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EAP VIC EQUIP  D’ASSISTÈNCIA  PRIMÀRIA VIC
COMPUTERIZED EVALUATION OF THE PRIMARY CARE PRODUCT AND HEALTH PROFESSIONALS: ITS EFFICIENCY AND TECHNICAL QUALITY Casanov...
OUTLINES <ul><li>Introduction :  Why do we want to evaluate? </li></ul><ul><li>The computer skill to evaluate Primary Care...
PRIMARY CARE SERVICES Why do we evaluate? Health problems <ul><li>Optimal work conditions </li></ul><ul><li>Evidence-based...
A computer skill: PROSA Computerized clinical report We evaluate  patients,   professionals  and  health provide company E...
INDICATORS <ul><li>numerical variables </li></ul><ul><li>effective, precise, quantitative, easily drawn </li></ul><ul><li>...
EPISODE Laboratory test Rx Consulting Patients leave Drug  prescrip . Time EAP VIC
PROSA WORKING <ul><li>Model  </li></ul><ul><li>Task manager </li></ul><ul><li>PGD status </li></ul><ul><li>Unit relative v...
Several indicators... EAP VIC
Smoking screening in last two years 489 176 GP7 11087 6498 1707 857 GP6 1614 839 GP5 1681 980 GP4 1693 1222 GP3 1728 1343 ...
HBP (Average 3 last measures< 160/95) 29 16 GP 7 1932 1366 364 249 GP 6 341 240 GP 5 308 250 GP 4 248 177 GP 3 215 153 GP ...
% Diabetic with glycated haemoglobin < 7.5 10 3 GP7 573 241 103 33 GP6 93 45 GP5 101 62 GP4 73 25 GP3 73 36 GP2 120 34 GP1...
Back pain; breaking down costs (whithout patients’ leave) EAP VIC
Conclusions (1) <ul><ul><li>The evaluation of the result of our daily work not only with process indicators, bearing in mi...
Conclusions (2) 2. The monitoring of the level of implementation of preventive activities and the control of chronic disea...
Conclusions (3) 3. The creation of an incentive  system for the professionals 4. The identification of  differences  in re...
Conclusions (4) 5. The provision of clinical  investigation lines after  studying the results  EAP VIC
You can visit us in:   www.eapvic.com THANK YOU FOR YOUR ATTENTION
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Primary Health Care Evaluation

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Computarized evalution of a Primary Health care

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Transcript of "Primary Health Care Evaluation"

  1. 1. EAP VIC EQUIP D’ASSISTÈNCIA PRIMÀRIA VIC
  2. 2. COMPUTERIZED EVALUATION OF THE PRIMARY CARE PRODUCT AND HEALTH PROFESSIONALS: ITS EFFICIENCY AND TECHNICAL QUALITY Casanovas J, Serrarols M , Ledesma A, Carvajal JA, Gorrindo S, Ausió J. DURBAN-WONCA 2001 Equip d’Atenció Primària Vic S.L Catalonia. Spain EAP VIC
  3. 3. OUTLINES <ul><li>Introduction : Why do we want to evaluate? </li></ul><ul><li>The computer skill to evaluate Primary Care product: PROSA. Episode and its indicators. Efficiency and technical quality. </li></ul><ul><li>Results of several indicators </li></ul><ul><li>Conclusions </li></ul>EAP VIC
  4. 4. PRIMARY CARE SERVICES Why do we evaluate? Health problems <ul><li>Optimal work conditions </li></ul><ul><li>Evidence-based practice </li></ul><ul><li>Appropiate technical resources </li></ul><ul><li>Mr. Money! </li></ul><ul><li>Limited resources </li></ul>? EAP VIC
  5. 5. A computer skill: PROSA Computerized clinical report We evaluate patients, professionals and health provide company EFFICIENCY TECHNICAL QUALITY SATISFACTION INDICATORS EPISODES EAP VIC
  6. 6. INDICATORS <ul><li>numerical variables </li></ul><ul><li>effective, precise, quantitative, easily drawn </li></ul><ul><li>can be monitored to be followed </li></ul><ul><li>result indicators </li></ul><ul><li>set of basic indicators established with public health service </li></ul>Efficiency, tech. quality, satisfaction EAP VIC
  7. 7. EPISODE Laboratory test Rx Consulting Patients leave Drug prescrip . Time EAP VIC
  8. 8. PROSA WORKING <ul><li>Model </li></ul><ul><li>Task manager </li></ul><ul><li>PGD status </li></ul><ul><li>Unit relative value index </li></ul><ul><li>Configuration of costs </li></ul>EAP VIC
  9. 9. Several indicators... EAP VIC
  10. 10. Smoking screening in last two years 489 176 GP7 11087 6498 1707 857 GP6 1614 839 GP5 1681 980 GP4 1693 1222 GP3 1728 1343 GP2 2175 1081 GP1 POPULAT >15 y.o. Screaning SMOKE EAP VIC EAP VIC
  11. 11. HBP (Average 3 last measures< 160/95) 29 16 GP 7 1932 1366 364 249 GP 6 341 240 GP 5 308 250 GP 4 248 177 GP 3 215 153 GP 2 427 281 GP 1 Nº HBP <160/95 EAP VIC EAP VIC
  12. 12. % Diabetic with glycated haemoglobin < 7.5 10 3 GP7 573 241 103 33 GP6 93 45 GP5 101 62 GP4 73 25 GP3 73 36 GP2 120 34 GP1 Nº DIAB. A1c<7.5% EAP VIC EAP VIC
  13. 13. Back pain; breaking down costs (whithout patients’ leave) EAP VIC
  14. 14. Conclusions (1) <ul><ul><li>The evaluation of the result of our daily work not only with process indicators, bearing in mind patients and professionals opinion about their satisfaction with the public health service provider. </li></ul></ul>Prosa allows us: EAP VIC
  15. 15. Conclusions (2) 2. The monitoring of the level of implementation of preventive activities and the control of chronic diseases in order to identify areas which can we improved by some health programmes. PROSA makes the identification of such areas an easy and fast process. EAP VIC
  16. 16. Conclusions (3) 3. The creation of an incentive system for the professionals 4. The identification of differences in results between different kinds of health services providers EAP VIC
  17. 17. Conclusions (4) 5. The provision of clinical investigation lines after studying the results EAP VIC
  18. 18. You can visit us in: www.eapvic.com THANK YOU FOR YOUR ATTENTION
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