Table 4 Quality improvement incentive framework
Microsystems - General Practices | Meso-level organisations - PHN | Environment - Government Policy and funding (State and National) - Professional | |
|---|---|---|---|
Goals and strategies | Funding incentives to support targeted Quality Improvement projects within general practice that include Preventive care | Clear guidelines from the Department of Health regarding support for QI project Provide funding in contracts to deliver these strategies, Target Improvement projects with universally agreed goals as well as locally identified projects | Align Health Policy Strategies with funding into primary care Reform Primary care funding policy |
Culture | Funding incentives to create Quality Improvement “cultural” buy-in for all styles of General Practices Participatory – enable adequate resourcing ◦ Practice Administration ◦ Individual Practitioner | Enable provision of flexible support for general practices to assist in the establishment of systematised QI in all general practices – solo/group/corporate | Align Health Policy Strategies with funding into primary care Reform Primary care funding policy |
Structure of Learning | Professional Incentives for attendance and active participation in practice-based QI CPD activities - Professional points / Registration - Financially linked to income/practice payments - Access to clinical / IT services | Contracted to provide individualised support to the general practices to systematise QI education programs and clinical pathways and processes | Professional bodies to set Quality Improvement benchmarks and KPI as part of the registration and accreditation requirements |
People, workflow and processes | Funding Incentives to provide Team-based solutions for systems of patient care | Provision of QI CPD - Ensure CPD programs link directly with QI programs and overall QI systems change Provide financial incentives to Practices who participate in QI programs/data collection Provide reminders and support for data reports and PDSA related systems change | Reform Primary care funding |
Technology | Funding Incentives to encourage practices to adopt technology to assist with QI programs | Provide IT support for new technology | Practice incentive payments to align with Technology requirements |