User Guide - Health Quality Ontario

User Guide - Health Quality Ontario
HEALTH QUALITY ONTARIO
Quality Improvement Reporting & Analysis Platform (QI RAP)
User Guide
Table of Contents
1.
2.
Introducing QI RAP ............................................................................................................................ 3
User Access ........................................................................................................................................ 3
2.1
Functionalities ............................................................................................................................. 3
3.
QI RAP Interface at a Glance ........................................................................................................... 4
3.1
Left Navigation Menu ................................................................................................................. 4
3.1.1
3.2
4.
Measures ............................................................................................................................. 4
Table Grids .................................................................................................................................. 4
3.2.1
Action Buttons ..................................................................................................................... 5
3.2.2
Pagination Bar .................................................................................................................... 5
Data Entry............................................................................................................................................ 5
4.1
Select Health Link ...................................................................................................................... 5
4.2
View Change Area ..................................................................................................................... 6
4.2.1
Add Data Point .................................................................................................................... 7
4.2.2
Charts ................................................................................................................................... 9
4.2.3
View All ................................................................................................................................ 9
Figure 13 - Data Entry - View All - Add Data Point ............................................................................. 10
4.2.4
Manage Favourites .......................................................................................................... 13
5.
View Report ....................................................................................................................................... 14
5.1
View Reports ............................................................................................................................. 14
5.2.2
Health Link Dashboard .................................................................................................... 17
5.2.3
LHIN Report ...................................................................................................................... 19
5.2.4
LHIN Dashboard ............................................................................................................... 21
5.2.5
Provincial Report .............................................................................................................. 23
5.2.6 Provincial Dashboard............................................................................................................. 25
5.2.7 Provincial Snapshot: Cumulative Report Of All Measures ....................................... 27
5.2.8 Data Entry Status Report ................................................................................................... 28
5.3
Print Report ........................................................................................................................... 29
5.4 Export Report ............................................................................................................................. 29
6
7
8
Exiting QI RAP .................................................................................................................................. 30
Technical Support ............................................................................................................................ 31
Health Link Measures ...................................................................................................................... 31
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Common Acronyms used in QIRAP User Manual
QI RAP
Quality Improvement Reporting & Analysis Platform
QI
Quality Improvement
HQO
Health Quality Ontario
HL
Health Link
Figure 1 - Common Acronyms
1. Introducing QI RAP
The Quality Improvement Reporting and Analysis Platform (QI RAP) provides a single, integrated
platform for data reporting, and analysis of quality improvement (QI) measures. End users can
enter data for measures through intuitive web pages, and can use the reporting capability of the
platform to view charts and tables for each measure. Administrators of the system are Health
Quality Ontario (HQO) staff, who have the ability to manage: users and access, available
measures, and how data is captured and displayed in the analysis reports.
2. User Access
2.1 Functionalities
The following table outlines the permissions that the Data Entry user, and View Only
user have within the application:
User Access
Functionality
Data Entry
View Only
Add data
X
Edit data
X
View data
X
X
Run reports
X
X
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Figure 2 - User Roles and Access
3. QI RAP Interface at a Glance
3.1 Left Navigation Menu
The QI RAP user interface displays a fixed navigation panel on the left-hand side of
each page within the application, for ease of access.
Tip: The left navigation menu will display menu items specific to your access and
permissions.
3.1.1
Measures
Data Entry
The Data Entry interface is used to view or enter data points for measures.
View Report
The View Report interface is used to view data in chart and table formats.
Custom Measure
The Custom Measure interface is used to create custom measures for data entry and
report viewing.
Figure 3 - Left Navigation Menu - Measures
3.2 Table Grids
Table grids exist throughout the application allowing users to easily view data and
perform tasks. See red boxes below.
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Figure 4 - Table Grids
3.2.1 Action Buttons
Action buttons are located in almost all of the grids within QI RAP. These buttons are
features for users to perform various functions within the interface.
3.2.2 Pagination Bar
The pagination bar is available within all grids. Select the left or right arrow to navigate
pages, or select a value in the dropdown to display more fields within the grid at a time.
4. Data Entry
Tip: Only users with data entry access will be able to complete data entry tasks.
4.1 Select Health Link
To View Change Areas and Associated Measures for a selected Health Link:
1. Click Data Entry from the left navigation menu.
2. Select the Health Link from the dropdown menu.
3. Click Go.
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Figure 5 - Data Entry
The application will proceed to the Change Area page, which displays each Change Area
available to the selected Health Link.
4.2 View Change Area
Each Change Area within the initiative will be displayed on the Change Area page.
