QIP NAVIGATOR User Guide
Contents
1. WELCOME LONG TERM CARE HOME A TEST LTC LOGOUT FRANCAIS G3 PROALE HOME OUR QIPS RESOURCES SECTOR QIPS QUERY QIPS a Ontario Health Quality Ontario Quality Ontario Email Address Existing Password Ooo O New Password Ooo O O Confirm Password Oooo O O Top Navigation Menu The top QIP Navigator menu includes HOME RESOURCES SECTOR QIPs and QUERY QIPS tabs All of these tabs are publically accessible so even staff who are not responsible for QIP data entry can access quality improvement resources or view other organization s QIPs Figure 3 Navigator Menu as os Ontario Health Quality Ontario HOME RESOURCES SECTOR QIPS QUERY QIPS Home Once organizations login to their individual accounts the OUR QIPS tab will appear Figure 4 Our QIPs Tab br Ontario Health Quality Ontario HOME RESOURCES SECTOR QIPS QUERY QIPS Home Resources This section houses QIP related resources including the QIP Guidance Document Indicator Technical Specifications and HQO s annual QIP analyses There are sector specific resources available for hospitals primary care organizations community care access centres CCACs and long term care as well as frequently asked questions FAQs a HOME RESOURCES SECTOR QIPS QUERY QIPS 2 Ontario e Health Quality Ontario HOSPITAL SECTOR PRIMARY CARE SECTOR OTHER RESOURCES ste e Health Quality Onta2. HOME OUR QIPS RESOURCES SECTOR QIPS QUERY QIPS r gt 2 Ontario Health Quality Ontario Our QIPS gt Workplan WORKPLAN Figure 24 Workplan Tab Adding Data and Information to the Priority Indicators a Move your cursor over the Measures area a light blue filter will indicate which indicator you are about to work on Click in the Measures area b A Measures pop up box will appear B Measure Quality Dimension Effective Sector Lic e Objective Measure Indicator Number of emergency department ED visits for modified list of ambulatory care Priority sensitive conditions ACSC per 100 long term care residents Unit of Measure E i If other specify Population Residents ww If other specify Data Source Ministry of Health Portal If other specify Period Other W gt Please specify a i J Organization Long Term Care Home A Test Direction of Improvement F Lower is better Current Performance befwqen 0 00 and 100 00 Collecting Baseline O Suppressed Absolute Target E befwien 0 00 and 100 00 Relative Target Collecting Baseline Target Justification x DELETE THIS MEASURE SAVE E SAVE amp CLOSE Figure 25 Measures Pop Up Box c The priority indicators are pre defined and users only need to fill in the Current Performance Absolute Target and Target Justification see
3. have been set by your peers Alternatively if you are collecting baseline you can set a target to collect baseline this is the only scenario where collecting baseline is accepted as a target The Relative Target is automatically calculated It is the difference between your current performance and your absolute target and is expressed as a percentage It is included to help organizations easily visually determine the strength or weakness of the target they set The Percentage Change Calculator will quantify the change from one number to the other and express the change as a percentage increase or decrease For example From 10 apples to 20 apples is a 100 increase in apples This calculator is most commonly used when there is an old and new number or an initial current performance and final target value A positive change is expressed as an increased amount of the percentage value while a negative change is expressed as a decrease amount of the absolute value of the percentage value see blue oval in Figure 25 Once you have filled in the Current Performance Absolute Target and Target Justification click on the Save amp Close button OTHER DELETE THIS MEASURE is used when organizations decide that they don t want to include an indicator that they previously created in the QIP and want to erase the indicator all together It removes the indicator from your QIP Please note that Priority indicators
4. Please Note the priority indicators that have no data included and only a rationale will not export to the excel document However the comments section will be visible to HQO and allow for an understanding of the rationale Exporting the Workplan Organizations can export their Workplan to an Excel spreadsheet in order to share it at committee meetings and with internal stakeholders prior to submission All changes or revisions to the Workplan must be made within the Navigator tool there is no uploading function Click on the EXPORT WORKPLAN button located at the top right of the Workplan tab a Anew window will open in Excel b Users can format cells add logos increase font or page layout as necessary Logos often require some formatting within the excel document 4 SUBMISSION Once your QIP has been reviewed and approved by those accountable for your QIP i e your quality committee senior leadership team and board you can submit your QIP through the QIP Navigator Key Reminders about Submission e QIPs are due by April 1 each year e Please be sure to review all three QIP components Once you submit your QIP becomes read only and no further changes or revisions can be made e Once QIP submission is closed by HQO all QIPs will be posted to the Sector QIPs page usually by the end of April e There is no need to send a signed copy of the QIP to HQO During the submission process you will be asked to
5. 20 a By clicking on the Add New Measure box located at the bottom of each quality domain OBJECTIVE Receiving and utilizing feedback regarding patient client experience with the primary health care organization Receiving and utilizing feedback regarding patient client experience with the primary health care organization MEASURE UNIT SOURCE INDICATOR POPULATION PERIOD ORG ID Percent of PC patients who organization survey Fiscal stated that population Yesr when they see surveyed the doctor or sample nurse practitioner they or someone else in the office slways often involve them as much as they want to be in decisions about their care and trestment Percent of PC In house 9999993 patients who organizstion survey Fiscal stated that populstion Yesr when they see surveyed the doctor or sample nurse practitioner they or someone else in the office slways often PLANNED IMPROVEMENT INITIATIVES PERFORMANCE PERFORMANCE n house 9999993 spend enough time with them Add New Measure Figure 169 Add New Measure Button organizations can create a new indicator b A New Measure dialog box will appear and users may create the new measure by including the pertinent attributes of an indicator The Measures box is virtually a blank slate where users can complete the following mandatory fields Objective M
