Diving into Quality Improvement

19 March 2019

By now you will have almost certainly heard about the introduction of the new QI PIP.

As of today, we are still waiting for exact details of the new QI PIP. However, we do know that for your practice to qualify for the payment you will need to upload de-identified data to CESPHN using a data extraction tool. CESPHN supports both POLAR and PENCAT.

You will also need to demonstrate “meaningful use of data”. This means that you are demonstrating an ongoing commitment to collect, analyse and improve your data to help facilitate the care you provide to your patients and deliver better patient experiences and better patient outcomes. You should also find this helps the practice bottom line. For more information on patient outcomes see the Quadruple Aims:

PCMN Overview Graphic

 

 

 

 

 

 

 

 

 

 

Quality Improvement (QI) is set to become a major element of general practice both now and in the future as QI is now also embedded in the RACGP 5th Edition Standards for General Practice. There is now a QI module covering patient feedback, health summaries and much more.

CESPHN has around 400 computerised and accredited practices who will be eligible for the new QI PIP. To make qualifying for your QI PIP as easy as possible we have updated our resources and general information to help keep you informed.

When it comes to engaging in QI, some practices may find it a little daunting. We recommend starting slowly and breaking your quality improvement activity into small pieces. Don’t forget, meaningful improvement can be achieved relatively easily. We also stress the importance of leadership with any QI activity. Leadership is so important that we have been running GP leadership workshops during the year known as “The Change Concept”. According to Bodenheimer’s 10 Building Blocks of high performing primary care, the essential elements of quality care are: leaders to drive change, focus on meaningful data and team based care approaches.

Once you have a leader and a team, we suggest you start with data cleansing. This is relatively easy to do, and helps you to use your data meaningfully, especially if you eventually want to look at specific conditions such as diabetes, COPD or potentially missed billing items such as Care Plans or Health Assessments.

If your practice would like to be involved or to find out more, please contact the PCMNP Team - Catherine Scardilli c.scardilli@cesphn.com.au or David Scandol d.scandol@cesphn.com.au.