Stay tuned for help in developing a CHF registry: Hot on the heels of producing standardized EMR queries for COPD and Diabetes, QIDSS are now working on a Congestive Heart Failure (CHF) query, ETA Jan 2016. Watch for updates here. D2D, one bite at a time. Check out the new bite-size bits of information to help you sign up and use D2D in your team:

• Patients as Partners
• EMR Communities of Practice
• Standardized EMR Queries
• D2D 2.0 Results: Comparator Data
• D2D Impact Assessment

Click here to get team-level administrative (ICES) data from HQO. Nearly 60 teams already signed up. Deadline is Oct 30 — ensure you have received physician agreement first before requesting the report. What’s next with D2D? See the D2D page on AFHTO’s website for more information. Help spread the word about D2D. Invite others to sign up for the eBulletin online. 

Physician networking session: What’s an avoidable Emergency Department visit? And who can do what to avoid it? Join your fellow physicians and QIDSS for a networking debate at the AFHTO 2015 Conference that will pit attendees against two feuding teams made up of family and ED physicians. It will consider real-life ED visits that may or may not be avoidable, depending on how the feud plays out. Winners will come away with a sense of satisfaction from helping teams help their patients stay out of ED (note: everyone is a winner!). You won’t want to miss the action! All your colleagues will find sessions of interest during the IHP Networking or Leadership Sessions. The early bird takes flight Monday (Sept. 28^th). Register for the AFHTO 2015 conference before prices go up! Other upcoming Events: AFHTO staff, your fellow teams and QIDSS are going to these free conferences OntarioMD Every Step Conference (Oct. 1) and HQO’s Health Quality Transformation (Oct. 14). Sign up for team-level administrative (ICES) data from HQO by Oct. 30, 2015. Ensure you have physician agreement first! Helping patients gain access to their own health information – check out the “hot-off-the-press” summary of the Ontario policy dialogue about implementing electronic personal health records in Canada. Watch for stories from AFHTO members about what works to achieve great performance! Help spread the word about D2D. Invite others to sign up for the eBulletin online.  What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

Start the sign-up process to get team-level access to your ICES data. Click here for instructions. Progress in measuring our capacity to serve all patients: Click here (scroll down to the “human resource capacity” section) for information about emerging considerations for this new indicator for D2D 3.0. Patient contact system: Learn how the patient contact system is helping 5 teams automatically do patients surveys directly from their EMRs. Nightingale EMR data extraction: Thanks to the efforts of their Community of Practice, all Nightingale EMR users now have access to Data Miner to extract data!  Contact Marg Leyland for information about training. AFHTO at Health Quality Transformation: Come see AFHTO’s posters about working with patients as partners and increasing access to EMR data at Health Quality Transformation 2015 – it’s free! New addition to AFHTO: Welcome to Catherine Macdonald as the new QIDS Program & Governance and Leadership Program Assistant, stepping in as we bid a fond farewell to Denise Pinto who supported our programs from the very beginning! Help spread the word about D2D. Invite others to sign up for the eBulletin online.  What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

We have made progress since D2D 1.0! Decisions from Data: Progress from D2D 1.0 to 2.0 report takes a look at our journey to advance manageable meaningful measurement.

• We did it by Increasing Quality and Access to EMR Data, one Community of Practice at a time.
• We are continuing by working with Patients as Partners to find out what matters most to them.

Make sure D2D makes clinical sense: Click here to join the conversation with fellow clinicians and/or see progress on development of indicators for ED visits, follow-up after hospitalization and more. The COPD query to build a registry from your EMR can now be run on OSCAR – in addition to Accuro and Telus PS! New! View all your D2D data on the new D2D Historical Data webpage (NOTE: This page is temporarily disabled while we prepare for the launch of D2D 3.0, coming on December 3). You can view the data submitted by your team for D2D 1.0 and D2D 2.0. Spreading knowledge: Has your team found something that works in using data to improve? Drop us a line so other teams can learn with and from you. Help spread the word. Invite others to sign up for the eBulletin online.  What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

EMR queries for D2D data, including diabetes, ready for your consideration: check out the queries here and let us know what you think. D2D’s impact spreads west! Following our survey on patient expectations conducted in partnership with Patients Canada (see “Partnering with patients on measurement works” ), Carol Mulder was interviewed about it for their blog. This interview has now been picked up by Health Quality Council of Saskatchewan. Congratulations to all involved! Are you doing patient experience surveys this summer? Consider including the D2D questions described here. Has your team made the most of your EMR? Improved data entry, collection, or reporting? Submit a Bright Lights award nomination in the Advancing manageable meaningful measurement category by 12 noon on Tuesday, August 11 for a chance to win a $3000 education grant from Merck Canada. Visit our site for more details. Help spread the word. Invite others to sign up for the eBulletin online.  What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

Last call for clinicians – please remind your clinicians to join the conversations by tomorrow, July 24, 2015 to come up with better indicators for Emergency visits, 7-day follow-up and other clinical measures to be included in D2D. Moving on to D2D 3.0: Start preparing now for D2D 3.0 to be launched in Jan 2016. Do your physicians want their own data? You can help them get it 3 different ways! Need a hand building a registry of patients? Check out this guide for creating EMR queries on COPD and (coming soon) Diabetes. Free e-learning video series on Measurement in Primary Care from the University of Toronto. Check out the YouTube channel to start watching. Register for the AFHTO 2015 Conference! October 28 & 29, 2015 – Westin Harbour Castle. Help spread the word. Invite others to sign up for the eBulletin online.  What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

