Integrated Analysis of Quality Use of Pathology Program (qupp) Final Reports
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Integrated Analysis of Quality Use of Pathology Program (QUPP) Final ReportsA Summary Report for theAustralian Department of Health and AgeingMedical Benefits DivisionCanberra22 June 2012Cognitus Pty LtdJane Carstens Table of ContentsIntegrated Analysis of Quality Use of Pathology Program (QUPP) Final Reports 1 A Summary Report for the 1 Australian Department of Health and Ageing 1 Medical Benefits Division 1 Canberra 1 22 June 2012 1 Cognitus Pty Ltd 1 Table of Contents 2 Executive Summary 3 General Findings from the Analysis 4 Consistent Themes Identified from the Analysis 5 Conclusion 5 Abbreviations 7 Introduction 8 Background 8 Promoting Evidence-Based Practice 11 Evaluation of the Impact on Pathology Practice of the Manual of Use and Interpretation of Pathology Tests (2001) 13 Description 13 Grant Recipient 13 Aims 13 Objectives 14 Findings 14 Recommendations 15 Key Project Learnings 16 Follow on Initiatives and Projects 16 Areas for Future Consideration 16 Revision of Manual of Use and Interpretation of Pathology Tests (2004) 16 Description 16 Grant Recipient 16 Aim 16 Findings 17 Recommendations 17 Key Project Learning 17 Follow on Initiatives and Projects 17 RCPA Manual Transformation Project (2010) 18 Description 18 Grant Recipient 18 Aims and Objectives 18 Outcomes 18 Finding 18 Recommendation 18 Key Project Learning 19 Areas for Future Consideration 19 An Historical Analysis of Pathology Ordering by General Practitioners between April 1998 and March 2001 from the Bettering the Evaluation and Care of Health (BEACH) Program (2002) 19 Description 19 Grant Recipient 19 Aims and Objectives 19 Findings 20 Key Project Learnings 20 Follow on Initiatives and Projects 21 Evidence-Practice Gap in GP Pathology Test Ordering: A Comparison of BEACH Pathology Data and Recommended Testing (2009) 21 Description 21 Grant Recipient 21 Aims and Objectives 21 Findings 22 Recommendations 22 Key Project Learnings 23 Follow on Initiatives and Projects 24 Areas for Future Consideration 24 A Project to Examine the Utilisation of Pathology Tests in the Investigation of Tiredness in General Practice (2002) 24 Description 24 Grant Recipient 24 Aim 24 Objectives 24 Findings 25 Recommendations 25 Key Project Learnings 26 Areas for Future Consideration 26 Analysis of Current Practices in Relation to the Teaching of Pathology (Laboratory Medicine) (2003) 26 Description 26 Grant Recipient 26 Aims and Objectives 26 Findings 26 Recommendations 27 Follow on Initiatives and Projects 28 Areas for Future Consideration 28 Analysis of Current Laboratory Medicine (Pathology) Teaching Practice in Prevocational and General Practitioner Vocational Training (2003) 28 Description 28 Grant Recipient 28 Aims and Objectives 28 Findings 28 Recommendations 30 Follow on Initiatives and Projects 31 Areas for Future Consideration 32 A Mechanism for the Development, Implementation and Evaluation of Evidence-Based, Best-Practice Clinical Guidelines to Facilitate Quality Use of Pathology Tests (2003) 32 Description 32 Grant Recipient 32 Aim 32 Findings 32 Recommendations 33 Areas for Future Consideration 33 Academic Detailing Supporting Better Outcomes from Diagnostic Technologies (2004) 33 Description 33 Grant Recipient 34 Aims and Objectives 34 Findings 34 Recommendations 35 Key Project Learnings 36 Follow on Initiatives and Projects 36 Common Sense Pathology (2006) 36 Description 36 Grant Recipient 36 Aim 36 Outcomes 36 Findings 37 Recommendation 37 Key Project Learnings 37 Follow on Initiatives and Projects 37 Common Sense Pathology Publication Series (2011) 37 Description 37 Grant Recipient 38 Aims and Objectives 38 Outcomes 38 Findings 38 Improved Pathology Reporting, Education and Practice (IPREP) for Colorectal Cancer (2009) 38 Description 38 Grant Recipient 38 Aims and Objectives 38 Outcomes 39 Follow on Initiatives and Projects 39 Structured Pathology Reporting Standards for Cancer (2009) 39 Description 39 Grant Recipient 