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1. nil inner EAEE EEEEE EEEE EEEE EEEE EEEE 44 e EAn OIRA E 47 Common Acronyms used in QIRAP User Manual HQO Health Quality Ontario QIRAP Quality Improvement Reporting amp Analysis Platform LTC Long term Care Figure 1 Common Acronyms 1 Introducing QIRAP The Quality Improvement Reporting and Analysis Platform QIRAP provides a single integrated platform for reporting and analysis of quality improvement QI measures for Health Quality Ontario s initiatives as well as the Senior Friendly Hospitals initiative End users can enter data for measures through intuitive web pages as well as use the reporting capability of the platform to view Run Charts for each measure Administrators of the system are HQO staff who have the ability to perform tasks such as manage users and their roles manage measures and run numerous analysis reports 2 User Access 2 1 Functionalities The following table outlines the permissions that the Data Entry user and View Only user have in the application User Access Functionality Data Entry View Only Add data cx Edit data Ox x View custom measures x Figure 2 User roles 3 Page 3 QIRAP Interface at a Glance 3 1 Left Navigation Menu The QIRAP user interface displays a fixed left navigation panel on the left hand side of the page for easy access on each page of the application Please Note depending on users role and privileges the left navigation menu may d
2. 4 oc een Figure 44 Custom Measure Create a Custom Measure Edit Field 36 Page To Add a Formula 1 Select the Formula tab in the bottom grid 2 Click the Add icon under the grid Create a Custom Measure Change Area Custom Measure Name Team Test measure Team Test Type Collection Plan Outcome x Weekly x Description lt Enter description of measure gt Field Formula Formula Format Run Chart Field D Formula ID Label to apppear on screen Manage baseline Figure 45 Custom Measure Create a Custom Measure Add Formula 37 Page Step 1 Add Formula Define Formula Label and Alias 3 This step involves creating a formula for the measure using the fields Enter the name of the formula field in the Label to display on screen textbox 4 Enter a shortened version of the formula label limited to 20 characters in the Alias textbox The alias will be displayed on some pages of the application where space is limited 5 Click Next Create a Custom Measure Step 1 Add Formula Define Formula Label and Alias 3 Label to display on screen S i 5 KAE Figure 46 Custom Measure Create a Custom Measure Create Formula 38 Page Step 2 Add Formula Select Format and Formula 6 Select the type for the formula i e a number or percentage from the Select Format dropdown menu 7 Define the formula for calculating the measure To select a field for the formu
3. HEALTH QUALITY ONTARIO Quality Improvement Reporting amp Analysis Platform User Guide Prepared by Dapasoft Inc and Health Quality Ontario on 2 Ontario Health Quality Ontario Contents 1 Introducing QUIRAP 1 0 cceee cere rece errr reer en nee enn e enn e enn e Seen EES SEES SESS SESS eee 3 2 USO ACCESS E 3 Cid Mie elef 3 3 QIIRAP Interface at a Glance 0 ri rl ii ieee erieeneeenneaeeeseceaeeiines 4 3 1 Left Navigation Menu E 4 3 1 1 Meaeures AAA 4 Oe Ee Ee ee ee ee ee 4 3 2 1 AX i 0 gmolUiCe gener reer reer reer re errr re er eT 5 3 2 2 Pagination Bar 5 Aa D E GE 5 4 1 Select Team Health Service Provider 5 4 2 View Change Aren 6 4 2 1 Aod DA e EE 1 4 2 2 Run Charte AAA 8 423 VEW Al ee ee a ee rE On EEEE EEEE EERE ENER 8 4 2 3 1 Add Data Point for Measure sssssssesrrrrsssssrirrrrrrsnnretrrrriinsnnrttrrininnnneenrrn nanan 10 4 2 3 2 Edit Data Point for Measure cccccccccccessssrateeeeessesssaeeeeeessesssnneeaeeesessssesnaas 10 4 2 3 3 View Run Chart for Measure nnne 12 4 2 4 Manage Favourites eeesesssesseseesnrerrrnrrrrrrrrrrrrrrrrrrrrrrrrerrrrrrnrrrrrrrrrrrrrrerrrerrererrrrrrrereene 13 D VOW RODO E 14 5 1 Viewing Reports NN 14 5 1 1 View R n CAI canssasascceracsnaacsasasecctancanacsasaseceranssaacsasasesataneanecsasaneccraassancsasanecdtaneansasasabae 14 5 1 2 Print Report 18 Seles DORDON E 19 0 e ein RE E 19 6 1 Create Custom Meaeure AAA 19 6 2 EE 42 6 3 Clone Custom Measure
4. 1 Figure 24 View Report Print Report 18 Page 5 1 3 Export Report To Export Report 1 Click on the Export zl icon underneath the report parameters to export the Run Chart and data table into a variety of formats Available formats include XML file with report data CSV comma delimited PDF MHTML web archive Excel TIFF file Word ReportViewer Windows Internet Explorer e http airapstaging hgontario ca Report ViewReport Group Team 1__Cohort 1 Coordinated Care Plan zl Sector AC z Health Service Provider Hospital A Test Enrollment Group Cohort sl Change Area Custom Measure Measure Wait time to elective hip surgery in Emergy in hours gt Field of hours Formula sl Visibility Median Target wi Start Date faze SS End Date Bzzum SSS kat id Ab oib Di A Page width zl JI Find Next 1 Eo amp XML file with report data CSV comma delimited Run Chart Repco PDF MHTML web archive Wait time to elective hip surge Excel Team 1 Cohort 1 Coordinated C TIFF file Word on __ Figure 25 View Report Export Report 6 Custom Measure 6 1 Create Custom Measure Users can create a customized measure from the Custom Measure page To Create Custom Measure 1 Click Custom Measure from the navigation menu on the left panel Welcome John Smith ise MEASURES Data Entry DATA ENTRY VIEW REPORT Select Team Health 4 Select Team Health Service
