HEALTH QUALITY ONTARIO

HEALTH QUALITY ONTARIO
HEALTH QUALITY ONTARIO
Quality Improvement Reporting & Analysis Platform
Residents First User Guide
Prepared by Dapasoft Inc
March 13, 2013
Version 2.1
Contents
1.
Introduction to QIRAP ......................................................................................................... 3
2.
User Access........................................................................................................................ 3
2.1
3.
Functionalities .............................................................................................................. 3
QIRAP Interface at a Glance ............................................................................................... 3
3.1
Left Navigation Menu ................................................................................................... 3
3.1.1
3.2
4.
Table Grids .................................................................................................................. 4
3.2.1
Action Buttons....................................................................................................... 4
3.2.2
Pagination Bar ...................................................................................................... 4
Data Entry ........................................................................................................................... 5
4.1
Select LTC Home......................................................................................................... 5
4.2
View Topics ................................................................................................................. 5
4.2.1
Add Data Point...................................................................................................... 6
4.2.2
Manage Division (Home Area) .............................................................................. 7
4.2.2.1
Add Division ................................................................................................... 8
4.2.2.2
Edit Division ................................................................................................... 9
4.2.2.3
Delete Division ............................................................................................... 9
4.2.3
Run Charts ..........................................................................................................10
4.2.4
View All ................................................................................................................11
4.2.4.1
Add Data Point for Measure ..........................................................................12
4.2.4.2
Edit Data Point for Measure ..........................................................................13
4.2.5
5.
Manage Favourites ..............................................................................................15
View Report .......................................................................................................................16
5.1
6.
Measures .............................................................................................................. 4
Viewing Reports..........................................................................................................16
5.1.1
View Run Chart....................................................................................................16
5.1.2
Print Report .........................................................................................................19
5.1.3
Export Report.......................................................................................................19
Exiting QIRAP ....................................................................................................................19
2
Common Acronyms used in QIRAP User Manual
HQO
Health Quality Ontario
QIRAP
Quality Improvement Reporting & Analysis Platform
LTC
Long Term Care
PC
Primary Care
BP
bestPATH
Figure 1 - Common Acronyms
1. Introduction to QIRAP
The Quality Improvement Reporting and Analysis Platform (QIRAP) provides a single,
integrated platform for reporting and analysis of quality improvement (QI) measures for
Residents First, Advanced Access, Efficiency & Chronic Disease Management, and bestPATH
initiatives. End users such as long-term care homes, primary care practices, hospitals and QI
Coaches can enter data for measures through intuitive web pages, as well as use the reporting
capability of the platform to view Run Charts for each measure. Administrators of the system are
HQO representatives who have the ability to perform tasks such as: manage users and their
roles, manage measures, and run numerous analysis reports.
2. User Access
2.1 Functionalities
The following table outlines the permissions that the data entry user and view only user
has in the application:
User Access
Functionality
Data Entry
View Only
Add data
X
Edit data
X
View data
X
X
X
X
Run reports
Figure 2 – User roles
3. QIRAP Interface at a Glance
3.1 Left Navigation Menu
The QIRAP user interface displays a fixed left navigation panel on the left-hand side of the
page for easy access on each page of the application.
Please Note: depending on users’ role and privileges, the left navigation menu may display different
menu items.
3
3.1.1
Measures
Data Entry
The Data Entry interface is used by users to view or enter data points for measures.
View Report
The View Report interface is used by users to view Run Charts for measures.
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.
Figure 4 – Table Grids
3.2.1 Action Buttons
Action buttons are located in almost all of the grids within QIRAP. These buttons are
features for users to perform various functions within the interface.
3.2.2 Pagination Bar
Pagination bar exists in all the grids. Select the left or right arrow to navigate pages, or
select a value in the drop-down to display more fields within the grid at a time.
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4. Data Entry
4.1 Select LTC Home
To View Topics and Associated Measures for a Selected LTC Home:
1. Click Data Entry from the navigation menu on the left panel
2. Select the LTC Home from the drop-down menu
3. Click Go
Figure 5 - Data Entry
The application will proceed to the Topics page, which displays each Topic within Residents
First.
4.2 View Topics
Each Topic within Residents First will be displayed on the Topics page.
