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Facilitator Handbook 2005 - PRIMIS

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Your Local <strong>PRIMIS</strong> Scheme<br />

<strong>PRIMIS</strong> <strong>Facilitator</strong> <strong>Handbook</strong><br />

Your Local <strong>PRIMIS</strong> Scheme<br />

A local project or scheme wishing to improve the use of primary care clinical systems may be<br />

organised in various ways and at different organisational levels, such as a PCO or local Health<br />

Informatics Service.<br />

Before <strong>PRIMIS</strong> is able to begin training or data quality analysis work with a PCO, a project<br />

plan must have been approved and a facilitator or team of facilitators employed.<br />

The role of the facilitator<br />

Depending on how much work has been already achieved by the scheme, facilitators may<br />

need to be proactive in setting up or finalising the project plan. Alternatively, facilitators may be<br />

recruited to an established scheme. Either way, training and support are provided by <strong>PRIMIS</strong>.<br />

For new schemes, following initial<br />

training by <strong>PRIMIS</strong>, facilitators will<br />

begin to work directly with practices.<br />

For each one, this involves getting to<br />

know the practice team, evaluating<br />

training and development needs, and<br />

examining current use of the clinical<br />

system. Data quality may be assessed<br />

by running sets of MIQUEST queries<br />

and feeding back the analysed results<br />

with suitable interpretation. Action<br />

plans can then be formulated and<br />

agreed, which may include identifying<br />

training needs, changes in the way the<br />

system is used and indicators of<br />

progress.<br />

Once the initial quality improvement<br />

work has been started, the local<br />

scheme can consider incorporating<br />

other <strong>PRIMIS</strong> activities, such as<br />

joining the comparative analysis<br />

service or using the CHART software.<br />

By this stage, schemes tend to move<br />

away from a standard pattern in order<br />

to support local needs. The variety of<br />

work carried out by <strong>PRIMIS</strong> facilitators<br />

across England can be seen on the<br />

Schemes Showcase pages of the<br />

<strong>PRIMIS</strong> website.<br />

Keys to Successful<br />

Planning for Data Quality<br />

Primary care organisations that have<br />

successfully implemented <strong>PRIMIS</strong> projects<br />

have capitalised on the following key factors:<br />

• Clear vision and objectives<br />

• Activity plan with targets<br />

• Adequate resources<br />

• Management commitment and support<br />

• Clinical ownership<br />

• Recruiting the right people<br />

• Realistic expectations<br />

• Control and risk management<br />

• Linking in with other activities and<br />

initiatives<br />

• Clearly defined reporting structures<br />

• Commitment to monitor progress<br />

The role of the facilitator is discussed in detail during the Scheme Management training<br />

module. Also, more information is available in the Introducing <strong>PRIMIS</strong> booklet available from<br />

<strong>PRIMIS</strong>.<br />

<strong>PRIMIS</strong> 7

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