5. 52 Custom Measure Clone Custom Measure 3 A pop up window will appear confirming whether you want to clone the selected measure Click Yes to proceed or No to cancel Are you sure you want to clone the measure h Figure 53 Custom Measure Clone Custom Measure Confirmation message 44 Page Step 1 Define Baseline Range and Target Define the Baseline period for the measure Click on the Calendar Control to the Baseline Start Date field to select the start date for the baseline Click on the Calendar Control 2 icon next to the Baseline End Date field to select the end date for the baseline Define the target for the measure Select the type of target i e a number a specific value for the target or a percentage the specified percentage of improvement that would be applied to the baseline average to calculate the target value from the Target Type dropdown menu Select an operator for the target i e should the measure value be greater than gt greater than or equal to gt less than lt or less than or equal to lt the specified target from the Target dropdown menu Note If the direction of improvement for the measure is up higher please select the operator greater than gt or gt If the direction of improvement for the measure is down lower please select the operator lt or lt Enter a numeric value in the textbox next to the Target dropdown If the target type sel
6. Page 1 of 1 p gt os View 1 9 of 9 1 Figure 15 Data Entry View All View Chart 2 A pop up window containing a Run Chart for the selected measure is displayed along with a data table below Note Run Chart and data table will be blank for measures with no data points For more information on the Run Chart Reports please see section 5 1 4 2 4 Manage Favourites Users can manage favourite Change Areas allowing easy access to selected Change Areas for selected Team Health Service Provider To Manage Favourites 1 Click Data Entry from the navigation menu on the left panel 2 Click the Manage Favourite link Data Entry Select Team Health Service Provider Select Team Health Service Provider sl Go Manage Favorite 2 Figure 16 Data Entry Manage Favourite 13 Page 3 Tick the Change Areas for Team Health Service Provider that you would like to have displayed for data entry 4 Uncheck Change Areas that you would like to have hidden for data entry 5 Click the Save icon on the Manage Favourite grid Data Entry Select Team Health Service Provider Select Team Health Service Provider v Go Manage Favorite Team Name Health service provider Change Area Description s e Page 1 of 1 10 ei View 1 2 of 2 Figure 17 Data Entry Manage Favourite 5 View Report 5 1 Viewing Reports Users can access Run Chart Reports for their associated Team s A Run Chart is a graph that illustrates changes in qu
7. for the measure is up higher please select the operator greater than gt or gt If the direction of improvement for the measure is down lower please select the operator lt or lt 23 Page 18 Enter a numeric value in the textbox next to the Target dropdown If the target type selection was number enter the specific target value If the target type selection was percentage enter the percentage of improvement that should be applied to the baseline to calculate the target value the target value will be automatically calculated based on the percentage specified Note This field should only contain numbers Do not include any special characters This is an optional step i e if a target for the measure has not been defined this field can be left blank 19 Click Next Create a Custom Measure Step 4 Define Baseline range and Target Note If you do not wish to have a Target line show on our graph at this time simply leave the Target Value Blank You can always edit the measure to enter a Target Value at a later date Baseline Start Date e Baseline End Date Taro De W 14 tofu al Target v ACs Figure 31 Custom Measure Create Custom Measure Select Format Collection Plan Measure Type Step 5 Create Field Define Field Label Alias and Format 20 This step involves creating fields for the measure e g numerator field denominator field Enter the name of the field in the Label to display o
8. hip surgery in Emergy in hours Outcome Time spent by patients in emerg Figure 10 Data Entry View All 3 The View all page will display all data points entered for the measure 1 Users also have access to several action buttons 2 within this page including Add Data Point Edit Data Point and View Chart Data Entry Team 1__Cohort 1 Coordinated Care Plan Hospital A Test Cohort1_ Cohort 1_ Change Area Name Custom Measure Go back to Change Area Measure Name Percentage of patients re admitted to ED 1 1 Collection Period pts re admitted 08 01 2013 40 00 07 01 2013 30 00 06 01 2013 50 00 05 01 2013 50 00 04 01 2013 70 00 03 01 2013 80 00 02 01 2013 90 00 01 01 2013 90 00 2 7 E 4 lt 4 Page 1 of1 gt gt sl View 1 9 of 9 Figure 11 Data Entry View All Chart 9 Page 4 2 3 1 Add Data Point for Measure Users can enter data for measures for selected Team Health Service Provider from the View All grid by clicking on the F icon See 4 2 1 Add Data Point Data Entry Team i Cohort 1 Coordinated Care Plan Hospital A Test Cohort1_ Cohort 1_ Change Area Name Custom Measure Go back to Change Area Measure Name Percentage of patients re admitted to ED_1 Collection Period pts re admit to ED 08 01 2013 lt 07 01 2013 3 06 01 2013 5 05 01 2013 5 04 01 2013 7 03 01 2013 8 02 01 2013 9 01 01 2013 9 Ei 4 i Page Total re admitted pts re
