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Sadowski D, Oilund C, Moysey B, Greenaway M, Jelinski S, Morrin L, McInnis N, Nemecek N, Snider J, Underwood F, Wong C, Veldhuyzen Van Zanten S. A111 THE CANADA-GLOBAL RATING SCALE: USE OF AN INNOVATION LEARNING COLLABORATIVE METHODOLOGY TO GUIDE PROVINCIAL IMPLEMENTATION IN ALBERTA. J Can Assoc Gastroenterol 2021. [DOI: 10.1093/jcag/gwab002.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The Canada-Global Rating Scale (C-GRS) is a web-based, patient centered endoscopy quality improvement tool. It assesses the quality of the services an endoscopy unit provides in two dimensions: clinical quality and the quality of the patient experience. It also allows each endoscopy unit to choose priority areas for future QI activities. Scores are submitted twice a year to a centralized website by the local endoscopy site’s C-GRS working group.
Uptake of the C-GRS in Alberta has been historically poor with only 22/50 sites submitting a C-GRS survey in 2016. A provincial C-GRS project team was formed in 2018 to spearhead provincial implementation of the C-GRS. Alberta Health Services approved a C-GRS policy in 2020 mandating regular use of the C-GRS in all provincial endoscopy units.
Aims
The purpose of this project is to describe a process of focused C-GRS implementation using Innovation Learning Collaborative (ILC) methodology.
Methods
An ILC is a process meant to drive clinical pathway practice changes to achieve system-wide improvements. Inter-professional teams meet at least three times over a 12–18 month period at Learning Sessions to share successes, learnings, resources and data. A balanced scorecard (Figure 1) is used to track C-GRS progression and regression. Action Period meetings are held in between the Learning Sessions to help build collaboration and support the teams.
Results
The first of three in-person ILC Learning Sessions was successfully held on November 29, 2019. 37 out of 50 sites in Alberta attended. Each site committed to working on up to 6 C-GRS descriptors during the course of the ILC. An updated scorecard is provided after each C-GRS cycle. An average of 25 sites attended Action Period meetings to report on progress and to share learnings with other sites. 44 endoscopy sites submitted a follow-up C-GRS survey in the spring 2020 cycle (an increase of 22 from 2016). 84% of sites demonstrated improvement with the average number of items improved at 5.1
Conclusions
Use of ILC methodology with a balanced scorecard approach can achieve system level improvement within a relatively short time frame.
Funding Agencies
None
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Affiliation(s)
- D Sadowski
- University of Alberta, Edmonton, AB, Canada
| | - C Oilund
- Alberta Health Services, Calgary, AB, Canada
| | - B Moysey
- Alberta Health Services, Calgary, AB, Canada
| | - M Greenaway
- Alberta Health Services, Calgary, AB, Canada
| | - S Jelinski
- Alberta Health Services, Calgary, AB, Canada
| | - L Morrin
- Alberta Health Services, Calgary, AB, Canada
| | - N McInnis
- Alberta Health Services, Calgary, AB, Canada
| | - N Nemecek
- Alberta Health Services, Calgary, AB, Canada
| | - J Snider
- Alberta Health Services, Calgary, AB, Canada
| | - F Underwood
- Alberta Health Services, Calgary, AB, Canada
| | - C Wong
- University of Alberta, Edmonton, AB, Canada
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McInnis N. A perfect and faithful record. CMAJ 2008. [DOI: 10.1503/cmaj.080158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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