A2-a Seeing the forest, not just the trees: Testing a new comprehensive measure of quality in primary care

2. Health equity at the Centre

  • Date: 2022-10-12
  • Concurrent Session: Concurrent Session A
  • Time: 11:00 - 11:45 am
  • Room:
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus:  Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.)

Learning Objectives:

  • Learn about the Person-Centered Primary Care Measure, a new comprehensive measure of primary care
  • Explore how the Person-Centered Primary Care Measure may differ based on patient sociodemographic characteristics and how it relates to traditional patient experience measures
  • Discuss how the Person-Centered Primary Care Measure can be interpreted and used in practice, to highlight areas of improvement in primary care"
     

Summary/Abstract:

Measuring quality of primary care has largely relied on piecemeal assessments of individual components of care or specific condition outcomes. This can lead to over measurement, which is time-consuming and costly. In 2019, at St. Michael’s Hospital Academic Family Health Team (SMHAFHT), we piloted the Person-Centered Primary Care Measure (PCPCM), a new, concise, comprehensive measure of quality in primary care which was developed and tested in the United States, but hadn’t been implemented in a Canadian primary care practice. We wanted to understand how the PCPCM relates to traditional measures of patient experience and whether it varies by sociodemographic factors.     SMHAFHT is a large academic primary care organization serving roughly 49,000 rostered patients across six clinics within the inner-city of Toronto, Canada. The patient population is diverse and includes patients such as new immigrants, refugees, people who are homeless, those living in poverty, and those who identify as transgender.     In this interactive session, attendees will learn about this new primary care measure and how it performed in Canada. We will discuss how this measure reflects traditional patient experience measures, while simultaneously providing a “big picture” perspective. We will engage participants in discussion on whether this measure could be helpful in their practice and how it can be used not only to measure quality of care but also to improve it. For example, differences in the PCPCM by sociodemographic characteristics such as health status or age can highlight areas to improve in delivering care that is equitable.

Presenter

  • Erica Li, MD, MSc, South East Toronto Family Health Team
  • Noor Ramji, MD, MSc, St. Michael's Hospital Academic Family Health Team
  • Tara Kiran, MD, MSc, St. Michael's Hospital Academic Family Health Team