Click here to launch D2D 1.0 and join the journey to better data and more manageable, meaningful measurement in primary care. Data to Decisions 1.0: Advancing Primary Care is a summary of performance on 11 indicators that were both possible to measure and meaningful to members, based on a membership-wide vote and a variety of other consultation processes. The report contains data voluntarily submitted from 50 teams. It is AFHTO’s first step in advancing manageable, meaningful measurement in primary care.
Orientation to Data to Decisions (D2D) 1.0 and supporting materials
Why D2D 1.0?
Measuring our performance helps us demonstrate the value of patient-centered, relationship-based comprehensive primary care. It helps us fulfill our commitment to our patients by helping us find the gaps locally AND provincially so we can direct the attention of our funders and partners to work with our members to improve the system. Measurement also helps us use our resources (especially the QIDSS) to develop processes and tools that can help ALL primary care providers use manageable and meaningful measurement to improve quality.
How was D2D 1.0 developed?
D2D 1.0 was approved for implementation by the AFHTO board in Feb, 2014. The project was guided by the Indicators Working Group (IWG), a sub-committee of the Quality Improvement Decision Support program’s Steering Committee (QSC), chaired by Ross Kirkconnell. The IWG, under the leadership of Monique Hancock, undertook an extensive consultation process to narrow the selection of indicators from the starting place of the Primary Care Performance Framework and Starfield Model (which together comprise hundreds of indicators) down to the 11 seen in the current report, based on input from members of AFHTO in various forums. Please see FAQ for more detailed discussion about the selection and production process.
Orientation to D2D 1.0:
See figures below (click to enlarge).
Resources to support the use of D2D 1.0
Supporting materials embedded in the report:
For each indicator, there are supporting materials with more detailed information about the definition of the indicator, considerations for interpretation of the data, suggestions for evaluating and improving data quality and resources to help with efforts to improve care. The materials are intended to be used by any and all staff of member organizations to start conversations with their teams and their peers. The ideas for actions presented in the supporting materials are just that – ideas! AFHTO members are at different stages in their performance measurement journey. For some, the next steps forward are conversations with Board members or clinical leaders to create forums for consideration of quality measures. For others, the next steps might be attempts to extract EMR data and for still others, the next step might be the implementation of a new clinical program. The goal of D2D 1.0 is to support members in taking action wherever they are at with whoever they can to step towards manageable meaningful measurement. Any step is the right step!
Videos:
Short videos (2-15 minutes) for use by AFHTO member staff to better understand the tool and/or share with Board members or others
- Why D2D 1.0
- What is D2D 1.0
- Orientation to D2D 1.0
- Guide to reviewing an indicator: Cervical Cancer screening
- Why include “cost” in D2D 1.0?
- Guide to reviewing cost data
- Full D2D video (Length 39:20)
- D2D 1.0 Launch Webinar slide deck [ppt]
Anonymous feedback survey:
D2D 1.0 is about getting started. We need to know from you what is working and what needs to change to make D2D 2.0 easier and more meaningful. So in addition to the on-line forums, please feel click on complete this survey to provide your anonymous feedback about D2D 1.0 and what would make it more useful for your team. The survey will be monitored by AFHTO staff on an ongoing basis to capture your input for planning for D2D 2.0.
Contact information:
Please contact Carol Mulder, QIDS Provincial Lead, with any questions, comments or suggestions.


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