Possible Data sources for A GP for Me
It can be a dizzying experience to try and identify what data can be used, and how, for your measurement plan. Below are a few ideas of sources of data that might help you in defining what will be needed by your community.
Data Source / Examples of what is contained in the data source / Where/How Can We find This? /BC Stats / Mortality and morbidity. / http://www.bcstats.gov.bc.ca/Home.aspx
Community: chart reviews / Walk-in clinic data. / Walk-in clinics etc.
Community: community asset inventory / Where it exists - a list of existing community resources, agencies / Varies.
Community: community organisations / This will depend on the region. One example is United Way who provide data on vulnerable populations and seniors. Another may be a local Social Planning Council. / Varies.
Community: EMR / Attached patients, wait times for appointments, patients demographic data. / Speaking with or surveying GPs or through an aggregate data source.
Community: school district websites / Population forecasting. / http://www.bced.gov.bc.ca/schools/bcmap.htm
Community: surveys / Community, physician, MOA. The provincial office can provide templates that were developed……. https://www.divisionsbc.ca/provincial/cppsurveyresources / Through surveys, whether electronic, paper-based, telephone, or face-to-face.
HA: Blue Matrix / Maps the BC health system and the health of the BC population. Costs and services by 13 populations segments and health service lines. / Health Authority data modelling working group have data
HA: Decision Support / · ER admissions
· Acute care admissions
· Discharge data
· Maternity data
· Chronic disease registers: incidence, prevalence, mortality, services, and costs for 21 chronic conditions / Contact your local health authority.
MoH: Attachment Algorithm / Using MSP billing data, the Algorithm calculates the percentage of patients estimated to have an ongoing health care relationship with a family physician practice and to a specific physician within that practice based on the last 5 time the patient saw the same care provider.
· By LHA, HSDA and HA
· 5 years of data; 2007/08 to 2011/12
Also available broken down by RUB (Resource Utilization Band). / Posted in the A GP for Me Assessment and Planning Data Work Area on the Divisions website (DivIT). For access, requests must be made through the Coordinator or Executive Director at the local Division to Robin Hussen at the Divisions Provincial Office: .
MoH: Attachment Estimates Using CCHS 2009 and 2010 Combined Data / These rates are generated using data from the Canadian Community Health Survey (CCHS) and applying a set of rules to estimate if patients who did not have a regular medical doctor had tried to find one, but were unable. CCHS data is based on a patient’s perception of attachment.
· By LHA, HSDA and HA
· 2009 & 2010 combined / Posted in the A GP for Me Assessment and Planning Data Work Area on the Divisions website (DivIT). For access, requests must be made through the Coordinator or Executive Director at the local Division to Robin Hussen at the Divisions Provincial Office: .
MoH: Community Health Services Profiles / Divided by health administrative boundaries (Local Health Area – LHA, Health Service Delivery Area – HSDA, or Health Authority - HA). They were developed by the MoH in 2010 and 2011. Please note that not each LHA or HSDA has a Community Health Services Profile.
Statistics by Local Health Area:
· Demographics
· Socio-economic
· Health status & health-related behaviour
· Chronic Conditions
· Primary Health Care
· Emergency Department Services
· Acute Care Services
· Pharmaceutical Services
· Home & Community Services
· Mental Health & Substance Use Services / Posted in the A GP for Me Assessment and Planning Data Work Area on the Divisions website (DivIT). For access, requests must be made through the Coordinator or Executive Director at the local Division to Robin Hussen at the Divisions Provincial Office: .
MoH: IPCC target populations / Definitions of the IPCC target populations:
· Frail elderly
· Women in pregnancy and childbirth
· Patients with chronic, co-morbid and/or complex medical care needs
· People with Mental Illness and Problematic Substance Use / Ministry of Health.
MoH: MSOC 50+ GPs / Number of Community-Based GPs by health administrative boundaries (LHA and HA) – 2009/10 to 2011/12. These counts use a proxy measure to define a community based GP. Any GP who had 50 or more MSOC (majority source of care) patients is considered community-based.
MSOC is a method that attempts to establish a relationship between a GP and a patient based on a single 12-month period of BC fee-for-services Medical Services Plan (MSP) claims. Nurse practitioners, Specialists, GPs paid through Alternate Payments arrangements and all other practitioners are excluded from this analysis. Only patients who have at least 3 fee-for-services GP visits (to any GP) within a 12-month period can be part of an MSOC relationship, and only when a clear majority of the GP visits are with a single GP. For instance, a patient with 2 visits to one GP and 1 visit to a second GP will be assigned an MSOC relationship with the first GP. A patient with 3 visits to one GP, 2 visits to a second GP, and 1 visit to a third GP will not be assigned an MSOC relationship, since no single practitioner provided more than 50% of the GP visits. / Posted in the A GP for Me Assessment and Planning Data Work Area on the Divisions website (DivIT). For access, requests must be made through the Coordinator or Executive Director at the local Division to Robin Hussen at the Divisions Provincial Office: .
MoH: MSP Information Resource Manual Fee-for-Service Statistics / Number of GPs and specialists by HSDA and HA 2011/12. / http://www.health.gov.bc.ca/msp/paystats/pdf/irm_complete.pdf
Population Health Data / Person years of life lost, infant mortality rates, / Varies: local universities, PopdataBC, Health Authority, PHSA, etc.
Provincial Health Services Authority (PHSA): Community Atlas / The BC Community Health Atlas is a web-based interactive mapping tool that displays indicators of population health by geographic area. The Atlas is a free, user-friendly platform for visualizing and comparing data related to population health, demographics as well as developmental, socio-economic, and environmental determinants of health. / http://www.phsa.ca/communityhealthatlas
Provincial Health Services Authority (PHSA): Community Health Profiles / Highlight community and regional health statistics to support local governments. The profiles are intended to provide local governments with a picture of their communities' health, and to enhance partnerships between local governments and regional health authorities to inform community level planning and priority setting.
The Community Health Profiles are being developed in collaboration with the Union of BC Municipalities, the Ministry of Health, regional health authorities and BC Healthy Communities Society. / In development. Will be available in early 2014.
Statistics Canada: Canadian Community Health Survey (CCHS) / The CCHS is a cross-sectional survey that collects information related to health status, health care utilization and health determinants for the Canadian population. It relies upon a large sample of respondents and is designed to provide reliable estimates at the health region level. / http://www23.statcan.gc.ca/imdb/p2SV.pl?Function=getSurvey&SDDS=3226&Item_Id=144171&lang=en