PCDQ Primary Care Data Quality a tool for'''

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PCDQ (Primary Care Data Quality)a tool for...
Learning together Delivering the CHD NSF
Working with Pharmacists and more

• Simon de Lusignan
• GP/Senior Lecturer

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Primary Care Informaticshttp//www.gpinformatics.
org

• Information in the consulting room
• Data Quality
• Telemonitoring

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PCDQ

• Introduction
• Process overview
• Rate of change
• Method
• Examples of feedback at PCO
• Local feedback to practices
• Results / Examples of change
• Working in partnership

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What is PCDQ

• Educational intervention
• Using own data
• Learning as large organisation
• Learning at individual professional or practice
• Non-judgemental
• Pace of change
• Facilitates change
• Alongside other change
• agents

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subsequent phases of PCDQ
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Rate of change

• Phase 1
• Defining the population
• Getting the Big-4 right
• BP - Aspirin - Smoking - Cholesterol
• Phase 2
• Co-morbidities
• Aspirin post MI - ACE in CHF - Anticoagulant in
  AF
• Phase 3
• Primary Prevention - High risk groups

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A staged process to implement the CHD NSF
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Examples of data feedback

• Presented at data-quality workshops.

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Working with individual practices -audit on a
plate !
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The local query set

• Run in the practices
• Converts to spreadsheet with minimal
  manipulation
• Gives by GP printouts
• Provides an IHD disease register
• Read Code training
• Laminate to give PCO
• overview

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All sorts of gratuitous comments about the
practice data, and a summary of the presentation
for the people who didnt make the meeting.and to
remind PCHT of the way their data is looking
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Summary of method

• Value data
• Share data
• Data feedback represents real patients
• Engage on personal basis
• PCO needs to be contemplating change and have a
  local advocate

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Example of results cholesterol and statins
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Total number of IHD patients with a statin
prescription increased by 82.1 (Jan 2000 to
May 2001)
R

• 2.8 tot pop on statin
• 42.7 IHD pop on a statin

x
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Working in partnership with PCOs
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Working in partnership with PCOs

• All PCOs invited to join Forum
• Forum decides future direction and priorities
  of program
• Action Research for qualitative evaluation
• Keeps intervention
• controlled but allows
• evolution

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The Action Research program
Intellectual Framework
Social Context
Problem Diagnosis Effective Implementation methodo
logy in CHD
Action Intervention Start with existing PCDQ
protocol
Reflective learning Lessons learned Problems
identified
Lessons
Solutions
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PCO view

• A number of professional leads
• IT - Educationalist
• PCO Chair or Governance Lead
• Nurse - Pharmacist
• The issues for a local
• lead are reported

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The End - Thanks for listening

• Contact
• Claire Yates
• cyates_at_sghms.ac.uk
• http//www.gpinformatics.org
• PCDQ, General Practice Primary Care
• Hunter Wing, St George's
• LONDON SW17 0RE
• Phone [phone]
• Fax [phone]

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A model for linking EPR and knowledge
On-line paperless
EBM Portal
Improved Patient Care
Data recording
Data Quality Project
Data extraction
Feedback
Data pooling