9. measure i e a number or percentage from the Select Format dropdown menu 11 Select the frequency of data reporting for the measure i e weekly or monthly from the Collection Plan dropdown menu 12 Select the type for the measure i e outcome process or balancing from the Measure Type dropdown menu 13 Click Next 22 Page Create a Custom Measure Step 3 Select Format Collection Plan and Measure Type 10 fewctrome O wnew 12 Measure Type K Outcome Figure 30 Custom Measure Create Custom Measure Select Format Collection Plan Measure Type Step 4 Define Baseline Range and Target 14 Define the Baseline period for the measure Click on the Calendar Control E8 icon next to the Baseline Start Date field to select the start date for the baseline 15 Click on the Calendar Control icon next to the Baseline End Date field to select the end date for the baseline 16 Define the target for the measure Select the type of target e a number a specific value for the target or a percentage the specified percentage of improvement that would be applied to the baseline average to calculate the target value from the Target Type dropdown menu 17 Select an operator for the target i e should the measure value be greater than gt greater than or equal to gt less than lt or less than or equal to lt the specified target from the Target dropdown menu Note If the direction of improvement
10. Add Data for Selected Measure 1 In the expanded measures view click on the Add L icon next to a measure to add a data point for the measure Change Area Progress Assessment Custom Measure Percentage of patients re admitted to ED_1 Outcome 1 B Les le CA Percentage of patients complete care plan Outcome Description of the measure Wait time to elective hip surgery in Emergy in hours Outcome Time spent by patients in emerg gt Les Figure 8 Data Entry Add Data Point 2 The data entry screen will pop up for the selected measure Click on the Calendar Control icon beside Start Date 4 Select a Start Date for the data point Note An End Date will be auto populated by the system based on the selected Start Date SS 7 Page 5 Enter any notes to be associated with this data point in the Annotations text box e g description of an event that occurred during the selected data reporting period This step is optional 6 Enter Field values for the measure Note Asterisks indicate mandatory fields 7 Once the mandatory fields are filled out any calculated values for the measure value will appear under Formulas 8 If user would like to add more data in the next step click Save amp New and repeat steps 3 6 Otherwise proceed to step 9 9 Click Save 4 2 2 Run Charts Run Charts for measures can be viewed through either the Data Entry Change Area page or through View Reports See sectio
11. Provider Go Manage Favorite Figure 26 Custom Measure 19 Page 2 Click onthe Add icon below the grid Custom Measure Change Area Custom Measure Associated Measure s Please click the button to start a new Custom Measure 2 Page of 0 ha No records to view Figure 27 Custom Measure Step 1 Select Team 3 Select Team from Team dropdown menu Note Asterisks indicate mandatory fields 4 Click Next 5 Note Each step in the Custom Measure creation wizard contains a Help option To display additional instructions for the step place cursor over the icon 20 Page Create a Custom Measure Step 1 Select Tean o 5 Please select the Team you would like to make this Measure available to LU Select Team Select Team Team Test 4 Figure 28 Custom Measure Select Team Step 2 Define measure name and description Enter the name of the measure in the Measure Name textbox Enter a description for the measure in the Description text area This field is optional Click Next Note To return to the previous step in the wizard and make alterations click Back and follow the steps outlined o ae 21 Page Create a Custom Measure Step 2 Define measure name and description legen Le 7 Description se Figure 29 Custom Measure Create Custom Measure Define Measure Name and Description Step 3 Select Format Collection Plan and Measure Type 10 Select the format for the
12. The field e g F1 will be populated in the Formula text box To select an operator for the formula double click on an operator from the Operators list The selected operator e g will be populated in the Formula text box Numeric values are also permitted in the Formula text box To add a numeric value type in the value directly into the text box To clear the Formula text box click on the E button next to the text box Note A minimum of one operator must be included in the formula If formula only consists of one field e g formula F1 then use the following formula F1 0 34 Click Next Create a Custom Measure Step 10 Create Formula Select Format Step 11 Create Formula Create Formula Use the List of fields and Operator tables to create a formula by double clicking on the values A preview of the formula will display under Formula To reset click X List of Fields Field Description Number of patients re admitted Total number of patients Formula 34 cc Figure 35 Custom Measure Create Custom Measure Create Formula 28 Page Step 12 Formula Summary 35 A summary of all formulas that have been created can be viewed through the grid A number of action buttons are located at the bottom of the formulas grid that can be Es used to add another formula edit an existing formula or delete a formula 36 Click the Next button to proceed Create a Custom Measure Step 12 Fo