To View Measures Associated with Selected Topics:
1. Click on the Arrow
Topic.
icon next to a Topic to view the measures associated with that
Figure 6 - Data Entry - View Topics
5
2. Each measure will have three (3) action buttons next to it: Add Measure, View Chart,
View All
Figure 7 - Data Entry - View Topic - 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
add a data point for the measure
icon next to a measure to
Figure 8 - Data Entry - Add Data Point
6
2. The data entry screen will pop up for the selected measure
3. Click on the Calendar Control
Icon beside Start Date
4. Select a Start Date for the data point
Note: An End Date will be auto-populated by the system.
5. Select the Division (Home Area) from the Division drop-down menu. The default
Home Area is set to the Entire Home. To add data for a sub-section of the Home,
users can manage the division by clicking on Manage Division (See 4.2.2 Manage
Division [Home Area])
Note: The user can manage the division by clicking on Manage Division. (See 4.2.4
Manage Division to add, edit or delete a division).
6. Enter Annotations, if any
7. Enter Field Values for the measure
Note: Asterisks (*) indicate mandatory fields
8. Once the mandatory fields are filled out, any calculated values for the measure
value will appear under Formulas
9. If you would like to add more data in the next step, click Save & New and repeat
steps 3 to 7. Otherwise, proceed to step 10
10. Click Save
4.2.2 Manage Division (Home Area)
Users can add, edit or delete Divisions (Home Areas) by clicking Manage Division in the
Data Entry page.
To Access Manage Division:
1. Within the Add Data Point pop-up, click Manage Division link under the Division
drop-down menu
Figure 9 - Data Entry - Manage Division
7
2. The Manage Division section will expand to display all created Divisions (Home
Areas)
Figure 10 - Data Entry - Manage Division
4.2.2.1
Add Division
To Add Division:
1. Click the Add
(Home Area)
icon within the Manage Division section to add a new Division
Figure 11 - Data Entry - Manage Division – Add Division
8
2. Click on the highlighted field to enter the Name of the Division (Home Area) (1) and
the highlighted Division Details (2) to add any details pertaining to the Home Area.
Figure 12 - Data Entry - Manage Division - Add Name and Division Details
3. Click the Save
icon on the Manage Division grid
Note: To cancel changes, click the
4.2.2.2
icon
Edit Division
To Edit Division:
1. Within the Manage Division section, select a Division (Home Area)
2. Click the Edit
icon to edit the selected division
Figure 13 - Data Entry - Manage Division – Edit Division
3. Edit Division Name (1) and Division Details (2) by clicking on the highlighted area.
Click the Save
icon on the Manage Division grid
Note: To cancel changes, click the
4.2.2.3
icon
Delete Division
Note: If there are data points entered for a Division (Home Area), the Division (Home Area)
cannot be deleted.
To Delete a Division (Home Area):
1. Within the Manage Division section, select a Division (Home Area) by clicking on it
2. Click the Delete
icon
9
Figure 14 - Data Entry - Manage Division - Delete Division
3. Click Yes to confirm delete
Figure 15 - Data Entry - Manage Division – Delete Division
4.2.3 Run Charts
Run Charts for measures can be viewed through either the Data Entry – View Topics
page or through View Reports (See section 5.1)
To Access Run Charts:
1. Click on the Topic name to see associated measures
10
2. Click on the Chart
icon to view Run Chart
(The system loads the Run Chart report)
Figure 16 - Data Entry - Chart
3. A pop-up window containing a Run Chart for the selected measure is displayed,
along with a data table below
Note: The Run Chart and data table will be blank for measures with no data points. For more
information on the Run Chart Reports, see section 4.2.5 Manage Favourites
4.2.4 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. Run Charts can also be viewed from here.
To View All Entered Data Point(s) for a Selected Measure:
1. Click on the Topic name to see the associated measures
2. Click on the View All
icon
Figure 17 - Data Entry - View All
11
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 18 - Data Entry - View All Chart
4.2.4.1
Add Data Point for Measure
Users can enter data for measures for a selected LTC Home from the View All grid by
clicking on the Add
icon (See 4.2.1 Add Data Point)
Figure 19 - Data Entry - Add Data Point
12
4.2.4.2 Edit Data Point for Measure
Users can edit data points for measures for a selected LTC Home 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
Figure 20 - Data Entry - 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
b. Edit Division (Home Area) from the drop-down menu
Note: The user can manage Division (Home Area) by clicking on Manage Division
(See 4.2.4 Manage Division to add, edit, or delete division)
c. Edit Annotations
d. Edit Field Values for a measure
e. 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
13
Figure 21 - Data Entry - View All - Edit Data Point
4. Click Save
To Access Run Charts from View All:
1. Click on the Chart
icon on the View All page to view a Run Chart Report
(The system loads the Run Chart Report)
2. Select parameters
3. A pop-up window containing a Run Chart for the selected measure is displayed,
along with a data table below
Note: Run Chart and data table will be blank for measures with no data points. For more
information on the Run Chart Reports, see section 5.1
14
4.2.5 Manage Favourites
Users can manage favourite topics allowing easy access to selected topics for selected
LTC Homes.
