Tag: Library

Data to Decisions eBulletin #22: D2D 3.0 is getting clinical!
ACT NOW to be part of D2D – what Dr. Danielle Martin calls “the game changer” for primary care:
- BEFORE Nov. 10: Have your say about the new clinical indicators for D2D.
- Sign up your team’s intent to participate in D2D 3.0 – even if you are among the 110 teams that just enrolled with HQO to get your team-level ICES data!
Diabetes care – we may be leading the pack, but we’re not there yet! Join your peers in finding the best ways to improve diabetes care together. D2D timeline for participation – see below or the D2D 3.0 planning and preparation page on AFHTO’s website for more information.

Help spread the word about D2D – invite others to sign up for the e-Bulletin online. Getting too many emails? Scroll to the bottom of the original email for the unsubscribe link.
November 5, 2015

2015 Concurrent Sessions slides & materials

Thank you to all of our concurrent session presenters who came to the AFHTO 2015 conference. We will be uploading the concurrent session slides we’ve received within the next two weeks. Our concurrent session presentations are organized into six 45-minute timeslots (3 per day) and seven themes. To help you plan your conference schedule, we have arranged the sessions by timeslot and theme in the table below.

Theme descriptions [PDF]
Concurrent Sessions at a Glance [PDF]
Sessions descriptions listed by theme [PDF]
Session descriptions listed by timeslot [PDF]

