PRP080: Enhancing Person-Centred Practice in Primary Care: Co-designing the Implementation of Person-Centred Quality Indicators

Kimberly Manalili, MPH; Cathie Scott, PhD; Maeve O'Beirne, MD, PhD, CCFP; Maria Jose Santana, PhD, MPharm

Abstract

Context: The implementation and use of Person-Centred Quality Indicators (PC-QIs) is a potential solution to drive the changes needed to improve person-centred care (PCC) in primary care. Quality indicators allow providers and organizations to identify gaps in PCC in order to improve the quality of care for patients and families. Objective: This research aims to support the implementation of PC-QIs in primary care for improvements in PCC. Specific objectives: 1. Assessing the feasibility of implementation of the PC-QIs; and 2. Co-developing PC-QI implementation strategies with a primary care clinic to promote adoption, uptake, and implementation of the PC-QIs. Study design/Setting/Population Studied: A mixed methods study. A survey to assess organizational readiness to implement PC-QIs was conducted with regional healthcare authorities across Canada to obtain a system-level perspective (Nov-Mar 2020). Interview participants (n=16) will include survey participants and primary care providers in Alberta to further explore perceived barriers and facilitators to implementation (June-Aug 2020). Based on these findings, we will conduct a consensus process with a primary care clinic to co-design strategies for implementation. Intervention: The PC-QIs will be piloted in a mid-sized primary care clinic in Calgary, Alberta (~8,000 patients). It will involve the collection of patient-reported experiences and clinic-self assessment of PCC. PC-QIs will be integrated within quality improvement processes. Outcome measures: Readiness to implement PC-QIs (motivational factors and capacity), and identification of contextual and individual level factors that will support or hinder implementation. Results: This is a study in progress. Findings to date: 33 organizations across Canada completed the survey (60% response rate). Across all 26 PC-QIs that have been developed, more than 85% of organizations indicated interest in implementing the indicators. However, only four PC-QIs that were considered highly feasible to implement - where 75% of organizations indicated that the data was already being collected for that particular indicator and quality improvement processes were in place to make changes. Conclusions: The findings from this study will inform future implementation of the PC-QIs in primary care across Alberta. Importantly, this research will help foster a person-centred healthcare system and provide patients with the care they value and need.
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Cara
cara.brown@umanitoba.ca 11/22/2020

What are the 5 PC-QIs that were thought to be feasible for implementation?

Connie van Eeghen
cvaneegh@med.uvm.edu 11/22/2020

I am interested in learning more about the Organizational Readiness survey you selected, which you cite as Helfrich 2009. I am aware of Helfrich's publication of Determinants of Implementation Effectiveness in 2007, was this tool related to that? Could you provide a citation for the tool you did use? Did you make any adjustments to the tool when you used it? Why did you pick this took as opposed to others, such as the CSQ (Jaen 2010) or the PCA (Jortberg 2018), or others?

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