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A Longitudinal Assessment of a Physician Performance Enhancement Program Using Health Data, to Improve Quality of
Geoffrey W Cundiff1, Vivian Chan2, Jing Luo2
1Department of Obstetrics and Gynaecology, the University of British Columbia, Vancouver, BC; Vancovuer Coastal Health Authority, Vancouver, BC.
Abstract:
The Personal Quality Index (PQI) provides individual annual reports of benchmarked clinical data to inform practice development. This 5-year longitudinal retrospective study of PQI performance indicators also surveyed department members (n = 104) on utility, using t test, and Wilcoxon test. Technicity increased from 59% in 2014 to 72% in 2018 (P < 0.001). The vaginal birth after cesarean delivery rate did not improve, but the combined forceps/vacuum delivery rate decreased for sites and physicians (P < 0.001). Survey response was 35%. Most physicians (62%) found it valuable, and it informed professional development in 23% of cases. Nevertheless, 42% did not trust the data, and 39% found the process provoked anxiety.
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