To Manage Favourites:
1. Click Data Entry from the navigation menu on the left panel
2. Click the Manage Favourite link
Figure 22 - Data Entry - Manage Favourites
3. Check selected topics for LTC Home to be displayed for data entry
4. Uncheck topics to be hidden for data entry
Figure 23 - Data Entry - Manage Favourites
5. Click the Save
icon on the Manage Favourite grid
15
5. View Report
5.1 Viewing Reports
Users can access Run Charts for their associated LTC Home(s). A Run Chart is a graph
that illustrates changes in quality over time. Measurements are taken at frequent points
in time and connected with a line. This provides a graphical display of variation over
time, and can help a QI team see if their changes have led to improvement.
5.1.1
View Run Chart
To View a Run Chart:
1. Click View Report from the navigation menu on the left panel
Figure 24 - View Report
2. Select the report from the drop-down menu
3. Click View button
Figure 25 - View Report
4. A pop-up window will display the Reports page.
Note: If you receive a pop-up blocker message, select “Allow pop-ups for qirap.hqontario.ca”
Figure 26 - View Report - Pop-up Blocker
5. Reports can be viewed for all measures with associated data points. The following
Report Parameters are used to create a report:
16
Report Parameters:
• Group (LTC Home): Users can select a LTC Home enrolled in Residents First that
they are associated with from the Group drop-down menu.
• Division: Users have the ability to select a Division (Home Area) within the LTC
Home or to view an aggregate
Note: Aggregate chart will not display median, target or annotations.
• Measure: Users have the ability to select a measure to view on the Run Chart.
• Field: Users can select a field or formula from the selected measure to view on the
Run Chart.
• Show annotations: Users have the ability to display or hide annotations entered
from data entry.
6. Select Report Parameters
7. Click View Report button
Figure 27 - View Report – Parameters
The Run Chart displays according to the selected parameters, along with the data table.
Note: Reports with a large dataset may have multiple pages. The pagination bar can be used to
navigate through the report.
17
Figure 28 - View Report - Pagination
Run Chart Features:
Run Charts can display the following features:
• Median: a horizontal line across the graph, which represents the median value of
the baseline data
• Target: a horizontal line across the graph indicating the target of the QI team
• Annotations: comments associated with the data points to provide details such
as when improvement ideas were tested
• Direction of Improvement: An arrow indicating the direction of improved quality
is displayed underneath the chart
• Baseline: Baseline end date is represented by a vertical line on the Run Chart,
and the baseline date is stated underneath the chart
Significant improvement in the QI data can be detected through two (2) tests on a Run
Chart:
• Six (6) or more consecutive points above or below the median
• Six (6) consecutive points moving upward or downward
The following markers are used on the Run Charts:
•
•
•
•
[ ]: An annotation exists for the data point, which is displayed when you scroll
over the point on the graph
[ ]: Six (6) or more consecutive points above or below the median (Run Chart
rule)
[ ]: Six (6) or more consecutive points moving upward or downward (Run Chart
rule)
[
]: Both Run Chart rules are achieved
18
5.1.2
Print Report
To Print Report:
1. Click on the Print
and data table.
icon underneath the Report Parameters to print the Run Chart
Figure 29 - View Report - Print Report
5.1.3
Export Report
To Export Report:
1. Click on the Export
icon underneath the Report Parameters to export the Run
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,
Word).
Figure 30 - View Report - Export Report
6. Exiting QIRAP
A Close Window button is located at the top right corner of the page. Please Note: Closing
QIRAP does not log you out of the Health Quality Ontario website.
To Exit QIRAP:
1. Click Close Window button
Figure 31 - Exiting QIRAP
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