Patient Registries - Learning Outcomes

Group learning sessions are available in most local communities. They are designed to help Clinical practices implement and maintain quality improvements, as well as provide participants with opportunities to network with colleagues.

Developing Patient Registries is one component of the "CDM Bundle", a series of learning sessions specifically related to issues in chronic disease management (CDM). There are 6-8 learning sessions in the CDM "bundle", with each session 3.5 hours in duration.

Each learning session is followed by an action period, in which session participants can implement and experiment with the improvements in their own practice. Support is available from the regional Practice Support Teams for any issues that may arise during this time, such as help identify barriers, track progress, exchange information, address sustainability and motivate participants. Support can also include help with paperwork for funding, eligibility, reimbursement and policy.

Physicians and MOAs will be compensated for their investment in making changes in their practices. Learning Sessions and Action Periods are paid at GP sessional rates; MOA time is compensated at $20/hour as an expense to the GP.

After completing learning activities for Developing Patient Registries, practices will be able to:

• Create an action plan to implement a patient registry
• Identify patients with a particular chronic condition
• Create a patient registry, either on paper or electronically
• Create flowsheets for baseline information
• Use flowsheets to track and manage patient care, both during and after patient visits
• Keep flowsheets updated on a regular basis
• Measure whether the patient registry is improving care management and make necessary adjustments as needed
• Expand the registry to other patients