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Quality
in Family Practice Book of Tools
Cheryl Levitt and Linda Hilts
A
–
Patient-Centred
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SUMMARY
A.1 Privacy and Confidentiality
A.1.1
–
The practice team maintains the privacy of patient information in accordance with legislation
A.2 Guiding Documents and Legal Contracts
A.2.1
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The practice team demonstrates its commitment to respecting the needs and rights of its patients
A.3 Mandatory Reporting
A.3.1
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Mandatory reporting occurs in accordance with legislation
A.4 Boundary Issues
A.4.1
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All members of the clinical team are trained in professional standards regarding boundary issues
A.5 Encouraging Patient Feedback and Suggestions
A.5.1
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The practice team encourages patient feedback and suggestions
A.5.2
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The practice team respects patients’ rights to complain
A.6 Informed Decision Making
A.6.1
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Patients are provided with enough information to make informed decisions about their care
A.7 Educational Resources for Patients
A.7.1
–
The clinical team provides educational information on health
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B
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Equitable
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SUMMARY
B.1 Equitable Care
B.1.1
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New patients are accepted into the practice without discrimination
B.1.2
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Patients get the same quality of care regardless of who they are and where they live
B.1.3
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The clinical team identifies and provides additional services for patients with special needs
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C
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Timely and Accessible
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SUMMARY
C.1 Timely and Accessible
C.1.1
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Patients can reach the practice by telephone, email and/or other electronic means
C.1.2
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Patients can book appropriate appointments
C.1.3
–
Registration of new patients and transfer of medical records are timely and accessible
C.1.4
–
Investigations and referrals occur in a timely manner
C.2 After-Hours and Emergency Care
C.2.1
–
The clinical team provides access to 24-hour care, seven days a week
C.2.2
–
The practice team responds to emergencies/urgent medical conditions
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D
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Safe
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SUMMARY
D.1 Infection Control
D.1.1
–
The practice team follows infection-control guidelines
D.2 Cold Chain
D.2.1
–
The practice team follows provincial guidelines for vaccine storage/cold chain
D.3 Office Procedures
D.3.1
–
Procedures performed in the offi ce conform to accepted guidelines
D.4 Disposal of Sharps and Biomedical Waste
D.4.1
–
The practice team safely disposes of sharps and biomedical waste
D.5 Medical Equipment
D.5.1
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Medical equipment and resources are safe, appropriate, secure, available and maintained
D.6 Drugs
D.6.1
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Drugs available in the practice are appropriate, controlled, secure and maintained
D.6.2
–
Prescription management
D.7 Medical Record-keeping
D.7.1
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Medical records are stored or filed safely and securely
D.7.2
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Medical records include all essential information necessary to provide quality patient care
D.7.3
–
There is a system to track and manage patient test results and medical reports
D.8 Incident Reporting
D.8.1
–
There is an incident reporting system to identify and address serious or potentially serious adverse events
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E
–
Effective Clinical Practice
