Q Pulse

What is Q Pulse?

Q Pulse is an innovative Cardio Vascular Disease (CVD) quality improvement project, that assists general practices in identifying high risk CVD patients and provision of care as per best practice guidelines through use of an electronic decision support tool and quality data. Q Pulse also allows practices to review how they meet current targets for monitoring and prescription of recommended preventive care medications and lifestyle options. It utilises the Australian Primary Care Collaboratives (APCC) methodology and an electronic decision support tool, HealthTracker to improve practice and patient outcomes by enhancing the quality of data in general practice.

Using the clinical audit suite CAT4, practices will be assisted in using medical record data to increase formal identification of at risk patients. Practices will then be able to review how they meet current targets for monitoring and prescription of recommended preventive care medications and lifestyle options.

document-pdf-text Q Pulse with CVD Flyer

Why should my practice be involved in Q Pulse?

Q Pulse builds on the success of previous QI projects in CESPHN with 2 major differences:

  1. Achieve better CVD outcomes for Central and Eastern Sydney as well as each local general practice
  2. Establish a supportive community of general practices with a focus on continuing improvement in patient care and health outcomes (QI GPnet)

Each practice's participation will also provide valuable data about the extraordinary role of Primary Care in prevention of CVD in the Central and Eastern Sydney region.

Benefits of joining the Q Pulse quality improvement program

  • Complimentary CAT4 suite and HealthTracker licenses and software training
  • Feedback reports based on de-identified data with benchmark indicators
  • Opportunity to receive 40 Category 1 QI training points
  • Support to allow greater understanding of your practice profile and processes
  • Easier identification of patients at risk of CVD
  • Access to the extensive network of Central and Eastern Sydney GPs for ideas and knowledge sharing.
  • Identification of further MBS claiming opportunities
  • Improved practice and patient management and improved identification of your at-risk cardiovascular patients

Q Pulse program outline

Month 1
  • Install/update CAT4 suite
  • Submission of baseline data
Month 2 to 6
  • Monthly data submissions
  • Cleanse data as per baseline report
Month 7
  • Installation of HealthTracker and Top Bar (optional)
  • Attend active learning module (optional, 40 category 1 QI points)
  • Upload data
Month 8 to 12
  • Monthly data uploads
  • Submit regular PDSA cycles (optional)
  • Bimonthly webinars/3 face to face meetings (optional)
  • Weekly group emails and discussion (optional)
  • Q Pulse forum participation (optional)
Month 13 and beyond
  • Knowledge and ideas exchange in QI platform
  • Continue QI work in practice

What are my obligations as a participating practice?

  • Submit monthly data uploads to CESPHN and The George Institute (TGI)
  • Attendance of active learning module (optional)
  • Complete microsystem analysis pre and post intervention
  • Nominate a practice contact person to liaise with the project officer
  • Identify priority areas and agree on improvement plan through completion of regular PDSA cycles
  • Engage in quality improvement activities as per individual improvement plan

What support does my practice get?

A dedicated project officer providing assistance with the monthly data uploads and the completion of PDSA cycles through practice visits and remote assistance.

What is HealthTracker?

HealthTracker is an electronic decision support tool that integrates with clinical systems to automatically extract information from the patient’s health record and can calculate the patient’s absolute risk of heart attack or stroke. It then automatically synthesises current best practice recommendations to provide tailored management advice specific to the patient’s circumstances.

HealthTracker has been designed to help health professionals implement recommendations to their patients in regards to treatment advice, in particular, cardiovascular risk. Displayed in colour with easy-to-follow charts, the tailored output also makes it easier for patients to understand their risks and see what action they should take. This allows the patient and health professional to assess current and projected risk and to perform 'what if scenarios' (e.g. the effects on future risk if the patient can stop smoking).