C5 - Boiling Multiple Measures Down to a Single Indicator: The Queen Square FHT and Patients Canada Experiences

Theme 5. Advancing manageable meaningful measurement

Presentation Materials (members only)

Presentation Slides: Measuring what really matters to patients

(I) Indicator Management: Weighted Indicator Selection Matrix (QSFHT Experience)

Summary

The presentation showcases the Weighted Indicator Selection Matrix a complementary tool to the Accountability Management System (AMS) (“QIDSS Innovation Fund”). Since indicators are key part systemic system performance, they need a uniform and robust approach for selection and measurability. The AMS, manages and organizes indicators by linking them through goals, objectives and activities. But, how should we select the best indicators to highlight an organization’s performance? We need to have an objective system; and that is why we developed the “Weighted Indicator Selection Matrix”. The presentation will deal with the process of how a FHT team can develop their own customized Matrix and translated it into a practical decision-making process to enhance data gathering and collection tools.

Presenters

  • Queen Square FHT:
    • Abel Gebreyesus, BA, MHI, QIDSS
    • Heba Sadek, Executive Director
  • Lindsey Thompson, RN, BScN, MPH - Health Services Planner/RN

Learning Objectives

The objective is:

  1. Why indicators matter to primary care performance
  2. Mastering prioritization of indicators efficiently
  3. Exercising objectivity in indicator selection evidenced through Six Sigma Tool.

(II) Measuring What Really Matters to Patients

Learning Objectives

The partnership between AFHTO and Patients Canada on the Patient/Doctor survey to find out what matters to patients in their relationship with their doctor and clinic, led to two important areas of learning:

  • About why patient/caregiver collaboration in developing the survey led to better uptake and results
  • About the value and process of the partnership itself

You will learn why partnering with informed patients can help target and improve a survey and increase the response rate. You will also learn what makes an effective partnership and how to develop the partner relationship.

Summary

The presentation will look at the development and results of the Patient/Doctor survey and why and how the successful partnering of AFHTO and Patients Canada impacted the quality of the survey and increased the response rate. The goal of the survey was to determine what is important to patients and how important each question was in how patients evaluated their relationship with their primary care provider. The results of the survey will inform clinicians which are the most important questions to include in their own surveys to determine the quality of the care they deliver. The Key Performance Targets (KPTs) developed by Patients Canada from patient experiences helped identify questions important to patients. Initially, the survey design was complex, with levels of questions framed in research speak. The challenge was how to make the survey goal, its structure and language understandable to patients. It took several rounds of work with AFHTO researchers and informed patients from Patients Canada to rework and streamline the survey. After all, if patients cannot understand the need for the survey, its questions and how to answer, what value can come of it? So what did we learn? The nature of the patient partnership determines the depth of value patients can bring to the project. Measuring what is important to patients from their perspective and acting on the results can lead to better experience of primary care for patients in Ontario.

Presenters

  • Patients Canada
    • Alies Maybee, Patient Advisor, Patients Canada
    • Brian Clark, Patient Advisor, Patients Canada
  • Puja Ahluwalia, Project Coordinator, Quality Improvement Decision Support, QIDS, AFHTO

Authors and Contributors

  • Carol Mulder, Provincial Lead, Quality Improvement and Decision Support, AFHTO
  • Jenny Cockram, consultant to AFHTO, J. Cockram & Associates