39 Aim 40 Outcomes 40 Key Project Learnings 40 Follow on Initiatives and Projects 40 Promoting and Expanding Structured Pathology Reporting of Cancer (Stage 2) (Current) 40 Description 40 Grant Recipient 40 Aims and Objectives 40 Outcomes 41 Areas for Future Consideration 41 Evidence-Based, Best-Practice Prevention of Blood Borne Virus Transmission in Health Care Settings Program (PBBV) (2009) 41 Description 41 Grant Recipient 41 Aims and Objectives 41 Outcomes 42 Recommendations 42 Key Project Learning 42 Follow on Initiatives and Projects 42 Risk Minimisation 43 RCPA – Quality Assurance Programs Key Indicator Project (2004) 43 Description 43 Grant Recipient 44 Aims and Objectives 44 Outcomes 44 Findings 46 Recommendations 46 Key Project Learnings 47 Follow on Initiatives and Projects 47 Pilot Laboratory Assessment and Peer Review Mechanism for Pathology Key Performance Indicators (2007) 47 Description 47 Grant Recipient 48 Aims and Objectives 48 Outcome 48 Findings 48 Recommendations 49 Key Project Learning 49 Follow on Initiatives and Projects 50 Performance Monitoring of External Quality Assurance (Current) 50 Description 50 Grant Recipient 50 Aim 50 Objectives 50 Outcomes 50 NATA File Audit – Risk Analysis of Assessment Non Conformances Identified in Pathology Laboratory Assessment Accreditation (Current) 51 Description 51 Grant Recipient 51 Aims and Objectives 51 Outcome 51 Key Incident Monitoring & Management Systems (Current) 51 Description 51 Grant Recipient 52 Objectives 52 Outcomes 52 Findings 52 Recommendations 53 Key Project Learnings 53 Follow on Initiatives and Projects 54 Areas for Future Consideration 54 Quality Assurance and Capacity – New Technology 55 Virtual Microscope (2005) 56 Description 56 Grant Recipient 56 Aims and Objectives 56 Outcomes 56 Findings 57 Key Project Learning 57 Follow on Initiatives and Projects 57 High Resolution Scanning Microscopy for Quality Assurance and Educational Applications (2009) 57 Description 57 Grant Recipient 57 Aims and Objectives 57 Outcomes 57 Development of a Quality Assurance Module for Human Papilloma Virus Testing (2008) 58 Description 58 Grant Recipient 58 Aims and Objectives 58 Outcomes 58 Findings 59 Recommendations 59 Preparing for Genomic Medicine: National Audit and Development of a Best Practice Approach (2009) 59 Description 59 Grant Recipient 59 Aims and Objectives 59 Outcomes 60 Follow on Initiatives and Projects 60 The catalogue of genes, genetic tests and genetic laboratories was established as a component within the 60 Areas for Future Consideration 60 Policies, Procedures and Guidelines for Point-of-Care Testing (2011) 60 Description 60 Grant Recipient 60 Aims and Objectives 60 Findings 60 Follow on Initiatives and Projects 62 Areas for Future Consideration 62 PoCT Training, Certification, Support and Skill Maintenance Program (Australian PoCT Practitioners Network – APPN) (Current) 62 Description 62 Grant Recipient 62 Aim 62 Outcomes 62 Establishment of a Molecular Genetics Quality Assurance Program (Current) 63 Description 63 Grant Recipient 63 Aim 63 Objectives 63 Outcomes 64 MAWSON – An Online Repository of Genetic Data to Aid Reporting of Medical Genetic Tests (Current) 64 Description 64 Grant Recipient 64 Aim 64 Outcomes 64 Areas for Future Consideration 65 eHealth Capability 66 Pathology Informatics Working Party (2003) 67 Description 67 Grant Recipient 68 Aims and Objectives 68 Outcomes 68 Findings 68 Follow on Initiatives and Projects 68 Development of on On-line Maintenance System for the Australian Pathology Request and Result Code Sets (2003) 69 Description 69 Grant Recipient 69 Aims and Objectives 69 Outcomes 69 Recommendations 70 Key Project Learning 70 Follow on Initiatives and Projects 70 Pathology and General Practice Software Integration Project (PaGSIP) (2003) 70 Description 70 Grant Recipients 70 Aims and Objectives 70 Findings 70 Recommendations 71 Key Project Learnings 71 Follow on Initiatives and Projects 72 Areas for Future Consideration 72 Chain of Information Custody for the Pathology Request-Test-Report