6. a priority indicator the organization is expected to provide a rationale for this decision in the comments section This will be further addressed in the section on Change Ideas pg 24 Additional indicators can also be included in your QIP as per your organization s quality improvement goals The Workplan has been designed to align with the Model for Improvement with three essential questions driving the improvement process 1 What are we trying to accomplish Red AIM Quality Dimension amp Objective is populated 2 How will we know that a change is an improvement Blue MEASURE the indicator is already populated Organizations just need to fill in their current performance may be subject to pre population in Feb target and target justification 3 What changes can we makes that will result in improvement Green CHANGE Change Ideas Methods Process Measures Goals for Change Ideas amp Comments CHANGE OBJECTIVE MEASURE UNIT POPULATION SOURCE PERIODO ORG ID CURRENT TARGET TARGET PLANNED IMPROVEMENT INITIATIVES METHODS PROCESS MEASURES GOAL FOR CHANGE IDEAS COMMENTS INDICATOR PERFORMANCE PERFORMANCE JUSTIFICATION CHANGE IDEAS Figure 23 Workplan Headings There is hover help available for all Workplan headings Simply scroll over the heading To access the Workplan click on the WORKPLAN tab which is located beside the NARRATIVE tab You access this tab from the HOME menu or from OUR QIPs
7. cannot be deleted from the QIP Workplan CLEAR ALL FIELDS will clear the applicable fields that were entered by the user It will not clear the pre defined greyed out fields or remove the indicator from the QIP This function simply clears the fields and allows the user to start again NEW Adding Survey Data for Auto Calculation Primary Care sector only The Primary Care QIP includes five priority indicators Four of the five indicators are survey based To assist organizations in calculating their survey questions in a consistent manner we have created an auto calculation feature Organizations are encouraged to use the exact wording identified in the technical specifications document in order to allow their data and information to be compared at a provincial level When entering current performance for the indicator primary care organizations will have three choices 1 To add data by clicking on the Survey button This will trigger a pop up window to enter the survey responses for auto calculation see figure 26 If collecting baseline survey data click Collecting Baseline please note primary care organizations should no longer be collecting baseline data due to the fact that they are going into year three of QIP development The only organizations collecting baseline would be newly established organizations required to create a QIP for the first time 3 If data is suppressed click suppressed as mentioned above d
8. off window If there is missing information in your QIP a pop up window will appear with a list of a omissions that you can print out for easy on i reference This list identifies which indicator is o missing information and what piece of Workplan Omissions Indicator 3 Change Idea 2 Process Measures must be entered information is MISSING Once you have printed gt Indicator 8 Rationale must be included in the comments if you are not including this the list click CLOSE and return to your QIP by priority indicator Indicator 9 Rationale must be included in the comments if you are not including this clicking EDIT from the dashboard priority indicator Indicator 10 Must include at least one change idea with a Planned Improvement Initiative Method Process Measure and Goal For Change Ideas eo i i i o Indicator 10 Target Justification must be entered Fill in the omissions as required and re validate by following the steps above Figure 38 Omissions Report 26 Step 2 Submission Once the omissions are addressed and you are ready to submit click validate and the Signatory pop up will appear This is your signal that all is correct and validated and once the signatory window is completed click SUBMIT this is the final step and considered Submitted A pop up window will confirm that your QIP was submitted successfully Wren The page at stqqipnav hgontario ca says
9. the Workplan cccccccsscccsssccsssecssseccsseeeessecssseecsseecsseeessseeseseesesaeesseesenaes 22 Exporting the Workplan ccccscccssssseccssssseccssseseccssseseccssuseccesusecesssuseceessuseessseusesseseusesesseusesessnsesessanses 25 A bos eee ee ne eee E eee 25 How to Submit your QIP a 2 Step ProCeSS vcececaincosstiveauveaseeadnienadesnisianustecteassanmnadsctieidaveatiarenseatertonsenen 26 e OUE RIE a A E E A eee ee ee 28 Bi TROUBCE SOO TAINS EPO ceesre E E E E E EAA EEEE A EEA ENE 29 1 INTRODUCTION TO QIP NAVIGATOR Quality Improvement Plans QIPs are submitted using Health Quality Ontario s convenient online tool the QIP Navigator The Navigator is designed to streamline QIP development and submission and act as a collaborative space for quality improvement team members The QIP Navigator also allows organizations to search their peers submissions to learn identify change ideas for improvement and for comparison The tool includes assistance in the form of guides videos and access to numerous tools and resources designed to help Ontario s health care organizations create maintain and implement their annual QIPs This manual describes the basic functions and how to use the Navigator For Ontario health care organizations the QIP Navigator e Serves as acollaborative quality improvement planning tool to enter data and share plans with your colleagues and revise the QIP e Is the online submission too
10. IVE MEASURE INDICATOR ACCESS 1 Reduce wait times in the ED percentile ED length of stay for Admitted patients in the ED percentile ED Figure 45a Google Chrome Zoom location ED Wait times 90th Hours ED patients CeCe SS ED Wait times 90th Hours ED patients Tools MEASURE CHANGE UNIT POPULATION SOURCE PERIOD ORG ID CURRENT PERFORMANCE TARGET PERFORMANCE TARGET JUSTIFICATION Sign in to Chrome CCO iPort Access ggagg 30 00 25 00 To improve by Settings Jan 1 2014 Dec almost 17 and be About Google Chrome 31 2014 below the provincial Add New Change Idea average of 28 Help hours Exit CCO iPort Access 900001 1 fasta asdfasdf 2s4 ADD Jan 1 2014 Dec me anas New window Ctrl N New incognito window Ctrl Shift N Copy Paste History Ctrl H Downloads Ctrl 30 In Internet Explorer At the top right Tools Button click open window and adjust the Zoom v LUS UIGE L IGIL oO 1 ydy ci ui OCUS WO I 7 Te ee ee eee gt gt gt http devaipnav hgontario ca p hd LP QIP Navigator x e e gt gt X fo x 3convert v P Select Print gt l w Google B Suggested Sites v g abouttabs AMI Artists Dayforce HCM 2 ay Google Translate Bo QIP Navigator 2 b gt QIP Navigate a aai Rua ino File Zoom in Ctrl Zoom 130 r gt Ne Zoomout Ctrl Safety Cun i hae O t e HOME RESOURCES SECTOR QIPS 400 Add site to
11. QIP NAVIGATOR User Guide Nov 10 2015 v 8 Contents 1 INEFRODUGTION TO Olle NA VIGAT ORG sacsscoaccaecspssretutes inneres E EEEE iin E 3 2 QIP NAVIGATOR INTERFACE AT A GLANCE ice cccnstenstastionswapascnctunchiotesenavaneultiiencanmienesiseseotemectasesict 4 Leit Hand Navigation MenU susicesaatecncvateescesattenaccasesicenaatecacvaleunesatieraccaies cenaatecaevalewnesasierannases denaatenneten cesses 4 Top Navigation Men en Ea o R EEEE Ea iia EN EEE ES E SEE 5 1210 6 ely a E E ee ee eee ey 6 S Paar sce et a E ne sergeant oh one segura EE eer dena agen cereus N terse 7 Tae TeV O OE CSS TCD OME eces teak tex ennacseninwsien E E 8 Exporting the Progress mic 0 6 d Onemeerr erent re Mn trert rrr Tras rT trent ce en nrert rer eraser rertttTn ceenr ert crt re rrrtretirr TT 10 Uploading Organization LOQO sce ate ccscde cre ccenedsicednscedeshencicadnsaticeanatsheedeecetdaducteisadncerteecmsdutedenetsedapeensiseds 13 Exporting NENANA UV E seis E ee ee 14 FROAN OMT e E E E E A E E E A E E E R 16 Adding Data and Information to the Priority Indicators ecccceessceeesseeeesseeesseeesssseeeeseeessssaeeseaees 16 NEW Adding Survey Data for Auto Calculation Primary Care sector Only ccceeeseeeeseeeeteeeees 18 Adding Data to Additional Indicators ccc eccsscccssssccesssecessseeesseeeessseeessaeeesseseeesenseesesueeeeeeesessneeesenees 20 Addno NEN MACAO ae eee eh a eer ec ee ee ee eee 20 To Add Change Ideas with