13. admitted 10 40 00 10 30 00 10 50 00 10 50 00 10 70 00 10 80 00 10 90 00 10 90 00 of 1 gt os Figure 12 Data Entry View All Add Data Point 4 2 3 2 Edit Data Point for Measure View 1 9 0f9 Users can edit data points for measures for selected Team Health Service Provider from the View All grid by clicking on the Edit icon To Edit Entered Data Point from View All Grid 1 Select a data point by clicking on it 2 Click the Edit icon to edit selected data point 10 Page Data Entry Team 1__Cohort 1 Coordinated Care Plan Hospital A Test Cohort1_ Cohort 1_ Change Area Name Custom Measure Go back to Change Area Measure Name Percentage of patients re admitted to ED 1 Collection Period pts re admit to ED Total re admitted pts re admitted 08 01 2013 4 10 40 00 07 01 2013 3 10 30 00 06 01 2013 5 10 50 00 05 01 2013 5 10 50 00 04 01 2013 7 10 70 00 03 01 2013 8 10 80 00 02 01 2013 9 10 90 00 01 01 2013 9 10 90 00 17 ld lt 4 Page 1 of1 p gt Pl 10 iJ View 1 9 of 9 2 Figure 13 Data Entry View All Edit Data Point The data entry pop up window will be displayed and any fields within the pop up can be edited a Edit Start Date by clicking on the Calendar Control 2 icon beside Start Date Note An End Date will be auto populated by the system based on the selected Start Date b Edit Annotations c Edit Field values for a measure d If user would like to add mo
14. ality over time Measurements are taken at frequent points in time and connected with a line This provides a graphical display of variation across time and can help a QI team see if their changes have led to improvement 5 1 1 View Run Chart To View Report 1 Click View Report from the navigation menu on the left panel 14 Page MEASURES DATA ENTRY VIEW REPORT 1 CUSTOM MEASURE Figure 18 View Report 2 Select the report from the dropdown menu 3 Click View button View Report Run Charts Figure 19 View Report Select Report 4 A pop up window will display the Reports page Note If you receive a pop up blocker message select Allow pop ups for girap hgontario ca e Web browser prevented this site from opening a pop up window Allow pop ups for girap hgontario ca Edit Pop up Blocker Options Don t show this message when pop ups are blocked Show http qirap hqontario ca Report ViewReport Figure 20 View Report Pop up Blocker 5 Reports can be viewed for all measures with associated data points The following Report Parameters are used to create a report Report Parameters Group Team Users can select a Team enrolled in the initiative that they are associated with from the Group dropdown Sector Users can select the health care sector of the organization whose measure they would like to view in the Run Chart from the dropdown Health Service Provider User
15. ate Field Define Max Min and of Decimals Fama 6 7 Add Field Step 3 8 s this field Mandatory Se C yes No Qi Add Field Step 4 9 Figure 42 Custom Measure Create a Custom Measure Create Field 34 Page To Edit a Field 1 Select the Field tab in the bottom grid 2 Select the field to edit and click the Edit icon under the grid Create a Custom Measure Change Area Custom Measure Team Test measure Team Test Type Collection Plan Outcome x Weekly x Description lt Enter description of measure gt 1 Field Formula Field ID Label to apppear on screen Alias Format Run Chart Field Total number of patients Total pts Number a 2 7 a Manage baseline View 1 2 of 2 Preview Cancel Figure 43 Custom Measure Create a Custom Measure Edit Field 3 The field label Label to display on screen field alias Alias field minimum Min field maximum Max number of decimals places of decimals mandatory field option Is this field Mandatory and display field on Run Chart option Run Chart Field can be edited 4 Click Next to save changes and return to Custom Measure page 35 Page Edit Custom Measure Edit Field Field ID F1 Label to display on screen P Number of patients re admitted Alias U of pts re admitted Min B of decimals 0 0 Is this field Mandatory ves C No Add Field Step 4 Run Chart Field C ves No
16. ck Go 5 Page Welcome John Smith MEASURES Data Entry DATA ENTRY 1 VIEW REPORT mraman CH am aith Service Frovide 2 Select Team Health Service Provider M CUSTOM MEASURE Figure 5 Data Entry The application will proceed to the Change Area page which displays each Change Area available to the selected Team Health Service Provider within the initiative 4 2 View Change Area Each Change Area within the initiative will be displayed on the Change Area page To View Measures Associated with Selected Change Area 1 Click on the Arrow o icon next to a Change Area to view the measures associated with that Change Area Data Entry Team 1__Cohort 1 Coordinated Care Plan Hospital A Test Cohort 1_ Cohort 1_ Change Area Name 1 DS Assessment Custom Measure Figure 6 Data Entry View Change Area 6 Page 2 Each measure will have three 3 action buttons next to it Add Measure k View Chart a View All Change Area Progress Assessment Custom Measure Name Percentage of patients re admitted to ED_1 Outcome CA Percentage of patients complete care plan Outcome Description of the measure KE E i Is Wait time to elective hip surgery in Emergy in hours Outcome Time spent by patients in emerg Figure 7 Data Entry View Change Area Expanded Measure View 4 2 1 Add Data Point Users can enter data for quality improvement measures To
