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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Structured yet simple approaches to primary care data quality improvements can indeed strike gold

Abhijeet Ghosh https://orcid.org/0000-0001-8943-1664 A C , Elizabeth Halcomb https://orcid.org/0000-0001-8099-986X B , Sandra McCarthy B and Christine Ashley B
+ Author Affiliations
- Author Affiliations

A COORDINARE – South Eastern NSW PHN, PO Box 325, Fairy Meadow, NSW 2519, Australia.

B School of Nursing, Faculty of Science, Medicine and Health, Building 41, Northfields Avenue, University of Wollongong, Wollongong, NSW 2522, Australia.

C Corresponding author. Email: aghosh@coordinare.org.au

Australian Journal of Primary Health 27(2) 143-151 https://doi.org/10.1071/PY20247
Submitted: 21 October 2020  Accepted: 26 November 2020   Published: 10 March 2021

Journal Compilation © La Trobe University 2021 Open Access CC BY-NC-ND

Abstract

General practice data provide important opportunities for both population health and within-practice initiatives to improve health. Despite its promise, a lack of accuracy affects the use of such data. The Sentinel Practices Data Sourcing (SPDS) project is a structured chronic disease surveillance and data quality improvement strategy in general practice. A mixed-methods approach was used to evaluate data quality improvement in 99 participating practices over 12 months. Quantitative data were obtained by measuring performance against 10 defined indicators, whereas 48 semi-structured interviews provided qualitative data. Aggregated scores demonstrated improvements in all indicators, ranging from minor to substantially significant improvements. Participants reported positively on levels of support provided, and acquisition of new knowledge and skills relating to data entry and cleansing. This evaluation provides evidence of the effectiveness of a structured approach to improve the quality of primary care data. Investing in this targeted intervention has the potential to create sustained improvements in data quality, which can drive clinical practice improvement.

Keywords: data quality, general practice, surveillance, morbidity, primary care data, clinical information management.


References

Anikeeva O, Bywood P (2013) Social media in primary health care: opportunities to enhance education, communication and collaboration among professionals in rural and remote locations: did you know? Practical practice pointers. The Australian Journal of Rural Health 21, 132–134.
Social media in primary health care: opportunities to enhance education, communication and collaboration among professionals in rural and remote locations: did you know? Practical practice pointers.Crossref | GoogleScholarGoogle Scholar | 23586577PubMed |

Australian and New Zealand College of Anaesthetists (ANZCA) (2018) Guidelines on Quality Assurance and Quality Improvement in Anaesthesia. ANZCA and The Faculty of Pain Medicine, Melbourne Victoria, Australia.

Australian Government Department of Health (2018) ‘Primary health networks.’ Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/PHN-Home [Verified 4 February 2021]

Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S (2007) Improving general practice computer systems for patient safety: qualitative study of key stakeholders. BMJ Quality & Safety 16, 28–33.
Improving general practice computer systems for patient safety: qualitative study of key stakeholders.Crossref | GoogleScholarGoogle Scholar |

Bailie J, Laycock A, Matthews V, Bailie R (2016) System-level action required for wide-scale improvement in quality of primary health care: synthesis of feedback from an interactive process to promote dissemination and use of aggregated quality of care data. Frontiers in Public Health 4, 86
System-level action required for wide-scale improvement in quality of primary health care: synthesis of feedback from an interactive process to promote dissemination and use of aggregated quality of care data.Crossref | GoogleScholarGoogle Scholar | 27200338PubMed |

Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101.
Using thematic analysis in psychology.Crossref | GoogleScholarGoogle Scholar |

Crossland L, Janamian T, Sheehan M, Siskind V, Hepworth J, Jackson CL (2014) Development and pilot study of the Primary Care Practice Improvement Tool (PC-PIT): an innovative approach. Medical Journal of Australia 201, S52–S55.

Crossland LJ, Upham S, Janamian T, Jackson CL (2016) Improving organisational performance in Australian primary care: The Primary Care Practice Improvement Tool (PC-PIT) and online supporting resource suite. The Australian Primary Health Care Research Institute. Policy Options.

Davies D (2018) Supporting general practice to make timely decisions for better health care: a population health approach. Australian Journal of Primary Health 24, 368–371.
Supporting general practice to make timely decisions for better health care: a population health approach.Crossref | GoogleScholarGoogle Scholar | 29898816PubMed |

Geonnotti K, Taylor EF, Peikes D, Schottenfeld L, Burak H, McNellis RJG (2015) Engaging Primary Care Practices in Quality Improvement: Strategies for Practice Facilitators. Agency for Healthcare Research and Quality, Rockville, MD, USA.