12. QIP has been successfully submitted Figure 39 Submission confirmation 2 5 QUERIES Wen There are 5 new QUERIES that organizations or the public can run on submitted QIPs bp e HOME HOO DASHBOARD ADMINISTRATION RESOURCES SECTOR QIPS QUERY OIPS Ontario Health Quality Ontario QUERY OIPS RUN INDICATOR QUERY WORKPLAN RUN INDICATOR QUERY PROGRESS REPORT RUN TEXT QUERY NARRATIVE REPORT RUN TEXT QUERY WORKPLAN RUN TEXT QUERY PROGRESS REPORT Figure 40 Query QIPS tab Query Reports can be run on either Indicators or on Text from the Narrative Workplan and Progress Report When running the reports it is strongly advised to be as specific as possible and avoid running reports that encompass All parameters as this will result in potentially thousands of records to go through The more specific and detailed the parameters the more specific the outcome report will be Sector Acute Care Hospital Communit Model N A Abonginal Health Access Fiscal Year 2015 16 LHIN N A 1 Erie St Clair 2 South Effective Equitable Integrated Organization 2109577 ONTARIO LIMITED OF Indicator Custom Measure A Percenta Custom measure fo Current Performance Operator Current Performance Po Target Performance Operator All ne Target Performance fo a Figure 41 How to View Report Once the parameters are chosen click VIEW REPORT indicator Perce corel crtnaing Jy Custom meas
13. Start menu 300 View downloads Ctri J n arlo 250 Manage add ons Health Quality Ontario 200 F12 Developer Tools 175 Go to pinned sites 150 Compatibility View settings 125 100 75 50 Report website problems Internet options About Internet Explorer Custom ABOUT HQO NAVIGATOR QUALITY IMPROVEMENT PLANS ABOUT HOO NAVIGATOR ABOUT HEALTH QUALITY ONTARIO Figure 45b Internet Explorer Zoom location 31
14. a new pressure ulcer in the last three months stage 2 or higher Percentage of residents who were physically restrained daily Physical Restraints Number of admission assessments where restra Fiscal Year 2015 16 LHIN 1 Erie St Clair 2 South West 3 Waterloo Wellington Organization ALL Sector Model Fiscal Year LHIN Organization Quality Domain Objective Measure Indicator Acute Care Hospital 2015 16 Erie St Clair Hospital A Test Safe Avoid Patient falls Percent of complex continuing care CCC residents who fell in the last 30 days Acute Care Hospital 2015 16 Erie St Clair Hospital A Test Safe Reduce hospital acquired infection rates CDI rate per 1 000 patient days Number of patients newly diagnosed with hospital acquired CDI during the reporting period divided by the number of patient days in the reporting period multiplied by 1 000 Acute Care Hospital 2015 16 Erie St Clair Hospital A Test Safe Reduce incidence of new pressure ulcers Percent of complex continuing care CCC Figure 43 Report Pages Export 6 TROUBLESHOOTING TIPS a While all the fields do not need to be filled in at once users can start to fill in the measures or change ideas sections and go back in later once they have more information or time users must fill in all fields in order to successfully submit their QIPs The reason for this is that if you re including an indicator on your QIP then you should be actively working to improv
15. al 2013 14 Acute Care Hospital Central Large Community Markham Stouffville Hospital 2013 14 Acute Care Hospital Central Large Community North York General Hospital NARRATIVE Figure 6 Sector QIPs Once a search or sort function is performed users should hit the RESET button located on right hand side of screen prior to performing another search This will reset the pool of QIP records to ensure they are all included in the next search or sort All organizations that submit a QIP to HQO will have their QIPs posted on this page This policy aligns with the Ministry of Health amp Long Term Care s QIP policy and the principles of the Excellent Care for All Act 2010 3 OUR QIPS ACTIONS To access your QIP you must login to the Navigator pms o a Click OUR QIPS from the navigation menu on the top of the page b From the dashboard view select the desired ACTION EDIT VALIDATE OR VIEW bP Ontario Health Quality Ontario RESOURCES SECTOR QIPS QUERY QIPS OUR QIPS Long Term Care Home A Test The following table includes current and past QIPs Click the desired button under the ACTIONS column to continue Fiscal Title Search Q SEARCH NARRATIVE WORKPLAN MODIFIED sna lial SECTIONS INDIGATORS ACTIONS COMPLETED COMPLETED 2 7 0 6 2016 17 Quality Improvement Plan for Ontario Long Term Care Homes In progress 0 10 v VALIDATE 2015 16 2015 16 Quality Improvement Plan for Ontario Long Term Care Hom
16. al Small 2015 16 South West Alexandra Safe Reduce use of physical restraints in Physical Restraints Number of admission All patients OMHRS CIHI Community Hospital Mental Health assessments where restraint use Calendar Year occurred in last 3 days divided by the number of full admission assessments in time period Acute Care Hospital Small 2015 16 South West Alexandra Safe Avoid Patient falls Percent of complex continuing care COC Complex CORS CIHI Community Marine and residents who fell in the last 30 days continuing care eReports General Hospital residents Quarter Acute Care Hospital Small 2015 16 South West Alexandra Safe Reduce incidence of new pressure ulcers Percent of complex continuing care CCC Complex CORS CIHI Community Marine and residents with a new pressure ulcer in the continuing care eReports General Hospital last three months stage 2 or higher residents Quarter Acute Care Hospital Small 2015 16 South West Alexandra Safe Reduce use of physical restraints in Physical Restraints Number of admission All patients OMHRS CIHI 2 81 Community Marine and Mental Health assessments where restraint use Calendar Year General Hospital occurred in last 3 days divided by the number of full admission assessments in time period Long Term Care Large 2015 16 Erie St Clair BANWELL Safe To Reduce the Use of Restraints Percentage of residents who were Residents CORS CIHI 4 70 1 70 The provincial average for this indica
17. alculation as per the Technical Specifications For Access The last time you were sick or were concerned you had a health problem how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually saw him her or someone else in their office a Same day b Next day c 2 19 days enter number of days d 20 or more days e Not applicable Don t know refused To calculate the indicator result add the number of respondents who responded same day and next day divide by the number of respondents who registered an answer for this question do not include non respondents or respondents who answered not applicable Don t know refused EK K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K k K Patient Experience indicator calculation Percent of respondents who responded positively using the scale always often sometimes rarely never not applicable Don t know refused To calculate the indicator result add the number of respondents who responded always and often divide by the number of respondents who registered an answer for this question do not include non respondents or respondents who answered not applicable Don t know refused 19 Adding Data to Additional Indicators Most sectors
