Tag: Library

  • D2D Submission deadline June 1, 2015: 1 week left to submit data to D2D 2.0

    D2D 2.0 is an opportunity to see how your team compares to your peers. Over half of AFHTO members have already signed up!!

    June 1 at 5:00 PM is the deadline to submit your team’s data for D2D 2.0

    Remember to get approval from your team’s leaders before submitting the data. Data to Decisions 2.0 will be posted on the AFHTO’s members-only website on June 18, 2015! All AFHTO members will be able to view the data. Teams that contributed data will be able to see how their team compares to peers. Consider joining one of two webinars on June 18 for a guide to D2D 2.0. Learn how to navigate the report and see how you compare to your peers. Register to attend either of the webinars at 12 noon or 4:30 p.m. If you have any questions about the submissions process or the webinar, please contact Carol Mulder.

  • Member News: D2D submission form under maintenance, funding opportunities & news from Ontario, HQO, NPAO & more

    See below for more information on the following:

    • D2D Submission Tool unavailable until Monday, May 25
    • Government of Ontario:
      • Employees to be given a copy of the employment standards poster – deadline June 19, 2015
      • Call for proposals: Local Poverty Reduction Fund – deadline June 10, 2015
      • CMOH Memo: Liberia not removed from list of EVD countries
      • Community Hub Framework Advisory Group seeking feedback
    • HQO:
      • Primary Care Patient Experience Survey
      • Report on antipsychotic medication use in long-term care homes
    • New clinical toolkit for primary care: KidneyWise Clinical Toolkit
    • Information to share with Patients – Strengthening the patient voice:
      • NPAO Patient Choice Award – deadline June 10, 2015
      • Volunteers needed for HQO Patient, Family and Public Advisors Council – deadline June 19, 2015

    D2D Submission Tool unavailable until Monday, May 25, 2015

    The data submission form is currently under maintenance to remove glitches identified by members. The tool will be back in service on Monday, May 25, 2015. If you’ve already entered your data, you may review it at that time to ensure it matches your entry if you so choose. We apologize for any inconvenience this may cause. As a result of this unscheduled delay, and in response to requests from members, the deadline to submit data has been extended to June 1, 2015.

    Government of Ontario:

    Employees to be given a copy of the employment standards poster – deadline June 19, 2015

    Changes to Ontario’s Employment Standards Act came into effect earlier this week requiring employers to provide employees with a copy of the employment standards poster, as well as continuing to post it in the workplace where it is likely to be seen. Employers have until June 19, 2015to ensure the poster has been distributed. Visit the province’s website for further information.

    Call for proposals for the Local Poverty Reduction Fund- deadline June 10, 2015

    The province has sent out a call for proposals for the Local Poverty Reduction Fund. It provides funding to community organizations and municipalities to support and evaluate their poverty reduction initiatives, create partnerships and build a body of evidence of programs that work for Ontarians living in poverty. According to the application guide: “Applications that show partnerships with a wide variety of players are required. This could involve community organizations, academics, municipalities, foundations, social enterprise, business or other service providers, etc.” Visit the website to see which projects are eligible and more.

    CMOH Memo – Liberia not removed from list of EVD countries

    The Chief Medical Officer of Health (CMOH) has released a memo (in English and French) regarding Liberia not being removed from the list of countries affected by Ebola virus disease. Although there have been no new cases since March, Liberia will remain on the list until further notice.

    Community Hub Framework Advisory Group seeking feedback

    The Premier’s Community Hub Framework Advisory Group will be reviewing provincial policies and developing a framework for adapting existing public assets to become community hubs. A hub can be a school, a neighbourhood centre or another public space that offers coordinated services such as education, health care and social services. To design effective hubs with the needs of local communities in mind, the group is seeking your insights. Visit the website to learn more.

    HQO:

    Primary Care Patient Experience Survey

    A standard Primary Care Patient Experience Survey has been developed by Health Quality Ontario (HQO) with input from partners including AFHTO. 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 although it is not meant to replace existing patient experience surveys. The survey is designed to support existing quality improvement initiatives and Quality Improvement Plans (QIPs).

    Report on antipsychotic medication use in long-term care homes

    Earlier this week HQO released Looking for Balance: Antipsychotic Medication Use in Ontario Long-Term Care Homes. It found wide variation in the percentage of residents being prescribed antipsychotic medications across the province’s long-term care homes. The report highlights the current state of antipsychotic medication use and also identifies learning opportunities for care teams.

    New clinical toolkit for primary care: KidneyWise Clinical Toolkit

    Ontario Renal Network has launched the KidneyWise Clinical Toolkit. Developed with the aid of Markham FHT’s Lead Physician and AFHTO board member, Dr. Allan Grill, the toolkit assists primary care providers in identifying patients at high risk of developing chronic kidney disease (CKD) and provides recommendations on how to properly diagnose and best manage the patient to reduce the risk for further disease progression.

