LOCAL EXPERIENCES

Innovation practices and experiences related to FIC development and implementation

Mireia Fàbregas

EQA: Indicators to improve quality of care in primary health care

EQAIndicators to improve

quality of care in primary health care

Mireia Fàbregas

EAP La Marina, Barcelona

SISAP Management Information Systems

Catalan Health Institute, Spain

From data to eHealth tools

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1 minute background

Primary Care

Catalan Institute of Health (ICS)

325 Practices

4.463 GP

4.165 Nurses

Other Providers

6.096.802

People

From data to eHealth tools

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over 8.000 professionals

ECAP

Data collection

eHealth tool: clinical quality

indicators (EQA)

What do we aim?

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We pursue clinical excellence

EQA

Best evidence available

Improve the quality of our health care

Other eTools

Reminders

Alerts

Self-made queries

Research

Where does our data come from?

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Structured data• Diagnoses• Prescriptions• Tests and measure values• Lab tests• Immunizations• Tests requested

Unstructured data

clinical notes

Diagnoses ICD-10

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Diagnoses ICD-10

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Prescriptions

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ATC

Test and measure values

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over 2.000

Lab tests, immunisations and tests requested

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From data to eHealth tools

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Data collectioneHealth tool: clinical quality

indicators (EQA)

1. Indicator

2. Result

3. Number of patients with clinical condition to improve

From data to eHealth tools

From data to eHealth tools

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From data to eHealth tools

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Are we getting what we aimed for?

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05-AVC: Tractament antiagregant

76,00

78,00

80,00

82,00

84,00

86,00

88,00

90,00

92,00

94,00

96,00

98,00

mesos

% patients

2007 2008 2009 2010 2011 2012 2013

% patients with stroke who receives antiplatelet treatment

Feedback assessment: improving results

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To conclude

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Daily work

Data collectio

n

Clinical healthcare indicators

+other eTools

Better quality of care

thank you

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