18. ata is normally suppressed if it reflects a numerator less than 5 or a denominator less than 29 In most cases the surveys are anonymous so there isn t a need for suppression Once a user clicks on the Survey button the following pop up window will appear Survey E The last time you were sick or were concemed you had a health problem how many days did it take from when you first tried to see your doctor or nurse practitioner to when you actually SAW him her or someone else in their office Enter number of responses over past 12 months Figure 136 Survey Calculation Window pa a Applicable For Primary Care only at this time 10 00 2 19 days 50 00 20 or more days 10 00 not applicable Don t know refused rome ELSA Users must fill in all the response fields in order for the calculation to work properly Zero is a value and should only be entered if the response is truly zero All not applicable or unknown responses should be captured in the n a field Once all data has been entered click Save and the calculation will automatically appear in the current performance field If your survey data should change before you submit your QIP you can enter your data again by clicking on the Survey button to begin the process again or by clicking on Clear All Fields which will clear all the fields that you previously entered including target and target justification The Auto calculation is based on the following c
19. ber Planned Improvement Initiatives Change Ideas Methods Process Measures Goal For Change Ideas Comments Thee Poaceae CANCEL SAVE amp CLOSE ADD NEW CHANGE IDEA Figure 33 New Change Ideas 23 c The Change Number will automatically be filled in by the tool and will re sequence if change ideas are deleted d The Go to Change will automatically take you to the Change Ideas window related to the Change Idea oer e Once a change idea has been added hit Save then Add New Change Idea or hit Save amp Close if you are done adding change ideas for that indicator If you do not click Save after filling out the change ideas box and click Add New Change Idea it will override your idea and add a new idea without saving the work you just entered see reminder message below in Figure 34 Methods BN in charge wil Cae ae Confirmation Are you sure you want to continue Process Measures of reports col i without saving To ensure each change 2 idea is saved you must hit save before gii you add another change idea Goal For Change Ideas 100 of reports Yes Cancel Figure 34 Reminder Message e Organizations should include one change idea method process measure and goal per Change Idea then add a new change idea Please do not put 1 change idea 2 change idea in the same field box Change Number Planned Improvement Initiates Chan
20. crosoft Word Document 110MB Libraries m logo download b Documents ker JPEG image Music 9 82 KB 4 Pictures Microsoft Office Visio 2007 B Videos FF Shortcut AO 250KB i Computer Outlook desktop Shortcut gt HP_RECOVERY D A 1 17 KB HP TOOIS F File name logo download v an Files Open I gt Cancel Figure 12 Browse Files Box b File images can be jpg jpeg png or gif and should not exceed 500KB Click Open c From Figure 19 click the Upload button d Click Close once your logo has been uploaded successfully The logo will be automatically inserted onto the front page of your QIP narrative template Exporting the Narrative a To export your QIP Narrative to Word click on the EXPORT NARRATIVE button found on the top right hand side of the Narrative page under the QIP Status bar 14 PROGRESS REPORT NARRATIVE 2 Homes status IN PROGRESS 4 UPLOAD ORGANIZATION LOGO gt EXPORT NARRATIVE Figure 21 Export Narrative Your Narrative will export to a Word document that you can save as a draft and share with your colleagues quality committee and board As previously mentioned there is no rich text formatting available in the QIP Navigator to reduce the risk of bugs and compatibility issues so all formatting will need to be completed in Word We do caution users to wait until they are sharing later versions of the QIP document before the
21. d as a failure There is also space to add additional or new change ideas that may have been developed and or tested after the QIP was submitted Once you have completed this window please click Save amp Close A Progress CHANGE IDEAS FROM LAST YEAR S QIP ARI a 1 Establish and enhance relationships with CCAC and local hospitals to establish a process for communicating when clients have been discharged including from the ED 2 Providing home visiting services to Frail Elderly and some patient with Mental Health Diagnoses 2 Develop educational materials for clients ves to advise them to book a follow up appt with their NP within 7 days of discharge for No selected conditions and when instructed by the hospital Mention HW pamphlet in progress report in Navigator Insert NEW Change Idea that werere tested yes but not included in last years QIP nh Figure 12 Reflect on Change Ideas Please Note If your change ideas state please see above in the previous year s Workplan this is an indication to HQO that you are using the same change ideas for multiple indicators However with this new Progress Report same as above will not be clear to HQO or the end user of the QIP Exporting the Progress Report PROGRESS REPORT 2015 16 Quality Improvement Plan for Ontario Primary Care Status IN PROGRESS gt EXPORT PROGRESS REPORT WITH CHANGE IDEA To enter progress for a Measure Indict
22. e it This means you should have a target target justification and at least one change idea planned for that indicator including the method process measure goal for that change idea b For those priority indicators that you are not going to actively work on please only fill in the comments section with a rationale For example if you also add your current performance ora target the system will want the rest of the information c To view images in the Narrative that have been uploaded please ensure the enable editing is activated in the Word export This will also allow you to resize or format the images s Unless you need to edit it s safer to stay in Protected View Enable Editing Ia a alL E dik aad 29 d To increase the size of boxes in the Reports window pull down the right corner of the box Sector Fiscal Year Organization Indicator Current Performance Operator Target Performance Operator id 4 1 jofaa gt Di Parameter Selected Sector ALL Model ALL Domain Safe Rete Care Hospital Communit x Mode INA Aboriginal Heath Access J Boss ixn L Ere St Gr 2 South weet AFTON PARK PLACE LONG TERI Domain A Percent of complex continuino AM C Select All O Custom Measure Ll of incidents of physically aggressive responsive behaviours on the 6 floor per quarter Cl Hand Hygiene Compliance Before Patient Contact all patients I C Best possible medicati