17. ection was number enter the specific target value If the target type selection was percentage enter the percentage of improvement that should be applied to the baseline to calculate the target value target value will be automatically calculated based on the percentage specified Note This field should only contain numbers Do not include any special characters This is an optional step i e if a target for the measure has not been defined this field can be left blank Click Next 4 icon next 45 Page Clone Custom Measure Step 1 Define Baseline range and Target Baseline Start Date w 01 01 2014 Ei 4 Baseline End Date w 02 28 2014 5 Target Type V Percentage KL Figure 54 Custom Measure Clone Custom Measure 46 Page Step 2 Verify and Edit 3 a To edit the cloned Custom Measure click on Edit Cloned Measure or b To proceed with saving the cloned Custom Measure click Close Clone Custom Measure Step 2 Verify and Edit You have successfully cloned the selected measure You can click the Edit Cloned Measure link to modify the selected measure or you can start modifying them using Measure Management edit link Name View Percentage of patients complete care plan Copy1 Edit Cloned Measure Figure 55 Custom Measure Clone Custom Measure 7 Exiting QIRAP A Close Window button is located at the top right corner of the page To Exit QIRAP 1 Click the Close Window butto
18. efined for the measure i e measure name measure type collection plan description field s formula s baseline target To save the measure click Save Note If any aspect of the measure must be edited proceed to next section Create a Custom Measure Change Area Custom Measure Name Team Test measure Team Test Type Collection Plan Outcome x Weekly x Description lt Enter description of measure gt al wy Field ID Label to apppear on screen Alias Format Run Chart Field Total number of patients P IS Total pts Number 7 i t 4 View 1 2 of 2 Manage baseline Preview Save Cancel Figure 40 Custom Measure Create Custom Measure Create a Custom Measure 32 Page 42 The new custom measure will appear in the Associated Measure s grid on the Custom Measure page To Add a Field 1 Select the Field tab in the bottom grid 2 Click the Add T icon under the grid Create a Custom Measure Change Area Custom Measure Name Team Test measure Team Test Type Collection Plan Outcome x Weekly x Description lt Enter description of measure gt 1f Field Formula Field ID Label to apppear on screen Format Run Chart Field Total number of patients Total pts Number Manage baseline Preview Save Cancel Figure 41 Custom Measure Create a Custom Measure Add Field Add Field Step 1 Define Field Label and Alias 3 This step involves creating fields for the measu
19. h as when improvement ideas were tested e Direction of Improvement an arrow indicating the direction of improved quality is displayed underneath the chart e Baseline baseline end date is represented by a vertical line on the Run Chart and the baseline range is stated underneath the chart Significant improvement in the QI data can be detected through two 2 tests on a Run Chart e Six 6 or more consecutive points above or below the median e Six 6 consecutive points moving upward or downward The following markers are used on the run charts e M An annotation exists for the data point which is displayed when you scroll over the point on the graph e J Six 6 or more consecutive points above or below the median Run Chart rule e Six 6 or more consecutive points moving upward or downward Run Chart rule e K d Both Run Chart rules are achieved 5 1 2 Print Report To Print Report 1 Click on the Print EI icon underneath the report parameters to print the run chart and data table Group Team 1__ Cohort 1 Coordinated Care Plan el Sector Teams View Report Health Service Provider Team Seil Cobort 1 Coordinated Care Plan Enrollment Group Cohort 1_ el Change Area Custom Measure el Measure Percentage of patients re admitted to ED_1 Field D pts re admitted Formula gt Visibility Median Target v Start Date 1 1 2013 sa End Date 3 23 2014 Sa uN fh of1 Vi d 75 x Find Next vi
20. iew Save Cancel Figure 48 Custom Measure Create a Custom Measure Edit Formula 40 Page 3 The formula label Label to display on screen formula alias Alias formula type Select Format formula Formula and whether the formula should be displayed on the Run Chart Report Run Chart Field can be edited 4 Click Next to save changes and return to Custom Measure page Create a Custom Measure Edit formula Label to display on screen amp Percentage of patients re admitted Alias pts re admitted Select Format Percentage List of Fields Operators Field Description Test Operators F1 Number of patients re admitted 1 F2 Total number of patients 2 F3 Number of patients_2 3 Formula F1 F2 Run Chart Field Yes No de Figure 49 Custom Measure Create a Custom Measure Edit Formula 41 Page 6 2 Edit Custom Measure Custom Measures can be edited from the Custom Measure Page To Edit Custom Measure 1 Click on the Custom Measure link from the navigation menu on the left panel 2 Select a measure from the Associated Measure s grid 3 Click on the Edit icon under the grid Custom Measure Change Area Custom Measure Health Service Provider Collection Plar Team 1__Cohort 1 Wait time to elective hip surgery in Coordinated Care Cohort 1_ Hospital A Test Outcome Monthly Emergy in hours Plan itt Ti Clone lq Page of 1 gt kl 10 View 1 2 of 2 Figu
