What is the purpose?
The purpose of the Alberta Screening and Prevention (ASaP) Change Package is to assist primary care clinics in adopting a suite of evidence-based screening maneuvers for their patient panels.
What is the aim statement?
By a specific date, the clinic team will have improved screening rates by a specific percentage.
What is the outcome measure?
The number of patients with documented screen completion for selected group of maneuvers, within recommended interval.
What constitutes the balancing measure?
Patient cycle time
What do I need to do before proceeding?
These are the prerequisite change packages that should be reviewed:
Panel Processes Change Package SummaryHigh Impact Changes
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Improve the patient experience
Potentially Better Practice
Establish a multidisciplinary improvement team and consider including a patient with lived experience.
Process Measures
Team meetings are scheduled regularly.Tools
Quality Improvement Project Team List Patient Partner Guide -
Identify paneled patients for care improvements
Potentially Better Practice
Generate patient lists for screening.
Process Measures
The number of patients due for each ASaP Screening Maneuver.
Tools
EMR Resources ASaP Screening Maneuvers Menu STEP Toolkit -
Optimize screening processes
Potentially Better PracticeS
Test and implement a process for opportunistic screening that bundles offers of screening
Test and implement a process for outreach screening that bundles offers of screening
Process Measures
Documentation of screening processes
Tools
Process Mapping PDSA Worksheet
Potentially Better Practice
Offer patient screening
Process Measures
Number of patients screened for selected maneuvers in a defined timeframe
Tools
ASaP in Practice – Tips for Teams Run Charts
Potentially Better Practice
Annually review HQCA report to identify quality improvement opportunities
Process Measures
Process is documented for reviewing screening
Tools
HQCA Primary Healthcare Panel Reports -
Standardize documentation
Potentially Better Practice
Record offers (as available/applicable) and completion of screening in a standard location and method in the EMR
Process Measures
Document a process for capturing offers of screening in patient records.
Tools
EMR Resources and Measurement -
Coordinate care in the medical home
Potentially Better Practice
Establish clear roles and responsibilities and a shared mental model for your medical home team
Process Measures
Documented roles and responsibilities of team members
Roles and Responsiblities - ASaP Team Huddles Guide
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