23. easure Indicator Unit of Measure Population Data Source Period 21 ii Measure Objective Measure Indicator Quality Dimension Sector Objective Measure Indicator Unit of Measure Ot lf other specify Population lf other specify Data Source lf other specify Period Please specify Organization Hospital xyz1 Current Performance Collecting Baseline Suppressed Absolute Target Relative Target 3 Collecting Baseline Target Justification X DELETE THIS MEASURE Figure 30 Mandatory Fields A SAVE SAVE amp CLOSE c There is a drop down list of common attributes included however if the attribute you seek is not included e g a particular unit or clinical program then please leave as Other and to the right you will be able to specify what Other means Unit of Measure Other T o If other specify Population Other T lf other specify Data Source Other T lf other specify Period Other lt lt gt _ Please specify Figure 31 Other Attribute d When you fill out the Period attribute you must specify what period you are measuring i ie Period Quarter lt gt Please specify Q2 e Once you have filled in the Measures box click Save or Save amp Close f Should you wish to remove this custom indicator from your QIP at a later time you can simply cl
24. es Submitted 0 0 TA 7 10 VIEW Figure 7 Our QIPs Dashboard View c To begin working on your current QIP select EDIT Once selected the three components of a QIP Progress Report Narrative and Workplan will be accessible The PROGRESS Srey REPORT will be displayed first as this should be your starting point when developing your current QIP By reviewing your progress from last year including reflecting on change ideas and lessons learned you have a great starting point for determining priority areas for improvement and to help guide the development of your current QIP Ea O n ta rio HOME OUR QIPS RESOURCES SECTOR QIPS QUERY QIPS Jur QIPS gt Progress Report Health Quality Ontario PROGRESS REPORT Figure 8 Our QIPs Component Tabs d Once your QIP is complete and is ready for submission to HQO select the ACTIONS gt Wren VALIDATE button The validate button will run the omission list and provide users with a print out of the omissions or errors that may be prohibiting submission The submission process will be covered more fully in Section 4 Submission The Progress Report We encourage you to complete this component first This will allow you to review the plan from the previous year reflect on challenges and achievements and build on your previous QIP Please note that the Progress Report will only be pre populated for those organizations that have submitted a QIP via the QIP Navigator the previous
25. formation about your IP including information about broader rganizational strategy key considerations ignificant challenges that might influence your QIP To close the text box click the blue X at the Q Achievement 1e Overview should also include information about top rig ht corner ow progress to date strategic documents 8 9g ategic plan S445 patient client resident eedback and other important inputs have come ha am mie be mmen haie eee AL marhe beets Integration and Continuity of Care Figure 10b Hover Help text Uploading Organization Logo To upload your organization s logo click UPLOAD ORGANIZATION LOGO PROGRESS REPORT NARRATIVE 2 Homes Status IN PROGRESS UPLOAD ORGANIZATION LOGO gt EXPORT NARRATIVE Figure 11 Upload Logo a An Upload Logo box will appear Click Select A second window will appear which will allow you to browse your files for your organization s logo Upload Logo Upload organization logo to be included in the Narrative Please select an image file jpg jpeg png gif to upload Note File size limit is 500 KB Select the graphical file of English logo Select Select the graphical file of French logo Select crose oo cnca Figure 19 Upload Box Organize New folder amp Favorites z GoToMeeting Shortcut E Deskto p td 1 34 KB J Downloads z HQO Navi User Guide Draft 1 Recent Places A een N Mi
26. ge Ideas idea 1 change idea 2 idea 3 Methods Process Measures 1 2 3 Goal For Change Ideas 1 gg l for change i 1 goal for change idea Wz goal for change i Comments gt GO TO CHANGE ia x DELETE THIS CHANGE IDEA Figure 35 One Idea per Change Number 24 Organizations are also discouraged to enter see above for change ideas within different indicators Although indicators that focus on patient resident client satisfaction may be similar the change ideas should not necessarily be the same as above When HQO pulls QIP data for analysis and reviews the Progress Report the same as above change idea is hard to evaluate as each indicator is analyzed separately f The Comments section is optional unless the user has chosen not to focus on a priority indicator In that case the organization is expected to provide a rationale in the comments Comments Section regarding why they are not focusing on that priority indicator this year i e performance levels may already be well above provincial average and approaching benchmarks or other indicators have been prioritized within the organization as key areas to focus on at this time g For those priority indicators that you re not going to actively work on please only fill in the comments section with the rationale For example if you also add your current performance or a target the system will want the rest of the information
27. have additional indicators with standard definitions that have been pre built into the QIP Navigator These additional indicators have been placed in a drop down menu Add New Measure Figure 147 Additional Indicators Button By clicking on the Indicators button the additional indicators are visible In order to make the additional indicator an active indicator that will remain visible on your QIP simply add target data Note Before submission can successfully occur all fields for that indicator must be filled out in full The additional indicators are in purple font and not the red priority indicator font wv Indicators OQ 12 Avoid Patient Percen t of Complex CCRS CIHI 20004 complex continuing care eReports continuing residents July Q2 FY care CCC 2015 16 Figure 158 Additional Indicators Expanded View otal number 5 All patients Hospital peee4 of discharged collected data patients for Quarter ete i Number of Health Publicly 90004 acquired times that providers in the Reported MOH infection rates hand hygiene entire facility Jan 2015 was performed Dec 2015 gel MA Adding NEW Indicator While organizations are encouraged to focus on the priority indicators they are also encouraged to include any indicators that are relevant to their organization and the patients clients residents that they serve Therefore the QIP Navigator allows organizations to create a new custom indicator
