QIP NAVIGATOR User Guide
Contents
1. Ic ganization Name Q SEARCH RESET LHIN mone ORGANIZATION NAME NARRATIVE WORKPLAN PROGRESS REPORT 2013 14 Acute Care Hospital North Simcoe Muskoka Large Community Collingwood General And Marine Hospital NARRATIVE WORKPLAN PROGRESS REPORT 2013 14 Acute Care Hospital North Simcoe Muskoka Large Community Georgian Bay General Hospital NARRATIVE WORKPLAN 2013 14 Acute Care Hospital North Simcoe Muskoka Mental Health Penetanguishene Waypoint Centre For Mental Health Care NARRATIVE WORKPLAN PROGRESS REPORT Figure 6 Sector QIPs O1 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 In 2013 14 primary care organizations were given the option to post or share their QIPs on the Sector QIPs page Going forward 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 To access your QIP you must login to see the OUR QIPs tab a Click OUR QIPS from the navigation menu on the top of the page b From the dashboard view select the ACTION gt EDIT from the appropriate EEE fiscal year Health Quality Ontario ds OUR Q2. We do caution users to wait until they are sharing later versions of the QIP document before they 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 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 lt e C D preprodgipnav hgontario ca PlanningArea Narrative aspx Untitled Google Chrome ae D preprodgipnav hgontario ca NarrativeDoc aspx sid 12890 amp lang en US 2 Ontario Health Quality Ontario NARRATIVE Hospital abc 2015 16 Quality Improvement Goto section Overview Overview reference to the overall objectives Integration amp Continuity of Care ME Hospitalabc_n docx Show all downloads Figure 21 Word Download Box 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 b
3. Indicator Quality Dimension Objective Measure Indicator Unit of Measure lf other specify Population If other specify Data Source lf other specify Period Organization PC xyz Current Performance Collecting Baseline Absolute Target Relative Target Target Justification DE su EURE Figure 295 Mandatory Fields 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 click Other and to the right you will be able to specify what Other means Unit of Measure Other o If other specify Population Other T lf other specify Data Source Other T lf other specify Period Other SOPs specify Figure 306 Other Attribute When you fill out the Period attribute you must specify what period you are measuring i ie Period Quarter lt gt Please specify Q2 Once you have filled in the Measures box click Save or Save amp Close Should you wish to remove this organic indicator from your QIP at a later time you can simply click on the indicator to bring up this measures box and then the Delete This Measure button X DELETE THIS MEASURE 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 t
4. 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 Year 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 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 PLANNED IMPROVEMENT INITIATIVES PERFORMANCE PERFORMANCE n house 9999993 spend enough time with them Add New Measure Figure 284 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 Measure Indicator Unit of Measure Population Data Source Period 20 Measure C Objective Measure
5. x Conert Select Print Le Google 1 Suggested Sites v abouttabs amp AMI Artists a Dayforce HCM 2 0 Google Translate Bl QIP Navigator 2 b gt QIP Navigate Sais Due ino File Zoom in Ctrl Zoom 130 Mi Zoom out Ctrl Safety HOME RESOURCES SECTOR QIPS 400 Add site to Start menu D Ontario ae 250 Manage add ons Health Quality Ontario Quality Ontario 200 F12 Developer Tools 175 Go to pinned sites 150 Compatibility View settings 125 Ctri 0 100 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 39 26
6. IDEA PERFORMANCE INDICATOR Ai og TARGET AS CURRENT ee UNIT POPULATION PERIOD DATASOURCE STATED IN PERFORMANCE PREVIOUS GIP PREVIOUS QIP To enter progress for a Measure Indictor click on the EDIT button under the ACTIONS column Percent of patients clients able to see a doctor or nurse practitioner on the same day or next day when needed Eu PC organization population surveyed sample TBD In s500 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 65 00 EDIT 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 3 always often give them an opportunity to ask questions 92323 cB 50 00 EDIT about recommended treatment PC organization population surveyed sample 2014 2015 In house survey Figure 35 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 lf your organization would like to publically post the version without change ideas on your websit
