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THROMBOSIS CANADA FACILITATED QUALITY IMPROVEMENT PROGRAM

Each year approximately 50,000 Canadians suffer a stroke, which is one every 10 minutes. Of these, two will recover, six will suffer permanent disability and two will die. Strokes are the leading cause of disability, and the third leading cause of death in Canada. They cost the Canadian economy at least $2.7 billion dollars annually. Primary care physicians play a pivotal role to ensure evidence-based strategies to prevent stroke are appropriately utilized, but a significant care gap exists. Addressing this care gap in the highest risk populations will reduce the economic and human cost of cerebrovascular disease.

Thrombosis Canada has created a best-in-class quality improvement program for stroke prevention in atrial fibrillation. This QIP is fully integrated into EMR and provides point of care solutions based on the Thrombosis Canada clinical guides and tools. Participants of the Thrombosis Canada QIP are eligible for up to 6 Main Pro C credits. This initiative is also harmonized with the recent mandate from the MOHLTC for all Family Heath Teams, Community Health Clinics and other models to initiate QIPs.

The overall objective of this FQI initiative is to improve stroke prevention in patients with atrial fibrillation.

The many potential benefits of quality improvement initiatives include improved clinical processes, improved care outcomes, more effective team functioning, enhanced provider satisfaction, improved efficiency, and improved point of care decision making. Facilitated Quality Improvement provides participants with evidence-based clinical endpoints and practice tools. It offers training to champions and clinical teams, and offers primary care quality improvement initiatives the best chance of succeeding.

Facilitated Quality Improvement (FQI) is an innovative approach to practice improvement that builds on the fields of Knowledge Translation, Patient Safety and Quality Improvement to address the challenges and barriers found in primary care environments. FQI provides participants with evidence-based clinical endpoints and practice tools based on the Thrombosis Canada Clinical Guides to improve clinical processes, point of care decision making, care outcomes, provider satisfaction and support more effective team functioning. It provides training to champions and clinical teams, and offers primary care quality improvement initiatives the best chance of succeeding.

The FQI Program will be initiated within family health teams. Team Champions will be responsible for implementing the FQI project within their treatment team and reporting on practice improvement outcomes using the templates provided. Based on patient data, extracted from electronic records, and local priorities, sites will review evidence based on benchmarks and prioritize the aim and measures.

The practice level and patient population data collected (and extracted from Electronic Medical Record) to identify opportunities for improvement and practice change will be anonymous and used in aggregate.

All project elements will be supported by Thrombosis Canada, a non-profit physician organization.

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