28. ick on the indicator to bring up this measures box and then the Delete This Measure button To Add Change Ideas with the Workplan Based on the Model for Improvement the right side of the QIP or Change Ideas Section is where organizations will include details about the change ideas that they will test in order to achieve the improvements that they seek 22 Figure 32 Add New Change Idea Button CHANGE TARGET PLANNED IMPROVEMENT INITIATIVES METHODS PROCESS MEASURES GOAL FOR CHANGE IDEAS COMMENTS JUSTIFICATION CHANGE IDEAS Add New Change Idea a Click on the Add New Change Idea button on the right side of the Workplan Change ideas are required for every indicator that you are actively working on or have included in your QIP b The Change Ideas dialog box will appear and users are expected to fill out the following information e Planned Improvement Initiative Change Idea e Methods e Process Measures e Goal For Change Idea e Comment optional Note Not all fields need to be filled out in order to save the information however to successfully submit the QIP all fields must be filled out at the time of submission S Change Idea Change Idea gt GOTO MEASURE Quality Dimension Access Objective Access to primary care when needed Measure Indicator Percent of patients clients able to see a doctor or nurse practitioner on the same day or next day when needed Organization PC xyz Change Num
29. ilable Suppressed Comments Figure 11 Enter Current Performance Please Note Your current performance on the Progress Report should match the Current Performance as stated on your current QIP If these values do not match at the time of submission you will receive an error message which will prohibit you from a successful submission Reflection on Change Ideas The Progress Report is a tool that organizations can use to help identify linkages between change ideas and improvement t enables organizations to reflect on their change ideas The tool automatically makes all priority indicator change ideas visible within the report See figure 12 below Most of this section is generated by an organization s previous QIP Therefore less data entry is required and organizations can focus on the exercise of reflection and lessons learned and incorporate them into existing quality improvement activities HQOwill use the Progress Report to share effective change initiatives and help guide future quality improvement supports Organizations are asked to indicate whether their change ideas as pulled from their previous QIP were implemented as intended and to include any key lessons learned Was the change idea adopted altered or abandoned What key challenges were faced What advice would you give to others Not implementing an idea or having an idea not succeed should be considered important learnings and should not be regarde
30. include the names of those accountable on the QIP this is considered sign off approval After submission you can export all three components of the QIP format as desired print sign and post 25 How to Submit your QIP a 2 Step Process Step 1 Validation From the OUR QIPs tab you will click on the Validate button see Figure 36 RESOURCES SECTOR QIPS QUERY QIPS be Ontario Health Quality Ontario OUR QIPS Long Term Care Home A Test The following table includes current and past QIPs Click the desired button under the ACTIONS column to continue Fiscal View All v Mesan dR B me a bel cares Sires Saat 2016 17 2016 17 Quality Improvement Plan for Ontario Long Term Care Homes In progress 0 10 W VALIDATE 2015 16 2015 16 Quality Improvement Plan for Ontario Long Term Care Homes Submitted 0 0 JAI 7 10 VIEW Figure 36 Validate Button If your QIP has no blank cells or omissions and 3 essentially passes validation a pop u a A aon will appear a ele you to Please ensure the Accountability add the names of those accountable for your Sign off page Is complete QIP If you are ready to submit then simply fill in the appropriate names and click SUBMIT if you have reviewed and approved our organization s Quality Improvement Plan are not quite ready just hit CANCEL Board Chair Quality Committee Chair Chief Executive Officer SUBMIT CANCEL Figure 37 Sign
31. l for QIPs e Contains historical QIP submissions for longitudinal comparison e Provides a secure online space that only your team can access e Allows users to export QIPs as Excel spreadsheets for distribution and e Minimizes errors to improve data quality i e won t accept blank cells forces numerical data and includes pre populated data wherever available Figure 1 Common Acronyms Common Acronyms used in QIP Navigator User Manual HQO Health Quality Ontario MOHLTC Ministry of Health and Long Term Care ECFAA Excellent Care for All Act ap aly improvement Plan LTG 2 QIP NAVIGATOR INTERFACE AT A GLANCE Left Hand Navigation Menu The QIP Navigator public interface displays a panel on the left hand side for easy access to information about the QIP Navigator Quality Improvement Plans QIPs and Health Quality Ontario HQO This is also where organizations will log in using their unique user names and passwords Figure 2 Login ABOUT HOO NAVIGATOR QUALITY IMPROVEMENT PLANS ABOUT HEALTH QUALITY ONTARIO HQ0 Note The Forgot Password function will only work if the organization has an active email address entered in their unique user PROFILE The person primarily responsible for the QIP should be listed in the user profile The profile is also where passwords can be changed or updated however please remember to share new passwords with your team accordingly amp LOGIN FORGOT PASSWORD
32. on history completed within 24 hours of admission for acute care admitted to CICU medical and surgical units C cpr rate per 1 000 patient days Number of patients newly diagnosed with hospital acquired CDI during the reporting period divided by the number of C Decrease rate of patient falls in all inpatient areas Inpatient Acute and Mental Heath C Ensure full implementation of all 12 safer healthcare now safety bundles C Hand Hygiene compliance all four moments rm ia Ps mon a lt Figure 44 How to Increase parameter window e To zoom or increase the font size In Google Chrome at the top right Customize button click open the window and adjust the Zoom e WORKPLAN Hospital abc reprodaipnav hgontario ca PlanningArea Workplan aspx SubmissionId 128 ectorld C 5 preprodgipnav hgontario ca P gArea Workplan aspx Sub Id 12890 amp Sectorld 1 2015 16 Quality Improvement Plan for Ontario Hospitals WELCOME HOSPITAL ABC USER LOGOUT FRANCAIS PROALE VERSION 1 0 New tab HOME OUR QIPS RESOURCES SECTOR QIPS DM br Ontario Health Quality Ontario Bookmarks Recent Tabs NARRATIVE WORKPLAN Edit Cut Zoom 100 IZ Save page as Find Ctrl F Print To enter data in the Workplan click on the cell or the Add button In the Measure Indicator column the indicators that appear in red font are the priority indicators Organization View All OBJECT