Title	Concurrent Theme
A1-a Taking Collaboration to the Next Level – Dealing with the Social Determinants of Health	1. Population-based primary health care: planning and integration for the community
A1-b Nutrition Education at Your Local Coffee Shop	1. Population-based primary health care: planning and integration for the community
A2 Developing Principles for Family Practice: Sharing a Common Approach to Care	2. Optimizing capacity of interprofessional teams
A3 Patient Councils: Experiences within the GTA	3. Transforming patients’ and caregivers’ experience and health
A4 Community Quilt: The Story of How Our FHT has been Woven into the Fabric of the Community	4. Building the rural health care team: making the most of available resources
A6 Quality Improvement Leadership Team (QuILT): Hearing Everyone’s Voice	6. Leadership and governance for accountable care
A7 Reducing the Revolving-Door Syndrome: Hospital and Primary Care Working Together to Reduce 30 day Re-admission Rates for COPD and CHF Patients	7. Clinical innovations keeping people at home and out of the hospital
AB2 Bettering Mental Health Outcomes through Optimized Team Care Slides 1 \| Slides 2	2. Optimizing capacity of interprofessional teams
AB5 Optimizing EMR and Use of External Data Sources to Measure and Improve Quality of Care Slides 1 \| Slides 2	5. Advancing manageable meaningful measurement
B2 “Welcome to your new reality – You have diabetes this week!	2. Optimizing capacity of interprofessional teams
B3 Tips for Capturing and Understanding Patient Experience Slides 1 \| Slides 2	3. Transforming patients’ and caregivers’ experience and health
B4 Innovative Service Provision in a Rural Underserviced Community: The Virtual Visit, Shared Innovations, Patient Centered Service Delivery	4. Building the rural health care team: making the most of available resources
B6 Creating and Implementing the Markham Family Health Team Lead Physician Performance Review: An Exercise in Accountability and Transparency	6. Leadership and governance for accountable care
B7 Community Paramedicine Models for Primary Care	7. Clinical innovations keeping people at home and out of the hospital
BC1 The BODY of Health Equity: Head, Heart and Feet!	1. Population-based primary health care: planning and integration for the community
C2 Sustaining Change. A FHT Structure that Works	2. Optimizing capacity of interprofessional teams
C3-a Well-Baby Visits in Primary Care Slides 1 \| Slides 2	2. Optimizing capacity of interprofessional teams
C3-b Measuring the Patient Experience: How to Select a Delivery Method for Best Results and Minimal Effort	3. Transforming patients’ and caregivers’ experience and health
C4 Organizing the Community Around the Patient — Rural and Remote Regions of Ontario	4. Building the rural health care team: making the most of available resources
C5 Boiling Multiple Meastures down to a Single Indicator: The Queen Square FHT and Patients Canada Experience	5. Advancing manageable meaningful measurement
C6 Solutions for Managing Patient Privacy across Clinics and Community Partners	6. Leadership and governance for accountable care
C7 The Evolution of Telehomecare: Targeting More Chronic Conditions and Offering Customized Approaches	7. Clinical innovations keeping people at home and out of the hospital
D1 Engaging the Community and Addressing the Social Determinants of Health at St. Michael’s Hospital Academic FHT	1. Population-based primary health care: planning and integration for the community
D2 Charting a Blueprint for Improved Interprofessional Primary Care Team Effectiveness : The Teaming Project	2. Optimizing capacity of interprofessional teams
D4 From Soup to Tomatoes: An Armchair-Based Exercise Program	4. Building the rural health care team: making the most of available resources
D5-a Tools to Enhance and Track Patient Experience Slides 1 \| Slides 2 \| Slides 3	3. Transforming patients’ and caregivers’ experience and health
D5-b Measlesgate: A Case Study in Leveraging Your EMR to Protect Your Patients and Staff	5. Advancing manageable meaningful measurement
D6 Culture Eats Accountability for Breakfast	6. Leadership and governance for accountable care
D7 Aging at Home: Interprofessional care to keep seniors at home and out of hospital Slides 1 \| Slides 2	7. Clinical innovations keeping people at home and out of the hospital
DE3 The Power of the Collective: FHT Experiences with Group Medical Visits	3. Transforming patients’ and caregivers’ experience and health
E1-a Reaching out to Adolescents in the Community: The Sunnybrook Academic Family Health Team’s Story	1. Population-based primary health care:Â planning and integration for the community
E1-b Moving Gestational Diabetes Care into the Community	1. Population-based primary health care:Â planning and integration for the community
E2 Collaborative Practice: Messy, Time Consuming and Worth It!	2. Optimizing capacity of interprofessional teams
E7 Integrated LTC: An Innovative Initiative to Reduce Potentially Avoidable Hospitalizations for Seniors Living in East Toronto Long-term Care Homes	7. Clinical innovations keeping people at home and out of the hospital
EF4 Project ECHO (Extension for Community Healthcare Outcomes): Managing Complex Chronic Conditions Without Sweating Bullets	4. Building the rural health care team: making the most of available resources
EF5 Dragon’s Den: Pitching Real-Life Innovations in EMR Queries Slides 1 \| Slides 2 \| Slides 3	5. Advancing manageable meaningful measurement
EF6 Navigating by the stars? Try GPS. How Two FHT Leaders Used Brain Research To Increase Team Collaboration And Physician Engagement	6. Leadership and governance for accountable care
F1-a Strategic Approaches to Population Health Planning	1. Population-based primary health care:Â planning and integration for the community
F1-b Presenting An Improved Tool for Meaningful Program Planning and Reporting	1. Population-based primary health care:Â planning and integration for the community
F2 Integrated Care Planning for Complex Patients	2. Optimizing capacity of interprofessional teams
F3 The Vitality Interprofessional Team Approach to Food, Mood and Fitness	3. Transforming patients’ and caregivers’ experience and health
F7 The MedREACH Pilot Project: Integrating Primary and Tertiary Care to Support Medically Complex Patients	7. Clinical innovations keeping people at home and out of the hospital

Concurrent Session Selection

Concurrent session presentations were chosen by working groups consisting of AFHTO members across Ontario, representing the full breadth of professions within collaborative primary care. Submissions were chosen for reflecting the conference theme, usefulness/applicability to interprofessional primary care teams, innovativeness, evidence of impact, and clear learning objectives.

October 30, 2015

2015 Poster Gallery

Thank you to all of our poster presenters who came to the AFHTO 2015 conference.

Poster descriptions listed by theme [PDF]
Theme descriptions [PDF]

2015 Posters Displays

Posters were submitted by interprofessional health teams across the province. Like the concurrent session presentations, they represent the full breadth of professions within collaborative primary care and showcase evidence-based, impactful innovations that will be useful to other teams.