7. challenges and achievements and build on 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 As a result long term care homes will not have access the Progress Report until 2016 17 To access the Progress Report click on the PROGRESS REPORT tab located beside the Workplan tab see Figure 31 OUR QIPS RESOURCES SECTOR QIPS Dntario ealth Quality Ontario Quality Ontario os NARRATIVE WORKPLAN PROGRESS REPORT REPORT Figure 91 Progress Report Tab Your Progress Report will open and will pull your previous QIP indicators into the report for comment Your Performance and Target as stated in your previous QIP will be auto populated You are expected to enter your Current Performance and Comments which can be done by clicking on the EDIT button 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 Ehime lll To enter progress for a Measure Indictor click on the EDIT button under the ACTIONS column Percent of patients clients able to oe a aren or nurse practitioner on the same day or ne hen needed PC organization population seas he saine TBD In ae survey 92323 85 00 Percent of patients clients who saw their primary care provider within 7 days after dis
8. 1 0 New tab Ctri T D HOME OUR QIPS RESOURCES SECTOR QIPS New window Ctrl N 4 Ontario W New incognito window Ctrl Shift N Health Quality Ontario Quality Ontario Bookmarks gt NARRATIVE Wan Recent Tabs gt Edit Cut Copy Paste WOR Zoom 100 22 Hospital abc 2015 16 Quality Improvement Plan for Ontario Hospitals Save page as Ctrl S Find Ctrl F 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 Print Ctrl P va Tools gt Organization View All History Ctrl H MEASURE CHANGE Downloads Ctri J MEASURE UNIT POPULATION SOURCE PERIOD ORG ID TARGET TARGET INDICATOR PERFORMANCE JUSTIFICATION Sign in to Chrome ACCESS Coen CT OU CRN ED Wait times 20th Hours ED patients CCO iPort Access 09009 30 00 25 00 To improve by Settings in the ED percentile ED Jan 1 2014 Dec almost 17 and be About Google Chrome length of stay for 31 2014 rs Add New Change Idea Admitted patients average of 28 Help gt hours Exit Ctri Shift Q eS tw ED Waittimes 00th Hours ED patients CCOiPortAccess 000001 1 fasta asdfasdf sd DD in the ED percentile ED Jan 1 2014 Dec Figure 38 gt In Internet Explorer At the top right Tools Button click open window and adjust the Zoom gt http devaipnav hgontario ca p l gt QIP Navigator x m e e gt eo
9. EAS Figure 22 Workplan Headings 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 15 HOME OUR QIPS RESOURCES SECTOR QIPS br Ontario Our QIPS Workplan Health Quality Ontario WORKPLAN Figure 23 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 Measure Objective Measure Indicator gt GOTO CHANGE IDEA Quality Dimension Objective Measure Indicator ED Wait times 90th percentile ED length of stay for Admitted patients Priority Unit of Measure Hours lf other specify Population ED patients If other specify Data Source CCO iPort Access lf other specify Period Calendar Year v Please specify Jan 1 2014 Dec 31 2014 Organization Hospital abc v Current Performance between 0 00 and 99999 00 Collecting Baseline Suppressed Absolute Target 25 00 between 0 00 and 99999 00 Relative Target 16 67 Target Justification To improve by almost 17 and be below the provincial average of 28 hours Figure 24 Measures Pop Up Box c The priority indicators are pre defined and users only need to fill in the Current Performance A
10. ELETE THIS CHANGE IDEA Figure 30 One Idea per Change Number 23 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 g 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 h 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 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 Expor
11. H Indicators O mortality through regular Screening patientsidients who are up to date in Screening for cervical cancer population eligible for Screening D Reduce influenza Ferment of PE organization EMP Chart Review D23423 rates in obder adults catienticlient population aged 65 fing by increasing population overage amd older access to the 35 that received miuenza vaccine influenza immunizations 2 Reduce Cancer Percent of eligible W PC organization EMAJ Chart Review Boas mortality through patientsiclients who population eligible for na regular screening are up to date in Screening screening for breast cancer Reduce Cancer Percent of eligible W PG organization EMP Chart Rewiew B2323 mortality through patientsiciients who population eligible for ima regular Screening are up to date in screening Screening for colorectal cancer Reduce Cancer Percent of eligible J PC organization EMR Chart Review BZ323 l mwa GAdd New Measure Figure 273 Additional Indicators Expanded View 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 indicator 19 a By clicking on the Add New Measure box located at the bottom of each quality domain OBJECTIVE
