SASKATOON, Feb. 16, 2012 /CNW/ - Many Saskatchewan residents living with
chronic obstructive pulmonary disease and depression are receiving
better care as a result of a large-scale improvement initiative
involving 49 family practices around the province. A final report on
the Chronic Disease Management Collaborative was released today by
Saskatchewan's Health Quality Council, which led the province-wide
Improvements in depression care:
63% of people were assessed with a patient questionnaire (PHQ-9) within
one week of being diagnosed with depression, and 84% received an
assessment at some point during the Collaborative. The PHQ-9 is a tool
for screening, diagnosing, monitoring, and measuring severity of
depression; it helps providers deliver the most appropriate care
Nearly three quarters (72%) of people with depression had their suicide
risk assessed by their care provider within one week, a 30% increase
over the first month.
Improvements in COPD care:
A 35% increase in the percentage of people who had their COPD diagnoses
confirmed with a spirometry test.
Eight of the 10 health regions involved in the Collaborative created at
least one new pulmonary rehabilitation program.
67% of patients diagnosed with COPD had created an action plan to help
them better self-manage their condition at home—potentially resulting
in fewer hospital visits.
A 24% increase in the percentage of people with COPD offered counseling
to help them quit smoking.
Dr. Jason Hosain, a family physician at West Winds Primary Health Centre
in Saskatoon, says Collaboratives serve an important function by
providing objective feedback to physicians, which then drives them to
improve the quality of their care. "Physicians want to provide the best
care they can for patients," says Dr. Hosain. "However, we seldom get
feedback on our performance, particularly when it comes to the quality
of our preventative care. Another benefit of these improvement
initiatives is that they remind us to think not only about what needs
attention right now, but also about a patient's care over the longer
term. In other words, what needs to be done now to help my patient in
Bonnie Brossart, CEO of the Health Quality Council, says the
Collaborative has brought better care for patients, and established a
strong foundation upon which to build further improvements in
Saskatchewan health care. "Our system now has hundreds of front-line
providers with experience using quality improvement science and
experience working as part of a multidisciplinary team," says Brossart.
"These elements are absolutely critical if our health care system is to
achieve the aims we're setting for ourselves, in response to the
Patient First Review, and more recently those offered by Premier Brad
The Chronic Disease Management Collaborative ran from October 2009 until
HQC is an independent agency that measures and reports on quality of
care in Saskatchewan, promotes improvement, and engages its partners in
building a better, safer health system for patients.
Depression is the second most common reason that people visit an
office-based physician in Canada. The prevalence of Major Depressive
Disorder in Canada is estimated at 3.2%-4.6%, and in North America,
more than 80% of all depression cases are diagnosed, managed, and
treated within the primary health care system.
COPD is the fourth leading cause of death in Canada. One in four
patients who are hospitalized for a COPD flare-up is at risk of dying
within one year; 8% of those patients are at risk of dying while in
hospital during their attack.
A Collaborative is a systematic method for spreading use of best
practices among health care providers. Multidisciplinary care teams
come together to learn how to close the gap between best practices and
how they're currently delivering care. The approach, which is
particularly effective for improving quality of care for patients with
complex, chronic conditions, has been used successfully in other
provinces and countries.
This was the second Chronic Disease Management Collaborative. The first,
which focused on improving care for Saskatchewan people with diabetes
and coronary artery disease, ran from November 2005 to March 2009.
SOURCE Health Quality Council
For further information:
For more information, or to arrange interviews, contact:
Director of Communications
Health Quality Council
(306) 668-8814 / firstname.lastname@example.org
Dr. Jason Hosain
Westwinds Primary Care Clinic (Saskatoon)
(306) 655-4200 / email@example.com