• Decisions from Data: Progress from D2D 1.0 to 2.0 Report [PDF]

Summary of the Report

These analyses summarize progress of AFHTO members in their journey to advance manageable meaningful measurement, largely as represented by Data to Decisions.  Data to Decisions (D2D) is a summary report of performance on a small number of measures that AFHTO members identified as being meaningful and possible to measure.

Comparison of D2D 2.0 to 1.0: Highlights

AFHTO members have made big progress in using data to measure and improve performance since October 2014 when D2D 1.0 was released.

• Team Characteristics: There are better scores on team climate and changes in goal orientation
• EMR use: There is increased data standardization despite no change in EMR functionality
• Quality Improvement (QI) activity: There are more frequent conversations with physicians and boards about QI and performance
• Physician ambassadors: There is a higher awareness of them and an association with increased QI activity and better team characteristics
• Performance: There is no change in performance on the core D2D indicators from 1.0 to 2.0, which is not surprising since much of the data is from 2013-14 (i.e. before the release of D2D).

Next steps: DECISIONS from DATA

Section 4 presents a complete list of decisions for action based on the data analyzed herein. The actions cover topics such as:

• Team characteristics: Identify factors and strategies contributing to team climate changes and physician ambassadors that could be spread to more teams
• EMR use: Develop additional mechanisms to increase EMR functionality and expand data standardization
• QI activity: Create even more conversations about QI and performance, especially with physicians and Boards
• Performance: Track progress over time.
• General: Increase participation in D2D and related surveys.

Data sources

This report is based on data from the first iterations of D2D (i.e. D2D 1.0 and 2.0) and the first iterations of the pre-D2D surveys (i.e. prior to release of D2D 1.0 and 2.0) as well as a survey of QIDS specialists after the release of D2D 1.0.  Approximately half of the membership participated in the D2D 2.0 with about one quarter to one third contributing to D2D 1.0 and the ED surveys, respectively.  Response rate for QIDS specialists was nearly 90%.