OHT Scorecard
Improve Population Health
This domain aims to answer the question “Who is our attributed population? How can we describe their
health?”
If you have any information or are collecting the data related to this domain, we would greatly
appreciate your assistance in sharing it with us.
Please contact Sarah Singh, Quality and Analytics Coordinator ([email protected]).
Indicators
Key Performance
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- Patient Reported Outcome Measures (PROMs) – EQ-5D-5L/VAS
Quality Improvement
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- Outcome measures
- Enrolled patients
- Screened patients
Formative
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- Number of prevention programs, activities, sessions
- Participation rate
- Care transitions measure
Existing Measurement Tools
OHT Performance Framework
- % of unique patients enrolled into the ICP initiative (participating in at least 1 stream of care) % of individuals with individualized care plan Number of Hospitalizations for Ambulatory Care Sensitive Conditions
- Alternate Level of Care (ALC) Rate
- Admissions per 100 HF patients
- Admissions per 100 COPD patients
- % of cancer screening participation Total number of patients with HF/COPD
MLOHT Evaluation Framework
- cQIP Indicators
- ICP local indicators
- EuroQol 5D 5L (Mobility, Self-Care, Usual Activities, Pain/Discomfort, Anxiety/Depression)
MLOHT Ops Plan Annual Goals
- ICPs (HF, COPD, LLP)
- Primary care
- Navigation
- Cancer screening
- Referral management
- Online Appointment Booking
Other
HSPN Population Health Indicators as stratified by the BC Matrix and CIHI grouper.
Data
Indicator Data
- Indicator data is not yet available; please check back in the future of inform us if you know of anyone currently collecting it.
Supporting Data
Demographics
Data Source
Data Sources Used
- HSPN Individual OHT Improvement Indicators
- OHT Data Dashboard
Potential Data Sources
- ICPs – BestCare
- HF Clinic
Sampling Approach
- Stratified Sampling