12. IPS The following table includes current and past OIPs Click the d sed button under the ACTIONS column to continue Fiscal Vew Al v G Caan l a Perk pe DISIE Que ty roroververt Par tor Otro Promy Cove progress 219 Sans 2014 15 Qty Srorowerrert Par ty Ortara Aeey Core LOr ed 19 say DOL WL Quality irorcvemert Par for Ortarc Priman Core tor ed 0 9 ovss 79 Figure 7 Our QIPs Dashboard View c The application will proceed to the three components of a QIP Narrative Workplan and Progress Report The system defaults to the NARRATIVE Page however we encourage organizations that have submitted via the QIP Navigator to begin with the pre populated Progress Report This will allow them to reflect on the progress they have achieved to date and review previous plans to help guide the development of their current QIP HOME OUR QIPS RESOURCES SECTOR QIPS br Ontario Health Quality Ontario Our QIPS gt Narrative NARRATIVE WORKPLAN PROGRESS REPORT Figure 8 Our QIPs Component Tabs d Once your QIP is complete has been reviewed and approved and is ready for submission to HQO select the ACTIONS gt SUBMIT button The submission process will be covered more fully in Section 4 Submission The Progress Report The Progress Report is technically the third component of a QIP however we encourage organizations to complete this component first This will allow them to review the plans of previous years reflect on
13. OUR QIPs tab you will click on the Submit button see Figure 36 0 n t a ri O RESOURCES SECTOR QIPS Health Quality Ontario OUR QIPS Hospital abc The following table includes current and past QIPs Click the desired button under the ACTIONS column to continue Fiscal View All Y Title Search Q SEARCH NARRATIVE WORKPLAN PROGRESS REPORT MODIFIED STATUS SECTIONS INDICATOR PRIORITY 1 ACTIONS COMPLETED COMPLETED COMPLETED 2015 16 2015 16 Quality Improvement Plan for Ontario Hospitals In progress 2 9 0 60 0 0 EDIT v SUBMIT J Ra Figure 36 If your QIP has no blank cells or omissions a pop up window will appear and prompt you to add the names of those accountable for your QIP lf there is missing information in your QIP a pop up window will appear with a list of omissions that you can print out for easy reference This list identifies which indicator is Submission Incomplete Print this page missing information and what piece of Workplan Omissions _ Indicator 3 Change Idea 2 Process Measures must be entered information is m ISSING Once you have pri nted o 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 mr 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
14. QIP NAVIGATOR User Guide as gt a Ontario Health Qual ity Ontario Qualit des services Oct 31 2014 V 7 Contents 1 INEFRODUGTION TO Olle NA VICATORRER and ae un 3 2 QIP NAVIGATOR INTERFACE AT A GLANCE Sara eee 4 Leit Hand Navigation MISES a a a a aenaatesnneten cesses 4 Top Navigation MONA anne sean a ea een nee a een etes 4 COOP eee ee eee ee eee eee ee eee 5 RO A ni 6 Tne Progress PASO OM RS nd demande ete lice lent 7 Exporting the Progress Report iii 9 TING NITVE A E A EEE 11 Uploading Organization ECO ee E EE EEEE NEE een 12 EX OO UNC ME INA ABI 6 PE e nE EEE E E OE 14 WS VV ORDI e E E tummies aeetaeaaenaseaes 15 Adding Data and Information to the Priority Indicators neeenneenneeennssenessennessesssressrrsseesseressrressres 16 NEW Adding Survey Data for Auto Calculation Primary Care sector only 17 Adding Data to Additional Indicators Hospital amp Primary Care sector only 19 Addino INE WV ICO ceviaaenuseaueadseneaeaederenaeccevianee esate 19 To Add Change Ideas with the Workplan 21 EX OT ING HS VV ONO le accansutecenscustesnossdelsnnenstconasuiiecsnsasutsnned chebsenansicouasunerssaaiabs neat E 24 A BIN ER E E anon EA cnnaneennes 24 HOMO SOON OR a E E E 25 Ds TROUPES OO TNT en 25 1 INTRODUCTION TO QIP NAVIGATOR Quality Improvement Plans QIPs can now be submitted using Health Quality Ontario s convenient online tool the QIP Navigator The Navigat
15. 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 fig 21 2 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 17 3 If data is suppressed click suppressed as mentioned above data 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 251 Sur
16. bsolute Target and Target Justification see red square in Figure 20 Current Performance will be pre populated in February of each year with administrative data where possible g 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 20 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 16 e Even if you are collecting baseline you will be expected to provide an Absolute Target which can be based on benchmarks where they exist past performance literature or matching targets that have been set by your peers f 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 increa
17. charge 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 3 always often give them an opportunity to ask questions ki about recommended treatment 92323 cB 50 00 PC organization population surveyed sample 2014 2015 In house survey Figure 102 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 clients able to see a doctor or nurse practitioner on the same day or next day when needed unit population PC organization population surveyed sample TBD In house survey period datasource Organization Emery Keelesdale 92323 Current performance cB Target as stated on previous OIP 85 00 as Stated on previous QIP Current Performance 9 between 0 00 and 100 00 Collecting Baseline Not Available Suppressed Comment Figure 113 Enter Current Performance Please Note Your current performance on the Progress Report should match the Current Performance as stated on your current QIP I