Ghosh A, Charlton KE, Girdo L, Batterham MJ, McDonald K (2013) Addressing the deficiencies in the evidence-base for primary practice in regional Australia – sentinel practices data sourcing (SPDS) project: a pilot study. BMC Family Practice 14, 109
Addressing the deficiencies in the evidence-base for primary practice in regional Australia – sentinel practices data sourcing (SPDS) project: a pilot study.Crossref | GoogleScholarGoogle Scholar | 23902663PubMed |

Ghosh A, Charlton K, Girdo L, Batterham M (2014) Using data from patient interactions in primary care for population level chronic disease surveillance: the Sentinel Practices Data Sourcing (SPDS) project. BMC Public Health 14, 557
Using data from patient interactions in primary care for population level chronic disease surveillance: the Sentinel Practices Data Sourcing (SPDS) project.Crossref | GoogleScholarGoogle Scholar | 24899119PubMed |

Ghosh A, Charlton KE, Batterham MJ (2016) Socioeconomic disadvantage and its implications for population health planning of obesity and overweight, using cross-sectional data from general practices from a regional catchment in Australia. BMJ Open 6, e010405
Socioeconomic disadvantage and its implications for population health planning of obesity and overweight, using cross-sectional data from general practices from a regional catchment in Australia.Crossref | GoogleScholarGoogle Scholar | 27142857PubMed |

Halcomb EJ, Furler JS, Hermiz OS, Blackberry ID, Smith JP, Richmond RL, Zwar NA (2015) Process evaluation of a practice nurse-led smoking cessation trial in Australian general practice: views of general practitioners and practice nurses. Family Practice 32, 468–473.
Process evaluation of a practice nurse-led smoking cessation trial in Australian general practice: views of general practitioners and practice nurses.Crossref | GoogleScholarGoogle Scholar | 26024924PubMed |

Lester H, Campbell S (2010) Developing Quality and Outcomes Framework (QOF) indicators and the concept of ‘QOFability’. Quality in Primary Care 18, 103–109.

Levene LS (2016) Rationalising data use for general practice: a missed opportunity? The British Journal of General Practice 66, e603–e605.
Rationalising data use for general practice: a missed opportunity?Crossref | GoogleScholarGoogle Scholar | 27481984PubMed |

Madsen L (2015) ‘Data-driven healthcare: how analytics and BI are transforming the industry.’ (John Wiley and Sons Inc.: Hoboken, NJ, USA)

McCalman J, Bailie R, Bainbridge R, McPhail-Bell K, Percival N, Askew D, Fagan R, Tsey K (2018) Continuous quality improvement and comprehensive primary health care: a systems framework to improve service quality and health outcomes. Frontiers in Public Health 6, 76

Munyisia EN, Reid D, Yu P (2017) Accuracy of outpatient service data for activity-based funding in New South Wales, Australia. Health Information Management Journal 46, 78–86.
Accuracy of outpatient service data for activity-based funding in New South Wales, Australia.Crossref | GoogleScholarGoogle Scholar | 27909073PubMed |

National Institute for Health and Care Excellence (2018) ‘Standards and indicators.’ Available at https://www.nice.org.uk/standards-and-indicators [Verified 4 February 2021]

Project Management Group (2017) ‘Guide to the Project Management Body of Knowledge (PMBOK® Guide) – Sixth Edition and Agile Practice Guide (ENGLISH).’ (Project Management Institute: Newtown Square, PA, USA)

Royal Australian College of General Practitioners (RACGP) (2010) ‘Standards for general practices.’ 4th edn. [Updated 2015.] (RACGP: Melbourne, Vic., Australia) Available at https://www.racgp.org.au/download/documents/Standards/standards4thedition.pdf [Verified 19 February 2021]

Royal Australian College of General Practitioners (RACGP) (2019) ‘Accreditation agencies.’ (RACGP: Melbourne, Vic., Australia) Available at https://www.racgp.org.au/running-a-practice/practice-standards/accreditation/accreditation-agencies [Verified 4 February 2021]

Russell LM, Dawda P (2015) Patient safety in primary care: more data and more action needed. The Medical Journal of Australia 202, 72–73.
Patient safety in primary care: more data and more action needed.Crossref | GoogleScholarGoogle Scholar | 25627728PubMed |

Schattner P, Saunders M, Stanger L, Speak M, Russo K (2011) Data extraction and feedback: does this lead to change in patient care? Australian Family Physician 40, 623–628.

Smurthwaite K, Bagheri N (2017) Using geographical convergence of obesity, cardiovascular disease, and type 2 diabetes at the neighborhood level to inform policy and practice. Preventing Chronic Disease 14, 170170
Using geographical convergence of obesity, cardiovascular disease, and type 2 diabetes at the neighborhood level to inform policy and practice.Crossref | GoogleScholarGoogle Scholar | 29023234PubMed |

Stephen C, Hermitz O, McInnes S, Halcomb EJ, Zwar N (2018) Feasability and acceptability of a nurse-led hypertension management intervention in general practice. Collegian (Royal College of Nursing, Australia) 25, 33–38.
Feasability and acceptability of a nurse-led hypertension management intervention in general practice.Crossref | GoogleScholarGoogle Scholar |

Thorlby R, Jorgensen S, Siegel B, Ayanian J (2011) How health care organizations are using data on patients’ race and ethnicity to improve quality of care. The Milbank Quarterly 89, 226–255.
How health care organizations are using data on patients’ race and ethnicity to improve quality of care.Crossref | GoogleScholarGoogle Scholar | 21676022PubMed |