Integrated Analysis of Quality Use of Pathology Program (qupp) Final Reports



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Abbreviations


AACB Australasian Association of Clinical Biochemists

AAPP Australian Association of Pathology Practices

AIHW Australian Institute of Health and Welfare

APPN Australian Point of Care Practitioners Network

ACRRM Australian College of Rural and Remote Medicine

AMA Australian Medical Association

BEACH Bettering the Evaluation and Care of Health

CHF Consumers Health Forum of Australia

DATIS Drug and Therapeutics Information Service

DoHA Australian Government Department of Health and Ageing

GP General Practitioner

HGSA Human Genetics Society of Australasia

HIC Health Insurance Commission

HISA Health Informatics Society of Australia

KPI Key Performance Indicators

LTO Lab Tests Online

MBS Medicare Benefits Schedule

MTAAC Medical Testing Accreditation Advisory Committee

NATA National Association of Testing Authorities

NeHTA National E-Health Transition Authority

NCOPP National Coalition of Public Pathology

NHMRC National Health and Medical Research Council

NPAAC National Pathology Accreditation Advisory Council

NPS National Prescribing Service

PAC Pathology Associations Council

PFA Pathology Funding Agreement

PoCT Point of Care Testing

QHPSS Queensland Health Pathology & Scientific Services

RACGP Royal Australian College of General Practitioners

RACP Royal Australasian College of Physicians

RACS Royal Australian College of Surgeons

RCNA Royal College of Nursing Australia

RCPA Royal College of Pathologists of Australasia

RCPA QAP RCPA Quality Assurance Programs Pty Ltd

QAAMS Quality Assurance for Aboriginal and Torres Strait Islander Medical Services

QASEC Quality Assurance Scientific and Education Committee

QUPC Quality Use of Pathology Committee

QUPP Quality Use of Pathology Program

WAC Workforce Advisory Committee

Introduction




Background

The Quality Use of Pathology Program (QUPP) was established in 1999 under the auspice of the 2nd pathology Memorandum of Understanding (MoU) with pathology stakeholders, and with up to $2 million notionally allocated per year for the funding of projects and other initiatives relating to improvements in the quality of pathology services.


The program has been managed by the Australian Government Department of Health and Ageing (DoHA) in conjunction with the Quality Use of Pathology Committee (QUPC). The QUPC was originally a sub-committee of the Pathology Consultative Committee (PCC) formed to work with the Australian Government to manage pathology outlays under the MoU. But more recently it has been given a continued focus with the commencement of the five-year Pathology Funding Agreement (PFA) between the Commonwealth Government and key pathology stakeholders in April 2011.
The QUPC provides advice relation to strategic directions and projects and/or initiatives implemented under the program. This committee currently comprises nominees from the pathology profession, general practice, the Royal Australasian College of Physicians, Doctors-in-Training, the Consumers Health Forum of Australia, Medical Deans Australia and New Zealand and representatives from the Department of Health and Ageing.

Funding for the QUPP has been allocated by a combination of open funding rounds and targeted initiatives. The program has operated under overarching principles supported by guiding assumptions developed by DoHA and the QUPC in consultation with the broader pathology stakeholder sector.

National workshops have been held each year since 2007 with the aim of bringing pathology, requester and consumer stakeholders together to discuss pathology quality and safety issues, to inform the QUPP priority setting process and debate the ways in which priority issues could be addressed. In 2005-2006 the QUPP was reviewed and the operation of the program was refined to address strategic issues outlined in the review report. Since the review, project funding has generally been targeted to three sub-programs with the following key objectives:


  1. Quality Consumer Services: To develop and improve consumer-focused, accessible and coordinated services that promote informed choice and meet consumer needs;




  1. Quality Referrals (Requesting/Ordering): To support referral practices that are informed and facilitated by best practice professional relationships and protocols between referrers and providers; that are informed by evidence; that maximise health benefits; and that inform and engage consumers; and




  1. Quality Pathology Practice: To support professional practice standards that meet consumer and referrer needs and provide evidence-based, best practice, quality-assured services that are safe, cost effective and efficient.

In recent years there has been an increasing focus on the funding of initiatives aimed at developing and testing strategies to minimise error and promote patient safety. This work is relevant to the strategic focus of the National Pathology Accreditation Advisory Council.


Further information on the QUPP can be found on the Department of Health and Ageing website at http://www.health.gov.au/qupp.

Terms of Reference for the project

DoHA commissioned Cognitus Pty Ltd to conduct a comprehensive analysis of the Quality Use of Pathology Program project reports. The project objectives were:



  • to conduct a comprehensive review of QUPP projects/initiatives to date including project results and recommendations, and




  • to produce a document that will form a record of past and present investment and will assist in determining the future strategic direction of the program.

The analysis was to cover the QUPP investment that has occurred over the past ten years which would record the investment to date made on the quality use of pathology. It is expected that this document would also provide a potential basis for any future evaluation of the program.



Structure of the Report

This document is structured according to nine themes based on the QUPP’s areas of focus:



  1. Promoting Evidence-Based Practice

  2. Risk Minimisation

  3. Quality Assurance and Capacity – New Technology

  4. eHealth Capability

  5. Pathology Requesting and Reporting – Requester and Consumer Focus

  6. Workforce Capacity and Competence

  7. Consumer Focus and Information Strategies

  8. Access Initiatives – Raising Awareness

  9. Communication Strategy and Stakeholder Engagement.

There were 74 reports analysed for this integrated analysis, with each report assigned to one of the above themes. Each report was set out in the following template:



  • Description

  • Grant Recipient/s

  • Aims and/or Objectives

  • Outcomes and/or Findings

  • Recommendation/s

  • Key Project Learning/s

  • Follow on Initiatives and Projects

  • Areas for Future Consideration.


Many of the projects listed in this report fall into more than one theme – see Appendix A – Report Summaries Relevant to Different Themes.



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