21. inated Care Plan 100 i Median 90 60 pts re k e pts re admitted admitted 40 i Sa gt SE et i A Target 21 67 20 eee ee ee te ee ee ee ee ee aer T eee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ee ke dan 2013 Feb2013 Mar2013 Aer 2013 May2013 Am 2013 A4 03 Aug 2013 Sep 2013 Month E leo me fol Formula to ED Field Formula Field Jan 2013 90 00 90 00 21 67 NA Start of baseline H 90 00 10 Figure 22 View Report Run Chart Report _View Report Note Reports with a large dataset may have multiple pages The pagination bar can be used to navigate through the report Group Team 1__Cohort 1 Coordinated Care Plan Sector Teams sl Health Service Provider Team 1__Cohort 1 Coordinated Care Plan el Enrollment Group Cohort K sl Change Area Custom Measure lt Measure Percentage of patients re admitted to ED_1 el Field Start Date Le pts re admitted Formula zi Visibility Median Target E 171 2013 E End Date 3 23 2014 Ey ao id aft oft gt vil A si Findinet hy G Figure 23 View Report Pagination _View Report 17 Page Run Chart Features Run charts can display the following features e Median a horizontal line across the graph which represents the median value of the baseline data e Target a horizontal line across the graph indicating the target of the QI team e Annotations comments associated with the data points to provide details suc
22. isplay different menu items 3 1 1 Measures Data Entry The Data Entry interface is used by users to view or enter data points for measures View Report The View Report interface is used by users to view Run Charts for measures Custom Measure The Custom Measure Interface is used to create and manage Custom Measures MEASURES DATA ENTRY VIEW REPORT CUSTOM MEASURE Figure 3 Left Navigation Menu Measures 3 2 Table Grids Table grids exist throughout the application allowing users to easily view data and perform tasks 4 Page Name IT Zo Health Service Provided Callectian Dar Team gi Cohori 1 Wait time to elective hip sunpery in l SC Coordinated Care Cohort 1_ Hospital A Test Oulcame Monthy Emergy in hours Flan 3 2 1 3 2 2 SS Figure 4 Table Grids 3 2 1 Action Buttons Action buttons are located in almost all of the grids within QIRAP These buttons are features for users to perform various functions within the interface 3 2 2 Pagination Bar Pagination bar exists in all the grids Select the left or right arrow to navigate pages or select a value in the dropdown to display more fields within the grid at a time 4 Data Entry 4 1 Select Team Health Service Provider To View Change Areas and Associated Measures for a Selected Team Health Service Provider 1 Click Data Entry from the navigation menu on the left panel 2 Select Team Health Service Provider from the dropdown menu 3 Cli
23. la double click on a field from the List of Fields grid The field e g F1 will be populated in the Formula text box To select an operator for the formula double click on an operator from the Operators list The selected operator e g will be populated in the Formula text box Numeric values are also permitted in the Formula text box To add a numeric value type in the value directly into the text box To clear the Formula text box click on the E button next to the text box Note A minimum of one operator must be included in the formula If formula only consists of one field e g formula F1 then use the following formula F1 0 8 Click Next Create a Custom Measure Step 2 Add Formula Select Format and Formula 6 f Select Format Number List of Fields Operators Description T Operators Number of patients re admitted Total number of patients Number of patients_2 Formula Figure 47 Custom Measure Create a Custom Measure Create Formula 39 Page To Edit a Formula 1 Select the Formula tab in the bottom grid 2 Select the formula to edit and click the Edit icon below the grid Create a Custom Measure Change Area Custom Measure Team Test measure Team Test Type Collection Plan Outcome x Weekly x Description lt Enter description of measure gt Field Formula Formula ID Label to apppear on screen Formula Format Run Chart Field WK 2 lee Manage baseline Prev