To View Measures Associated with Selected Change Area:
1. Click on the Arrow
that Change Area.
icon next to a Change Area to view the measures associated with
Figure 6 - Data Entry - View Change Area
1
2. Each measure will have three (3) action buttons next to it:
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Figure 7 - Data Entry - View Change Area - Expanded Measure View
4.2.1 Add Data Point
Users can enter data for quality improvement measures.
To Add Data for Selected Measure:
1. In the expanded measures view, click on the Add
data point for the measure.
icon next to a measure to add a
Figure 8 - Data Entry - Add Data Point
2. The data entry screen will pop up for the selected measure.
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Figure 9 - Data Entry Screen
3. There will be a description of the measure(s) in the box labelled Description.
4. Data entry instructions can be found in the box labelled Instructions to data entry
user.
5. Click on the Calendar Control
icon beside Start Date.
6. Select a Start Date for the data point. An End Date will be auto-populated by the system
based on the selected Start Date.
Tip: Data can be entered monthly or quarterly. Health Links are only expected to submit
quarterly. If entering quarterly, please choose the last month within the quarter as your
start date. The end date will always be the same as the start date since the data point is
always stored as a monthly submission.
7. Enter any notes to be associated with this data point in the Annotations text box (e.g.
description of an event that occurred during the selected data reporting period). This
step is optional.
8. Enter Field values for the measure.
Tip: Asterisks (*) indicate mandatory fields.
Tip: When entering data for the Primary Care Measure, fill in at least one set of these
measures, then enter 0 in fields that are not applicable.
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9. Once the mandatory fields are filled out, any calculated values for the measure value will
appear under Formulas.
Tip: Areas that are greyed out do not require input.
10. If user would like to add more data in the next step, click Save & New and repeat steps
3-6.
11. Click Save.
4.2.2 Charts
Charts for measures can be viewed through either the Data Entry Change Area page or
through View Reports (See section 5.1).
To Access Chart:
1. Click on the Change Area name to see associated measures.
2. Click on the Chart
icon to view Chart
Figure 10 - Data Entry - Chart
3. A pop-up window containing a Chart for the selected measure is displayed, along
with a Data Table below.
Tip: The Chart and Data Table will be blank for measures with no data points.
4.2.3 View All
Users can view all the data points that have been entered for a measure through the
View All page. Data points can be added, edited, and/or viewed for the selected measure
through the grid. Charts can also be viewed from here.
To View All Entered Data Point(s) for Selected Measure:
1. Click on the Change Area name to see the associated measures.
2. Click on the View All
icon.
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Figure 10 - Data Entry - View All
3. The View All page will display all data points entered for the measure (1). Users also have
access to several action buttons (2) within this page, including: Add Data Point, Edit Data
Point and View Chart.
Figure 11 - Data Entry - View All Chart
4.2.3.1 Add Data Point for Measure
Users can enter data for measures for selected Health Link from the View All grid by
clicking on the
icon (See 4.2.1 Add Data Point).
Figure 12 - Data Entry - View All - Add Data Point
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4.2.3.2 Edit Data Point for Measure
Users can edit data points for measures for selected Health Link from the View All grid by
clicking on the Edit
icon.
To Edit Entered Data Point from View All Grid:
1. Select a data point by clicking on it.
2. Click the Edit
icon to edit selected data point.
(Please see Figure 14 on next page)
Figure 13 - Data Entry - View All - Edit Data Point
3. The data entry pop-up window will be displayed, and any fields within the pop-up can be
edited:
a. Edit Start Date by clicking on the Calendar Control
icon beside Start Date.
An End Date will be auto-populated by the system based on the selected Start
Date.
b. Edit Annotations.
c. Edit Field values for a measure.
d. If user would like to add more data in the next step, click Save & New to add a
new data point. Otherwise, proceed to step 4.
4. Click Save.
(Please see Figure 15 on following page).
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Figure 14 - Data Entry - View All - Edit Data Point
4.2.3.3 View Chart for Measure
Users can view the Chart for the selected measure within the Health Link from the View All
grid by clicking on the View Chart
icon.
To Access Charts from View All:
1. Click on the View Chart
icon on the View All page to view the Chart Report.
Figure 16 - Data Entry - View All - View Chart
2. A pop-up window containing a Chart for the selected measure is displayed, along with a
Data Table below.
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Tip: Chart and Data Table will be blank for measures with no data points. For more
information on the Chart Reports, please see section 5.1
4.2.4 Manage Favourites
Users can manage favourite Change Areas allowing easy access to selected Change
Areas for selected Health Link.
