February 2024 - PPIP

CII/CPAR Update

• Provincially, 49% of eligible physicians have adopted CII/CPAR (includes family medicine and non-family medicine physicians)
• Benefits:
  • Improved care continuity and attachment
  • Acceleration grant and PMSP Funding eligibility
  • Know which patients are seeing multiple doctors via conflict reports
• Planned improvements are on the way!

Provincial FAST Update

presented by Lesley Barker, AHS Provincial Lead, FAST Program.

• Specialties currently accepting referrals through FAST include Orthopedics, Urology, Vascular Surgery, NEW General Surgery (Feb 26)
  • Next to Launch: Gynecology Spring 2024
• Exceptions to FAST General Surgery referrals include:
  • Suspected or known breast cancers.
  • Colorectal cancer screening/surveillance.
  • Continue sending referrals for these issues to your local programs.
• Referral forms published with AHS Forms:  Orthopedic & Spine, Urology, Vascular, General Surgery
• Referral pathways are published on Alberta's Pathway Hub
• Referral pathways and referral forms are reviewed 3 months post FAST launch and annually following. If you have any feedback please complete the survey available here.

The Physician Practice Improvement Program (PPIP)

presented by Dr. Danielle Michaels, College of Physicians and Surgeons of Alberta (CPSA)  

• PPIP is a mandatory quality improvement requirement for physicians from CPSA to ensure that they are maintaining competence throughout their career.
• All physicians are required to participate in PPIP including family medicine and non-family medicine specialists, as well as locums.
• Physicians must complete three activities in a five-year cycle:
  • Practice Driven Quality Improvement Activity
  • CPSA Standards of Practice Quality Improvement Activity
  • Personal Development Activity
• Elements of a PPIP activity:
  • Review data
    • *Required element.
    • Examples of data sources may include: EMR, chart review, multi-source feedback from peers/learners/patients, prescribing data through MD Snapshot Prescribing, Health Quality Council of Alberta’s Primary Healthcare Panel Reports, structured assessments in a non-medical domain such as public speaking, evaluation of current process with respect to a CPSA standard of practice.
  • Identify a gap
  • Create a SMART goal
  • Root cause analysis
  • Plan-Do-Study-Act (PDSA) cycle
  • Document an action plan
    • *Required element, may use your own template or the CPSA template linked above.
    • Keep documentation for six years.
  • Facilitation
    • *Required element for the Personal Development activity.
    • Can be done individually, in a group, or with dedicated modules for self-facilitated reflection
• There is an opportunity to sign up for MCC360 through CPSA and have the assessment and facilitation provided at no charge to the physician
• Physicians report their PPIP activities in the annual CPSA Renewal Information Form (RIF).
• Random audit surveys are sent to physicians who indicate in RIF they have completed a PPIP activity.
• Questions can be directed to: [email protected]

Standards of Practice QI Activity Example

presented by Amanda Bouma, Practice Facilitator, Westview PCN 

• Templates available on: www.westviewpcn.ca/ppip
• Amanda reviewed an example of a completed PPIP action plan for the Virtual Care SOP.

Practice Driven QI Activity Example

presented by Corina Hendrickson, Practice Facilitator, Grand Prairie PCN 

• Corina shared her approach to meeting with physicians to discuss PPIP.
• Documents to bring: PPIP info Sheet, PPIP Action Plan Template, and HQCA Primary Healthcare Panel Report
• Review panel report together, identify areas they may want to improve upon.
• Give the physician ideas, ask if they have any ideas or areas of interest for improvement.
• Work together to come up with ta project and determine what team members to include in the work.
• Review questions in the action plan template and come up with a plan together.

Personal Development Activity

presented by Thea McDougall, Consultant, Alberta Medical Association (AMA-ACTT)

• Feedback from patients gathered via patient surveys is one of the options that can be used to help meet the PPIP personal development requirement.
• Coming soon: Facilitators Guide to the HQCA Patient Experience Survey
  • This guide is for Facilitators to use when discussing survey data with primary care providers who have participated in the Health Quality Council of Alberta’s (HQCA) Primary Care Patient Experience Survey

What Can Clinic Managers do to Support Physicians in Completing PPIP Activities?

• Stay up to date on PPIP requirements and available options to support physicians in completing PPIP activities
• Be familiar with and mention options for support for physicians in completing PPIP activities.
• Support PF’s and QI staff is supplying and having access to current data to physicians to drive their QI for PPIP activities
• Support in scheduling personal development data collection surveys 
• Consider the option of scheduling a PPIP info session or PPIP Workshop for your clinic physicians (ie: workshops, Burnout webinar, patient experience survey, etc.)