Concurrent Sessions

F4 Measuring Quality in Primary Care: Beyond the Body Parts

Theme 4. Measuring performance to foster improvement in comprehensive care

Presentation Details

  • Date: 10/18/2016
  • Concurrent Session F
  • Time: 11:45am – 12:30pm
  • Room: Pier 7 & 8
  • Style: Panel Discussion (in addition to providing information, panelists interact with one another to explore/debate a topic)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers

Learning Objectives

At the end of this session, attendees will be able to:

  • Drill down into the Quality roll-up indicator to make sense of it at the team level
  • Connect the “generalist” approach of primary care to the comprehensive approach to measuring quality with the composite Quality roll-up indicator
  • Continue advocating for comprehensive (vs body-part-focused) measurement of quality in LHIN-sub-region reporting in preparation for launch of Patients First


The strength of primary care is  that it specializes in being generalized.  It focuses on the person, and is works from the strength of the relationship with that person to improve and sustain their health as a person.  Primary care providers don’t manage diabetes.  They manage patients with diabetes (and whatever else they came with).  Measurement of quality in primary care needs to be “generalist” as well, and have a comprehensive view, not a body-part-specific focus.  AFHTO’s response to this need is the Quality roll-up indicator.  The down side of a comprehensive measure like this is that it is hard for front line providers to make sense of and take action on.  This presentation outlines how teams can drill down into the composite measure to guide local responses to the their overall quality score as reflected in the composite Quality roll-up indicator.  This presentation also outlines how local teams can use the Quality roll-up indicators to demonstrate the contribution of teams to the quality of primary care in LHINs (and eventually LHIN sub-regions).  It models a way to discuss planning, measurement and reporting in the context of Patients First that leverages this “generalist” mindset to minimize the risk of defaulting to the easier but less meaningful path of body-part-focused measures of quality.


  • Ross Kirkconnell, Executive Director, Guelph FHT
  • Monique Hancock, Executive Director, STAR FHT
  • Carol Mulder, QIDS Provincial Lead, AFHTO

Authors & Contributors

  • Ross Kirkconnell, Executive Director, Guelph FHT
  • Monique Hancock, Executive Director, STAR FHT
  • Alan Maclean, Lead Physician, Superior FHT
  • Carol Mulder, QIDS Provincial Lead, AFHTO