    Information to share with Patients- strengthening their voice:

    NPAO Patient Choice Award- deadline is June 10, 2015

    Nurse Practitioner’s Association of Ontario (NPAO) members are eligible for the new Patient Choice Award. Patients submit nominations describing their nurse’s professional qualities, approach to patient care and specific stories of dedication and how the nurse has made a difference in their lives or the lives of others. It will be presented at an Awards/Celebration Dinner at the 2015 Annual NPAO Conference on Friday, September 25, 2015. Let your patients know they can nominate an NP who has provided excellent care. The deadline is June 10, 2015.

    Volunteers needed for HQO Patient, Family and Public Advisors Council- deadline June 19, 2015

    HQO is looking for patient and family volunteers to become part of a Patient, Family and Public Advisors Council. Volunteer advisors would share their experiences with Ontario’s health care system and be a part of HQO’s work in improving Ontario’s health care quality. Here’s a poster you can use to publicise this in your office. The deadline to apply is June 19, 2015.

  • “Many moving parts”: update from May 19 PHC Branch meeting

    Discussion at the May 19 quarterly meeting of AFHTO and MOHLTC Primary Health Care Branch covered:

    1. Parameters and next steps for developing new contract templates, given the ministry’s intent to:
      1. Conduct a review of all interprofessional primary care models
      2. Move toward “comprehensive regionally governed, population-based primary health services for Ontarians”
      3. Implement policy directions emerging from sources such as the Expert Panel on Primary Care (Price Report)
    2. Next steps regarding performance reporting and the schedules in the contract
    3. Commitment to improve Schedule A as a tool for meaningful program planning and reporting
    4. Re-purposing funds (e.g. for telemedicine programs)

    1.  Developing new contract templates amidst the “many moving parts”

    AFHTO has been keeping members informed on what is emerging about the province’s policy direction for primary care. (Click here and here for past reports.) The ministry’s desire to move toward a “comprehensive regionally governed, population-based primary health services for Ontarians” is given – implementation questions include how this will affect the organization of primary care, how it is resourced, and what will be the reporting relationships. The review of interprofessional teams can be expected to inform these decisions; however AFHTO anticipates it will be well over a year before there are any results since the details of this review are under development. We understand this review will look at performance and accountability, funding, and use of interprofessional teams (recruitment and retention, ratios of team members, opportunity to leverage these resources). Meanwhile, the current 5-year FHT contracts expire at the end of this fiscal and to that end work to redevelop the contract templates will proceed. Because of these “many moving parts”, the contracts could potentially need further updates going forward. Members may feel unsettled by this uncertainty – understandably so.  Keep in mind the province is well aware that:

    • Quality patient care must continue.
    • Ontario needs AFHTO members – the innovators and leaders in improving comprehensive primary care – in order to succeed in whatever direction the ministry may want to take with primary care.
    • AFHTO members have a very strong voice – through their collective work in this association – and must be engaged in finding the workable solutions for moving forward.

    Next steps:

    • AFHTO has pressed the need for the leaders of our member organizations to receive more information about the direction the province is taking. We have been told the Expert Panel report will be shared, possibly in a few weeks’ time.
    • As reported in the ED Advisory Council news, a work group of AFHTO members will begin the process of reviewing the contract, guided by the principles identified by FHT and NPLC leaders last fall, to identify issues that need to be addressed and begin strategizing.

    2.   Performance reporting and the schedules in the contract

    As reported in the most recent ED Advisory Council news, PHC Branch has agreed to recommendations from AFHTO to:

    • Retain Schedule A – program planning and reporting. (Improvements are required – see the next section below.)
    • Eliminate reporting that is not meaningful, i.e. activity reporting found in Schedule E. (The current contract states Schedule E is required. Contract needs to be changed, but given this direction, AFHTO anticipates compliance is unlikely to be pursued.)
    • In place of Schedule E, leverage work of D2D and to select 6-10 meaningful measures to be included in the next contract agreement.  Ministry priorities would also add:
      • One or two chronic disease measures (AFHTO thinks this is doable in the next iteration of D2D)
      • 7-day follow up (Adopted in the D2D 2.0 list as developmental, since AFHTO Indicators Working Group identified a number of current limitations in this measure that need further refinement)
      • Avoidable ED use (AFHTO Indicators Working Group had concluded this is not a good measure as it is right now. This needs further investigation.)

    3.   Commitment to improve Schedule A as a tool for meaningful program planning and reporting

    All agree that Schedule A has the potential to promote stronger program planning, coordination and evaluation; however many FHT/NPLC EDs have called for improvements to the Schedule A template, instructions and education. Next steps: PHC Branch and AFHTO will put together a joint working group to:

    • Improve Schedule A as a useful tool for program planning and reporting.
    • Do a joint presentation at the AFHTO conference on how to do effective program planning and evaluation, ministry needs for reporting, and how to use Schedule A effectively.