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SUMMARY
E.1 Lifestyle and Prevention
E.1.1
–
Smoking cessation
E.1.2
–
Alcohol
E.1.3
–
Diet and exercise
E.2 Immunization
E.2.1
–
Baby, childhood and adolescent immunizations
E.2.2
–
Adult immunizations
E.3 Surveillance and Screening
E.3.1
–
Screening for colorectal cancer
E.3.2
–
Screening for cervical cancer
E.3.3
–
Screening for breast cancer
E.4 Life Cycle Clinical Management
E.4.1
–
Well baby/child care
E.4.2
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Adolescent care
E.4.3
–
Maternity care
E.4.4
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Adult care
E.4.5
–
Frail elder care
E.5 Sexual Health
E.5.1
–
Sexual health
E.6 Family Violence
E.6.1
–
Family violence
E.7 Chronic Disease Management
E.7.1
–
Mental health
E.7.2
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Diabetes mellitus
E.7.3
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Hypertension
E.7.4
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Secondary prevention in coronary heart disease (CHD)
E.7.5
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Stroke or transient ischemic attacks (TIAs)
E.7.6
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Asthma
E.7.7
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Chronic obstructive pulmonary disease (COPD)
E.7.8
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Hypothyroidism
E.7.9
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Epilepsy
E.7.10
–
Cancer
E.8 Palliative Care
E.8.1
–
Palliative care
E.9 Open Indicator
E.9.1
–
Open Indicator
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F
–
Efficient
Close
SUMMARY
F.1 Efficient Information Management
F.1.1
–
There is a system to manage patients’ tests and reports efficiently
Close
G
–
Integrated and Continuous
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SUMMARY
G.1 Continuity of Care in the Office
G.1.1
–
The practice team provides continuity of care
G.1.2
–
The practice team provides continuity of care to patients with complex needs (high-frequency users, regular emergency users, patients often in crisis, and patients with multiple problems)
G.2 Out-of-Office Care
G.2.1
–
There is a policy for out-of-office care
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H
–
Appropriate Practice Resources
Close
SUMMARY
H.1 Human Resources Management
H.1.1
–
All clinical team members of the practice are qualified and certified
H.1.2
–
The practice team has human resources policies and procedures
H.1.3
–
The practice members function as a team
H.1.4
–
The practice team members balance work and home life
H.2 Physical Facilities
H.2.1
–
The practice is physically accessible
H.2.2
–
The practice’s waiting area accommodates patients and their family members
H.2.3
–
Examination areas ensure patient comfort and privacy
H.3 Workplace Safety and Fire Management
H.3.1
–
The practice is committed to workplace safety
H.3.2
–
Fire risk is minimized
H.4 Practice Improvement and Planning
H.4.1
–
The practice team promotes continuous quality improvement (CQI)
H.4.2
–
The practice team has a formulated practice plan for improvement and risk management
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Further Information Links
A
–
Patient-Centred
Close
SUMMARY
A.1 Privacy and Confidentiality
A.1.1
–
The practice team maintains the privacy of patient information in accordance with legislation
A.2 Guiding Documents and Legal Contracts
A.2.1
–
The practice team demonstrates its commitment to respecting the needs and rights of its patients
A.3 Mandatory Reporting
A.3.1
–
Mandatory reporting occurs in accordance with legislation
A.4 Boundary Issues
A.4.1
–
All members of the clinical team are trained in professional standards regarding boundary issues
A.5 Encouraging Patient Feedback and Suggestions
A.5.1
–
The practice team encourages patient feedback and suggestions
A.5.2
–
The practice team respects patients’ rights to complain
A.6 Informed Decision Making
A.6.1
–
Patients are provided with enough information to make informed decisions about their care
A.7 Educational Resources for Patients
A.7.1
–
The clinical team provides educational information on health
Close
B
–
Equitable
Close
SUMMARY
B.1 Equitable Care
B.1.1
–
New patients are accepted into the practice without discrimination
B.1.2
–
Patients get the same quality of care regardless of who they are and where they live