Cycle in Australia (Guidelines for Pathology Requesters and Pathology Providers) (2004) 72 Description 72 Grant Recipient 72 Aims 72 Outcome 73 Follow on Initiatives and Projects 73 Supporting HL7 for Health Informatics Standards (2004) 73 Description 73 Grant Recipient 73 Aims and Objectives 73 Outcomes 73 Finding 73 Follow on Initiatives and Projects 73 A Study of the Impact of the Use of General Practice Computer Systems on the Ordering of Pathology (2004) 74 Description 74 Grant Recipients 74 Aim 74 Outcomes 74 Findings 74 Recommendation 76 Key Project Learning 76 Areas for Future Consideration 77 Application of Pathology Informatics to Reporting of Critical/Abnormal Results for Improved Requester/Provider Communication and Improved Patient Care (2004) 77 Description 77 Grant Recipient 77 Aims and Objectives 77 Outcomes 78 Finding 78 Recommendations 78 Key Project Learnings 78 Padlok On-line Pathology Ordering System (2005) 79 Description 79 Grant Recipient 79 Aims and Objectives 79 Outcomes 79 Findings 79 Recommendations 80 Key Project Learnings 80 Areas for Future Consideration 81 Information Extraction from Narrative Pathology Reports on Melanoma (2008) 81 Description 81 Grant Recipient 81 Aims and Objectives 81 Findings 81 Recommendation 82 Key Project Learnings 82 Follow on Initiatives and Projects 82 Automatic Compilation of Synoptic Reports from Narrative Pathology Reports (Stage 2) (2010 Submitted with the title: The Pathology Reporter) 82 Description 82 Grant Recipient 82 Aims and Objectives 82 Outcome 83 Findings 83 Recommendation 83 Key Project Learning 83 Follow on Initiatives and Projects 83 Areas for Future Consideration 83 Automatic Population of Synoptic Reports from Narrative Pathology Reports (Stage 3) (Current) 83 Description 83 Grant Recipient 83 Aims and Objectives 83 Recommendation 84 Standardisation of Pathology Terminology and Units (Current) 84 Description 84 Grant Recipient 84 Aims and Objectives 84 Pathology Requesting and Reporting – Requester and Consumer Focus 85 Guidelines for Patient/Consumer Access to Pathology Test Reports (2001) 87 Description 87 Grant Recipient 87 Aim 87 Findings 87 Recommendations 88 AUSLAB Retest Interval Trial Project (2003) 89 Description 89 Grant Recipient 89 Aims 89 Outcomes 89 Findings 90 Recommendations 90 Key Project Learnings 90 Follow on Initiatives and Projects 91 AUSLAB Retest Interval Project (2004) 91 Description 91 Grant Recipient 91 Aim 91 Outcomes 91 Findings 91 Key Project Learnings 92 Area for Future Consideration 92 Home Monitoring of Warfarin Therapy in Children using the CoaguchekTM Point of Care INR Monitor (2003) 93 Description 93 Grant Recipients 93 Aim 93 Outcomes 93 Findings 93 Recommendation 94 Key Project Learning 94 Follow on Initiatives and Projects 94 Facilitating Best Practice Pathology Utilisation by the Use of Hand-Held Decision Support Devices (2004) 94 Description 94 Grant Recipient 94 Aims 94 Objectives 94 Outcomes 95 Findings 97 Recommendations 97 Key Project Learnings 98 Follow on Initiatives and Projects 99 Area for Future Consideration 99 Improving GP Access to and Use of Retrospective and Current Pathology Data to Increase Detection of Early Diabetes (IGT and IFG) in General Practice (2005) 100 Description 100 Grant Recipient 100 Aims and Objectives 100 Outcomes 100 Findings 101 Recommendations 101 Key Project Learnings 102 Areas for Future Consideration 103 Quality Use of Pathology Services Education Program (2006) 103 Description 103 Grant Recipient 103 Aims and Objectives 104 Outcomes 104 Findings 104 Recommendations 105 Key Project Learnings 105 Areas for Future Consideration 105 Investigation into the Reasons for Incorrect or Incomplete Pathology Request Forms (2008) 105 Description 105 Grant Recipient 106 Aims 106 Outcomes 106 Findings 106 Recommendations 107 Follow on Initiatives and Projects 107 Areas for Future Consideration 107 Enhancing the Quality Use of Pathology for GP Registrars and International Medical Graduates – Assessing the Need (2009) 108 Description 108 Grant Recipient 108 Aim 108 