Patient safety and good care is reliant upon continuous quality improvement.
Key requirements for quality improvement:
- The improvement is informed by data, so the impact of changes can be measured. Data can be drawn from a variety of sources, including feedback from patients, team members in the practice, and clinical data analysis.
- All members of the team are involved on a routine basis.
Data analysis tools for healthcare providers, such as POLAR, are increasingly common. They do a lot of the heavy lifting of the data extraction, transformation, mapping, and analysis. They make it easy for clinical and adminstration staff to visualise data for data analysis and identify patterns.
PDSA (Plan Do Study Act) cycle
A key tool for quality improvement is the PDSA. The PDSA cycle is a useful tool for documenting a change. The cycle’s steps are: develop a plan to test the change (Plan), carry out the test (Do), observe and learn from the consequences (Study), and determine what modifications should be made to the change (Act). You test multiple changes (cycles) for the same goal until you’ve achieved the goal or you move to a different one.
For more information about the PDSA cycle, see the RACGP QI & CPD Handbook (pg 23).
Practice Incentive Payment Quality Improvement (PIP QI)
The Practice Incentive Payment Quality Improvement (or PIP QI) is for general practices that participate in quality improvement activities to improve patient outcomes and deliver best practice care.
How to register
Registration is available from 1 August 2019. Register via HPOS (using PRODA).
Important note: once you've registered, you must contact SEMPHN to tell us that you've registered and what your PIP Practice ID is.
There are two requirements that practices must comply with in order to receive payment:
- Participate in continuous quality improvement each quarter (such as PDSA activities), in partnership with their local PHN.
- Submit the PIP Eligible Data Set on a quarterly basis to their local PHN.
The Eligible Data Set comprises 10 metrics:
- Proportion of patients with diabetes with a current HbA1c result
- Proportion of patients with a smoking status
- Proportion of patients with a weight classification
- Proportion of patients aged 65 and over who were immunised against influenza
- Proportion of patients with diabetes who were immunised against influenza
- Proportion of patients with COPD who were immunised against influenza
- Proportion of patients with an alcohol consumption status
- Proportion of patients with the necessary risk factors assessed to enable CVD assessment
- Proportion of female patients with an up-to-date cervical screening
- Proportion of patients with diabetes with a blood pressure result
More information and the Guidelines for PIP QI are on the Department of Health webpage for PIP QI Incentive guidance.
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South Eastern Melbourne PHN acknowledges the traditional custodians of the land our catchment covers, the Boon Wurrung and Wurundjeri people. We pay respect to them, their culture and their Elders past, present and future, and uphold their relationship to this land.
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