18. e please 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 SECTOR QIPS J p L gt s HOME TD RESOURCES Lo 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 a Click on the title of each heading i e Overview or the box with the plus sign see Figure 9 to add information to each of the headings e O n ta rio RESOURCES SECTOR QIPS Health Quality Ontario PROGRESS REPORT NARRATIVE ST JOSEPH S LIFECARE CENTRE 2015 16 Quality Improvement Plan for Ontario Long Term Care Homes Status IN PROGRESS Goto section Overview 7 O UPLOAD ORGANIZATION LOGO gt EXPORT NARRATIVE Overview Integration and Continuity of Care We plan to work with the following system partners rs Hospital ABC local Family Health Team Challenges Risks and Mitigation Strategies Figure 13 Data Entry Narrative Headi
19. eas 22 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 29 Methods EN in charge wil SES 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 339 Reminder Message f 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 Change Ideas idea 1 change idea 2 idea 3 Methods Process Measures 1 2 3 Goal For Change Ideas 1 q Ll for change i 1 goal for change idea Wz goal for change i Comments gt GO TO CHANGE T x D
20. een 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 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 20 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 PERIOD ORGID CURRENT TARGET TARGET PLANNED IMPROVEMENT INITIATIVES METHODS PROCESS MEASURES GOAL FOR CHANGE IDEAS COMMENTS INDICATOR PERFORMANCE PERFORMANCE JUSTIFICATION CHANGE ID
21. f these values do not match at the time of submission you will receive an error message which will prohibit you from a successful submission Please note the Progress Report will be pre populated in February each year If you feel there is an error with the pre populated value please contact gio hgontario ca or include the details in the comments section sa New This Year 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 34 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 lear
22. ghlight the text you want to copy Use Ctrl C to copy and Ctrl V to paste the copied text CE Figure 15 Quad Arrow Icon Provide an overview of your organizations QIP and Goto section Overview organizational priorities for the coming year This Overview summary may describe how the QIP is aligned with provincial priorities and other planning processes in your organization including the strategic plan operational plan service accountability agreements To close the text box click the blue x at accreditation etc the top right corner In this Year s CIE oa safety patient experience Figure 16 Hover Help text Uploading Organization Logo To upload your organization s logo click UPLOAD ORGANIZATION LOGO NARRATIVE WORKPLAN PROGRESS REPORT Status INPROGRESS UPLOAD ORGANIZATION LOGO 3 EXPORT NARRATIVE Figure 17 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 the graphical file of French logo Select Figure 18 Upload Box v 9 Search Desktop p Organize New folder 2 k Favo
23. he change ideas that they will test in order to achieve the improvements that they seek 21 Figure 317 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 Number Planned Improvement Initiatives Change Ideas Methods Process Measures Goal For Change Ideas Comments gt GO TO CHANGE MN x DELETE THIS CHANGE IDEA CANCEL SAVE amp CLOSE ADD NEW CHANGE IDEA Figure 328 New Change Id
24. lyses 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 New for 2015 16 is a Getting Started link which provides new users with a step by step guide on how to develop and submit your annual QIP be Ontario aem Health Quality Ontario PRIMARY CARE SECTOR OTHER RESOURCES CCAC SECTOR Healt Quality Ontario LE LIC SECTOR e Ministry of Health and Long term Care ECF AA Quality improvement Plans Updates 2 OTHER RESOURCES FAQS e Ontario Hospital Association 23 TUTORIAL e Institute of Healthcare Improvement c2 e Quality improvement Planning CS e Advanced Access and Eficiency CS o BesiPATH Le 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 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 i oa On ta rio eus RESOURCES SECTOR QIPS Health Quality Ontario SECTOR QIPS The following table includes current and past QIPs Click Reset button to start new search Fiscal Model Type View All phe Muskoka Y View All FISCAL a
25. ngs b Each Heading will have a pop up box in which you can add your information c 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 d Any changes to the exported Word document cannot be uploaded back into QIP Navigator all revisions must be made in the tool e 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 11 Section Overview 2 Figure 14 Data Entry View Narrative Headings window No Formatting available 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 hi
