3. Serving the public by guiding the medical profession
challenges
• Cost
• Responsibility (who does what?)
• Access to tools
– Access to information (e.g. databases)
– Measurement tools
• Access to education/remediation
• Physician acceptance & participation
4. Serving the public by guiding the medical profession
The biggest challenge!
• Know what you want to achieve
– What is the goal?
– Summative or formative?
– High stakes or not?
– Generalist or practice-specific?
– Applies to all (the rising tide…) or just to those
identified (let’s find the bad apples…)?
– QI or QA?
5. Serving the public by guiding the medical profession
What was our goal?
To develop a pan-Canadian strategy for physician
practice improvement to assist:
a) all practicing physicians in identifying opportunities
for improvement;
b) all medical regulatory authorities in identifying
physicians who may benefit from focused
assessment and enhancement; and
c) all stakeholder organizations in identifying their
roles and responsibilities in physician performance
enhancement.
6. Serving the public by guiding the medical profession
PPI (physician practice
improvement)