PRACTICE PARTNER
Find more HQO reports www. hqontario. ca
Along with the PCPRs, HQO publishes other regional and provincial data that help inform quality improvement efforts. You can sign up for:
• Long-term Care Practice Reports for physicians; and
• Hospital Performance Reports for administrators and providers.
The Primary Care Practice Reports are for family physicians only. A separate report with aggregate group level data is available to executive directors of Family Health Teams and Community Health Centres in the primary care sector, with no individual physicians identified in this report. Those reports are issued only if no physicians on the team or centre object.
At the HQO website, under Guides, Tools and Practice Reports, you can also access resources like quality improvement plans and e-learning modules for primary and long-term care.
1. What percentage of your patients are receiving opioids( either patients who’ ve signed up with you or those who are virtually rostered, i. e., they receive the majority of their primary care from you)?
2. What percentage of these patients are just starting opioids?
3. What percentage of patients are on high-dose opioids( 90 ml equivalent of morphine or more)?
4. What percentage of patients on an opioid have also been prescribed a benzodiazepine( by anyone) 1?
The MyPractice reports and metrics were developed jointly by HQO and the Institute for Clinical Evaluative Sciences, in partnership with the Association of Family Health Teams of Ontario, the Ontario College of
Family Physicians, and the Centre for Effective Practice. HQO does not provide the PCPR reports to or report outliers to anyone( including this College, other agencies or physician groups). It also does not follow up with individual prescribers. The purpose of the report is for physicians to review their own performance and make decisions to benefit their patients. For Ontario doctors, accessing the reports and following up with recommended actions or suggested resources in a PCPR is entirely voluntary. You can sign up for MyPractice at hqontario. ca. The reports go only to the e- mail address you provide upon registration, to help you understand your patients and how to support them. For more information, e-mail practicereport @ hqontario. ca. The College is supportive of initiatives that provide physicians with data about their care to patients – indeed, the College has advo-
1
The expert perspective is that opioids and benzodiazepines should very rarely be prescribed together. The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain.
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DIALOGUE ISSUE 4, 2017