Table 1.
Overview of EMR data for PHC performance measurement by initiative
| Considerations | CPCSSN | HDC Discover | Manitoba PCQI | Insights4Care | D2D | BIRT |
|---|---|---|---|---|---|---|
| Context | ||||||
| Jurisdiction | Multiple | British Columbia | Manitoba | Ontario | Ontario | Ontario |
| Actor | CPCSSN | Health Data Coalition | Manitoba Health | OntarioMD | AFHTO | The Alliance |
| Funder | Public Health Agency of Canada | General Practice Services Committee | Manitoba Health | Ontario Ministry of Health | Ontario Ministry of Health | Multiple sources; not-for-profit |
| Duration of initiative | > 5 years | < 5 years | > 5 years | < 5 years | 5 years (ended 2019) | > 5 years |
| Purposes of use | ||||||
| Target context | Cross-cutting | Micro | Micro | Micro | Micro/Meso | Micro/Meso |
| Primary use | Practice-based research | Individual performance improvement; community improvement | Team performance improvement | Individual performance improvement | Planning and improvement of FHT/team | Planning and improvement of CHC/team |
| Target users (practice type) | Individual physicians; practice-based researchers | Individual physicians/ NPs (solo/group practices) | Home clinic teams (group practices) | Individual physicians, NPs and practice staff (solo/group practices) | Individual physicians, teams, executives (FHTs) | Individual physician/NPs, executives (CHCs) |
| Managerial considerations | ||||||
| Number of indicators | NAa | 184 | 44 | 64 | 17 | 40+ |
| EMR vendors | Spans across multiple vendors | OSCAR, MOIS, Telus Health, Intrahealth | Spans across multiple vendors | Telus Health, OSCAR | Across yet mainly: Telus Health, Accuro, OSCAR | Telus Health, NOD, Purkinje |
| Analysis frequency | 6-month | Quarterly | Quarterly | Daily | 6-month | Daily |
| Feedback format | Portal dashboard | Portal dashboard | Report | EMR-based dashboard | Portal dashboard | Dashboard and report |
| Public reporting | No | No | No | No | Yes (summaries) | Yes (annual report) |
| User support | Local-network led | Collaboration with practice support program | At-distance supportof department at Manitoba Health | Practice Enhancement Consultants | Network of QIDSS | CHC-based data coordinators; region-al decision support |
| Evaluations of initiative | Multiple studies; user feedback | User feedback | Ad hoc | Proof of concept evaluation | Project evaluation | Ad hoc |
a As a surveillance database, varied data elements are collected and can be reported on by CPCSSN