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QI Program Resources

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Thank you for participating in the QI Program. We’ve compiled a selection of Continuing Professional Development (CPD) and practice improvement resources recommended in the QI program to support your learning. For additional resources: CPD/Practice Improvement Resources.

*Please note this selection is not meant to be comprehensive or complete, and inclusion is not necessarily an endorsement by the CPSO. Resources recommended in Practice Profile are included below.

    • Ontario family physicians and specialists who are looking to advance their quality improvement skills or  working on their CPSO practice improvement plans can join this 2022 learning program designed to provide a practical approach to quality improvement through skill development, the identification of practice data sources, and the application of QI tools to develop a practice improvement plan and implementation strategy. More details can be found on the University of Ottawa Faculty of Medicine’s website
    • University of Toronto IDEAS Program a foundational course that provides the knowledge and tools to effectively participate in and contribute to quality improvement projects within or across health care organizations.
  • This primary care quality improvement curriculum will provide you with QI knowledge and tools to support development and implementation of a practice improvement plan. It is offered in a modular format. You can either review it from start to finish, or you can review the modules most relevant to you as you complete your CPSO Quality Improvement Program or engage in future improvement work. This program was designed for family medicine residents, but the content is relevant and applicable for practicing family physicians; there will be a future iteration designed specifically for practicing physicians. Find out more at U of T’s Faculty of Medicine’s QI page.

    • Articles from Canadian Medical Protective Association
      • Duties and responsibilities: Expectations of physicians in practice
      • Safety of care: Improving patient safety and reducing risks
      • Legal and regulatory proceedings: Navigating legal or regulatory processes
      • Physician wellness: Managing stress and staying well
         
    • CPD eCoach from UBC CPD, Faculty of Medicine
      Online self-directed assessment tool to explore one’s CPD needs.
       
    • Four Principles of Family Medicine from College of Family Physicians of Canada
      Webpage outlining the principles of being a family physician.
       
    • Good Practices from Canadian Medical Protective Association 
      Online guide for safe medical practice and reduction of medical-legal risks. Topics:
      • Professionalism and ethics: Integrating professional duties, societal expectations and personal wellbeing 
      • Physician-patient: Communicating effectively with patients to optimize their care
      • Physician-team: Leveraging the power of collaboration to foster safe care
      • The healthcare system: Building safer systems to enhance clinical care delivery
         
    • Guides, Tools and Practice Reports from Ontario Health, Quality
      Personalized practice reports for physicians in primary care, long-term care, specialist and hospital sectors. Using existing administrative health databases, these confidential reports give physicians data about their practice, and share change ideas to help drive quality improvement.
       
    • Just Culture” Certification Course from Saegis
      Participants learn how to use the Just Culture Algorithm™ - a tool grounded in systems engineering, human factors and law. Physicians and healthcare professionals learn how to reinforce behaviour that supports the organization’s values, improve systems, reduce negative outcomes and improve team morale.
       
    • CMPA’s Good Practices (referenced above) also has a section on Just Culture.
       
    • Member Support Program from Canadian Medical Protective Association
      Provides personalized support and educational advice. Contributes to improving the safety of medical care and helps CMPA members by easing stress, foster self-confidence, and return satisfaction to the practice of medicine.
       
    • Practising Well from the Ontario College of Family Physicians
      An active and engaged online community that gives participants access to a deep well of knowledge to make practice easier today, and to improve it in the future. Includes: Practising Well Community of Practice, Practising Well Information Exchange, and Practising Well Peer to Peer Connect. 
    • Clinical Tools and Resources from Centre for Effective Practice
      Clinical supports and tools for primary care physicians on broad range of conditions encountered in practice.
       
    • Opioids Clinical Primer from Machealth, Division of e-Learning Innovation, Michael G DeGroote School of Medicine, McMaster University
      Series of 6 asynchronous eLearning modules providing an overview of key concepts and skills for clinicians facing common challenges in the management of patients with chronic pain.
       
    • Practice Based Small Group Learning Program (PBSGL) from The Foundation for Medical Practice Education
      Program to help family physicians develop a supportive network in which group members discuss problem cases in a way that facilitates change in knowledge, attitudes, and skills. Topics cover a wide array of primary care practice issues.

      The Practice Based Individual Learning (PBIL) Program is based on the same educational principles as the group learning program, but designed for physicians who cannot, or prefer not to, meet in an ongoing group setting.
       
    • Primary Care Academic Detailing Service from Centre for Effective Practice
      One-on-one visits, tailored discussions on different clinical topic areas.
       
