Strengthening Data Collection Practices Beyond Reporting Symposium March 11, 2015
Overview • Our Journey • Health Equity as an Organizational Priority • Lessons Learned Setting a New Standard in Quality & Value
Our Journey 2015 Quality Improvement 2014 Plan Setting the Stage for Spread 2013 Maternal Newborn Pilot Setting a New Standard in Quality & Value
2013: Maternal Newborn Pilot 9% TEGH’s serves five times as many obstetrical patients from low income neighbourhoods than high neighbourhoods. Participation Rate • 60% of mothers born outside of Canada • 89% Heterosexual mothers Setting a New Standard in Quality & Value
The Problem • How do we get to 60% of patients? “Patients “We don’t have the wouldn’t want infrastructure or budget to Clinicians IT to fill this out.” make this work.” “How can we “We are protect their overcommitting Org. information?” our resources.” Senior Privacy Leadership Learning “This will add too “We’re doing this much extra time.” for the LHIN.” Dept. Reg. Patient PR Relations Managers Staff Setting a New Standard in Quality & Value
2014: Setting the Stage • Leadership • Registration Staff x 100 • Patients • Community Members • Thorncliffe Park reps Setting a New Standard in Quality & Value
2014: Setting the Stage – TEGH Story Health Outcomes: • Premature mortality • Diabetes • Hypertension • Screening rates • Mental health issues Demographics: • Income disparity • Ethnic diversity • Thorncliffe Park Example Setting a New Standard in Quality & Value
2014: Setting the Stage – A Shift Health Equity = Quality Setting a New Standard in Quality & Value
2015: Quality Improvement Plan • Organizational support for QIP 1. Benchmarking 2. Baseline Data 3. Targets 4. Tactics 5. Sustain Setting a New Standard in Quality & Value
Benchmarking Baseline Data Targets Tactics Sustain Planning Session • How are other organizations collecting data? – Contact Rate – Participation Rate – Information Rate • Participants: – IT, Privacy, Communications, Registration, Senior Leadership, Organizational Learning Setting a New Standard in Quality & Value
Benchmarking Baseline Data Targets Tactics Sustain • Emergency Department Trial Contact rate 72.0% Participation Rate 51.6% Information rate 42.9% • Patient Videos Setting a New Standard in Quality & Value
Benchmarking Baseline Data Targets Tactics Sustain • Implementation Schedule Description Registration Area Phase 1 Family Birthing Centre Emergency Phase 2 Day Surgery - OR Admitting Day Surgery - OR - Cataract Admitting Haemodialysis Unit Haemodialysis Unit Oncology Clinic Oncology Clinic Haemotology Clinic Oncology Clinic Phase 3 Emergency Emergency All Inpatient Units (incl. G5, J5, H6) Admitting / ER Phase 4 Cardioversion Admitting Cath Lab Admitting Endoscopy Admitting Urology - Cystoscopy Admitting Medical Short Stay Unit Admitting Setting a New Standard in Quality & Value
Benchmarking Baseline Data Targets Tactics Sustain Key Tactics Build Awareness Measure Results Equip Staff • • Campaigns • Contact rate Conversational Tools • • Education materials • Participation Rate Process • Information Rate Setting a New Standard in Quality & Value
Benchmarking Baseline Data Targets Tactics Sustain • Weekly Operations Huddle • Performance Monitoring and Quality Committee of the Board Setting a New Standard in Quality & Value
Next Steps • Continue Implementation Schedule • Electronic reporting • Monitor • Engage patients – Patient videos, Patient Experience Panel Setting a New Standard in Quality & Value
Lessons Learned • Make health equity meaningful to your organization • Involve patients in designing rollout • Test ideas and learn • Measure the right things Setting a New Standard in Quality & Value
Thank You! Contact: Saleem Chattergoon Manager, Corporate Communications, Planning & Partnerships Toronto East General Hospital sacha@tegh.on.ca @S_Chattergoon Setting a New Standard in Quality & Value
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