Indicator: Spend enough time Specific Measurement: Patient Experience survey question When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you? OR When you see your doctor or nurse practitioner, do they spend enough time with you? OR The Doctor/Nurse Practitioner spends enough time with me [5-point likert agree scale] OR In general, does the doctor spend enough time with you? FUTURE: HQO PES standardized question When you see your doctor or nurse practitioner, how often do they or someone else in the office spend enough time with you? Definition Source: HQO PES (modified by AFHTO to allow variations noted) Data Source: Existing patient experience surveys Data Access Notes: For this indicator please use your patient survey responses between April 1 2014 and March 31 2015 only. Numerator: Compile the top two positive survey responses (e.g agree and strongly agree) for each relevant question. Denominator: Compile the total number of survey responses for each relevant question Teams whose surveys did not include the relevant questions will not be able to contribute data for these indicators. They may consider including these questions in subsequent surveys.
Category: Uncategorized
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D2D – Opportunity to ask questions
Indicator: Opportunity to ask questions Specific Measurement: Patient Experience Survey Question: When you see [or visit] your doctor or nurse practitioner, how often do they or someone else in the office give you an opportunity to ask questions about recommended treatment? OR When you see [or visit] your doctor or nurse practitioner, do they provide you with an opportunity to ask questions about recommended treatment? OR Did the person (you saw during your visit today) give you an opportunity to ask your questions/share your concerns? FUTURE: HQO PES standardized question When you see your doctor or nurse practitioner, how often do they or someone else in the office give you an opportunity to ask questions about recommended treatment? Definition Source: HQO PES (modified by AFHTO to allow variations noted) Data Source: Existing patient experience surveys Data Access Notes: For this indicator please use your patient survey responses between April 1 2014 and March 31 2015 only. Numerator: Compile the top two positive survey responses (e.g agree and strongly agree) for each relevant question. Denominator: Compile the total number of survey responses for each relevant question Teams whose surveys did not include the relevant questions will not be able to contribute data for these indicators. They may consider including these questions in subsequent surveys.
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D2D – Personal problems related to health condition
Indicator: Personal problems related to health condition Specific Measurement: Patient Experience Survey Question: How comfortable do you feel talking with your doctor about personal problems related to your health condition? Definition Source: PCPMF Data Source: Existing patient experience surveys Data Access Notes: For this indicator please use your patient survey responses between April 1 2014 and March 31 2015 only. Numerator: Compile the top two positive survey responses (e.g agree and strongly agree) for each relevant question. Denominator: Compile the total number of survey responses for each relevant question Teams whose surveys did not include the relevant questions will not be able to contribute data for these indicators. They may consider including these questions in subsequent surveys.
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D2D 2.0 Personal problems related to health condition
Indicator: Personal problems related to health condition Specific Measurement: Patient Experience Survey Question: How comfortable do you feel talking with your doctor about personal problems related to your health condition? Definition Source: PCPMF Data Source: Existing patient experience surveys Data Access Notes: For this indicator please use your patient survey responses between April 1 2014 and March 31 2015 only. Numerator: Compile the top two positive survey responses (e.g agree and strongly agree) for each relevant question. Denominator: Compile the total number of survey responses for each relevant question Teams whose surveys did not include the relevant questions will not be able to contribute data for these indicators. They may consider including these questions in subsequent surveys.
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MOHLTC letter on changes to Managed Entry process and list of areas of high physician need
The information below from the ministry was forwarded to Board chairs, EDs and Lead Clinicians of AFHTO member organizations.
- Letter on changes to Managed Entry process from Assistant Deputy Minister to Angie Heydon
- Changes to Entry into FHOs and FHNs- Q & A
- List of Areas of High Physician Need
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NP referral to specialists / updated Grow Your Own NP Initiative
Today government has announced that, effective May 1, 2015, NPs are now able to refer directly to specialists. Government first mentioned its intent to make this policy change in the 2015 Provincial Budget, released on April 23. The announcement and OHIP bulletin below provide details. This welcome announcement was followed by another – the ministry has launched the updated Grow Your Own Nurse Practitioner Initiative. For information on:
- NP Referral:
- Grow Your Own Nurse Practitioner Initiative:
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AFHTO 2015 Conference: One week left to submit a presentation or poster abstract (May 19)
Take advantage of this opportunity to share your knowledge and experience in providing better health, better quality and better value for patients.
