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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 – 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
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  • B – Equitable
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      • 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
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  • C – Timely and Accessible
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      • 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
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  • D – 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 – 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
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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 – 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
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  • F – Efficient
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      • SUMMARY
      • F.1 Efficient Information Management
        • F.1.1 – There is a system to manage patients’ tests and reports efficiently
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  • 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
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      • 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
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  • F – Efficient
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      • 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
  • Home
  • About the Authors
  • About The Quality Book of Tools
    • Dedication
    • Acknowledgements
    • International & National Indicators/Tools
    • 2003-2009 Tool Contributors
  • Introduction
    • Overview
    • Background
    • Why have a Quality Book of Tools?
    • Where to find the Quality Book of Tools?
    • Continuous Quality Improvement
    • How to use the Quality Book of Tools
    • Summary of Categories and Indicators
    • Glossary
    • List of Acronyms
    • References
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Copyright © 2010
Cheryl Levitt & Linda Hilts

Criteria Symbols

Legal and Safety

required by law*

Essential

required to demonstrate best practice

Desirable

required to demonstrate additional quality

(*Assumptions about indicators are based on the nature of these indicators and the regulations that qualify them)
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