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Practice Indicators, also known as Clinical Process Indicators, measure output (as opposed to outcome). With PIN, indicators serve as a means to measure quality targets, which in turn facilitates the allocation of Quality Based Incentive Funding (QBIF).
During Phase 1, each clinic used their EMR data to measure the quality of care they provide their patients based on specific indicators. There were 27 individual indicators; combined in various combinations, they measured a number of chronic diseases and health concerns. Some individual indicators are pertinent for more than one chronic disease, and therefore can be used as a means of measuring quality for more than one grouping. These groupings are called Indicator Clusters.
To learn more about how indicators were chosen for evaluation purposes, please click here.
Indicator ClustersAn Indicator Cluster is made up of a group of indicators that all relate to one chronic disease or health concern. For example, indicators that concern patients with Diabetes were grouped together to form the Diabetes Indicator Cluster.
To learn more about which indicator clusters were included in Phase 1 and how the indicators were measured, please see the Information Management Guide
and its Appendix Data Extract Layout spreadsheet.
During Phase 2, many transitions are taking place concerning the indicators. PIN sites will be collecting all indicators for funding purposes.
A Manitoba Health and Healthy Living working group is expanding on the existing 27 indicators to include Access and Mental Health indicators, among others. They are also aligning the indicators with provincial priorities and the realities of clinical practice, thanks to the feedback provided by participating physicians and the PIN Evaluation Committee.