Tuesday, May 19 at 9:00 AM is the deadline to submit abstracts for concurrent sessions and posters:
- Click here to review the submission guidelines
- Click here for conference theme descriptions and examples of potential topics
- Click here to submit an abstract in one of the 7 themes that demonstrate Team-Based Primary Care: The Foundation of a Sustainable Health System
Concurrent Session presenters receive a reduced registration fee: Up to 2 presenters will each be granted a $50 discount off the conference registration fee. (Discount does not apply for poster presentations.) If you have any questions about the submissions process or the conference in general, please contact info@afhto.ca.
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Step by Step Guide to D2D 2.0
Step by Step Guide to D2D 2.0 [PDF] Purpose The purpose of this guide is to help members compile and contribute data to D2D 2.0 by the May 28th, 2015 submission deadline. There are 15 core D2D 2.0 indicators based on data from three sources: your team’s patient experience survey, administrative data (mostly OHIP billing) available from ICES or from HQO Primary Care Practice Reports portal, and your EMR. The process for accessing and submitting the data for each of these is described in detail on the following pages. Contents- Contributing to D2D 2.0: the short list.
- Detailed instructions
- Sign up for D2D 2.0
- Request data from ICES (OHIP billing data)
- Assemble patient experience data
- Assemble childhood immunization data
- Assemble “data quality” data
- Assemble team descriptive data
- Exploratory indicator: 7-day follow-up after hospitalization
- Participating in the quality roll-up indicator (beyond core D2D 2.0 indicators)
- Preview team-level data prior to contribution to D2D 2.0
- Complete data submission
- Review D2D 2.0
Download the PDF version here: Step by Step Guide to D2D 2.0 [PDF]
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HQO Primary Care Patient Experience Survey
A standard Primary Care Patient Experience Survey has been developed by Health Quality Ontario (HQO) and partners. Teams who are looking to build a new patient experience survey OR changing questions in existing surveys can use the wording in the HQO template as a start. This is not meant to replace existing patient experience surveys. The survey was designed to support existing quality improvement initiatives and Quality Improvement Plans (QIPs). To download the tool in French and/or English, and a guide on how to implement it, please go to the HQO website. The Primary Care Patient Experience Survey was developed by HQO in collaboration with the Association of Family Health Teams of Ontario (AFHTO), the Association of Ontario Health Centres (AOHC), the Ontario College of Family Physicians (OCFP) and the Ontario Medical Association (OMA). Patients, family physicians, nurse practitioners, and primary care teams also contributed to the development of the survey The survey will continue to evolve, so should you have any questions about its development or feedback on its current state, please feel free to contact patientexperience@hqontario.ca.
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Statutory Compliance Toolkit for FHT and NPLC boards
Shared by AFHTO & DDO Health Law
Created in 2014
AFHTO’s Statutory Compliance Toolkit ensures that boards and executive directors are informed about their legal obligations and have access to the basic tools and resources to ensure compliance and/or risk mitigation.
This resource is customized for FHT and NPLCs and highlights laws that boards need to know and the impact that those laws have on the organization and the board members. The toolkit was developed by legal experts from DDO Health Law and overseen by AFHTO staff.
If you have any questions, please contact info@afhto.ca
This resource includes:
- Commitment to Statutory Compliance
- Laws generally applicable to FHTs and NPLCs
- The 5 key duties that impact you as a board member
- The clinical fundamentals
- Other important laws
- Key laws that apply to particular kinds of FHTs and NPLCs
- Charitable corporations
- Teams receiving more than 10 million in public funding
- Provincially Incorporated teams
- Teams involved in revenue-generating activities
- Teams constructing or renovating a building
- Tips for Executive Directors (EDs), Administrators and Board Members
- Appendix
- Statutory Remittance Certificate
- Statutory Compliance Audit Checklist