Family Medicine

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References World Book of Family Medicine – European Edition 2015 http://en.wikipedia.org/wiki/Team Wilcock P, Campion-Smith C, Elston S. Practice Professional Development Planning - A guide for primary care. Oxon: Radclife Medical Press; 2003. Attwood M, Curtis A, Pitts J, While R. Professional Development: A Guide for Primary Care. Oxford: Blackwell Publishing; 2005. NHS Institute for Innovation and Improvement and Academy of Medical Royal Colleges. Medical Leadership Competency Framework, 3rd edition. Coventry: NHS Institute for Innovation and Improvement; 2010. Makela M, Booth B, Roberts R, eds. Family Doctors’ Journey to Quality. Helsinki: Stakes National Research and Development Centre for Welfare and Health; 2001. Elwyn G. Professional and practice development plans for primary care. Editorial. BMJ 1998, 316:1619-20. Elwyn G, Hocking P: Organisational development in general practice: lessons from practice and professional development plans (PPDPs). BMC Family Practice 2000, 1:2-. Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Quality & Safety 2014, 23(4): 290–298. 236
World Book of Family Medicine – European Edition 2015 Joachim Szecsenyi, MD MSc Joachim.Szecsenyi@med.uni-heidelberg.de 77 – European Practice Assessment (EPA): Practice Assessment and Quality Management With Indicators That Matter Joachim Szecsenyi, MD, MSc Professor of General Practice University of Heidelberg Hospital Dept. of General Practice and Health Services Research Heidelberg, Germany Quality management systems within healthcare aim to improve health outcomes, patient experiences, accessibility and efficiency of service delivery as well as the job satisfaction of all staff involved. EPA is an easy to use and self-explanatory system which can be used without specific training in quality management. With its educative and reflective approach, it has a high impact on the change of performance. Objectives The main objective of EPA is to develop an internationally validated tool for quality management for healthcare providers. It aims at enabling healthcare providers to assess and improve the quality of care they provide. Quality indicators Quality indicators play an important role in achieving these objectives. They are measurable elements of performance that can be used to assess the quality of care. Their development is based on evidence or consensus and they close the gap between expert knowledge and routine daily practice. Based on indicators, quality improvement starts with measurement according to the principle that you cannot change what you cannot measure. In order to assess the quality of care, indicators need to be well defined. They should be smart (specific, measurable, achievable, relevant and time-bound), valid, objective, and sensitive. To assess the quality of care in general practice, indicators were developed that are comprehensive and relevant to general practice; to assure this, general practitioners and experienced researchers were closely involved in the development process. The current EPA version contains more than 200 quality indicators covering a wide range of quality issues relevant for practice management across Europe. Quality indicators are arranged thematically in 34 dimensions and 5 overarching domains covering all important aspects of practice management, like quality and safety, people, infrastructure, information and finances. International development The indicators used within EPA for general practice were developed in an international study in Germany funded by the Bertelsmann Foundation, Germany. Various countries like Switzerland, Austria, France, Great Britain, Italy, Slovenia and Israel took part in the project. The set of indicators was piloted in 50 general practices for each participating country. National implementation of EPA nowadays lies with the responsibility of the individual countries. Methodology 237
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