Poster #	Theme	Title
1	1. Population-based primary health care: planning and integration for the community	Collaborative Care programs: a nurse practitioner approach to address the needs of our community
2	1. Population-based primary health care: planning and integration for the community	Community-Based Falls Prevention by an Interprofessional Team
3	1. Population-based primary health care: planning and integration for the community	Development, Implementation and Evaluation of the KidneyWise Clinical Toolkit for Chronic Kidney Disease (CKD) in Primary Care
4	1. Population-based primary health care: planning and integration for the community	Diamonds in the Rough-Utilizing Positive Deviance to Optimize Care for Complex Patients
5	1. Population-based primary health care: planning and integration for the community	East Mississauga Health Link: Patient Driven Care
6	1. Population-based primary health care: planning and integration for the community	Focusing on Adult Immunizations
7	1. Population-based primary health care: planning and integration for the community	Hungry for Knowledge: Leveraging Community Partnerships and Utilizing an Interdisciplinary Family Health Team to Deliver an Interactive Renal Patient Group Education Program
8	1. Population-based primary health care: planning and integration for the community	Mythbusters: Baby-Friendly Edition
9	1. Population-based primary health care: planning and integration for the community	PATH: Promoting Access to Team-based Primary Healthcare
10	1. Population-based primary health care: planning and integration for the community	Prescribing literacy for preschool infants/children: a practical partnership model
11	1. Population-based primary health care: planning and integration for the community	Public Health and FHT Collaboration: Strategic Processes to Further Desired Outcomes
12	1. Population-based primary health care: planning and integration for the community	Rapid Recovery Services – Helping patients meet their rehabilitation needs at home vs. hospital
13	1. Population-based primary health care: planning and integration for the community	Students are Valuable Too: Collaboration with Western: Community Engaged Learning Program
14	1. Population-based primary health care: planning and integration for the community	Transition Navigation for medically complex patients following discharge from hospital: lessons learned
15	1. Population-based primary health care: planning and integration for the community	Working with the Thorncliffe Park community to design and deliver primary obstetrics care
16	2. Optimizing capacity of interprofessional teams	1-800-Imaging Pilot: Building Partnerships between Primary Care and Medical Imaging
17	2. Optimizing capacity of interprofessional teams	A Community of Practice Approach to Building Capacity for Quality Improvement Planning: The DFCM Academic FHT Experience
18	2. Optimizing capacity of interprofessional teams	Building Blocks to Better Bones: Bone Health and Fracture Prevention Initiative
19	2. Optimizing capacity of interprofessional teams	Building Diagnostic Imaging Appropriateness Pathways for Primary Care from Primary Care
20	2. Optimizing capacity of interprofessional teams	Development of an innovative nursing led persistent non-cancer pain program in primary care: lessons learned and initial outcomes
21	2. Optimizing capacity of interprofessional teams	Effects of a Multi- Faceted Mentoring Intervention on Spirometry Knowledge, Quality and Usage in Primary Care
22	2. Optimizing capacity of interprofessional teams	Expanding capacity within Primary Health Care: Development of a Physiotherapy Community of Practice
23	2. Optimizing capacity of interprofessional teams	Health professional perspectives regarding the use of patient-reported outcome measures in an integrated primary care health centre: A pilot project.
24	2. Optimizing capacity of interprofessional teams	Healthy At Every Size (HAES): Collaborating for best practice in weight management.
25	2. Optimizing capacity of interprofessional teams	Lend Me Your Ear: Using Auricular Acupuncture to treat substance use and anxiety/depression.
26	2. Optimizing capacity of interprofessional teams	Healthy Living with Pain (HeLP): an interprofessional chronic pain primary care initiative
27	2. Optimizing capacity of interprofessional teams	SOARing to new heights: Exploring opportunities for NP leadership in family health teams
28	2. Optimizing capacity of interprofessional teams	Turn Key Approach to Quality Improvement for Stroke Prevention: A Practical Team Application
29	2. Optimizing capacity of interprofessional teams	Up the Creek without a paddle: How the Care Navigator at SETFHT helps patients steer through the system
30	3. Transforming patients and caregivers experience and health	Advanced Care Planning in Primary Care – Lessons Learned
31	3. Transforming patients and caregivers experience and health	Breaking Down the Barriers of Care to Support a Deaf, Developmentally Delayed Patient within the London Family Health Team
32	3. Transforming patients and caregivers experience and health	Comparing two assessment approaches in a primary care diabetes setting to obtain descriptive high quality feedback on the patient experience