To Manage Favourites:
1. Click Data Entry from the navigation menu on the left panel.
2. Click the Manage Favourite link.
Figure 17 - Data Entry - Manage Favourite
3. Select the Change Areas for the Health Link that you would like to have displayed for
data entry.
4. Unselect Change Areas that you would like to have hidden for data entry.
5. Click the Save
icon on the Manage Favourite grid.
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Figure 18 - Data Entry - Manage Favourite
5. View Report
5.1 View Reports
Users can access various reports using the View Report function.
To View Report:
1. Click View Report from the navigation menu on the left panel.
Figure 19 - View Report
2. Select the report you wish to view using the dropdown menu.
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3. Click View button.
4. A pop-up window will display the Reports page.
Tip: If you receive a pop-up blocker message, select “Allow pop-ups for
QI RAP.hqontario.ca”
Figure 15 - View Report - Pop-up Blocker
5.2
Types of Reports
Eight different types of reports can be viewed for all measures with associated data points
including Health Link reports, LHIN reports, and Provincial reports and associated Dashboards.
The following section will describe each of the type of reports.
5.2.1: Health Link Report
The Health Link Report displays a single Health Link’s data for a single measure for a
specific time period. The report includes a Chart and accompanying Data Table.
The following report parameters are used to create a Health Link Report:
Report Parameters:
LHIN: Users can select a LHIN to narrow down the Health Links for the next parameter.
Health Link: Users can select the Health Link associated with a LHIN.
Tip: There are two parameters called Health Link you must select both, and they must be
matching, to move on.
Start Year: Users can choose the date that corresponds to the Health Link.
Topic: Users can choose the change area they would like to view.
Measure: Users can choose the indicator they would like to view.
Field: Users can choose from the drop down menu select all or individual data sets you
would like to view.
Measure Output: User clicks on the drop down menu and chooses either Raw or
Cumulative. ‘Raw’ shows the value of the field as entered. ‘Cumulative’ shows the sum of
the values for the field for all reporting periods up to and including the value for the last
entry.
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Reporting Frequency: Users can choose the frequency for the data being displayed in the
chart and table. This field defaults to Quarterly and the drop down menu provides the ability
to choose monthly.
Visibility: This parameter relates to the visibility of the annotation(s) on the chart. User
must choose either None or Annotations. If you choose ‘None’ the annotations will still be
seen in the Data Table once you view the report but will not be seen on the chart.
Start and End Date: Users can manually change the start and end date to select the range
of data to view on the chart and data table. The default start and end date will capture the
full range of data for the parameters selected.
1. Select each report parameter using the dropdown menus.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
Figure 16 - View Report - Report Parameters
3. The Chart will be displayed according to the selected parameters, along with the
Data Table.
(Please see Figure 22 on next page)
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Figure 17 - View Report - Chart Report
Tip: Reports with a large dataset may have multiple pages. The pagination bar can be
used to navigate through the report.
5.2.2 Health Link Dashboard
The Health Link Dashboard is a report that displays a single Health Link’s data for all measures
for a specific time period. The report includes a Chart and accompanying Data Table.
The following report parameters are used to create a Health Link Report:
Report Parameters:
LHIN: Users can select a LHIN to narrow down the Health Links for the next parameter.
Health Link: Users can select the Health Link associated with a LHIN.
Reporting Frequency: Users can choose the frequency for the data being displayed in the
chart and table. This field defaults to Quarterly and the drop down menu provides the ability
to choose monthly.
Display Option: User can choose one of three display options: graph, table or graph and
table.
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Start and End Date: Users can manually change the start and end date to select the range
of data to view on the chart and data table. The default start and end date will capture the
full range of data for the parameters selected.
1. Select each report parameter using the dropdown menus.
Tip: To clear all fields, and re- enter your selections, select F5.
2. Click View Report button.
Figure 23 - View Report – Report Parameters HL Dashboard
3. The dashboard will be displayed according to the selected parameters.
Figure 24 - View Report – HL Dashboard
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Tip: Reports with a large dataset may have multiple pages. The pagination bar can be
used to navigate through the report.
5.2.3 LHIN Report
The LHIN Report is a report that displays multiple Health Links’ data for a single field of a
measure for a specific time period. The report includes a Chart and accompanying Data
Table.
The following report parameters are used to create a LHIN Report:
Report Parameters:
Start Year: Users can choose the start year associated with the year of HL funding approval
you are looking.
LHIN: Users can select a LHIN.
Tip: If you do not know which LHIN a Health Link is associated with, in the drop down
menu choose option “custom group”, this will show the complete menu of the Health
Links.
Health Link: Users can select the Health Link associated with a LHIN.
Topic: Users can choose the change area they would like to view.
Measure: Users can choose the indicator they would like to view.