24. n 5 1 To Access Chart 1 Click on the Change Area name to see associated measures 2 Click on the Chart icon to view Run Chart The system loads the Run Chart report Change Area Progress Assessment Custom Measure Name Percentage of patients re admitted to ED_1 Outcome E CA Percentage of patients complete care plan Outcome Description of the measure K Wait time to elective hip surgery in Emergy in hours Outcome Time spent by patients in emerg K I Figure 9 Data Entry Chart 3 A pop up window containing a Run Chart for the selected measure is displayed along with a data table below Note The Run Chart and data table will be blank for measures with no data points For more information on the Run Chart Reports see section 5 1 1 4 2 3 View All Users can view all the data points that have been entered for a measure through the View All page Data points can be added edited and or viewed for the selected measure through the grid Run Charts can also be viewed from here To View All Entered Data Point s for Selected Measure 1 Click on the Change Area name to see the associated measures 8 Page 2 Click on the View All El icon Change Area Progress Assessment Custom Measure Name Percentage of patients re admitted to ED_1 Outcome 2 CO Percentage of patients complete care plan Outcome Description of the measure SEL 2 R D ii Je Wait time to elective
25. n at the top right corner of the page Welcome John Smith Close Window 1 Figure 56 Exiting QIRAP 47 Page 2 Click Yes to confirm exiting QIRAP or No to remain logged in to QIRAP Confirm Are you sure you want to close measures section ofthe community Figure 57 Exiting QIRAP Confirmation 48 Page
26. n screen textbox 21 Enter a shortened version of the field label limited to 20 characters in the Alias textbox The alias will be displayed on some pages of the application where space is limited 24 Page Step 6 Define Maximum and Minimum Values and Number of Decimals The values defined in this step will serve as validation for the input for the field being created to ensure data quality 22 Define the minimum value for the field by entering in a numeric value in the Min textbox 23 Define the maximum value for the field by entering in a numeric value in the Max textbox Note This step is optional 24 Define the number of decimal places that can be entered for the field by entering ina numeric value in the of decimals textbox Step 7 Mandatory Field 25 Select whether the field is mandatory or optional If the field is mandatory click on the Yes radio button next to Is this field Mandatory if the field is optional click on the No radio button 26 Click Next Create a Custom Measure Step 5 Create Field Define Field Label Alias and Format Step 6 Define Maximum and Minimum Values and Number of Decimals of decimals 23 24 Step 7 Mandatory Field 5 is this fetd Mandatory C ves no Figure 32 Custom Measure Create Custom Measure Create Field Define Max and Min Number of Decimals Mandatory 25 Page Step 8 Field Summary 27 A summary of all fields that have been created can be viewed thr
27. ough the grid A number of action buttons are located at the bottom of the fields grid that can be used to add another field edit an existing field delete afield or re order fields for the measure using the up t or down arrow icons 28 Click the Next button to proceed Create a Custom Measure Step 8 Field Summary Fields Summary Field ID Label to apppear on screen Format View 1 1 of 1 28 KN Figure 33 Custom Measure Create Custom Measure Field Summary 26 Page Step 9 Create Formula Define Formula Label and Alias 29 This step involves creating a formula for the measure using the fields Enter the name of the formula field in the Label to display on screen textbox 30 Enter a shortened version of the formula label limited to 20 characters in the Alias textbox The alias will be displayed on some pages of the application where space is limited 31 Click Next Create a Custom Measure Step 9 Create Formula Define Formula Label and Alias Label to display on screen S 2 opo Figure 34 Custom Measure Create Custom Measure Create Formula 27 Page Step 10 Create Formula Select Format 32 Select the type of formula e a number or percentage from the Select Format dropdown menu Step 11 Create Formula Create Formula 33 Define the formula for calculating the measure To select a field for the formula double click on a field from the List of Fields grid
28. re e g numerator field denominator field Enter the name of the field in the Label to display on screen textbox 4 Enter a shortened version of the field label limited to 20 characters in the Alias textbox The alias will be displayed on some pages of the application where space is limited Add Field Step 2 Create Field Define Max Min and of Decimals The values defined in this step will serve as validation for the input for the field being created to ensure data quality 5 Define the minimum value for the field by entering in a numeric value in the Min textbox 33 Page 6 Define the maximum value for the field by entering in a numeric value in the Max textbox Note This step is optional 7 Define the number of decimal places that can be entered for the field by entering ina numeric value in the of decimals textbox Add Field Step 3 8 Select whether the field is mandatory or optional If the field is mandatory click on the Yes radio button next to Is this field Mandatory if the field is optional click on the No radio button Add Field Step 4 9 To be able to display the field on the Run Chart Report click on the Yes radio button next to Run Chart Field To exclude the field from the Run Chart Report click on the No radio button 10 Click Next Edit Custom Measure Add Field Step 1 Define Field Label and Alias 3 Label to display on screen QJ 4 Alias W Add Field Step 2 Cre