33	3. Transforming patients and caregivers experience and health	Confused and Lost – Where do I Begin Navigating the Health Care Labyrinth
34	3. Transforming patients and caregivers experience and health	Evaluation of the Ontario Stroke Networkâ€™s Hypertension Management Program: A Model for Stroke Prevention in Primary Care Settings
35	3. Transforming patients and caregivers experience and health	Health Literacy: You were heard but were you understood?
36	3. Transforming patients and caregivers experience and health	Improving Cervical Cancer screening rates: Quality improvement pilot initiative
37	3. Transforming patients and caregivers experience and health	Interprofessional Maternity care in the Mt Sinai Hospital Academic FHT. Keeping family doctors in the game.
38	3. Transforming patients and caregivers experience and health	My Values, My Wishes, My Plan: e-Module for Inter-Professional Teams Toward Effective ACP Conversation with Patients.
39	3. Transforming patients and caregivers experience and health	Rx Meditation is Medicine
40	4. Building the rural health care team: making the most of available resources	Helping Patients Overcome Barriers to Regular Exercise
41	4. Building the rural health care team: making the most of available resources	One-Week Rural Placements for First-Year Medical Students â€“ Building the Rural HealthCare Teams of Tomorrow
42	5. Advancing manageable meaningful measurement	A better Flavour of 7-day follow-up
43	5. Advancing manageable meaningful measurement	A Partnership Approach to Pilot Primary Health Care EMR Content Standard: CIHI and Team-based Primary Health Care Organizations
44	5. Advancing manageable meaningful measurement	An E-Learning Approach to Improving Primary Care Team QI Measurement Knowledge and Skill
45	5. Advancing manageable meaningful measurement	Data for Quality Improvement: Working with our Hospital Partner on QIP Access and Integration Goals
46	5. Advancing manageable meaningful measurement	Health Equity: the key to meaningful evaluation
47	5. Advancing manageable meaningful measurement	Improving Patient Access
48	5. Advancing manageable meaningful measurement	Ontario’s Enhanced 18-month Well-Baby Visit EMR Integration and Repository Project
49	5. Advancing manageable meaningful measurement	Putting data in the hands of primary care providers to support quality improvement
50	5. Advancing manageable meaningful measurement	Quality Improvement in Primary Care through an Integrated Vascular Health Care Approach
51	5. Advancing manageable meaningful measurement	The Cervical Screening Reminder Calls Pilot: An EMR Optimization Initiative to Support Primary Care
52	5. Advancing manageable meaningful measurement	Turning data lemons into data lemonade: Our journey with 7-day Post discharge
53	5. Advancing manageable meaningful measurement	What’s a QIDSS and what can they do for you in particular and primary care in general
54	6. Leadership and governance for accountable care	Explaining governance and accountability to all members of the FHT: Making it happen and getting them involved.
55	6. Leadership and governance for accountable care	Implementing an infection prevention and control program for primary care
56	6. Leadership and governance for accountable care	Improving Patient Access and Clinic Efficiency
57	7. Clinical innovations keeping people at home and out of the hospital	An Interprofessional Approach to Post-Discharge/ER Visit Follow-up: Minding the Gap between Acute and Primary Care
58	7. Clinical innovations keeping people at home and out of the hospital	Cancer …how to live through the diagnosis.
59	7. Clinical innovations keeping people at home and out of the hospital	Destigmatizing mental health shortens wait times.
60	7. Clinical innovations keeping people at home and out of the hospital	Early integration of palliative care in primary care: INTEGRATE Quality Improvement project
61	7. Clinical innovations keeping people at home and out of the hospital	Effective implementation of a geriatric home care program in a Toronto based family health team
62	7. Clinical innovations keeping people at home and out of the hospital	Implementing Health Checks in Primary Care for Adults with Developmental Disabilities in Family Health Teams in Ontario: Engaging Interprofessional Care, Community-based Health Care and Developmental Services
63	7. Clinical innovations keeping people at home and out of the hospital	Improving the care and quality of life of patients with Asthma
64	7. Clinical innovations keeping people at home and out of the hospital	Cancer Survivorship Care: An Important Role for Nurse-Practitioners
65	7. Clinical innovations keeping people at home and out of the hospital	Leveraging the OCEAN Platform and Tablet Technology to Improve Patient Care
66	7. Clinical innovations keeping people at home and out of the hospital	Post Hospital Transition of Care: From Inpatient to Family Practice.
67	7. Clinical innovations keeping people at home and out of the hospital	Too Fit To Fracture: Exercise and Physical Activity Recommendations for Fall and Fracture Prevention

