CareCanvas

Better Care Made Easier.

CareCanvas is a dashboard to support practice improvement—for physicians, by physicians. Use CareCanvas to see your patient data and the system-level view of trends across various indicators.

CareCanvas is a joint initiative led by the Quality & Innovation Program and the Research Program within the University of Toronto Department of Family & Community Medicine.

Visit CareCanvas

Designed by family physicians for family physicians

CareCanvas provides data for your eyes only, designed to help you help your patients.

Catch up on chronic disease and preventative care

CareCanvas includes both physician and patient-level data from the practice electronic medical record (EMR) data, with each indicator including a patient list.

Focus on what matters to you

Easy to use in your work day to assess gaps, CareCanvas summarizes more than 15 quality of care measures stratified by neighborhood income level.

How do I access CareCanvas?

To access CareCanvas, please contact care.canvas@utoronto.ca.

Why CareCanvas?

COVID-19 has resulted in a worsening of mental and physical health and a backlog of preventive and chronic disease care. With CareCanvas, family physicians receive information and support to help them take a proactive, population-based approach to COVID-19 recovery.

Funding & support

CareCanvas development is being led by the Department of Family and Community Medicine at the University of Toronto in collaboration with Ontario’s Practice-based Learning and Research Networks, and Ontario Health Implementation Laboratory and has received funding support from St. Michael’s Hospital Medical Services Association (SMHA) Alternate Funding Plan (AFP) Innovation Fund, Women’s College Hospital Academic and Medical Services Group (WCHAMSG) Alternate Funding Plan (AFP) Innovation Fund, and the INSPIRE-PHC Program.

CareCanvas will also be linked with continuing professional development (CPD) to directly support physicians to take action using their data and also drive a paradigm shift towards proactive, population-based care and a learning health system where data is used to inform practice and practices in turn influence what data is collected and what research questions are asked.

Acknowledgements

CareCanvas is a collaborative effort involving numerous individuals including Dr. Tara Kiran, Dr. Adam Cadotte, Dr. Payal Agarwal, Dr. Noah Ivers, Dr. Jennifer Shuldiner, Dr. Susie Kim, Ms. Maryam Danesh, Ms. Kirsten Szymanski and many others.

Contact us

For more information, please contact care.canvas@utoronto.ca.

Reference information

Table 1. Quality measures included in CareData

Measures will continue to be refined based on feedback from clinicians and other stakeholders as well as evolving clinical guidelines

Category	Quality indicator
Practice demographics	Number of active patients and total visits Age, sex, neighbourhood income and geographic distribution of patients Chronic condition prevalence Total visit volumes in last 12 months; Proportion of all visits that are virtual
Diabetes	Prevalence: Percentage of patients with diabetes Glycemic control: Percentage of people with diabetes whose most recent A1c test is below 8.5 (regardless of when it was done) Retention in care: Percentage of people with diabetes with at least one in-person visit in the last 12 months Glycemic measurement: Percentage of people with diabetes with at least one A1c test in the last six months BP measurement: Percentage of people with diabetes who have had at least one BP reading in the last 12 months BP control: Percentage of people with diabetes with either of their last two BP readings are below 135/85 (regardless of when it was done) Statin prescribed: Percentage of people with diabetes who are 40 or older and are prescribed a statin Smoking prevalence: Percentage of people with diabetes who indicate they smoke cigarettes Smoking cessation: Percentage of people with diabetes who smoke who have had an recent cessation intervention
Hypertension	Prevalence: Percentage of patients with hypertension Hypertension control: Hypertension patients with last two BP readings in last 12 months below 145/95 Retention in care: Percentage of patients with hypertension with at least one in-person visit in the last 12 months BP measurement: Percentage of patients with hypertension with at least one BP reading in the last 12 months Smoking prevalence: Percentage of people with hypertension who indicate they smoke cigarettes Smoking cessation: Percentage of people with hypertension who smoke who have had an recent cessation intervention
Safe and Effective Prescribing: Opioids	Opioid prescription: Number of patients 18+ who received an opioid prescription in the last six months Opioid-benzodiazepine co-prescription: Number of patients 18+ receiving both opioid and benzodiazepine prescriptions (or z-drug) prescriptions over the last 6 months Opioid agonist treatment: Number of patients 18+ who are prescribed either methadone or buprenorphine-naloxone in the last 6 months
Safe and Effective Prescribing: Other medications	Benzodiazepines in the elderly: Percent of patients age 66+ who received a prescription for a benzodiazepine or z-drug in the last 6 months Antibiotics: Percentage of patients receiving oral antibiotic prescriptions over the last six months Polypharmacy: Percentage of patients age 50+ who have 5 or more prescriptions over the last 12 months
Immunization	Infant vaccination: Percentage of patients aged 25-48 months who have received all infant vaccines required by 24 months Childhood vaccination: Percentage of patients aged 6-7 years who have received all of their vaccinations required by age 6 years Shingles vaccine: Percentage of patients age 65+ who have received any two shingles vaccinations Pneumococcal vaccine: Percentage of patients age 65+ who have received a pneumococcal vaccination
Smoking	Smoking status, all patients: Percentage of patients 18+ by smoking status (yes, no, unknown) Smoking cessation, all patients: Percentage of patients who smoke who have had an recent cessation intervention Smoking status among patients with chronic conditions: Diabetes, hypertension, and COPD Smoking cessation among patients with chronic conditions: Diabetes, hypertension, and COPD

Note: Equity stratifications (e.g., by age and neighborhood income quintile) are included for select quality measures.