Aligning Continuing Competence and Quality Improvement

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1 Aligning Continuing Competence and Quality Improvement

2 Background Dual mandate organization Interest in aligning CC with QI efforts Physiotherapy Alberta Existing Continuing Competence (CC) program New quality improvement (QI) focus

3 Existing CC Program Self-assessment( against competencies) Competence Development Patient Care Reflection (clinicians) Written Learning Plan Impact of Learning Continuing Professional Development Existing CC Program Competence Assessment Examination Review of Reflective Practice Records Interviews Any Other Type Of Evaluation Practice Visits X Individually or for a group

4 QI Activity Pillars Knowledge Mobilization Practice Improvement Accelerator Quality Project Collaborator Change Leader Linking Members, Public & Stakeholders to Physiotherapy Practice Resources Facilitating Access to Practice Assessment & Enhancement Supports Promoting Quality Improvement Projects Provincial Policy Change Leadership

5 Desired Model Regulatory (CC) Competence Development & Assessment (CPD) Quality Learning/KT Practice Review & Improvement Reflective Practice Clinical Innovation Projects Virtual Mentorship

6 QI Activity Pillars Knowledge Mobilization Knowledge Mobilization Member Generated Areas of Interest Linking Members, Public & Stakeholders to Physiotherapy Practice Resources Website and Portal E-learning and Formative Assessment Member Shared Practice Enhancement Tools, Applications & Technologies

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8 Evidence supporting the role of physiotherapists in primary care & chronic disease management Evidence briefings that support the impact of physiotherapy services on individual patient experience and outcome, population health, & health care costs: Arthritis (knee ) Cancer survivorship Cardiovascular rehabilitation Chronic pulmonary rehabilitation Chronic disease prevention, treatment and self management (i.e., promoting health literacy) Critical care/intensive care Cystic fibrosis Dementia care Diabetes Emergency department - assessment of mobility and function & discharge planning Fragility, fractures and falls Joint arthroplasty (TKR & THR) Home-based rehabilitation Management of low back pain Lymphoedema Multiple sclerosis Musculoskeletal disorders Occupational health Parkinson s Pediatrics (acute & chronic conditions) Rehabilitation Stroke rehabilitation Urinary incontinence Vestibular rehabilitation = PA has tools = CPA has tools =AREA FOR DEVELOPMENT =CSP has tools

9 QI Activity Pillars Practice Improvement Accelerator Practice Improvement Accelerator Reflective Practice & Practice Review Tools Facilitating Access to Practice Assessment & Enhancement Supports Mentored Networks Professional Networking Technologies Patient Videos

10 Individual Practitioner Reports QUALITY DIMENSIONS: SELECTED MEASURE: TARGETED IDEAL (Level 10): PERFORMANCE LEVEL: 10 (Targeted Ideal) EFFICIENT SAFE APPROPRIATE ACCESSIBLE ACCEPTABLE EFFECTIVE (Length of Stay - LOS) (Note 1) OR Time Out (Note 2) % of Patients Mobilized Day 0 (Note 3) Full compliance to established standards; non-negotiable 4.2 days or less 100% compliance 100% % 90% Time to Surgery (T0 - T2) (Note 4) Patient Satisfaction (H-CAHPS Pain Control Responses) (Note 5) Date of Discharge/ Predicted date (Note 6) Ideal target based on what can realistically be achieved in two years; negotiable 400 days or less 450 Days 90% or higher for Always Score 0% 10 88% 0. 5% % 82% 500 Days 86% 1% % 75% 550 Days 85% 2% % 68% 600 Days 82% 4% % 61% 675 Days 79% 6% % 54% 3 ( AS IS at Start) 5.5 Current Compliance 60% % % 775 Days 47% 896 Days 40% 1000 Days 30% 1200 Days 76% 8% % for Always Score (See Note 5) 10% 3 60% 12% 2 55% 15% 1 WEIGHTING (%) = 100 (%)

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13 Q1 Activity Pillars Quality Project Collaborator Quality Project Collaborator Patient Safety Primary Care Projects Promoting Quality Improvement Projects Transitions in Care Project Clinical Innovations Grant

14 Patient Safety: Every Person, Every Time

15 Desired Model Regulatory (CC) Continuing Professional Development Quality Learning/KT Practice Review & Improvement Reflective Practice Program Collaborative Projects Virtual Mentor Review Program

16 Member Feedback on Reflective Practice Private sector Public sector Clinician Admin / Manager Overall Promotes self-reflection Encourages appropriate learning Enhances competence Improves the quality of services to patients

17 CC Program Audit members audited Majority acceptable: many provided with feedback on minor deficiencies 5% required to re-submit General Observations Self-assessments were generally comprehensive Learning Planning and Tracking was not well done Assessment of Learning was not well done Very few were exceptional Patient Care Reflection exercise was well done

18 How will we know if we have the right model? Meets regulatory requirements Meets public & system expectations Members self-refer Queue to access mentors & practice coaches Member & mentor/coach stories & feedback Members engaged re continued process and tool developments Sustainable strategy from a resourcing perspective in the long term - allows for other Quality XChange investments

19 Critical Indicators & Success Factors for Quality Exchange Coordinating the QI Approach with Regulatory Functions Facilitating Intra and Inter Professional Communications Responding to the Increasing Demand for Quality Resources & Tools Linking Quality Initiatives to Practicebased Needs Broadening the Quality Scope of PA Promoting the Value of Quality Initiatives Building a Collaborative Approach Promoting Real Time Access to QI Resources Creating Appropriate Enablers & Incentives for Participation

20 Future State Build on what is relevant to members and of benefit to the public Make any program flexible by offering a menu of activities Focus on QI with CC as a component but less visible (we can sell QI, not so much CC) Consider rule: help members move to the top Use technology as an enabler: manage their QI/CC information, gamification strategies Keep value added parts of the Reflective Practice Review Leverage our One Member-One Record technology

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