Programme no. 410-SY
Quality Improvement
Quality improvement using data from the clinical record – what happens in the Nordic countries?
Malin André*1, Nicolas Øyane2, Klas Winell3, Janus Laust Thomsen 4
1FoU-avdelningen,Hälsa och habilitering,Uppsala,Uppsala,Sweden, 2SKIL,Oslo,Norway, 3Conmedic,Helsinki,Finland, 4DAK-E,Odense,Denmark
* = Presenting author
Objectives: To give an up-date how clinical data is collected and used for quality improvement (QI) in primary care in the Nordic countries
Background: There is a need for clinical data in quality improvement and for research in general practice.

In Denmark data capture has been in use since 2006. Voluntary project at start but since april 2013 it has become mandatory to use Sentinel Data-capture module for specific chronic diseases. There is an on-going debate in Denmark concerning use of data collected for quality improvement for other purposes.

In Finland samples of clinical data have been used for twenty years in QI of chronic diseases. Now data are partly collected with data capture. Systematic reviewing and process development are keys to improvement. In Norway capture of data from primary care has been limited to projects. An OECD review of Health Care Quality in 2014 points to the need for the development of better quality indicators in primary care, for improvement use on the local level. A National Quality Register is currently in preparation by the Directorate of Health. The Norwegian medical association has established a free standing organisation (SKIL Senter for kvalitet i legekontor) which will use quality data extraction with existing software and aim for the establishment of a quality database for primary care.

Today about 100 disease specific quality registers exist in Sweden but few data are captured from primary care. Now the preparations for a National Quality Register are coming to its final phase.

Method: Presentations from each lecturer and concluding collective discussion
Other considerations: Possibilities and barriers for data from the clinical record to contribute to QI in primary care

Updated information about the current situation as well as plans for the future will be presented from Denmark, Finland, Norway and Sweden