B.1.3
–
The clinical team identifies and provides additional services for patients with special needs
Close
C
–
Timely and Accessible
Close
SUMMARY
C.1 Timely and Accessible
C.1.1
–
Patients can reach the practice by telephone, email and/or other electronic means
C.1.2
–
Patients can book appropriate appointments
C.1.3
–
Registration of new patients and transfer of medical records are timely and accessible
C.1.4
–
Investigations and referrals occur in a timely manner
C.2 After-Hours and Emergency Care
C.2.1
–
The clinical team provides access to 24-hour care, seven days a week
C.2.2
–
The practice team responds to emergencies/urgent medical conditions
Close
D
–
Safe
Close
SUMMARY
D.1 Infection Control
D.1.1
–
The practice team follows infection-control guidelines
D.2 Cold Chain
D.2.1
–
The practice team follows provincial guidelines for vaccine storage/cold chain
D.3 Office Procedures
D.3.1
–
Procedures performed in the offi ce conform to accepted guidelines
D.4 Disposal of Sharps and Biomedical Waste
D.4.1
–
The practice team safely disposes of sharps and biomedical waste
D.5 Medical Equipment
D.5.1
–
Medical equipment and resources are safe, appropriate, secure, available and maintained
D.6 Drugs
D.6.1
–
Drugs available in the practice are appropriate, controlled, secure and maintained
D.6.2
–
Prescription management
D.7 Medical Record-keeping
D.7.1
–
Medical records are stored or filed safely and securely
D.7.2
–
Medical records include all essential information necessary to provide quality patient care
D.7.3
–
There is a system to track and manage patient test results and medical reports
D.8 Incident Reporting
D.8.1
–
There is an incident reporting system to identify and address serious or potentially serious adverse events
Close
E
–
Effective Clinical Practice
Close
SUMMARY
E.1 Lifestyle and Prevention
E.1.1
–
Smoking cessation
E.1.2
–
Alcohol
E.1.3
–
Diet and exercise
E.2 Immunization
E.2.1
–
Baby, childhood and adolescent immunizations
E.2.2
–
Adult immunizations
E.3 Surveillance and Screening
E.3.1
–
Screening for colorectal cancer
E.3.2
–
Screening for cervical cancer
E.3.3
–
Screening for breast cancer
E.4 Life Cycle Clinical Management
E.4.1
–
Well baby/child care
E.4.2
–
Adolescent care
E.4.3
–
Maternity care
E.4.4
–
Adult care
E.4.5
–
Frail elder care
E.5 Sexual Health
E.5.1
–
Sexual health
E.6 Family Violence
E.6.1
–
Family violence
E.7 Chronic Disease Management
E.7.1
–
Mental health
E.7.2
–
Diabetes mellitus
E.7.3
–
Hypertension
E.7.4
–
Secondary prevention in coronary heart disease (CHD)
E.7.5
–
Stroke or transient ischemic attacks (TIAs)
E.7.6
–
Asthma
E.7.7
–
Chronic obstructive pulmonary disease (COPD)
E.7.8
–
Hypothyroidism
E.7.9
–
Epilepsy
E.7.10
–
Cancer
E.8 Palliative Care
E.8.1
–
Palliative care
E.9 Open Indicator
E.9.1
–
Open Indicator
Close
F
–
Efficient
Close
SUMMARY
F.1 Efficient Information Management
F.1.1
–
There is a system to manage patients’ tests and reports efficiently
Close
G
–
Integrated and Continuous
Close
SUMMARY
G.1 Continuity of Care in the Office
G.1.1
–
The practice team provides continuity of care
G.1.2
–
The practice team provides continuity of care to patients with complex needs (high-frequency users, regular emergency users, patients often in crisis, and patients with multiple problems)
G.2 Out-of-Office Care
G.2.1
–
There is a policy for out-of-office care
Close
H
–
Appropriate Practice Resources
Close
SUMMARY
H.1 Human Resources Management
H.1.1
–
All clinical team members of the practice are qualified and certified
H.1.2
–
The practice team has human resources policies and procedures
H.1.3
–
The practice members function as a team
H.1.4
–
The practice team members balance work and home life
H.2 Physical Facilities
H.2.1
–
The practice is physically accessible
H.2.2
–
The practice’s waiting area accommodates patients and their family members
H.2.3
–
Examination areas ensure patient comfort and privacy
H.3 Workplace Safety and Fire Management
H.3.1
–
The practice is committed to workplace safety
H.3.2
–
Fire risk is minimized
H.4 Practice Improvement and Planning
H.4.1
–
The practice team promotes continuous quality improvement (CQI)
H.4.2
–
The practice team has a formulated practice plan for improvement and risk management
Close
D: Safe
D.1.1
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D: Safe
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