Performance and Reporting Updates
Information and Digital Strategy
In the last issue of CorHealth Quality, we shared with you CorHealth Ontario’s transformational Information and Digital Strategy (IDS). To begin the implementation of this strategy, CorHealth Ontario has four priorities in 18/19:
- Develop and validate a CorHealth Measurement and Reporting framework to guide future data collection and reporting strategies
- Confirm our baseline data needs
- Develop recommendations for data collection and reporting - including where some data collection can be decommissioned
- Initiate internal work to strengthen our IT processes and move required data and applications to the cloud
The newly formed cardiac, stroke and vascular Leadership Councils will provide critical guidance for this work in 18/19 and focused Task Groups will be launched to help define our data needs and identify how we can strengthen our data collection and reporting practices.
Adult Percutaneous Coronary Intervention (PCI) Outcomes and Cardiac Surgery Outcomes Reports
CorHealth Ontario has publically released two targeted cardiac outcomes reports; the provincial Adult Cardiac Surgery Outcomes Report and Adult Percutaneous Coronary Intervention (PCI) Outcomes Report.
The targeted reports allow institutions in Ontario to view their performance in a focused area of care and compare that performance to their peers across the province. For cardiac surgery and PCI in Ontario, risk-adjusted mortality rates were found to be relatively low with no program identified as a consistent outlier over the 4 years analyzed.
These reports have been previously provided to the cardiac programs in Ontario in April. In the upcoming year, cardiac programs can expect to receive additional targeted outcomes reports for transcatheter aortic valve implant (TAVI), mitral clip and ablation procedures.
Quality and Performance Measurement and Monitoring
Over the past year, CorHealth Ontario has been meeting with the 20 cardiac programs in Ontario, as part of the cardiac Quality and Performance Measurement and Monitoring (QPMM) cycle. As part of this cycle, CorHealth Ontario prepares a quarterly scorecard and meets with each program and representatives from the Ministry of Health and Long-Term Care and the respective LHINs twice a year to collaboratively discuss opportunities for improvement. The scorecard presents indicators on timely access to reperfusion therapy for ST Elevation Myocardial Infarction (STEMI) patients and the effective use of diagnostic cardiac catheterization.
During the Q4 calls held in May 2018, CorHealth facilitated 20 quality discussions with each cardiac program to discuss the effective use of diagnostic cardiac catheterization indicators in the QPMM scorecard. From these calls, we combined feedback, identified challenges, and highlighted opportunities for improvement into a summary document distributed to all participants of the Q4 calls. The next QPMM quality discussions will be held at the end of Q2, in October, and will focus on the indicators around timely access to reperfusion for STEMI patients.
2016/17 Stroke Report Cards
On June 19, CorHealth Ontario publically released the 2016/17 Stroke Report Card. Of the 20 indicators reported on, significant improvement was observed for 9 performance indicators compared to their previous three-year average including carotid imaging, access to and timeliness of thrombolysis (tPA), stroke unit care, referral to secondary prevention services, achievement of target length of stay (LOS) for inpatient rehabilitation, functional outcome of patients receiving inpatient rehabilitation, receipt of outpatient rehabilitation services, and 30-day all-cause readmission to hospital. CorHealth is now commencing work on the preparation of the 2017/18 Stroke Report Card.