|Community Partnership for timely Carotid Endarterectomy - QI Accelerator
|To understand patterns in patient presentation and health care process that are associated with surgical delay.
|Outcome Evaluation of HealthLink BC Emergency iDoctor in Assistanced Program (HEiDi)
The HEiDi Outcome Evaluation will be designed to determine the following:
Does the use of virtual physicians in partnership with nurses triaging 811 callers lead to:
|Initiation of Suboxone® (buprenorphine-naloxone) in Emergency Departments
Objective: Develop and implement a coordinated regional Interior Health strategy for the identification of persons living with opioid use disorder in the emergency department, initiation of Suboxone® (buprenorphine-naloxone) in the ED, and urgent referral to community substance use supports and services.
1. Patients are identified in the ED as living with OUD and are started on Suboxone® as an evidence-based opioid agonist treatment and are referred to ongoing OAT services in the community.
|Atrial Fibrillation - Cardiac Cohort
The objective of the AFib Cohort Cardiac Pilot is to provide a new BC Atrial Fibrillation (AF) Chronic Desease Registry and use the registry to conduct further analyses to gain an understanding of the healthcare needs of the AF patient population in BC.
|Real-time Virtual Support and Learning Health System Evaluation
The broad purpose of the RTVS-LHS project is to evaluate the funded virtual care activities with regards to fulfilling the vision, mission, and goals of the provincial rural framework. A secondary purpose is developing linkage to a broader provincial evaluation framework on virtual care. The project will use multiple provincial data sources to gauge the progress of the different metrics in the RTVS evaluation framework.
|Long Term Care Quality Improvement (LTC-QI)
The objectives of the LTC-QI are: (1) to create the conditions for change in the LTC sector in BC; (2) to create the conditions for evidence-driven improvement through engagement, sustainability, partnerships and spread and scale; and (3) to build consistency in measurement and evaluation.
|Potential to Reduce Greenhouse Gas Emissions from Inhaler Prescription - establishing a baseline
|The project aim is to provide a baseline of the number and type of inhalers prescribed in Fraser Health, and the proportion of inhalers with different levels of greenhouse gas (GHG) emissions. This is to understand opportunities to reduce the environmental impact from inhaler prescribing.
|Economic Evaluation of BC's NP-PCCs
British Columbia recently opened four Nurse Practitioners Primary Care Clinics. There is a large body of evidence suggesting that increased reliance on NPs has the potential to improve accessibility of primary care services while controlling expenditures. The aim of this project is to benchmark the average visit cost in a NP-PCC to the fee-for service MSC payment schedule.
|Health Services Use Among Patients with COVID-19 (PC-ICCN, Post COVID)
To inform the development and evaluation of the Post COVID Interdisciplinary Clinical Care Network (PC-ICCN) and to more broadly assess the health system impacts of COVID and post-COVD sequalae, a clear description of the population of British Columbians who have been diagnosed with COVID and their interactions with the health system to date is needed.
|The impact of early life serum IgG on pulmonary outcomes in children with cystic fibrosis
This project is a retrospective, quality improvement study. For 10 years, the Cystic Fibrosis (CF) Clinic at BC Children's Hospital has routinely collected serum immunoglobulin G (IgG) levels as part of clinical care of CF patients. It is unknown whether the results of these tests are relevant or actionable. This study will help address this question and inform the best possible care for this population. Specifically, we will evaluate whether IgG levels in the past 10 years are associated with relevant pulmonary outcomes such as hospital admissions for pulmonary exacerbations, courses of antibiotics, respirology medications, and immunization status.
|BC Injury Surveillance and Reporting
Under its current mandate, BCIRPU is responsible for monitoring trends and patterns in injury (BC Injury Reporting System), utilizing injury-specific subsets of the Discharge Abstract Data (DAD), Vital Statistics and the National Ambulatory Care Reporting System (NACRS), for the purposes of advising governments and health authorities on policy and practice to reduce injury and disability in BC. To support its mandate, BCIRPU is requesting access to the health data platform to access specific datasets, to support the monitoring of trends and patterns in injury. Injury data is used to sustain the key operational components of BCIRPU, which fall within the areas of injury surveillance, data collection, synthesis and dissemination, and evaluation support; policy and decision support to Government and health authorities; direct support to health authorities to develop, implement and evaluate injury prevention interventions, strategic planning, capacity building; and increasing awareness and access to injury prevention information for the public and injury prevention stakeholders.
|LOUD in Primary Care
|The purpose of this request is to obtain data on medication and care for people with opioid use disorder (POUD) over time to inform and assess the impact of a provincial improvement initiative - Learning about Opioid Use Disorder in Primary Care (LOUD). LOUD aims to improve access, uptake, and retention in Opioid Agonist Therapy (OAT) by increasing the capacity of primary care providers. Data will be analyzed to identify gaps in OAT access and utlilization, monitor the LOUD project progress over a 15 month period and assess the impact of LOUD on OAT prescription, OUD care, and subsequent health outcomes.
