Introducing the indicators for D2D 2.0 / help in hiring summer students to clean data

The vote is in!

The indicators for D2D 2.0 have now been selected according to input from the members. There are still only about a dozen indicators along with a few more “explanatory” measures to help teams better identify peer groups to compare to. Please see the list below to start the conversation with your team about which measures (if any) you want to contribute data for. D2D 2.0 is AFHTO’s second membership-wide report on performance in primary care. It helps local teams see where they stack up against their peers on a small number of measures. For teams that are just getting started on their QI journey, it can help set a focus and a goal. No matter where your team is with getting or using data for improvement, D2D is a tool that makes it easier for us all to advocate for what it takes to keep doing the kind of primary care we believe in. For example, D2D 1.0 showed that patients of at least 30% of AFHTO members had better access to care than patients in other primary care models. They had better experiences on several other measures as well. Imagine how powerful that message will be when D2D 2.0 includes data from 100% of AFHTO members! The recent article in The Globe and Mail is a good reminder of how important it is for AFHTO members to be able to share this message with the wider community. There are several steps between selecting the indicators, releasing of D2D 2.0 and eventually using it to help your team advance. The QIDSS (and many others) are working hard to make the process easier and more meaningful. An example is a toolkit to help members recruit and use summer students to clean their EMR data. The toolkit is based on the work of teams who have already had great success in using summer students to make it easier to put good data into the EMR and get good data out, engaging physicians with the potential for increased revenue along the way! Contact Catherine Macdonald for more information on hiring a summer student. And for more details and instructions for contributing data to D2D 2.0, watch for updates to the ebulletin coming to you every other Thursday afternoon. If you have any questions or comments that come up as you discuss with your teams, please drop Carol Mulder a line. And, as noted above, watch the ebulletin for updates on how your team can contribute to D2D 2.0.

Performance Indicators

• colorectal screening
• cervical screening
• patient involved in decisions
• readmissions
• Cost
• childhood immunizations
• Same/next day appointment
• Reasonable wait for appointment
• regular care provider
• Courtesy of office staff
• A diabetes outcome measure such as % of diabetics with appropriate levels of HbA1C (definition being finalized in consultation with QIDSS)
• FTE of doctors and NP (definition being finalized in consultation with QIDSS)

Explanatory Indicators:

These indicators are intended to help teams identify peers for the purposes of meaningful comparisons between teams

• rural/urban
• Number of patients served by team
• access to hospital data
• teaching status
• data quality measure

Developmental Indicator

• follow-up after hospitalization: teams will be invited to submit data generated by and, more importantly, descriptions of their approach to monitoring follow-up after hospitalization, with the intent of informing the eventual development of consensus on a meaningful and manageable approach to measuring this concept in a consistent way across AFHTO membership

For more in-depth information about these indicators, click here.