Field: Users can choose from the drop down menu “select all” or “individual data sets” you
would like to view.
Measure Output: User can choose “Individual Health Link” or “Summary of all Health
Links” chosen in the previous field. Chart output options include:
1) Individual Health Links – Separate series for each selected Health Link organization is
shown in the Chart for the selected Field.
2) Health Links Summary – Single series is shown on the chart as a summary of all of the
Health Link organization(s) selected for the selected Field.
Start and End Date: Users can manually change the start and end date to select the range
of data to view on the chart and data table. The default start and end date will capture the
full range of data for the parameters selected.
1. Select each report parameter using the dropdown menus.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
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Figure 18 - View Report - Report Parameters
3. The Chart will be displayed according to the selected parameters, along with the
Data Table.
Figure 196 - View Report - LHIN Report
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Tip: Reports with a large dataset may have multiple pages. The pagination bar can be
used to navigate through the report.
5.2.4 LHIN Dashboard
The LHIN Dashboard is a report that displays multiple Health Links data for all measures for
a specific time period. The report includes Charts and accompanying Data Tables.
1. Select each report parameter using the dropdown menus.
The following report parameters are used to create a LHIN Dashboard:
Report Parameters:
Start Year: Users can choose the start year associated with the year of HL funding
approval you are looking.
LHIN: Users can select a LHIN.
Display Option: User can choose one of three display options: graph, table or
graph and table.
Start and End Date: Users can manually change the start and end date to select
the range of data to view on the chart and data table. The default start and end date
will capture the full range of data for the parameters selected.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
Figure 20 - View Report – Report Parameters LHIN Dashboard
3. The dashboard will be displayed according to the selected parameters.
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Figure 28 - View Report – LHIN Dashboard
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Tip: Reports with a large dataset may have multiple pages. The pagination bar can be
used to navigate through the report.
5.2.5 Provincial Report
The Provincial Report is a report that displays LHIN level summary of Health Links data for a
single field of a measure for a specific time period. The report includes a Chart and
accompanying Data Table.
The following report parameters are used to create a Provincial Report:
Report Parameters:
Start Year: Users can choose the start year associated with the year of HL funding approval
you are looking.
LHIN: Users can select a LHIN.
Topic: Users can choose the change area they would like to view.
Measure: Users can choose the indicator they would like to view.
Field: Users can choose from the drop down menu and select individual data sets you
would like to view.
Measure Output: User can choose Individual LHIN or summary of all LHIN’s chosen in the
previous field. Chart output options include:
1) Individual LHINs – separate series for each selected LHIN is shown in the Chart for the
selected Field.
2) LHIN Summary – single series is shown on the Chart as a summary of all of the LHIN(s)
selected for the selected Field.
Start and End Date: Users can manually change the start and end date to select the range
of data to view on the chart and data table. The default start and end date will capture the
full range of data for the parameters selected.
1. Select each report parameter using the dropdown menus.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
Figure 29- View Report - Report Parameters
3. The Chart will be displayed according to the selected parameters, along with the
Data Table.
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Figure 21 - View Report - LHIN Report
Tip: Reports with a large dataset may have multiple pages. The pagination bar can be
used to navigate through the report.
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5.2.6 Provincial Dashboard
The Provincial Dashboard is a report that displays LHIN level summary of Health Links data
for all measures for a specific time period. The report includes Charts and accompanying
Data Tables.
The following report parameters are used to create a Provincial Dashboard:
Report Parameters:
Start Year: Users can choose the start year associated with the year of HL funding approval
you are looking
Display Option: User can choose one of three display options: graph, table or graph and
table.
Start and End Date: Users can manually change the start and end date to select the range
of data to view on the chart and data table. The default start and end date will capture the
full range of data for the parameters selected.
1. Select each report parameter using the dropdown menus.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
Figure 3122 - View Report- Report Parameters
3. The dashboard will be displayed according to the selected parameters.
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Figure 32 - View Report – Provincial Dashboard
Tip: Reports with a large dataset may have multiple pages. The pagination bar can be
used to navigate through the report.
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5.2.7 Provincial Snapshot: Cumulative Report Of All Measures
A summary report that displays the total number of Health Link Teams that are enrolled in
the initiative, as well as the provincial totals for a selected set of measures and fields to
capture overall performance in the province.
The following report parameters are used to create a Provincial Snapshot: Cumulative
Report of All Measures:
Report Parameters:
Start Year: Users can choose the start year associated with the year of HL funding approval
you are looking.
Topic: Users can choose the change area they would like to view.
Measure: Users can choose the indicator they would like to view.
Field: Users can choose from the drop down menu select all or individual data sets they
would like to view.
