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A Modern Approach to Lifelong Learning

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The College recently launched our brand new Quality Improvement program for all physicians in Ontario. The program is a complete refresh for us, modernizing our approach to quality improvement by providing physicians with the tools they need to continuously assess and improve their practice.

In transforming the program, we’ve moved from “a single point in time” assessment model to one that provides various opportunities for lifelong learning.

“We knew it was time to build an accessible quality improvement platform reflective of the way physicians work and the needs they have,” said Dr. Sheila Laredo, CPSO’s Chief Medical Advisor.

In developing this new program, the core principles were clear:

  • Change the philosophy of assessment to focus on continuous improvement
  • Use of a platform that supports and integrates with physician needs and practice demands
  • Strengthening practice with a proactive approach that facilitates interaction and self-reflection

To make this possible, the CPSO created, a new fully online platform where physicians participate in self-directed quality improvement.

The Pilot

Late last year, we piloted the program with more than 200 Ontario physicians, who volunteered their time to test these new tools. Along the way, the volunteers developed a practice profile for themselves, took part in a self-guided chart review, and looked at data about their own practice to reflect on their delivery of health care.

At the end of the pilot, more than 85% of participants described the QI tools as a valuable resource for identifying areas of continuous improvement.

The Launch

With the pilot complete, we kicked off in early March. Over the next three months, hundreds of physicians completed the exercises and submitted a practice improvement plan. This will not just fulfill their Quality Assurance requirements for the next five years but represent a thoughtful self-reflection on their work.

“With the launch of the program and the opportunity it represents to support a profession already dedicated to lifelong learning and improvement, we are showing Ontario’s doctors that the CPSO is here to work hand in hand with them,” said Registrar/CEO Dr. Nancy Whitmore.

The Program

The program is operated through a new online Learning Management System, developed by CPSO to engage physicians in quality improvement. This learning module has been tailored to fit our new philosophy around quality management: that it should be self-directed and focus on physicians reflecting on their own delivery of health care, looking at data about their practices in relation to their peers and the standards of practice, and developing improvement plans that will help strengthen the great work they’re already doing.

The quality improvement program is comprised of multiple parts. Here is an overview of each:

The QI Survey is a questionnaire that will provide the College with current, detailed information about a practice. The information disclosed will be used by QI program staff to better understand a physician’s practice and may be used in combination with the Practice Improvement Plan to assist in implementing ongoing quality improvement.

The Practice Profile is an independent self-assessment designed to educate physicians about the evidence-based risk and support factors that could impact their practice. The Practice Profile’s aim is to provide resources to help reduce risk and enhance positive practice.

The Self-Guided Chart Review allows physicians to engage in self-guided learning to enhance their compliance with the CPSO’s Medical Records Documentation policy. This self-directed chart review will engage physicians in both self-reflection and talking with their peers when developing a practice improvement plan.

The Data-Driven Quality Improvement tool is designed to get physicians looking at their own practice data to reflect on how they deliver health care to their patients and to identify opportunities for improvement.

The Practice Improvement Plan is to be completed by physicians. In their Practice Improvement Plans, physicians will identify areas of strength and areas for potential improvement in their practice. After the completion of this activity, the practice improvement plan will be reviewed by a physician QI coach.

One-on-one Coaching will be available where appropriate. QI coaches will offer the necessary knowledge, skills and tools to coach physicians as they complete the various tools in the program and develop their own practice improvement plans.

Here is some of what we heard:

“On the whole, it was a very worthwhile experience and made me honestly reflect on my practice and future plans to practice safely. I would recommend it to anyone and would gladly partake again.”

“Now that this is done, I would like to thank you for your responsiveness and the excellent service you personally provided.”

“I am glad to be part of it; it was quite a learning experience with a great opportunity for self-reflection.”

“It was quite insightful on ways that I could help myself as well as my patients.”

 “Helped me structure some of my goals and set timelines / develop strategies for changes so that they were more concrete, rather just ideas that have been floating around in the back of my head.”

Do you have thoughts about this new approach?

Let us know by emailing us at [email protected]. We’d love to hear what you think!

We want to hear from you

This is a very new approach for us, moving away from the traditional in-person peer assessment module to one that is much more self-directed and evidence-driven, using data and technology to engage physicians in how they practise medicine every day and working together with them to embed the principles of lifelong learning.

Transcript

Hi there. I’m a practicing physician in Ontario and I recently completed the CPSO’s Quality Improvement Program.

This was a very positive experience as it gave me an opportunity to be honest about my practice and helped me develop structured goals for improving.

Here’s how it all started.

One day last March I got the email from the College.

Their Great Care website was up and running. They also provided me with info on how to log in as well as instructions on how to get started.

As soon as I got to the office my curiosity took over.

A simple and easy to navigate site, Great Care provided me with all I needed to know about the Quality Improvement Program and its process. And on top of that, all the activities that I need to complete were easily accessible.

To be honest. I couldn’t wait to get started.

That night I started with the QI Survey.

I provided the College with details about my current practice and together with my practice improvement plan started my ongoing quality improvement.

A few weeks later, I continued and completed the Practice Profile tool.

I really enjoyed creating my practice profile. Managing risks within my practice is important and this tool provided with resources to start.

Once done, I was able to download a personalized report of my risk factors as well as links to resources to learn more about these risks and other areas of interest.

The Self Guided Chart Review is a tool that guided me through a detailed review of my medical records. It’s important to be sure that they meet legal obligations and professional standards.

The checklist provided helped me assess my charts and record and reflect on my findings.

Here’s the best part. Getting feedback from a trusted peer with respect to my charting was very useful as I got to hear honest and constructive feedback about my practice.

The Data-Driven Quality Improvement tool was designed to get us to objectively review our own data and reflect on how we deliver health care to our patients.

The QI program provides several great suggestions for potential sources where we can obtain data to review.

In the long run will this review would be helpful in identifying opportunities for improvement.

And finally, the Practice improvement Plan.

Once all the QI activities are complete it would be wise to again reach out to a trusted peer to review all your findings and receive some feedback.

Next, we identify areas of strength and areas for potential improvements. In doing so we also create two quality improvement goals that essentially make up our improvement plan,

Once this activity is complete a QI coach will review the plan for areas that give the plan the best chance to succeed.

The QI Coach may reach out to clarify or provide coaching to support you in reaching those goals.

Which in my case, seemed to be extremely helpful!

Overall, the QI Program was a very worthwhile experience because it made me honestly reflect on my practice as well as develop a plan to continue practicing safely.

It helped me structure some of my goals, set timelines and develop strategies for changes so that they were more concrete, rather than just ideas that continuously float around in my mind.

I would recommend this program to any physician and would gladly take it again.

Thank you QI Program!