Objectives 108 Outcomes 108 Findings 109 Recommendations 111 Follow on Initiatives and Projects 112 Areas for Future Consideration 112 Effect of a Structured Microbiology Laboratory Report on Antimicrobial Prescribing for Asymptomatic Bacteriuria in Elderly Females (2010) 112 Description 112 Grant Recipients 112 Aim 113 Outcomes 113 Findings 113 Recommendations 114 Areas for Future Consideration 114 Identifying how Electronic Decision Support (EDS) in Computerised Pathology Order Entry Systems can Improve Pathology Practice, Rational Ordering and Patient Outcomes (2010) 114 Description 114 Grant Recipient 115 Aims and Objectives 115 Outcomes 115 Findings 116 Recommendations 116 Follow on Initiatives and Projects 116 The Impact of the Implementation of Electronic Ordering of Pathology Requesting and the Quality and Effectiveness of Hospital Pathology Services – Building a Robust Evidence Base and Benefits Framework for Successful e-Health Diffusions (Current) 117 Description 117 Grant Recipient 117 Aim 117 Objectives 117 Outcomes 117 Computer Assisted Patient Simulations for Education in the Rational Use of Investigations – Final Report for Phase 1 (iNvestigate Project) (2010) 118 Description 118 Grant Recipient 118 Aim 118 Outcomes 118 Recommendations 119 Key Project Learnings 119 Follow on Initiatives and Projects 119 iNvestigate: Online Patient Simulations for Education in the Rational Use of Investigations – Final Report for Phase 2 (2011) 119 Description 119 Grant Recipient 120 Aims and Objectives 120 Outcomes 120 Finding 120 Recommendations 120 Key Project Learnings 121 Follow on Initiatives and Projects 121 Areas for Future Consideration 121 iNvestigate: Online Patient Simulations for Education in the Rational Use of Investigations (Current) 121 Description 121 Grant Recipient 121 Aims 121 Outcomes 121 Encouraging Quality Pathology Ordering in Australia’s Public Hospitals (2011) 122 Description 122 Grant Recipient 122 Aims and Objectives 122 Outcomes 122 Findings 124 Recommendations 126 Key Project Learning 127 Areas for Future Consideration 127 Effective Communication of Pathology Results in Requesting Practitioners and Consumers (Current) 127 Description 127 Grant Recipients 127 Aims 127 Outcomes 127 Workforce Capacity and Competence 129 PathWay (2005) 130 The Australian Pathology Workforce Crisis (2008) 131
Review of Pathology Specialist Development Pathways (2010) 137 Description 137 Grant Recipient 137 Impact of Workload of Anatomical Pathologists on Quality and Safety (2011) 141 Description 141 Grant Recipient 142 Survey of the Pathology Workforce (2011) 144 Description 144 Grant Recipient 144 Career Structures and Pathways for the Scientific Workforce in Medical Pathology Laboratories (2011) 148 Description 148 Grant Recipient 148 Consumer Focus and Information Strategies 152 Quality Use of Pathology Consumer Consultation Project (2010) 152 Description 152 Grant Recipient 152 Benefits and Risks of Pathology Testing (Current) 154 Description 154 Grant Recipient 155 Lab Tests OnlineAU Stage 1 (Current) 155 Description 155 Grant Recipient 155 Access Initiatives – Raising Awareness 157 Optimising Health Benefits for Aboriginal People who take Warfarin (2009) 158
Quality Assurance for Aboriginal Medical Services (QAAMS) (Current) 160 Description 160 Grant Recipient 160 Quality Assurance for Aboriginal Medical Services (QAAMS) Quality Assurance Program (Current) 163 Description 163 Grant Recipient 163 Communication Strategy and Stakeholder Engagement 165 Report from the National Workshop on Safety and Quality in Pathology (2007) 165
The Second National Workshop on Safety and Quality in Pathology (2008) 168 Description 168 Grant Recipient 168 Best Practice in Pathology Requesting and Reporting Workshop (2009) 169 Description 169 Grant Recipient 170 Pathology Workforce Workshop (2011) 171 Description 171 Grant Recipient 171 Areas for Future Consideration 174 Appendix A – Report Summaries Relevant to Different Themes 175 Yüklə 0,88 Mb. Dostları ilə paylaş:
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