scholarly journals P127: Health information technology and the Ontario emergency department return visit quality program - A population level continuous quality improvement program

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S110
Author(s):  
A. Taher ◽  
E. Bunker ◽  
L. Chartier ◽  
H. Ovens ◽  
B. Davis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information Technology ◽  
Quality Improvement ◽  
Health Information Technology ◽  
Health Information ◽  
Continuous Quality Improvement ◽  
Population Level ◽  
Return Visit ◽  
Continuous Quality ◽  
Quality Program

Introduction: Emergency department (ED) return visits are used for quality monitoring. Health information technology (HIT) has historically supported return visit programs in the same hospital or hospital system. The Emergency Department Return Visit Quality Program (EDRVQP) is a novel population level continuous quality improvement (QI) program connecting EDs across Ontario that leverages HIT. We sought to describe the EDRVQP HIT architecture, experience of participants, enabling program factors and barriers. Methods: The Informatics Stack conceptual framework was used to describe the HIT architecture. A literature review of peer-reviewed background literature, and stakeholder organization reports was conducted. Purposive sampling identified key informants. Semi-structured interviews were conducted until saturation. Common themes were identified by inductive qualitative thematic analysis. Results: Twenty-three participants from 15 organizations were interviewed. The EDRVQP architecture description is presented across the Informatics Stack. The levels from most comprehensive to most basic are world, organization, perspectives/roles, goals/functions, workflow/behaviour/adoption, information systems, modules, data/information/knowledge/algorithms, and technology. Enabling factors were a high rate of EHR adoption, provincial legislative mandate for data collection and program membership, use of functional and data standards, local variability, phased deployment, and QI and patient safety culture. Two main barriers were increased case turnaround time and privacy legislation. Conclusion: The Informatics Stack framework provides a robust approach to thoroughly describe the HIT architecture of this population health programs. The EDRVQP is a population health program that illustrates the pragmatic use of continuous QI methodology across a population (provincial) level.

scholarly journals P037: The Ontario Emergency Department Return Visit Quality Program: a provincial initiative to promote continuous quality improvement

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S90
Author(s):  
L.B. Chartier ◽  
O. Ostrow ◽  
I. Yuen ◽  
S. Kutty ◽  
B. Davis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Continuous Quality Improvement ◽  
High Volume ◽  
Return Visit ◽  
Continuous Quality ◽  
Quality Program ◽  
Ed Visits

Introduction: Analyzing the charts of patients who have a return visit to an emergency department (ED) requiring hospital admission (termed ‘RV’) is an efficient way to identify adverse events (AEs). Investigating these AEs can inform efforts to improve the quality of care provided. The ED RV Quality Program (RVQP) is a new initiative supported by Ontario’s Ministry of Health and Long-Term Care and managed by Health Quality Ontario. It aims to promote a culture of continuous quality improvement through routine audit/investigation of RVs. Methods: The provincial program is mandatory for high-volume EDs and requires auditing of some 72-hour RVs and all 7-day RVs involving ‘sentinel diagnoses’ (subarachnoid hemorrhage [SAH], acute myocardial infarction [AMI], or pediatric sepsis [PS]). A standardized audit template is followed that includes assessment of the type/severity and underlying causes of AEs, and potential actions for improvement. Results: 73 high-volume EDs and 16 smaller EDs (collectively receiving 90% of all ED visits in Ontario) are participating in the program. Nine months’ data have been released to date, comprising 33,956 RVs (1.05% of 3,235,751 ED visits). Of these, 233 RVs (0.69%) were for a sentinel diagnosis (SAH=11, AMI=191, PS=31). The most common presenting complaint on the index visit was abdominal pain (18%). The most common discharge diagnosis following RV admission was acute appendicitis (3.8%). Conclusion: The ED RVQP aims to improve the quality of care provided in Ontario’s EDs by requiring hospitals to conduct audits of RVs and plan actions for improvement when quality gaps are identified. Participating hospitals have completed hundreds of audits to date.

Impact of a Health Information Technology–Enabled Appropriate Use Criterion on Utilization of Emergency Department CT for Renal Colic

2019 ◽  
Vol 212 (1) ◽  
pp. 142-145 ◽  
Author(s):  
Ali S. Raja ◽  
Sarvenaz Pourjabbar ◽  
Ivan K. Ip ◽  
Christopher W. Baugh ◽  
Aaron D. Sodickson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Renal Colic ◽  
Appropriate Use

scholarly journals The evolution of quality improvement in healthcare: Patient-centered care and health information technology applications

2016 ◽  
Vol 5 (2) ◽  
pp. 62 ◽  
Author(s):  
John Cantiello ◽  
Panagiota Kitsantas ◽  
Shirley Moncada ◽  
Sabiheen Abdul
Keyword(s):  
Information Technology ◽  
Quality Improvement ◽  
Health Information Technology ◽  
Health Information ◽  
Patient Centered Care ◽  
Healthcare Industry ◽  
Patient Centered ◽  
Technology Applications ◽  
Centered Care

Objective: Quality improvement in the healthcare industry has evolved over the past few decades. In recent years, an increased focus on coordination of care efforts and the introduction of health information technology has been of high importance in improving the quality of patient care.Methods: In this review, we present a history of quality improvement efforts, discuss quality improvement in the healthcare industry, and examine quality improvement strategies with a focus on patient-centered care and information technology applications via patient registries.Results: Evidence shows that the key to quality improvement efforts in the healthcare industry is the coordination of patient care efforts through better data evaluation processes. By utilizing patient registries that can be linked to electronic health records (EHRs) and the Patient-Centered Medical Home (PCMH) framework, the quality of care provided to patients can be improved.Conclusions: While many healthcare organizations have quality improvement departments or teams in place that may be able to handle these types of efforts, it is important for organizations to be familiar with processes and frameworks that employees at different levels of the organization can be involved in. In order to ensure successful outcomes from quality improvement initiatives, managers and clinicians should work together in identifying problems and developing solutions.

Implementing a User-Driven Online Quality Improvement Toolkit for Cancer Care

2015 ◽  
Vol 11 (3) ◽  
pp. e421-e427 ◽  
Author(s):  
Jeff Luck ◽  
Laura S. York ◽  
Candice Bowman ◽  
Randall C. Gale ◽  
Nina Smith ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Quality Improvement ◽  
Health Information Technology ◽  
Health Information ◽  
Health Care System ◽  
Cancer Care ◽  
Integrated Health Care ◽  
Integrated Health Care System ◽  
Disease Specific

A combination of user-driven tool creation and centralized toolkit development seems to be effective for leveraging health information technology to spread disease-specific quality improvement tools within an integrated health care system.

Sign in / Sign up

Export Citation Format

Share Document