26. nings and should not be regarded 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 CHANGE IDEAS FROM LAST YEAR S QIP WA 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 D Yes to advise them to book a follow up appt with their NWP within 7 days of discharge for selected conditions and when instructed by the hospital Mention H pamphlet in progress report in Navigator Insert NEW Change Idea that werere tested vee but not included in last years QIP No No Figure 124 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 EXPORT PROGRESS REPORT WITH CHANGE IDEA EXPORT PROGRESS REPORT WITHOUT CHANGE
27. on 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 Note The Forgot Password HQO l l function will only work if the organization has provided an email address to HQO for their Usemame user profile The person Password primarily responsible for the QIP should provide their email to gqio hqontario ca FORGOT PASSWORD Top Navigation Menu The top QIP Navigator menu includes HOME RESOURCES and SECTOR 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 RESOURCES SECTOR QIPS hag Ontario Health Quality Ontario Quality Ontario Once organizations login to their individual accounts the OUR QIPS tab will appear Figure 4 Our QIPs Tab OUR QIPS RESOURCES SECTOR QIPS neea 4 Ontario Health Quality Ontario Resources This is a one stop shop for all QIP related resources including the QIP Guidance Document Indicator Specifications Document and HQO s annual QIP ana
28. one change idea with a Planned Improvement Initiative Method Process Measure and Goal For Change Ideas ae f i i Indicator 10 Target Justification must be entered Fill in the omissions as required and re submit ED by following the steps above Figure 37 5 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 improve 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 and 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 or a target the system will want the rest of the information c To zoom or increase the font size 25 gt In Google Chrome at the top right Customize button click open the window and adjust the zoom J _ U E gt D preprodgipnav hgontario ca PlanningArea Workplan aspx SubmissionId 12890 amp Sectorld 1 wv q ___ WELCOME HOSPITAL ABC USER LOGOUT FRANCAIS PROFILE VERSION
29. or is an online submission tool 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 online 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 of how to use the Navigator For Ontario health care organizations the QIP Navigator e Serves as a collaborative quality improvement planning tool to enter save data and share revise plans with your colleagues e ls the online submission tool 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 ality improvement Pian LTG 2 QIP NAVIGATOR INTERFACE AT A GLANCE Left Hand Navigati
30. rites GoToMeeting Shortcut BE Desktop la 1 34 KB J Downloads HQO Navi User Guide Draft 1 Recent Places Microsoft Word Document 110 MB al Libraries logo download b Documents koh JPEG image py Music 982KB Pictures Microsoft Office Visio 2007 Videos rr 4 Shortcut AIL 250KB A Computer Outlook desktop Shortcut lt q HP_RECOVERY D A pique 1 17 KB HP TOOIS F File name logo download Figure 19 Browse Files Box b File images can be jpg jpeg png or gif and should not exceed 500KB Click Open c From Figure 14 click the Upload button 13 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 NARRATIVE WORKPLAN PROGRESS REPORT Status IN PROGRESS UPLOAD ORGANIZATION LOGO Figure 20 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
31. se 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 20 g Once you have filled in the Current Performance Absolute Target and Target Justification click on the Save amp Close button h 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 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 X DELETE THIS MEASURE 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
32. spondents who registered an answer for this question do not include non respondents or respondents who answered not applicable Don t know refused 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 18 Adding Data to Additional Indicators Hospital amp Primary Care sector only The hospital and primary care sectors 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 POPULATION HEALTH w Indicators O GAdd New Measure Figure 262 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 POPULATION HEALT
33. ting 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 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 24 How to Submit your QIP From the
34. vey Calculation Window pa s Applicable For Primary Care only in 2015 16 10 00 2 19 days 50 00 20 or more days 10 00 not applicable Don t know refused SAVE 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 calculation 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 re
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