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Optimizing Chronic Disease
Care in Saskatchewan
Introducing CDM-QIP
Dr. Tessa Laubscher, Family Physician – Saskatoon
Glen Paskiw, a/Director Transition Services – eHealth Saskatchewan
Optimizing the delivery of Chronic Disease Management-Quality Improvement (CDM-QIP) in Saskatchewan
Clinical Services
Expert Group
Faster • Safer • Better • SecureOne Patient: One Record
CDM
Taking A New Direction
Watch Closely!
Faster • Safer • Better • SecureOne Patient: One Record
CDM - QIP Optimal Care Flow Sheets
Clinical & Patient Supports
Targeted Payments
Faster • Safer • Better • Secure
Early Feedback
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
CAD
Lantus Insulin
Humalog
Faster • Safer • Better • Secure
CAD
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Faster • Safer • Better • Secure
Questions?
Faster • Safer • Better • Secure
Interested in Participating?
Speak with the fine folks
at the eHealth Saskatchewan booth
here at the Quality Summit!

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Optimizing the delivery of Chronic Disease Management-Quality Improvement (CDM-QIP) in Saskatchewan

Editor's Notes

  1. Chronic Disease is a critical issue in Canada and Saskatchewan is not unique. The costs of treating and living with chronic diseases to Saskatchewan is staggering and when they are calculated they often do not include the cost of pain and suffering. The cost of chronic diseases to Saskatchewan is estimated to be $240M annually due to illnesses and disability. (College of Family Physicians of Canada 2012 Pre-budget Submission to the Standing Committee on Finance). Government, providers and patients all know that we have to do better.
  2. A Partnership was created between the Ministry, and eHS the objective of improving care for patients with chronic disease by providing better supports to the healthcare providers for those patients. A Clinical Services Expert Group was created to help drive this work. The Ministry brought resources, knowledge and a connection to the pan-Canadian efforts to a address CDM challenges The SMA brought the voice of some our brightest family physicians to the table eHealth brought its expertise in supporting electronic healthcare solutions as well as one of its flagship products – the eHR Viewer CSEG brought a wide selection of health care providers, subject matter experts and administrators Members include: Physician subject matter experts (EMR and Paper) - 9 Nurse Practitioner Regional Health Authority (Saskatoon and Sun Country) Saskatchewan Medical Association PHC and Saskatchewan EMR Programs Health Quality Council Ministry and eHealth Saskatchewan Project Team
  3. Improve the continuity and quality of care for people living with chronic conditions Encourage and support physicians and other health care providers to implement best practices (flow sheets and clinical practice guidelines) and be provided with state of the art supports (clinical information notes, patient profile reports, recommended care reports) - Supporting team based and collaborative care - Leverage our health information systems assets The program launched in August 2014 and after our successful pilot at nine sites across Saskatchewan, it is now available to both EMR and paper physician clinics across the province An extensive collection of program and vendor supports have designed and built for CDM-QIP Currently, we have ___ physicians, ___ nurse practitioners and ___ delegates who are able to enter data on behalf of participating providers
  4. Options for both EMR and Paper practices Optimal care flow sheets – standardized, evidenced based and a commitment to keep them regularly updated State of the art supports – smart templates with clinical notes and hyperlinks to regularly updated best practice guidelines and relevant patient information Standardized reporting to support quality improvement featuring: Patient Profile Report which display patient profiles for patients with chronic disease over time Observation History Report which summarizes the chronic disease observations that have been associated with patients over time Recommended Care Report which displays recommended care for patients with Diabetes and/or CAD Targeted Payments Early Adopter Payment when chronic disease process indicators are submitted for a new patient with a chronic condition. Available until March31, 2015 Quality Improvement Payment for the ongoing submission of chronic disease process indicators over the course of a 12 mo.
  5. Pilot and anecdotal feedback suggests: The program is easy to navigate and use The program is well- supported by wat of training, provider and patient supports. Most importantly, the program enhances the ability to manage and support patients with chronic disease