    • Project ECHO
      Links expert inter-professional teams at an academic hub with primary care providers in local communities. Primary care providers become part of a learning and support community, where they receive mentoring and feedback from the team of experts. Variety of topics.
       
    • Safer Opioid Prescribing Series from University of Toronto
      Comprised of 3 synchronous webinars delivered over 3 months and a face-to-face skills development day.
    • Code of Ethics from Canadian Medical Association
      Ethical framework for Canadian physicians focusing on the core activities of medicine – e.g., health promotion, advocacy, disease prevention, diagnosis, treatment, rehabilitation, palliation, education and research.
       

    Articles from the Canadian Medical Protective Association:

    • CanMEDS Physician Health Guide from Royal College of Physicians and Surgeons of Canada
      Introduction to the broad scope of issues that make up physician health. Provides practical strategies for introducing, promoting and teaching physical, emotional and spiritual well-being. Available for purchase.
       
    • Coping with a College complaint: Suggestions for reducing anxiety from Canadian Medical Protective Association
      Article providing guidance on managing stress associated with a complaint.
       
    • Could you be burned out? from Ontario Medical Association
      Resources to assess various aspects of burnout and well-being, including professional fulfillment and quality of life, happiness, engagement and dimensions of distress.
       
    • Joy in Work from Institute for Healthcare Improvement
      Website offering variety of resources to create a positive work environment and ensure the commitment to deliver high-quality care to patients, thereby reducing the risk of burnout.
       
    • Physician Wellness Hub from Canadian Medical Association
      Website with resources (links and articles) about physician wellness and burnout.
      (Physician Wellness Hub: Burnout).
       
    • Physician Health Program from Ontario Medical Association
      Provides a range of services to physicians align with the belief that health matters and that education, early intervention and treatment are important in helping to sustain a healthy medical workforce.
       
    • Physician Wellness page on CPSO website from CPSO
      Links to a curated selection of resources on physician wellness.
       
    • Physician Wellness Page on the CMPA Website from Canadian Medical Protective Association
      Variety of resources on the importance of physician wellness, CMPA and other services.
       
    • Sound Mind from Canadian Medical Association
      A podcast about physician wellness and medical culture 
       
    • Three steps to coping with anything (including COVID-19) from Sinai Health
      Drs. Jon Hunter and Robert Maunder provide a three-step evidence-based approach for health care workers coping with anxiety and stress during the COVID-19 pandemic.
       
    • Well-Being from Ontario Medical Association
      Website with links, articles, videos and exercises that focus on physician self-care and resilience
    • Best Advice Guide: Team-Based Care in the Patient’s Medical Home from College of Family Physicians of Canada
      Examines the benefits of team-based care for both practice efficiency and patients’ health outcomes.
       
    • Clinical Communication Program — Online from Saegis
      Intensive, structured and hands-on interpersonal skills training program to enhance doctor-patient communication and create significant behavioural and attitudinal change. Includes 3-day workshop and mentoring/coaching over a period of 6 months.
       
    • Communication and Cultural Competence Orientation Program from Medical Council of Canada
      Series of 8 modules based on case studies of everyday medical practice in Canada. While designed for physicians new to Canada, all physicians may find value in completing. Modules:
      • Communication skills
      • Consent and confidentiality
      • Cross-cultural communication
      • Communicating with adolescents
      • Indigenous health
      • Mental health
      • Complexities of care of the elderly
      • Professional challenges
         
    • Communication Coaching Services
      • Canadian Physician Coaches Network highly skilled and certified coaches with experience in supporting physicians and other healthcare professionals. The not-for-profit organization can provide coaching support, workshops and educational events to enhance leadership, managing workplace challenges, practice transformation, quality improvement, career management and sustaining wellness while practicing challenging professions.
         
    • Effective Team Interactions — Online from Saegis
      Provides practical strategies for effectively interacting with colleagues in a team environment.
       
    • Getting Communications Right with Your Patients from CPSO
      Whiteboard video on the importance communication, the most common reason for patient complaints to the CPSO.
       
    • Good Practices: Patient-centred communication from Canadian Medical Protective Association
      Topics include: what patients want; challenges to communicating; dealing with conflict; overcoming barriers.
       
    • Informed Consent eLearning Module from Canadian Medical Protective Association
      Outlines 3 key elements of a valid informed consent, physicians’ legal obligations to communicate to patients, and the importance of discussing and documenting risks related to prescribing medications.
       
    • Informed Discharge eLearning Module from Canadian Medical Protective Association
      Explains the clinical and medico-legal importance of the discharge discussion, physicians’ obligations when delegating the discharge discussion, the role of educational handouts and the importance of documentation.
       