    4.   Re-purposing funds

    AFHTO followed up on a question from our previous meeting with PHC Branch regarding funding to replace telemedicine equipment. The response was that, for everyone who had asked, the ministry was able to help the FHT/NPLC identify existing funds to re-purpose to purchase replacement equipment. PHC Branch reps said this was also true for those who asked to re-purpose funds to cover sessional costs for these telemedicine consults. We were told that, for the past fiscal year, there are still some FHTs and NPLCs returning unspent funds to the Province. Next steps:

    • As reported from the Nov. 21 AFHTO-PHC Branch meeting, FHTs and NPLCs are encouraged to request reallocation of approved budgets to meet needs.
    • When it comes to telemedicine programs, AFHTO has reminded PHC Branch of the need to address the policy question as to how this need can be supported in a sustainable fashion.

    Participants in the May 19, 2015 meeting AFHTO was represented by:

    • Randy Belair (AFHTO President and ED, Sunset Country FHT, Kenora)
    • Sean Blaine (AFHTO Vice President and Lead MD, STAR FHT, Stratford)
    • Ross Kirkconnell (Secretary + QIDS Steering Committee Chair and ED, Guelph FHT)
    • Kavita Mehta (ED Advisory Council Chair and ED, South East Toronto FHT)
    • Angie Heydon (AFHTO Executive Director)

    MOHLTC’s PHC Branch representatives were:

    • Nadia Surani (Senior Manager, Interprofessional Programs Unit, PHC Branch)
    • Fernando Tavares (Program Manager, Interprofessional Programs)
    • Debbie Lora (Senior Program Consultant)
  • Data to Decisions (D2D) 2.0: Data submission form now available – submit all data by May 28

    Start inputting data through the D2D Submission Form today! All data for D2D is to be submitted by May 28, 2015.

    Enter your team’s data through the D2D Submission Form using your team’s unique code:

    • If you’ve already created your team code, you are ready to submit data through the D2D Submission Form. Input your Team Code and start submitting data.
    • If you have not yet created your team code, input the code you would like to use and the form will prompt you to register it. From there you can start submitting your team’s data.

    Resources for Contributing Data:

    Why participate in D2D? Click here for a video to help EDs, physicians, Boards and QIDSS start discussing D2D and how your team can participate.  D2D 2.0 is a membership-wide summary of performance on a small number of indicators that are both possible for members to measure and meaningful to them.

  • Data to Decisions eBulletin #11 – May 14, 2015

    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.

  • Data to Decisions (D2D) 2.0: Step-by-Step Guide for contributing data now available

    You can get started preparing your data for Data to Decisions (D2D) 2.0 today. The new Step-by-Step Guide for D2D 2.0 provides detailed instructions for compiling and contributing data.

    The online form to submit data will be available on the AFHTO website on Friday, May 15, 2015. All data must be submitted by May 28, 2015.

    Well over half of AFHTO members are working towards contributing data to D2D 2.0. All teams are invited to submit data to the indicators where data is currently available for your team. Why participate in D2D? Click here for a video to help EDs, physicians, Boards and QIDSS start discussing D2D and how your team can participate. To sign up to participate in D2D 2.0 fill out the online form. D2D 2.0 is a membership-wide summary of performance on a small number of indicators that are both possible for members to measure and meaningful to them.

  • 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:

  • 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:

    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.

  • AFHTO 2015 Conference: Submission deadline extended to May 19 at 9:00 AM

    Click here to submit a presentation abstract by May 19, 2015 at 9:00 AM

    These past few weeks have been a busy period for AFHTO members, in response the deadline to submit abstracts has been extended for the AFHTO 2015 Conference Team-Based Primary Care: The Foundation of a Sustainable Health System. Take this opportunity to:

    • Share your knowledge, experience and innovative work by submitting an abstract.
    • Encourage your colleagues, community partners and stakeholders to share innovations in primary care by submitting an abstract.

    Reduced registration fee for concurrent session presenters: For each approved concurrent session, up to 2 presenters will each be granted a $50 discount off the conference registration fee. (Discount does not apply for poster presentations.) Submissions for concurrent session and poster presentations are invited in 7 core themes:

    1. Population-based primary health care: planning and integration for the community
    2. Optimizing capacity of interprofessional teams
    3. Transforming patients’ and caregivers’ experience and health
    4. Building the rural health care team: making the most of available resources
    5. Advancing manageable meaningful measurement
    6. Leadership and governance for accountable care
    7. Clinical innovations keeping people at home and out of the hospital

    Review the submission guidelines and template for abstracts before submitting online by May 19.

    Conference key dates:

    • May 19, 2015 at 9:00 AM: Deadline to submit concurrent session and poster abstracts
    • June 8 to 10, 2015: Notification of acceptance for presentation sent
    • End of June 2015: Conference registration opens
    • October 28 & 29, 2015: AFHTO 2015 Conference

    If you have any questions about the submissions process or the conference in general, please contact info@afhto.ca.