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
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.