Welcome to HQC News. This is where you’ll find all the latest news about what we’re up to, including media releases and job postings.
Up to 30 per cent of selected medical tests, treatments and procedures in Canada are potentially unnecessary, a new national report reveals. The report, entitled Unnecessary Care in Canada, was released by Choosing Wisely Canada and the Canadian Institute for Health Information (CIHI) on April 6. The report, based on administrative data, includes measurements on the extent of unnecessary care associated with tests and procedures that span the health system, and also identifies factors that might help to reduce instances of unnecessary care.
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My project is about developing clinical pathways in pediatric practice. Clinical pathways standardize care for common clinical conditions. Despite the available evidence, there is considerable variation in the management of common pediatric problems.
I will be focusing on how to reduce frequency of patient visits to the ER for COPD (chronic obstructive pulmonary disease) exacerbations. To achieve this, I hope to implement a treatment protocol that will ensure that patients will get multiple facets of COPD management addressed on one ER visit and hopefully negate further exacerbations.
Health care safety is an important issue in Canada. In October 2016, Measuring Patient Harm in Canadian Hospitals – a report from the Canadian Institute for Health Information (CIHI) and the Canadian Patient Safety Institute (CPSI) – showed that in 2014-2015 harm was experienced by patients in one of every 18 hospital stays. Of those 138,000 hospitalizations, 30,000 involved more than one form of harm.
My project will focus on increasing HIV testing and improving connection to treatment and primary care for people living with HIV in our region. The improvement idea is to increase HIV testing of patients at all points of contact in our region. Anecdotally, we have heard that care providers continue to use risk-based testing and are hesitant to test for HIV in settings where they would not be involved in follow up – for example, in ER or through specialists.
Antimicrobial stewardship and quality improvement are parallel concepts targeting appropriateness of care and the optimization of patient safety. As the Saskatoon Health Region’s Antimicrobial Stewardship Physician Lead, I strive to enhance my knowledge of quality improvement methodology. I am excited to be a part of the Clinical Quality Improvement Program’s inaugural cohort of physicians. Through this mentorship-based program, I will be equipped with the theory and tools needed to implement successful health care improvement.
Safety is a top priority in the provincial health system, and Saskatchewan’s health care providers and patients can play a big role in helping to make the systemic changes needed to reduce harm. That’s the message from Kate Fast, lead of the provincial Safety Alert/Stop the Line Initiative. Safety Alert/Stop the Line, which is coordinated out of the Health Quality Council, is intended to support Saskatchewan’s health system in achieving the goal of zero harm to patients and staff by March 2020.
Early in the New Year, 15 Saskatchewan doctors will make up the first wave of participants in the new Clinical Quality Improvement Program (CQIP), which has been designed specifically for clinicians in our health system. Saskatchewan’s Health Quality Council (HQC) – in collaboration with the Saskatchewan Medical Association (SMA) and the provincial Ministry of Health – is launching CQIP, with the program set to run from January to November 2017.
Take this opportunity to learn how our Guiding Coalition is advancing the best practices of patient-and family-centred care in Saskatchewan. This issue also shares our targets for 2016-2017; how Saskatoon’s Long-Term Care Advisory Council is making a difference; how The Meadows long-term care facility in Swift Current creates a resident-centred atmosphere; and, how Prairie North advisors share their stories during Safety Alert training.
The key to delivering better, safer health care lies in applying rigorous quality improvement and measurement tools to treatment processes, says the man behind Intermountain Healthcare’s improvement journey. For nearly 30 years, Dr. Brent James has worked to improve patient care by working with clinical teams to develop care standards and measurement systems to support learning and improvement for a wide range of patient needs and care processes.
Health Clips is your go-to source for the latest on quality improvement, health system performance, Lean, and patient safety.