If you are familiar with the process and just need a quick reference, please use this short list to guide you.

• Sign up for D2D 2.0
• Request data from ICES (OHIP billing data)
• Assemble data:
  • patient experience survey data
  • childhood immunization data
  • “data quality” data
  • team descriptive data
• Tell your “follow-up” story
• 7-day follow-up after hospitalization (exploratory indicator)
• Participate in quality roll-up indictor and assemble expanded data
• Review team-level data prior to contribution to D2D 2.0
• Submit data via D2D submission form 

D2D 2.0 is a report – and it is also a conversation starter.  Some of the most important actions coming out of the first iteration (D2D 1.0) were conversations to advance comparable, manageable, meaningful measurement in primary care. We expect the same to be true of D2D 2.0. Your peers thank you for joining the conversation! Contributing data to D2D 2.0 is voluntary. As of early May 2015, over 55% of AFHTO members are intending to contribute data. You may decide this is a good choice for your team. Even if your team chooses not to contribute this time, you will still be able to view the D2D 2.0 report when it is released mid-June 2015.  Many teams who did not contribute data to the first report found that viewing it was helpful in preparing them to contribute to the next iteration. So, even if you are not sure about contributing, please consider reviewing this guide and discussing the various steps with your team. Contributing data to D2D 2.0 is not an all or nothing affair. 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 descriptive data about your team to help you find similar peers for comparison. If you have any questions about the process or purpose of D2D 2.0 or any of the steps below, please contact Carol Mulder. Additionally, please login in to the member’s only section of the AFHTO website and check out the D2D webpage for extensive background information.

The D2D submission tool is now live on the AFHTO website and ready for data submission.

1. Sign into the AFHTO Members Only website.
2. Visit the Data to Decisions: Advancing Primary Care page to access the D2D submission form.
3. Enter the Team code that you used to sign up for D2D, and select the “D2D 2.0” iteration in the drop down menu.
   1. Please note that the team code field is case sensitive.
   2. If you do not have a team code, you will be able to register a new code with this form. Simply input the code you would like to use and follow the prompts to register.
4. Enter your team’s descriptive data in the drop down menu. Refer to the Data Dictionary for further information on each descriptive indicator.
5. Click the box if your team is interested in participating in the quality roll-up indicator.
   1. You do not have to participate in the Expanded Data Submission to get a score for (ie participate in) the quality roll-up indicator.
   2. Scroll past the Expanded Data Submission button in order to submit the Core D2D Indicators first.
6. Input Core D2D indicators first starting with Cost all the way down to the Data Quality Indicator. Enter your team’s information for each indicator in the appropriate box.
   1. For the majority of the indicators, there is a distinction made between rostered patients and all patients served. Make sure you are inputting the appropriate data in the column. Patient experience survey information, for example, will likely go in the “all patients served” boxes as many teams survey all patients, regardless of roster status.
   2. You can enter the numerator and denominator OR just the rate for each indicator.
      1. The tool will automatically calculate the rate when you enter the numerator and denominator AFTER the form is saved. You will not see the rate calculate as you are entering the data.
   3. Enter as much data as you have. It is okay to leave some indicators blank if you do not have the information available. NOTE: Save your data by pressing ‘enter’ or clicking on the ‘Save this data’ button: This will save your information for future logins. It is recommended you do this a few times during the data input process.
7. Scroll up and click on the Expanded Data Submission button if your team is interested in contributing to the expanded data submission for the quality roll-up indicator (apologies for having this section out of order).  Recall that expanded data submission is not necessary to participate in the roll-up indicator — teams can receive a score based on the core D2D 2.0 indicators, if they choose.
   1. Follow the same process used for input of the Core D2D Indicators outlined in step 6. NOTE: Save your data by pressing ‘enter’ or clicking on the ‘Save this data’ button: This will save your information for future logins. It is recommended you do this a few times during the data input process.
8. Submit your data.
   1. Review all the data entered.
   2. Ensure that the appropriate people in your team have approved the data for submission.
   3. Click on the Submit button and follow the prompts. You will not be able to edit the data once submitted. You will be able to view the data submitted at any time.

Indicator: Teaching status Specific Measurement: Self-reported participation in teaching: “academic” (based on participation in a formal agreement with and designation by a medical school), “teaching” (a self-described status reflecting whether the team hosts a variety of clinical trainees) and “non-teaching” (for teams who may host non-clinical, undergraduate and/or high-school students) Source definition: AFHTO Data Source: Direct report by teams via D2D data submission form Data Access Notes:

Indicator: Access to hospital discharge data Specific Measurement: Complete implementation of one of the following services to update EMR automatically with hospital discharge information: Hospital Report Manager (HRM), Physician Office Integration (POI), Timely Discharge Information System (TDIS) or Southwest Physician Office Interface to Regional EMR (SPIRE) Source definition: AFHTO Data Source: Direct report by teams via D2D data submission form Data Access Notes:

Indicator: Catchment Area Specific Measurement: Self-described nature of the community the health team is located in (rural vs urban) Source definition: AFHTO Data Source: Direct report by teams via D2D data submission form Data Access Notes:

Indicator: Patients rostered Specific Measurement: Number of patients formally rostered to the team Source definition: n/a Data Source: Direct report by teams via D2D data submission form Data Access Notes:

Specific Measurement: The percent of enrolled patients with an acute inpatient hospital stay for selected conditions who see their primary care provider or any primary care provider in the group they are enrolled with within 7 days of discharge. Conditions include: cardiac conditions (excluding heart attack), congestive heart failure, Chronic Obstructive Pulmonary Disease (COPD), pneumonia, diabetes, stroke and gastrointestinal disease. http://www.health.gov.on.ca/en/pro/programs/ris/docs/patients_with_primary_care_visit_within_7_days_of_discharge_qips_primary_care_en.pdf Source definition: MOHLTC RIS Data Source: Health Data Branch portal https://hsimi.on.ca/hdbportal/ Data Access Notes: Extract data from QIP data sheet available to all teams via HDB