33. ons must be made in the tool f Once you have entered your information click SAVE to save your information and continue working or SAVE amp CLOSE to save your information and close the box Section This year our organization plans to work on the following priority indicators Figure 16 Data Entry View Narrative Headings window No Formatting available i ATIONS AARAA to Quay Inpro vareet UPLOAD IMAG Hover Help in the QIP Narrative Hover help is the term HQO uses to describe the question mark icon Each question mark icon provides guidance examples or references to help users complete their QIPs lf there is a lot of information in the hover help box a scroll bar will appear on the right hand side However the text box will need to be locked or it will disappear as you move your mouse You can lock the text box by clicking on the question mark icon then moving your cursor to the top of the text box and clicking again You will see the quad arrow icon appear You have now locked the text box and can move it around the screen To copy the hover help text you must lock the text box and them move the cursor inside the box and highlight the text you want to copy Use Ctrl C to copy and Ctrl V to paste the copied text a Figure 9a Quad Arrow Icon Goto section Overview Ove rview Please use the Overview to provide HOO and amp A public with contextual in
34. or click on the EDIT button under the ACTIONS column gt EXPORT PROGRESS REPORT WITHOUT CHANGE IDEA INDICATOR ei SIATEDIN Se CURRENT ee UNIT POPULATION PERIOD DATASOURCE PREVIOUS qie STATEDIN PERFORMANCE PREVIOUS Q Percent of patients clients able to see a doctor or nurse practitioner on the same day or next day when needed 92323 PC organization population surveyed sample TBD In house survey Percent of patients clients who saw their primary care provider within 7 days after discharge from hospital for 2 selected conditions based on CMGs 92323 cB PC org population discharged from hospital TBD Ministry of Health Portal Percent of patients who stated that when they see the doctor or nurse practitioner they or someone else in the office always often give them an spans ity to ask questions 92323 cB 50 00 EDIT about recommended treatment PC organization population surveyed sample 2014 2015 In house survey Figure 13 Exporting Progress Report Organizations will have two choices when exporting the Progress Report They can choose to export a copy of the Progress Report with Change Ideas included or without Change Ideas The version with Change Ideas will be posted on the sector QIPs page in order to share and build Capacity around change ideas This is the version that will be used for the report queries If your organization would like to publically post the version witho
35. red square in Figure 25 Current Performance will be pre populated in February of each year with administrative data where possible N reny d A direction for improvement visual reminder has been added to pre defined indicators to i indicate the direction that targets should be set in relation to the current performance If a retrograde target or target that is worse than current performance is entered the system will notify users ONCE that a retrograde target has been set and will remind users to ensure rationale is included in the target justification field e If your current performance has not been pre populated or you do not know your current performance because you are currently collecting baseline data you can click on the Collecting Baseline button Likewise if your data set is very small and due to privacy reasons you would like to suppress your data you can click the Suppressed button see purple oval in Figure 25 As per CIHI and MOHLTC guidelines the suppression rule is applied to all indicators where the numerator was less than 5 and greater than O or the denominator was less than 29 An x will be populated in that field to indicate that your data has been suppressed New f Even if you are collecting baseline you can still provide an Absolute Target which can be based on benchmarks where they exist past performance literature or matching targets that 17 h i x DELETE THIS MEASURE
36. rio 2 LTC SECTOR e Ministry of Health and Long term Care ECFAA Quality Improvement Plans Updates 17 OTHER RESOURCES FAQS e Ontario Hospital Association 2 TUTORIAL e Institute of Healthcare Improvement 4 e Quality Improvement Planning 12 e Advanced Access and Efficiency amp e BestPATH amp e Quality Compass 2 e Association of Ontario Health Centres AQHC 12 e Association of Family Health Teams of Ontario AFHTO r Nurse Practitioners Association of Ontario NPAO amp e Ontario Medical Association OMA amp IACAG rae Figure 5 Resources Sector QIPs The SECTOR QIPs tab contains all of the QIPs submitted to HQO Users can easily search and sort by organization name year sector LHIN and organizational type model They can also search by organization name It is anticipated that by providing access to all QIPs system wide learning and capacity building will be possible with respect to setting targets identifying new indicators and measures and identifying effective change ideas SECTOR QIPS d QUERY QIPS bZ r HOME RESOURCES Ontario oe Health Quality Ontario SECTOR QIPS The following table includes current and past QIPs Click Reset button to start new search scal ector View All as Organization Name Model Type Y View All e ORGANIZATION NAME PROGRESS REPORT 2013 14 Acute Care Hospital Central Large Community Humber River Regional Hospit
37. tients clients who saw their primary care provider within 7 days after discharge from hospital for 2 selected conditions based on CMGs 92323 cB 65 00 PC org population discharged from hospital TBD Ministry of Health Portal Percent of patients who stated that when they see the doctor or nurse practitioner they or someone else in the office always often give them an opportunity to ask questions about recommended treatment PC organization population surveyed sample 2014 2015 In house survey 92323 CB 50 00 EDIT Figure 10 Edit to add Current Performance and Comments Once you click EDIT a progress pop up window will appear where you can add your current performance information and comments If you do not have a numerical value for current performance then you may click Collecting Baseline Not Available or Suppressed Progress Indicator Percent of patients who responded positively to the question When you see your doctor or nurse practitioner how often do they or unit population pernod someone else in the office involve you as much as you want to be in decisions about your care and treatment datasource PC organization population surveyed sample April 2015 March 2016 In house survey Organization PC abc 999999 Current performance as 75 49 Target as stated on previous QIP 77 00 stated on previous QIP o Current Performancef eae 0 00 and 700 00 Collecting Baseline Not Ava
38. tor is 8 40 GARDENS CARE physically restrained daily eReports benchmark for this indicator is 3 We are curren V Quarter maintain or decrease that percentage without see lt gt Figure 42 Report Outcome 28 A report is generated that can be exported in a number of formats including excel and word The report will provide the organization demographics aim measure and change ideas These reports allow users to query submitted QIPs to search for data on specific indicators or keyword search enabling uses to compare their own data with other organizations of similar type or within the same LHIN The report includes the Parameters Selected number of pages and ability to export Sector Acute Care Hospital Communit Model N A Aboriginal Health Access q ba Fiscal Year 2015 16 lv LHIN 1 Ene St Clair 2 South West v Organization AFTON PARK PLACE LONG TERI Domain Safe v Indicator Best possible medication histor Custom measure Current Performance Operator All v Current Performance Target Performance Operator Al v Target Performance Parameter Selected Sector ALL Model ALL Domain Safe Indicator Best possible medication history completed within 24 hours of admission for acute care admitted to CICU medical and surgical units CDI rate per 1 000 patient days Number of patients newly diagnose residents with