Start and End Date: Users can manually change the start and end date to select the range
of data to view on the chart and data table. The default start and end date will capture the
full range of data for the parameters selected.
1. Select each report parameter using the dropdown menus.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
3. Reporting Parameters:
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Figure 233 - View Report – Provincial Snapshot Report
4. The report will be displayed according to the selected parameters.
5.2.8 Data Entry Status Report
A LHIN level report that depicts data entered by associated Health Links for a specific time
period. There is an option to select all LHINs for a provincial perspective.
The following report parameters are used to create a Data Entry Status Report:
Report Parameters:
LHIN: Users can select a LHIN.
Start and End Date: Users can manually change the start and end date.
1. Select each report parameter using the dropdown menus.
Tip: To clear all data entry fields, and re- enter your selections, select F5.
2. Click View Report button.
3. The report will be displayed according to the selected parameters.
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Figure 24 - View Report – Data Entry Status Report
5.3 Print Report
To Print Report:
1. Click on the Print
Data Table.
icon underneath the report parameters to print the Chart and
Figure 25 - View Report - Print Report
5.4 Export Report
To Export Report:
1. Click on the Export
icon underneath the report parameters to export the Chart
and Data Table into a variety of formats (Available formats include: XML file with report
data, CSV – comma delimited, PDF, MHTML – web archive, Excel, TIFF file, or Word).
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Figure 26 - View Report - Export Report
6
Exiting QI RAP
A Close Window button is located at the top right corner of the page.
To Exit QI RAP:
1. Click the Close Window button at the top right corner of the page.
Figure 27 - Exiting QI RAP
2. Click Yes to confirm exiting QI RAP or No to remain logged in to QI RAP.
Figure 38 - Exiting QI RAP – Confirmation
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7
Technical Support
Please contact [email protected] for technical support. We will respond to your email
within one business day.
8
Health Link Measures
Currently there are 2 Health Link measures that are being entered into QI RAP which
include: 1) Number of patients with a coordinated care plan (CCP) developed through the
Health Link and 2) Number of patients with regular and timely access to a primary care
provider (PCP)
1. Number of patients with a coordinated care plan (CCP) developed through the Health
Link
 Description:
Number of Health Link patients with a coordinated plan of care developed through
the Health Link during the past Quarter. Developed with the patient/caregiver and
two (2) or more health care professionals. Containing a plan for one (1) or more
health issues.

Instructions:
Enter the number of patients for whom coordinated care plans were developed (i.e.,
completed) in the three month reporting period (net new actual value). The plan must
address a minimum of one health issue (health issues can be physical, mental,
social or spiritual).
In the annotations section, include any information that may influence the number of
patients with a coordinated care plan of care. For example, enter "introduced virtual
case conferencing through OTN" if you have begun to test the OTN PCVC
conferencing technology.

Fields:
(1) How many patients in your Health Link did you target to develop a coordinated
care plan for the quarter being reported? (TARGET)
(2) How many patients in your Health Link had a coordinated care plan developed
for them by the Health Link in the quarter being reported? (ACTUAL)
2. Number of patients with regular and timely access to a primary care provider
 Description:
Number of Health Link patients with a primary care provider on record with hospitals
or CCAC, or have access to primary care provider in the form of appointments,
evening clinic, home visits, etc., or have regular and timely access to a primary care
provider.

Instructions:
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Enter the number of Health Links patients with a primary care provider on record or
have access to a primary care provider for the Quarter being reported

Fields:
A:
A:
B:
B:
C:
C:

(Target) number of Health Link patients with a primary care provider on
record with hospitals or CCAC for the quarter being reported. (TARGET)
For the quarter being reported, how many patients with the Health Link have
a primary care provider on record with hospitals or CCAC? (ACTUAL)
(Target) number of Health Link patients with access to a primary care
provider in the form of appointments, evening clinic, home visits, for the
quarter being reported. (TARGET)
For the quarter being reported, how many total patients with the Health Link
have access to a primary care provider in the form of appointments, evening
clinic, home visits? (ACTUAL)
(Target) number of Health Link patients with regular and timely access to a
primary care provider for the quarter being reported. (TARGET)
For the quarter being reported, how many total patients with the Health Link
have regular and timely access to a primary care provider? (ACTUAL)
Formulas
(1) Total number of patients with regular and timely access to a primary care
provider (PCP) (TARGET)
This is an automated calculation that sums the target values from field A, B and
C together.
(2) Total number of patients with regular and timely access to a primary care
provider (PCP) (ACTUAL)
This is an automated calculation that sums the actual values from field A, B and
C together.
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