This is the first issue of the D2D ebulletin.  It will be released biweekly to help members and AFHTO staff keep track of everything everyone has to do and know to produce Data to Decisions 2.0 (D2D 2.0), tentatively planned for May 2015. Today’s public release of the FHT evaluation report underlines the importance of our collective work to use data to measure and improve, and demonstrate the value delivered by interprofessional teams providing comprehensive primary care. The ebulletin will give updates and reminders for key dates and activities on the following topics:

• Contributing to D2D 2.0
• Using D2D 1.0 to improve data quality and care
• Other news about manageable meaningful measurement

The initial issues of the bulletin will be sent to all AFHTO member contacts to allow members to judge whether they want to sign up to receive the bulletin on an ongoing basis.  The process for signing on to the distribution list will be outlined in a subsequent issue.

Data to Decisions ebulletin #1 – December 18, 2014

Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members.  D2D 2.0 is the second iteration of the report.  See the D2D page on AFHTO’s web site for more information about D2D and manageable meaningful measurement.  See below for updates about D2D and opportunities for you to be part of the process. The bulletins will be released Thursday afternoons to synchronize with the weekly QIDSS calls and thus provide the most up to date information possible.  Past issues will be posted on the QIDS Program page  of the AFHTO members only web site.  We hope this will make it easier for you to find all the relevant information related to D2D in one single place.  For more information, please contact improve@afhto.ca

Contributing to D2D 2.0

Things to do Participate in the indicator selection process: Complete the survey by Jan 23, 2015.  Please review the instructions for working with your team to provide input about which indicators should be included in D2D 2.0.  The survey was released Dec 15, 2015 and is due Jan 23, 2015. Things to know Tips and Tricks to increase consistency of clinical EMR data entry and extraction: Cancer Care Ontario (CCO) is sponsoring 4 regional sessions with QIDSS to increase consistency of entry and extraction of clinical data related to cancer and associated chronic conditions.  In addition, QIDSS and the EMR Data Management subcommittee are working on strategies to increase access to data for 7-day follow-up, data quality and other clinical indicators.  Want to know more?  Please contact your QIDSS, Carol Mulder (carol.mulder@afhto.ca) or Kevin Samson (kevin.samson@ewfht.ca), chair of EMR DM subcommittee. D2D 2.0 consultation activities conducted to date: In addition to ongoing input from QIDSS and members, input on D2D 2.0 was sought from the Advisory Panel, the QIDSS host EDs and Patients Canada.

Using D2D 1.0 to improve data quality and care

Things to do How to get team-level ICES data: Teams can access team-level data through the HQO portal  with the collaboration of at least one doctor on their team.  HQO will be making team-level data available directly to EDs likely by the end of the 14-15 fiscal year (i.e. in time for D2D 2.0 submission). How to get drill-down data for D2D 1.0 “cost” indicator: All teams who requested data from ICES for D2D 1.0 can access drill-down detail on the cost of care indicator from ICES by contacting Rick Glazier.  The deadline for the original D2D 1.0 request is past.  If you didn’t make the June 2014 deadline, you will not be able to access cost data at the moment.  However, you can prepare to request these data for D2D 2.0.  Please see request form for information about what permissions are needed. Things to know QIDSS ongoing professional development: In addition to the CCO-sponsored regional sessions on EMR data entry and extraction, QIDSS are meeting in January for a full day professional development session to share and learn about helping clinicians use D2D to improve data quality and/or care.

Other news about manageable meaningful measurement

Things to do Leadership opportunities: consider volunteering for one of the leadership roles in advancing manageable meaningful measurement. Things to know Starfield framework development: Welcome Puja Ahluwalia, who joined the AFHTO team as coordinator for this project.   See the high-level project description for more details. HQO’s Primary Care Performance Measurement Framework: The prioritization of system-level indicators is near completion.  Input from and alignment with D2D figured prominently in the process, resulting in overlap of 7 of 10 indicators which were relevant for practice-level reporting.  Watch future bulletins and/or HQO’s site for more information about the prioritization process. Towards the next ministry contract: AFHTO members have indicated they want to have their accountability to the ministry defined in terms of collectively agreed upon measures that reflect value delivered. The ministry has said it is looking to AFHTO, in collaboration with other relevant stakeholders, to recommend performance measures. We are well-positioned to do this, by leveraging our collective work on D2D 2.0. HQO Measuring Up: When compared to the performance of primary care providers across the province reported in HQO’s Measuring Up report, D2D 1.0 shows that AFHTO members are performing well on several of the indicators included in both reports.  This is encouraging! Quality Improvement Plans: QIP navigator has been launched by HQO.   QIDSS will be meeting in early 2015 to share strategies for using D2D process in QIPs.

What do you think?

You will receive several more D2D bulletins before you will be asked if you want to sign up to continue receiving it.   We look forward to hearing from you about if and how this D2D bulletin is working for you!