Thank you to the more than 240 members from at least 75 teams who turned out for the survey about changes for D2D 4.0.
As you overwhelmingly requested, most of the indicators ARE NOT CHANGING.
See table below for the list of what is the same and what is new and improved!
| Data Source | Indicator | Status |
| EMR | Follow-up after hospitalization | New |
| EMR | Diabetes Management Indicator | Expanded (see below) |
| EMR | EMR Data Quality | Expanded (see below) |
| Patient Experience Survey | Patient involved in decisions | No change |
| Patient Experience Survey | Courtesy of office staff | No change |
| Patient Experience Survey | Reasonable wait for appt. | No change |
| Patient Experience Survey | Same/next day appointment | No change |
| HQO PCPR | Cost | No change |
| HQO PCPR | Patients rostered | No change |
| HQO PCPR | SAMI | No change |
| HQO PCPR | Readmissions to hospital | No change |
| HQO PCPR | Regular primary care provider – individual | No change |
| HQO PCPR | Regular primary care provider – team | No change |
| HQO PCPR | Colorectal Cancer screening | No change |
| HQO PCPR | Cervical Cancer screening | No change |
| EMR | Childhood immunizations – all | No change |
| EMR | Patients Served | No change |
New and improved! Changes coming for D2D 4.0 are as follows:
- Follow-up after hospitalization: a new indicator tracking follow up will be included: % of patients for whom timely (within 48 hours) discharge notification was received (any condition) and had a follow up (by any mode, any clinician) within 7 days of discharge.
- Diabetes management indicator: the current set of diabetes management measures (frequency and results of hba1c testing, blood pressure levels) is being expanded to include an indicator of cholesterol management: % of people with diabetes with a recent cholesterol (LDL) level of ≥ 2.0 mmol/L who are on statins.
- EMR Data Quality: The current set of data quality measures (i.e. match between EMR and CCO rates for cervical and colorectal cancer and completeness of smoking status info) is being expanded to include a measure of clinical data consistency: % of patients with diabetes who have a diagnostic code for diabetes in the appropriate place in their record.
- Time spent delivering primary care: More discussion is underway to improve data quality and relevance of this information for D2D 4.0. Stay tuned for more information.
Further details for these and other indicators will be available in the D2D 4.0 Data Dictionary coming out at the end of June 2016. The dictionary will be pre-released to QIDS Specialists for comment earlier in June for one last chance to include their advice for the final version.
Reminder: Indicators based on administrative data will be available to all teams who have enrolled to receive the team level HQO Primary Care Practice Report (PCPR) at the end of May 2016. This report will contain data current to March 2015. We suggest teams begin the review of their PCPR data and the data dictionary before summer to prepare for D2D 4.0, which will be released in late September 2016.
If you have any questions regarding D2D or the Data Dictionary contact your local QIDS Specialist or the QIDS Program staff via Carol Mulder.
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