    • Motivational interviewing: Introduction and application from Centre for Addiction and Mental Health
      Online program on clinical method of motivational interviewing, indicating its purpose, how it is used and how it works and used a model for communicating care to clients and patients to establish therapeutic relationships with patients that are characterized by partnership.
       
    • Privacy and Confidentiality eLearning Module from Canadian Medical Protective Association
      Describes the sharing of a patient’s personal health information in the circle of care and when a patient’s express consent is required for the release of personal health information.
       
    • Strengthening Inter-professional Communication from Canadian Medical Protective Association
      Article on the importance of effective communication from a medico-legal perspective.
       
    • Successful Patient Interactions – Online from Saegis
      Helps physicians and other healthcare providers communicate more effectively with their patients.
    • Documentation: Principles of Medical Record Keeping eLearning Module from Canadian Medical Protective Association
      eLearning module on medical record-keeping from a medico-legal perspective.
       
    • Electronic Records Handbook, Canadian Medical Protective Association
      Addresses the following topics:
      • Selecting an appropriate system
      • Regulation of electronic records (eRecords)
      • Patient consent and rights to access
      • Security and privacy issues
      • Maintaining data integrity
      • Sending and transferring records
      • Destroying and disposing of evidence
      • Data sharing and inter-physician arrangements
      • Emerging issues
         
    • Insights4Care from OntarioMD
      Program aims to provide tools and support to clinicians to access patient data from their EMR to support quality improvement and better patient outcomes.
       
    • Medical Record-Keeping Program from University of Toronto
      Full-day course that teaches to CPSO medical records policy.
       
    • Medical Record-Keeping Program from University of Toronto
      Interactive online program that addresses the CPSO’s Medical Record Keeping Policies. Uses case-based exercises, peer assessments and training on practice tools.
  • from Ontario Medical Association:
    Range of resources across all phases of running a practice.

    from Canadian Medical Protective Association:

    • Workshop: Test Results Follow-up
      Interactive workshop designed to help physicians looking to build a reliable follow-up system for test results in their practice
       

    Articles providing medico-legal perspective:

    Other organizations:

    • Advanced Access and Efficiency from Ontario Health, Quality
      As part of its work to foster quality improvement capacity in Ontario’s health system, Health Quality Ontario has developed Advanced Access & Efficiency resources and strategies to assist your primary care practice to see patients on the day they call in or on a day of their choosing. The program is designed to streamline the day, enrich the experiences of patients, and increase staff satisfaction.
       
    • Practice Management from Canadian Medical Association
      Offers a series of resources for family medicine and other specialty residents that may be helpful for practising physicians.
       
    • The time management guide: A practical handbook for physicians by physicians from The Royal College of Physicians and Surgeons of Canada (available for purchase)
      Topics include: Basic concepts; practical tools; interpersonal skills for effective time management; investing in yourself.
  • The Data-Driven Quality Improvement (DDQI) tool is designed to help physicians examine their own practice performance and reflect on how they deliver health care to their patients. You may also find this exercise helpful in identifying opportunities for improvement. Practice-level data and measures of performance can be generated in many ways (see below).

    Instructions:

    1. Using the data/evidence of your choice, review the information and select an area of your practice you would like to enhance. 
    2. Based on the identified improvement opportunity, complete the Reflection Exercise below. A reflective exercise guidance document is available online.

    What Data/Evidence Can I use?

    Use data/evidence that is relevant to your practice and your learning needs. You can choose to generate your own data within your practice or obtain data from many other sources, including but not limited to:

    • Observation of one’s day-to-day practice, e.g. when is the third next available appointment (TNA) in your schedule, i.e. how long do patients wait for an appointment?
    • Demographic data or service data from one’s billing programme, e.g. which patients have been billed using the diagnostic code “250” = identify diabetic patients in the practice and count how many have an up-to-date Diabetic Flowsheet
    • Clinical data extracted from one’s EMR (IT administrator or EMR vendors may be able to assist), e.g. how many patient records contain an email address in the appropriate field?

    Primary Care Physicians may be able to request data from a number of sources:

    A growing number of data sources are available for Specialists:

    Clinical Practice Guidelines, Quality Standards & Recommendations can provide a basis for assessing practice performance and identifying opportunities for improvement:

    Additional Information about the My Practice Report from Ontario Health:

    If you do not already have a MyPractice Report from Ontario Health it may be a challenge to receive one before the completion date of the program. However, the report may provide valuable information for future quality improvement in your practice and you may find it beneficial to sign up for purposes beyond this program.