approach to the Starfield PrinciplesDemonstration of Starfield's observations about relationhip between primary care quality and health system cost at the level of primary care teams in OntarioCanadian Association for Health Services and Policy Research (CAHSPR) 2017 ConferenceToronto, ONOral2017-05-24
Optimizing the use of EMRs for quality improvementStart here, start now: Cross-Sectoral Partnership in Improving Depression Management in Primary CareTrillium Primary Care Research DayToronto, ONOral2017-05-31
Approaching measurement that is meaningful to providers and patientsMaking sense of measures of success in primary care programs.Trillium Primary Care Research DayToronto, ONOral2017-05-31
Approaching measurement that is meaningful to providers and patientsMeasuring Quality According to What Matters to PatientsTrillium Primary Care Research DayToronto, ONOral2017-05-31
Optimizing the use of EMRs for quality improvementMeasuring EMR Data Quality Improves Care as well as Quality and Use of EMR DataTrillium Primary Care Research DayToronto, ONPoster2017-05-31
optimizing the use of EMRs for quality improvement Data stewardship and primary & community care transformation partnerships (with Darren Larson of Ontario MD and Gail Dobell of HQO)e-Health Annual Conference and Trade ShowToronto, ONOral2017-06-04
Approaching measurement that is meaningful to providers and patients Primary Care in Ontario: Driving Data to Decisions (with Paul Faguy of Oakmed FHT)National Health Leadership ConferenceVancouver, BCOral2017-06-12
Moving Beyond Measurement to Improvement Ontario's primary care teams are moving beyond measurement to improvement North American Primary Care Research Group - Practice-Based Research NetworkBethesda, MDPoster2017-06-22
Optimizing the use of EMRs for quality improvement Improving primary care management of depression: buddy up, start where you can, learn and then take the next step together North American Primary Care Research Group - Practice-Based Research NetworkBethesda, MDOral2017-06-22
Approaching measurement that is meaningful to providers and patientsScaling up QI support in Ontario's primary care sector: co-design a stepped-wedge clinical trialNorth American Primary Care Research Group - Practice-Based Research NetworkBethesda, MDOral2017-06-22
Optimizing the use of EMRs for quality improvement Putting your EMR to Work for you: how Expert-built Tools can help you Improve Patient CareOntarioMD: Every Step Conference Toronto, ONOral2017-09-28
Optimizing the use of EMRs for quality improvement Putting your EMR to Work for you: how Expert-built Tools can help you Improve Patient CareOntarioMD: Every Step Conference Toronto, ONOral2017-09-28
Optimizing the use of EMRs for quality improvement Evidence of improving EMR data quality in primary care teams. Health Quality TransformationToronto, ONPoster2017-10-24
Approaching measurement that is meaningful to providers and patientsBuilding patient perspectives into the "hard data" of primary care performance measurement North American Primary Care Research GroupMontreal, QCOral2017-11-17
Moving Beyond Measurement to ImprovementOntario's primary care teams are moving beyond measurement to improvement North American Primary Care Research GroupMontreal, QCPoster2017-11-17
Approaching measurement that is meaningful to providers and patientsAre we REALLY measuring what matters most to patients? Validating the patient-contentedness of Ontario's composite measure of primary care qualityNorth American Primary Care Research GroupMontreal, QCPoster2017-11-17
Approaching measurement that is meaningful to providers and patientsMeasuring Improvement to Improve Measurement: Action research to validate a composite measure of qualityNorth American Primary Care Research GroupMontreal, QCPoster2017-11-17
Approaching measurement that is meaningful to providers and patientsPerformance Indicators for Interprofessional Primary Care Teams: Measures of CollaborationNorth American Primary Care Research GroupMontreal, QCPoster2017-11-17
Moving Beyond Measurement to ImprovementEvidence of the positive impact of co-location on quality and healthcare system costs in Ontario’s primary care teams Centre for Health Services and Policy Research (CHSPR) 30th Annual Health Policy ConferenceVancouver, BCPoster2018-03-08
Approaching measurement that is meaningful to providers and patientsPatient priorities for primary care performance:
Changing measurement to reflect the patient-provider partnership
Centre for Health Services and Policy Research (CHSPR) 30th Annual Health Policy ConferenceVancouver, BCPoster2018-03-08
Approaching measurement that is meaningful to providers and Changing Primary Care Performance Measurement: Honey, we need to talk.Trillium Primary Care Research DayToronto, ONOral2018-06-06
Approaching measurement that is meaningful to providers and Factors affecting patient priorities for measurement in primary careTrillium Primary Care Research DayToronto, ONOral2018-06-06
Moving Beyond Measurement to ImprovementEngaging Ontario's Primary Care Teams: Learning the Secrets of Success from those who have Achieved ItTrillium Primary Care Research DayToronto, ONOral2018-06-06
Moving Beyond Measurement to ImprovementLearning How to Get Lucky: Enablers of High-Performing TeamsTrillium Primary Care Research DayToronto, ONOral2018-06-06
Approaching measurement that is meaningful to providers and patientsMeasuring quality in primary care: How do we know what we're doing is working?North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)Bethesda, MDOral2018-06-25
Approaching measurement that is meaningful to providers and patientsPatient Priorities for Primary Care Performance: Changing Measurement to Reflect the Patient-Provider PartnershipNorth American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)Bethesda, MDOral2018-06-25
Moving Beyond Measurement to ImprovementEngaging Ontario's Primary Care Teams: Learning the secrets of success from teams who have achieved itNorth American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)Bethesda, MDOral2018-06-25