39. up box in which you can add your information 11 graphic or diagram to visually help narrate their story Once you click upload image a select file pop up window will appear and then upload that file You can upload more than one image up to a limit of five images per Narrative section and move the image s up and down in order There is a file size limit of 2MB per image Note all images will remain at the bottom of the text paragraph when exported Wren c Under each heading there is an upload image button where organizations can upload a Section wy Select files to upload jpeg jpg png gif maximium size 2 meg SELECT FILE UPLOAD NARRATIVE Long Term Care Hor Goto section Overview Overview I lt gt gt move uP MOVE DOWN x DELETE Ql Achievements Figure 15 Selecting file then uploading images d There is no rich text formatting available Therefore for posting purposes or for internal organizational use all formatting for the Narrative should be done after you have exported it into Microsoft Word To format or resize the graphics you have uploaded into the Narrative please ensure you click enable editing on your word document s Unless you need to edit it s safer to stay in Protected View Enable Editing ea Ma aah lh aa e Any changes to the exported Word document cannot be uploaded back into QIP Navigator all revisi
40. ure id A a ee current Performance __ Target Performance Operator Target Peformance OOOO E AAE Joib h A COO i jdn e O a Indicator Report Parameter Selected Sector ALL Model ALL Domain Safe Indicator Percent of complex continuing care CCC residents who fell in the last 30 days Percent of complex continuing care CCC residents with a new pressure ulcer in the last three months stage 2 or higher Percentage of residents who were physically restrained daily Physical Restraints Number of admission assessir Fiscal Year 2015 16 LHIN 1 Erie St Clair 2 South West 3 Waterloo Wellington Organization AFTON PARK PLACE LONG TERM CARE COMMUNITY Alexandra Hospital Alexandra Marine and General Hospital Amherstburg FHT BABCOCK COMMUNITY CARE CENTRE BANWELL GARDENS CARE CENTRE Barnswallow Place Care Community BERKSHIRE CARE CENTRE BLENHEIM COMMUNIT z M Acute Care Hospital Small 2015 16 South West Alexandra Safe Avoid Patient falls Percent of complex continuing care CCC Complex CCRS CIHI x il Hospital residents who fell in the last 30 days continuing care eReports residents Quarter Acute Care Hospital Small 2015 16 South West Alexandra Safe Reduce incidence of new pressure ulcers Percent of complex continuing care COC Complex CORS CIHI x Community Hospital residents with a new pressure ulcer in the continuing care eReports last three months stage 2 or higher residents Acute Care Hospit
41. ut change ideas on your website please 10 download that version immediately after you have submitted your QIP The export function will be disabled once the QIP submissions are officially closed in April and the QIP will become read only The Narrative hud j HOME ATT a RESOURCES SECTORQIPS QUERY QIPS Ontario Our QIPS gt Narrative Health Quality Ontario PROGRESS REPORT NARRATIVE WORKPLAN The Narrative should highlight the main points of your organization s QIP and describe how it aligns with other planning processes within your organization and with other initiatives underway across the province Please refer to the Quality Improvement Plan QIP Guidance Document for Ontario s Health Care Organizations for more information on how to complete the QIP Narrative hy a uke O E Gnaeus a lt 4 HOME ALTA RESOURCES SECTORQIPS QUERY QIPS Ontario Our QIPS gt Narrative Health Quality Ontario PROGRESS REPORT NARRATIVE NARRATIVE Long Term Care Home A Test 2016 17 Quality Improvement Plan for Ontario Long Term Care Homes Status IN PROGRESS Overview QI Achievements From the Past Year Integration and Continuity of Care Engagement of Clinicians Leadership amp Staff Figure 14 Data Entry Narrative Headings a Click on the title of each heading i e Overview or the box with the plus sign see Figure 14 to add information to each of the headings b Each Heading will have a pop
42. y spend too much time on formatting as all formatting will need to be re done following each export Therefore if formatting is not imperative to your reviewing audience it is advised that you wait until the final version All formatting revisions changes made to the exported Word document cannot be uploaded back into the QIP Navigator All updates and changes must be completed within the QIP Navigator r z iy QIP Navigator x Sa O stgqipnav hqontario ca NarrativeDoc aspx sid 149 NOTE If you are using Google Chrome the export function will create a large blank window You will find your Word document on the lower left corner Click on the Word icon and your narrative will open into the Narrative template NARRATIVE Long Term Care Ho Test Goto section Overview Overview QI Achievements Integration and C We will collaboratively wi Figure 22 Word Download Box in Chrome Engagement of C The Workplan The Workplan is the main portion of your QIP It describes the improvement targets and initiatives that your organization is committing to for the fiscal year A set of priority indicators have been pre defined to support a common language of quality across all organizations and sectors Organizations are expected to review the priority indicators for their sector and determine which are relevant for their organization Please note that if an organization chooses not to focus on
43. year To access the Progress Report click on the PROGRESS REPORT tab located beside the Narrative tab see Figure 9 RESOURCES SECTOR QIPS QUERY QIPS pe Ontario Health Quality Ontario PROGRESS REPORT NARRATIVE WORKPLAN Figure 9 Progress Report Tab Your Progress Report will open and the indicators and data from your previous QIP will be pulled into the report for comment Your Performance and Target as stated in your previous QIP will be auto populated into the Progress Report You are expected to enter your Current Performance and Comments which can be done by clicking on the EDIT button In February HQO will pre populate the current performance with administrative data for some indicators and this will simultaneously update the current performance field on the Progress Report PROGRESS REPORT 2015 16 Quality Improvement Plan for Ontario Primary Care Status IN PROGRESS EXPORT PROGRESS REPORT WITH CHANGE IDEA EXPORT PROGRESS REPORT WITHOUT CHANGE IDEA INDICATOR E Biain TANEET AS a CURRENT UNIT POPULATION PERIOD DATASOURCE SMER cup STATED IN PERFORMANCE PREVIOUS QIP cB Percent of patients clients able to see a doctor or nurse practitioner on the same day or next day when needed PC organization population surveyed sample TBD In house survey To enter progress for a Measure Indictor click on the EDIT button under the ACTIONS column 92323 85 00 Percent of pa
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