29. re 50 Custom Measure Edit Custom Measure 42 Page On the Edit Custom Measure page any aspect of the measure can be edited including the measure name measure type collection plan description field s formula s baseline target 5 Click Save to save changes to the Custom Measure Edit Custom Measure Change Area Custom Measure Name Team Percentage of patients complete care plan Team 1__ Cohort 1 Coordinated Care Plan Type Collection Plan Outcome x Monthly x Description Description of the measure j Field Formula Field ID Label to apppear on screen Format Run Chart Field Total number of patients Total pts Number Save Cancel Figure 51 Custom Measure Edit Custom Measure 43 Page 6 3 Clone Custom Measure Custom Measures can be cloned i e create a copy of an existing Custom Measure from the Custom Measure Page The cloned measure can be used as a template for a new Custom Measure and can be edited based on the requirements for the new measure To Clone Custom Measure 1 Select a measure from the Associated Measure s grid 2 Click on the Clone icon under the grid Custom Measure Change Area Custom Measure Health Service Provider Collection Plar Team 1__ Cohort 1 Wait time to elective hip surgery in Coordinated Care Cohort 1_ Hospital A Test Outcome Monthly Plan Emergy in hours r itt lq o Page 1 of1 gt gt 10 J View 1 2 of 2 Figure
30. re data in the next step click Save amp New to adda new data point Otherwise proceed to step 4 Click Save 11 Page Percentage of patients re admitted to ED 1 Outcome Measure Edit Description lt Description of measure gt aj E Instructions to data entry user l 3a z Collection plan Monthly Start date Een 2013 End Date Sep 2013 Annotations W Fields Number of patients re admitted to ED 2 Total number of patients re admitted to ED 10 ormulas Percentage of patients re admitted to ED 20 00 3d 4 ee E Figure 14 Data Entry View All Edit Data Point 4 2 3 3 View Run Chart for Measure Users can view the Run Chart for the selected measure within the Team Health Service Provider from the View All grid by clicking on the View Chart icon To Access Run Charts from View All 1 Click on the View Chart icon on the View All page to view the Run Chart Report The system loads the Run Chart Report 12 Page Data Entry Team 1__Cohort 1 Coordinated Care Plan Hospital A Test Cohort1_ Cohort 1_ Change Area Name Custom Measure Go back to Change Area Measure Name Percentage of patients re admitted to ED_1 Collection Period pts re admit to ED Total re admitted pts re admitted 08 01 2013 4 10 40 00 07 01 2013 3 10 30 00 06 01 2013 5 10 50 00 05 01 2013 5 10 50 00 04 01 2013 7 10 70 00 03 01 2013 8 10 80 00 02 01 2013 9 10 90 00 01 01 2013 9 10 90 00 ld i
31. rmula Summary Formulas Formula ID Label to apppear on screen Formula Cancel Figure 36 Custom Measure Create Custom Measure Formula Summary 29 Page Step 13 Run Chart Field 37 Select field s and formula s to be displayed in the Run Chart Report by ticking the checkbox next to each field or formula row in the grid 38 Click Next Create a Custom Measure Step 13 Run Chart Field Please select which field s and formula s you would like to display in the Run Chart Display in Run Chart Field Formula Total number of patients Percentage of patients re admitted View 1 3 of 3 38 ale Figure 37 Custom Measure Create Custom Measure Run Chart Field 39 Click Yes to view a preview of the measure or No to skip preview and continue Confirm Would you like to preview the measure Figure 38 Custom Measure Create Custom Measure Run Chart Preview 30 Page 40 If Yes was selected in 39 a page previewing the measure data entry will be displayed Click OK to continue Custom Measure Preview Preview Description kEnter description of measure gt Collection Plan Weekly TH End Date Annotations Number of patients re admitted Total number of patients Percentage of patients re admitted Figure 39 Custom Measure Create Custom Measure Custom Measure Preview 31 Page 41 The Create a Custom Measure page will be displayed which includes all aspects d
32. s can select a Health Service Provider from the selected Team that they are associated with from the dropdown 15 Page Enrollment Group The sub group within the initiative that the Team belongs to can be selected from the dropdown Measure Users have the ability to select a measure to view on the Run Chart Field Users can select a field or formula from the selected measure to view on the Run Chart Visibility Users have the ability to display or hide the Median Target and Annotations entered for each data point on the Run Chart by using the checkboxes in the dropdown 6 Select Report Parameters 7 Click View Report button 7 lt Select a Value gt z gt ector View Report z visibility Median Target v Figure 21 View Report Report Parameters 8 The run chart will be displayed according to the selected parameters along with the data table 16 Page Group Team 1__Cohort 1 Coordinated Care Plan Sector Teams Health Service Provider Team 1__Cohort 1 Coordinated Care Plan lt Enrollment Group Cohort 1_ z Change Area Custom Measure z Measure Percentage of patients re admitted to ED_1 lt Field pts re admitted Formula x Visibility Median Target e Start Date 1 1 2013 BE End Date 3 23 2014 BE kend id Bn of1 DP Di A KC Find Next bi Gi Ei Run Chart Report Percentage of patients re admitted to ED_1 Team 1_ Cohort 1 Coordinated Care Plan Team 1__Cohort 1 Coord

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