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Quality improvement reports

Dr Pearly Cooray (left) and Nurse Jacqui Hill from Romsey Parkwood Green Medical have seen the benefits of quality improvement for their practice.

We create regular, customised PIP QI data reports for any general practice in the region wanting to use data to drive improvement.

Eligible practices can receive the Practice Incentives Program Quality Improvement (PIP QI) Incentive payment by submitting the PIP Eligible Data Set to their local Primary Health Network. Using this data, we create and email a custom PIP QI data report to each practice every quarter.

The reports give each practice a clear overview of patient demographics and progress on quality improvement measures. They show how each practice is tracking against the ten PIP QI measures, and how it compares to others in the region, using de-identified data.

  • Why is data important?

    There’s a saying in health care: “If you can’t measure it, you can’t change it.”

    Primary care practices with a strong focus on quality improvement use data to identify areas to improve, and also to measure if improvements have been made.

    In the well-respected model, 10 building blocks of high-performing primary care, shown below, data-driven improvement is one of four foundational blocks.

    10 Building Blocks of Primary Care diagram
    10 building blocks of high-performing primary care
  • How do we get the data for the reports?

    Our team uses the de-identified data submitted by practices for the PIP QI Incentive. We import it into a sophisticated, custom-designed program (developed using Microsoft Power BI) to generate each practice’s report.

  • What’s in the reports?

    We’ve consulted with local GPs and general practices to make the reports as user-friendly and practical as possible. There are five sections:

How can practices use the reports to make improvements?

After you receive your quarterly report, your relationship manager will check in to see how they can best support you to interpret the data or make any improvements.

Everyone will use the reports differently, but here are some suggestions:

  • Circulate the reports to your practice team and arrange a meeting to discuss them. Celebrate with your team the things you are doing well.
  • Use the reports to identify some priority areas for improvement. You might choose some ‘quick wins’ as well as some longer-term goals.
  • Set up a quality improvement team to work towards your goals.
  • Use our QI Workbooks, self-directed QI templates and brush up on your CAT4 and Topbar skills for PIP QI activities.
  • Use ‘Plan, Do, Study, Act’ (PDSA) templates to document your quality improvement activities.
  • Take part in a structured quality improvement program. See our EOI and tenders page for current opportunities.
  • Search our events page and register to attend an appropriate event.

What support is available?

We are eager to help. Please email

We can provide different types of support to help your practice get the most out of the reports, including:

  • education sessions with Dr Jeannie Knapp (NWMPHN GP Adviser) about navigating PIP QI reports
  • general practice visits and virtual ‘drop-in’ sessions for the whole practice team to discuss your quality improvement plan, work through PDSA templates, interpret data and more
  • phone or email support with your NWMPHN relationship manager.