D2D Planning and Preparation

The interactive display platform for D2D 6.0 is now live!

• Review your team’s data here.
• See an aggregate, province-wide summary of results here.
• See LHIN-by-LHIN aggregate results here.
• See a summary of the results here.

Participating in D2D – the short cut

If you are familiar with the process and just need a quick reference, please use this short list to guide you. You may also wish to share this primer with others on your team.

• Access your myPractice report on the HQO Portal.
• Access your CCO Screening Activity Reports.
  • Confused by all the reports? You might find this post helpful. It’s a list of primary care reports and reporting platforms, with links and descriptions for each.
• Assemble the data for D2D 6.0 (core & expanded indicators):
  • D2D 6.0 Data Dictionary [PDF]
  • D2D 6.0 Data Input Toolkit v1  [downloads an Excel spreadsheet]
  • D2D Diabetes Care Calculator v6 [downloads an Excel spreadsheet]
  • Standardized EMR Queries – check our Quick Reference Guide [PDF] to make sure you have the most up-to-date version.
• Set up meetings with your board and others involved in reviewing data before submission.
• Review your data with your team.
• Submit your data via the D2D Submission platform opening mid-August for D2D 6.0.
• Watch a recorded data-submission walkthrough webinar from 2016.

Remember that the goal of D2D is to help teams use data to drive improvement. Throughout the process, examine your data with learning and quality improvement in mind. Work with your team to identify areas to work on and start planning your next steps towards developing and implementing team-level QI initiatives. You may find it helpful to identify one or more influential clinicians to work with you in goal-setting and to champion QI initiatives with their peers. Here are some examples of what other teams have done. See how D2D aligns with system and practice priorities here.

Preparing your team to contribute to D2D

Preparing your team to contribute to D2D: D2D is a summary report of team performance on a small number of measures that AFHTO members identified as being meaningful and possible to measure. The indicators are drawn from HQO’s Primary Care Performance Measurement Framework. In turn, D2D indicators are informing and refining broader implementation of this framework. D2D 4.0 is the fourth in the series. From iteration to iteration, AFHTO members have made big progress in using data to measure and improve performance, and the data has revealed improvements in team characteristics, EMR use and quality improvement activity, along with some solid evidence that higher quality care is associated with lower healthcare costs. Nearly two thirds of our members have told us they value D2D for the chance to compare their performance with their peers. As more teams participate, this benefit grows. Contributing data to D2D remains voluntary. You can view the D2D report even if you didn’t contribute all or any data. Many teams find this helpful in setting priorities and launching conversations about performance and quality improvement.  It also helps them get better access to their own data, some of which they are then able to contribute to the next iteration of D2D. Contributing data to D2D is not an “all or nothing” exercise. Please feel free to contribute data for as many or as few indicators as makes sense for your team. For example, you may decide to contribute just the descriptive data about your team to help you find similar peers for comparison. On average, teams contributed to 8 of 11 core indicators in D2D 2.0 and 9 of 12 in D2D 3.0. Nearly a quarter of teams contributed to six or fewer. Your EMR is not a limiting factor. The data for most of the indicators in D2D don’t come from the EMR, and we’ve developed queries to help you with those that do. If you’re concerned about the quality of your EMR data, contributing to the EMR Data Quality composite indicator can serve as a “check-up” for your EMR data. D2D is a tool for improvement. Measurement is one step, albeit a very important one, in the improvement journey. As you gather, compile and enter your data, look at it through a quality-improvement lens and work with your team to identify areas to work on.  Here are some examples of how you can use D2D data to drive quality improvement. If you have any questions about D2D or any of the steps below, please contact Carol Mulder.

D2D Step-by-Step Guide (now available for D2D 6.0)

The step by step guide will guide you through the process of compiling your data and contributing it to D2D. The D2D indicators are based on data from the following sources:

• Descriptive data about your team
• Patient Experience Surveys
• EMRs
• Quality Improvement Plans (QIPs)
• MOHLTC Health Data Branch Portal (MOHLTC)
• Your myPractice report from Health Quality Ontario (HQO)
• Cancer Care Ontario Screening Activity Reports (CCO SAR)

D2D Data Dictionary (now available for D2D 6.0)

  The D2D Data Dictionary describes indicators for D2D and includes some changes from the previous indicators reported in D2D.

• Many of the indicators from the HQO myPractice report have been updated to exclude palliative-care patients. We did this to keep them consistent with HQO’s change to their reporting.
• We have made some changes to the Team Profile indicators for D2D 6.0:
  • In D2D 5.0 and 5.1, we asked you 6 questions about 49 qualities that can enable high-quality care. By analyzing your responses, we were able to cut this down to 1 question about 8 qualities. See p. 62 in the Data Dictionary.
  • We have added a new question to the Team Profile indicators about high-dose opioid dispensing to the Team Profile indicators. This data to answer this question comes from your latest myPractice. See p. 61 in the Data Dictionary.

As always, the definitions and references for the D2D indicators are based on the HQO Primary Care Performance Measurement Framework (PCPMF) wherever possible.

D2D data is your data. Here’s where you get it:

• Descriptive data about your team
• Patient Experience Surveys
• EMRs
• Quality Improvement Plans (QIPs)
• MOHLTC Health Data Branch Portal (MOHLTC)
• The Primary Care Practice Report (PCPR) from Health Quality Ontario (HQO)
• Cancer Care Ontario Screening Activity Reports (CCO SAR)

Please feel free to submit data for any of the indicators, even if you can’t get data for all of them. If you need help with data extraction or submission, please contact your local QIDS Specialist or the provincial QIDS program staff via Carol Mulder.

D2D Data Input Toolkit (now available for D2D 6.0)

• • D2D 6.0 Data Input Toolkit v1 [.xlsx]
  • Diabetes Care Calculator v6 [.xlsm] 
• The Data Input Toolkit is a workbook which will help you organize your data from the sources above. It contains built-in formulas to help you calculate the EMR Data Quality composite indicator. It gives you a tidy summary of your data before you submit it, so you can review it with your team and/or board. It’s also a handy way to keep your data for your own records.
• The Diabetes Care Calculator contains built-in formulas to help you calculate your score for the Diabetes Care composite indicator. NEW: Version 6 has been updated for D2D 6.0 to calculate your rates for the individual diabetes care components, for teams who wish to track them. 

D2D Submission Platform Walkthrough

The video below demonstrates the D2D data submission process. The slide deck is available here.

Looking for your team’s old D2D data? Find it here!

Check out all your team’s previous D2D data on the interactive display platform, or see a summary of aggregate data for D2D 5.1 here. Want some ideas on ways to use your data? Watch a recording of our Using D2D webinar, below. The slide deck for the video is here.