Person Centred Medical Neighbourhood Program leading by example

The Person Centred Medical Neighbourhood Program encourages all practices to actively engage in Quality Improvement Activities (QIAs) within their practice. We believe QI is not just a one-off activity, but something that should be embedded as a practice wide philosophy.

In an effort to practice what we preach the PCMN Program Team has undertaken our own QIA with all our POLAR practices, in fact we are running four QIAs.

These are as follows:

  1. Increase the number of practices using POLAR as their data extraction tool - September 2018 55 practices with POLAR
  2. Improve the number of Aboriginal and Torres Strait Islander demographic details recorded across the whole of CESPHN - September 2018- 78.21%
  3. Improve the number of alcohol measurements recorded in the clinical data across the whole of CESPHN - September 2018- 62.49%
  4. Improve the number of BMIs recorded in our CESPHN clinical data - September 2018- 43.1%

Before we publish the results of our QIAs, we need to be mindful that within our region we have nearly 1.25 million deidentified patients in the POLAR data base, so an improvement of 0.1 per cent is approximately 1250 patients.

Our results as of December 2018:

  1. Practices using POLAR increased to 104 -improvement of 49%
  2. Aboriginal and Torres Strait Islander demographic details 79.07% - improvement of 0.86% or over 1000 patient recorded
  3. Alcohol measurement recorded decreased to 61.79% - worse by 875 patients
  4. BMI recorded increased to 43.87% - improvement of 0.77% or 962 patients recorded

These results are generally very pleasing as we have targeted BMI and Aboriginal and Torres Strait Islander measurements specifically over the last few months. We would like to say thank you to everyone who made the extra effort to correctly identify and update these important patient’s data and clinical metrics.

How you can turn an initiative or program that CESPHN offers in to a QIA for your practice?

You may have heard about the new Think Eat and Move (TEAM) Program being promoted by CESPHN:

The TEAM Program is being promoted by CESPHN targeting adolescents at an unhealthy weight. Use this link to access the BMI - for-age percentile charts.

According to our POLAR data base we have 87,000 patients aged between 10 and 19. Only 11,500 have a BMI recorded, and only 529 would be considered to be at high risk.

According to the NSW Schools Physical Activity and Nutrition Survey (SPANS), 27.4 per cent of secondary school adolescents are above a healthy weight. SPANS 2015 report can be found here.

Does your practice regularly record height and weight measurements for your adolescents?

The PCMN Program is looking for practices to develop and work with this QIA as it supports a very important health initiative, obesity in adolescents. If your practice would like to be involved, please contact the PCMNP Team:
Catherine Scardilli or David Scandol

Alternately for more information regarding Think Eat and Move contact Chris Leung:
Population Health and Chronic Disease Program Officer