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