Data to Decisions 2.0 Indicator Selection Survey instructions

Background information on the indicators See table for the indicators to be considered in the survey (See also below for the list of indicators). The table includes the working name and working definition of the indicator.  In some cases, the exact details are pending the work of the QIDSS and other efforts to improve either the definition or the process for data capture, based on learnings from D2D 1.0.  The comments about data definition and capture describe work that is either already complete or in progress to resolve concerns about both the definition of the indicators (meaningfulness) and the ability to capture it (ie manageableness).   If the work is not completed in time for data extraction, then the indicator will not be included in D2D 2.0, even if it surfaces as a high priority through the voting process.  Teams are being asked to comment on their interest in the indicators based on the working definitions and their confidence in their ability to extract the data by late March or early April, 2015, given the ongoing work to improve access to the data. As is shown in the table, there were attempts to align the indicators with D2D 1.0, PCPMF, Starfield and input from patients and members.  Not all indicators align entirely.  Members are asked to vote on the indicators, given this knowledge. Finally, the table includes general comments about the rationale for proposing the indicator for D2D 2.0.  These comments are a synthesis of input from a variety of sources.  Not all indicators generated equal amounts of commentary so the extensiveness of the rationale varies between indicators.   These comments are based on input to date and may change based on the results of the voting. List of Indicators (See table for background) D2d 1.0 indicators

• Cost
• Patient experience
• Childhood immunization
• Flu immunization
• Colorectal screening
• Cervical screening
• Regular care provider
• Same/next day
• Readmission

Additional indicators for D2D 2.0

• Appointment when wanted
• Phone access
• Patient email addresses
• 7-day follow-up
• Diabetic process or outcome measure
• Satisfaction with receptionist

Context indicators

• Teaching status
• Access to hospitalization data
• Data quality
• Physician and NP FTE
• Hours of service

For more information see the D2D 2.0 data dictionary. Local “first round” to get team input Teams that want to do a “first round” of the survey internally prior to submitting their votes to AFHTO have several options. 1)      Local surveymonkey version: Teams that have a “pro” version of surveymonkey (ie any level of paid subscription) can launch the AFHTO survey in their own account and get their own results locally.  They then can complete the AFHTO survey to “submit” the team’s results.  To do this, teams need to send their surveymonkey account name to improve@afhto.ca so we can copy the survey to your account. 2)      Excel version: Teams that do NOT have a paid subscription to surveymonkey can use the attached Excel template to record and compile the votes of members of your team.  These data can then be entered into the AFHTO survey to “submit” the team’s results. 3)      Manual version(Print): Teams that prefer a paper-based approach can print and share this pdf file and then compile the results manually to enter into the AFHTO survey to “submit” the team’s results. 4)      Real-time discussion and data entry: Teams might convene a group discussion to vote on the indicators.  Teams may want to use the videos from the launch of D2D 1.0 and/or the handout about D2D 1.0 in addition to these instructions to fuel the conversation.  They can then enter the decision about each indicator into the AFHTO survey in the course of the discussion. Weighting of survey results Regardless of the option selected, any number of responses can be submitted to the AFHTO survey.  Members are just asked to indicate the number of people that their response represents.  For example, if the team chooses option 3 (manual), they would indicate on the AFHTO survey how many people completed the paper vote.  If they choose option 4, they would indicate how many people are involved in the discussion.  And if they are completing the survey on their own (ie without doing a “first round”), they would indicate that the response represents only 1 person.  In this way, the results of the survey can be weighted according to the number of people contributing to each response. The survey The survey is estimated to take about 10 minutes (not including any discussion or first round processes you undertake).  The survey includes an opportunity to share comments, concerns, questions and suggestions.  The survey results will be considered by the Indicators Working Group along with input from the other consultation processes described above.  The final list for D2D 2.0 will be shared with members in early February to ensure enough time to extract data prior to the submission deadline tentatively planned for April.