Calling all clinicians! Make sure D2D makes good clinical sense – join the conversations by July 24, 2015 to come up with better indicators for Emergency visits, 7-day follow up and other clinical measures. How are teams using data to improve? Consider sharing YOUR story as well! Questions about the Quality roll-up indicator? See frequently asked questions to learn more. Check out the new section on training and hosting a student or contact Greg Mitchell with any questions. Register for the AFHTO 2015 Conference! October 28 & 29, 2015 – Westin Harbour Castle. Little innovations, big impact. Nominate an outstanding team or individual today! Deadline to submit an AFHTO 2015 “Bright Lights” Awards nomination is August 7, 2015. Help spread the word. Invite others to sign up for the eBulletin online.  What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

Be there for the launch of D2D 2.0: Orientation webinars on June 18, 2015, register now. Tell us how your team works together to improve primary care: Complete the pre-D2D survey by June 18, 2015 to add your voice to the AFHTO story about teamwork. Do you really know what QIDSS can do? Watch the video for ideas (but by no means all!) of the things your QIDSS can do for you. QIDSS learning more about how to help teams use data: QIDSS and QIDSS-like people are invited to a Knowledge Translation and Exchange day on June 22, 2015. Contact Denise Pinto for more information. Do you want to invite others to get the eBulletin? Invite them to sign up online. What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

EXTENDED deadline: D2D data submission due JUNE 1, 2015 Click here for data submission instructions and here for webinar recording or contact Greg Mitchell. EMR queries to collect data for D2D core indicators Click here to access queries for childhood immunization and EMR data quality or contact Marg Leyland. Want to know more about the quality roll-up indicator? To know more about how this indicator better reflects comprehensive primary care in a way that also considers what is important to both patients and providers, click here or contact Carol Mulder. D2D impact assessment starting soon – watch for survey next week A survey will be released to EDs next week to estimate the impact of D2D and to support planning for D2D 3.0. Patient experience surveys by phone? Click here to find out how teams are seeing an improvement in patient survey response rates using the patient contact system pilot or contact Marg Leyland. Do you want other people on your team to get the eBulletin? If you think others on your team might also want the eBulletin invite them to click here. What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.

Contributing to D2D 2.0

D2D Step-by-Step Guide – Your “cheat sheet” for submitting data to D2D 2.0 The D2D Step-by-Step Guide is now available. Please refer to it to help prepare your data for submission as it provides detailed instructions for both compiling and contributing data. The guide will be further updated with instructions for the actual data submission form when it is launched on Friday, May 15, 2015. The data dictionary for D2D 2.0 has also been updated to coordinate with the guide. ICES data coming on May 19, 2015 Your team will be receiving data requested from ICES by Tuesday, May 19, 2015.  If you didn’t submit a request, you can work with your physicians to access some of this data through HQO’s Primary Care Practice Reports portal instead.  Please contact Carol Mulder for more information. D2D data submission deadline: May 28, 2015 The data submission form will go live tomorrow (May 15), along with detailed instructions. Teams will have until Thursday, May 28, 2015 to input and submit their data so you may wish to act now to schedule your internal review and approval processes prior to this date. EMR queries for D2D indicators A small number of D2D indicators come from EMR data. QIDSS have developed and/or identified EMR queries to consistently extract data for childhood immunization (based on the preventive care bonus definition) and cancer screening (based on the criteria used in CCO’s Screening Activity Reports). These queries and/or instructions for how to access these queries will be available on the AFHTO website shortly. If you’d like more information, please contact your QIDSS or Carol Mulder. Quality roll-up indicator As part of contributing to D2D 2.0, teams have the opportunity to participate in a new approach to measuring quality via a roll-up indicator. The quality roll-up indicator is a composite measure of the quality of comprehensive primary care. It is intended to better reflect what matters to patients in a way that also considers what is important to providers. It is calculated in a way that incorporates the many aspects of the patient-doctor partnership. For example, it makes it possible to consider aspects of “the doctor is nice” together with “the doctor is smart”, rather than treating them as separate and possibly competing concepts. Details about what it is, how it works and how to participate in it can be found here or by contacting Carol Mulder.

Using data to improve data quality and care

Using data to REALLY save time! Tabulating quarterly IHP stats usually took the better part of a week for Garden City FHT. Now, it just takes a few hours because they’re using the new “custom queries” function for Telus PS by our very own East Wellington FHT. For background on how the custom query was developed, please check out the success story. Contact Marg Leyland for details on how to implement the query in your practice. Using data to help COPD patients across Ontario   The EMR query created by the QIDSS to help build COPD registries is moving to a bigger house!  Sara Han, from the Ontario Lung Association, is working with QIDSS to explore the use of the query for all primary care providers (not just AFHTO members) because “it helps identify patients that may have COPD, and equally importantly, helps identify patients who may be misdiagnosed.” The query is currently available for Telus PS and Accuro and is in the works for OSCAR, Nightingale, and P&P. Please contact Greg Mitchell for more information.

Other news

Deadline to submit abstracts for AFHTO 2015 extended to May 19, 2015 There’s still time! Share your successes, processes and tools that strengthen Team-based Primary Care: The Foundation of a Sustainable Health System by submitting an abstract for the AFHTO 2015 Conference. Submissions are being collected for presentations and posters in 7 core streams. Deadline to submit is May 19 at 9:00 AM. What do you think? We hope you find value in the D2D eBulletin and will continue to subscribe to this newsletter. Other members of your team can sign up by clicking here. Once they complete the sign-up form a confirmation e-mail will be sent within 24 hours. In the meantime, if you have any comments or questions about the eBulletin, please let us know by e-mail to improve@afhto.ca. What is D2D? Data to Decisions (D2D) is a member-wide summary of performance on indicators that are both possible for members to measure and that are meaningful to members. See the D2D page on AFHTO’s website for more information.