This HDP Request is supported by an ISA between MOH and the BCPSQC specifically outlining the data sharing relationship to facilitate HDP projects 22-049 (HSIAR0002565)
Improving perioperative care for patients undergoing pituitary surgery
|The purpose of this project is the improve the perioperative care of patients undergoing pituitary surgery at Vancouver General Hospital, and align our practices with international standards of care.
Endocrine dysfunction around pituitary surgery is common, with 5-10% developing new pituitary dysfunction & 10-20% developing diabetes insipidus after surgery. This can result in hospitalization & can be life-threatening. Monitoring for & management of these conditions can be complicated & intensive. In most centres, endocrinology is involved, but this is not standardized. International guidelines recommend routine endocrine testing postoperatively at 1 week and 6 weeks. At VGH, endocrinologists are not routinely consulted on all patients who have pituitary surgery. At this time, we do not know how many patients have routine postoperative bloodwork, how many are seen by endocrinology, & how many have postoperative morbidity/mortality (including readmissions) related to endocrine complications.
HDP Project - Vancouver General Hospital (VGH) Orthopaedic Trauma Opioid Stewardship Program
|Physician-Led Quality Improvement (PLQI) project. We are attempting to reduce the variation and volume of opioid pain medicaton(s) prescribed to post-operative patients on the Orthopaedic Trauma service at VGH. HDP access is required in order for us to evaluate the success of the interventions in the Orthopaedic Trauma Opioid Stewardship Program.
HDP Vancouver Coastal Health Regional Addictions Program
Full title: Vancouver Coastal Health Regional Addictions Program: Understanding and optimizing service delivery access and treatment across the care continuum for people who use substances
BC Sepsis Scan
The BC Patient Safety & Quality Council has supported quality improvement initiatives through the BC Sepsis Network for over a decade. Analysis of earlier improvement work showed significant return on investment and improved care outcomes for sepsis patients, however, sepsis rates in BC have since increased toward the national average and sepsis mortality rates remain high. Continued engagement in quality improvement work is needed to address the persistent challenge of sepsis in the province. To help understand the current state of sepsis and determine future and ongoing quality initiatives it is important to have evidence that best describes sepsis in BC. The primary goal of this project is to better estimate sepsis rates across BC. Sepsis is notoriously challenging to diagnose clinically, likely contributing to low documentation in administrative data and subsequent case estimates. We will utilize different case identification approaches and examine the regional and demographic variations in estimations of case volumes and rates.
Mental Health MSP Data Project
The Vancouver Division of Family Practice will partner with VCH to evaluate MSP data to identify appropriate resourcing for Mental Health and access to counselling services for Vancouver PCNs (Primary Care Networks).
Opioid Addiction Prediction Model
This project aims to create new knowledge regarding Opioid Dependence. It has two phases, a consolidated report about opioid addiction rate and a prediction AI model for opioid addictions based on the initial report variables. The report will be based on a cohort of patients with first opioid prescription under pain diagnosis in British Columbia for the last 5 years. These resulting findings and variables will be used to build a machine learning model to generate an AI prediction for opioid addiction for patients with first opioid prescription and predicting the risk to 32 weeks and 3 years. In addition, there are going to be several resulting breakdown sub cohorts depending on the quality of data found such as rate of recovery vs mortality for opioid addictions and rate by type of drug and demographic characteristics
HDP Project - Multimorbidity Surveillance in British Columbia
The objective of this project is to assess population impacts of chronic disease multimorbidity in BC, by evaluating the prevalence and health-related impacts of specific disease combinations and clusters. This project will lay the epidemiological knowledge foundation for enhanced chronic disease health surveillance and monitoring in BC
HDP Project - Assertive Community Treatment: An Evaluation Framework for British Columbia (ACT-AP Evaluation)
|Assertive Community Treatment (ACT) clients have severe mental health and substance use challenges. The Provincial ACT Evaluation will assess the impact of the ACT program for ACT clients and the provincial health care system.
|HDP Project - Reimagining LTC: Reducing Potentially Inappropriate Usage of Antipsychotics
|The purpose of this project request is to support a collaborative quality improvement initiative among long-term care facilities in British Columbia targeting the appropriate usage of antipsychotics (AUA). Data for long-term care facilities and their residents will be used to support facilities participating in the collaborative with ongoing evaluation of the rate of antipsychotic usage to help inform ongoing improvement efforts. Additionally, the data will be used to measure the overall impact of the initiative on AUA rates, antipsychotic prescribing, and changes in quality measures associated with the AUA in long-term care such as depression, falls, and behavioral outcomes.
Last updated 2023.09.11