October 30, 2015

2015 IHP Sessions & Networking

Interprofessional Collaboration as the anchor of team based primary care

AFHTO members are made up of diverse teams of professionals working together to provide excellent patient care. This interactive workshop, hosted by AFHTO’s IHP Communities of Practice, guided FHT/NPLC staff and providers through exercises designed to strengthen interprofessional collaboration. This 3 hour workshop was divided into two segments. Members could attend one or both of these.

(I) Knowing How to Play and What to Build in the Sandbox We Call Primary Healthcare — A Vision for Ontario’s Primary Care Teams

Presented by Dr. Ivy Oandasan, Professor, Department of Family and Community Medicine, University of Toronto

Click here to access the slides from the workshop. Workshop for all staff and health care providers in FHTs and NPLCs to develop building a common understanding of what it looks like and what it means to work in an interprofessional team. By the end of this interactive workshop participants will:

Learn from and celebrate successes of our collective advancement of interprofessional collaboration
Identify structures, processes, practices and behaviors required to foster an interprofessional quality focused and patient centred culture of primary care

Commit to being agents of change within our own primary care settings supporting tangible, feasible and measurable interprofessional collaboration possibilities.

(II) Profession-Based Networking Sessions

Presented by the AFHTO Community of Practice Leads

This was an opportunity for all members to meet, mingle and share insights with peers in similar roles from across Ontario. Agendas for each session were developed by their Community of Practice Lead. The AFHTO IHP Communities of Practice are a member-driven initiative, led by dedicated IHP volunteers from teams across the province and supported by AFHTO. They provide resources, advice and opportunities for staff and clinicians in primary care teams. The following groups and communities of practice participated and hosted a networking session:

Administration	Nurse (RN/RPN)	Physician & Quality Improvement Decision Support Specialist (QIDSS)
Chiropodist	Nurse Practitioner	Physiotherapist
Chiropractor	Occupational Therapist	Psychologist
Health Promoter	Pharmacist	Registered Dietitian
Mental Health and Social Worker	Physician Assistant	Respiratory Therapist

To learn more about and join an IHP Community of Practice click here.

Accreditation

Attendance at this program was certified Canadian College of Health Leaders members (CHE / Fellow) for up to 1.5 Category II credits.
This program was accredited by the College of Family Physicians of Canada and the Ontario Chapter for up to 3 Mainpro-M1 credits.

Health Link Leaders: Forming a Link (Sept 27)

AFHTO’s Health Link Community of Practice met on September 21^st. This communique provides an overview and highlights key items discussed:

Shaping the Future: Advanced Health Links Mode
Health Link CoP: Building a Partnership with the Ministry
NSM Integrate Project
Care Coordination Tool
Primary Care Update: what we know & what we’re doing about it

Shaping the Future: Advanced Health Links Model

In June 2015, the Ministry of Health and Long-Term Care announced the introduction of the Advanced Health Link Model , to be introduced over the course of the 2015-16 fiscal year. Based on the learnings from 69 established Health Links, the Advanced Health Link model identifies four areas of focus that include enhanced performance management and oversight, elements of standardization, funding model redesign (including sustainability planning) and wider system integration. The Advanced Health Link model also illustrates the accountability of LHINs for their respective local Health Links. Through this renewed commitment to advance Health Links, the Ministry has acknowledged the need for stable, operational base funding and for better alignment between primary care and strengthened integration/collaboration, specifically with primary care teams. The evolution from the ‘pilot phase’ to a more mature state will also put in place formal processes to identify and disseminate emerging/best practices as a way to build on the successes achieved to date. A health links guide will be released end of September or early October that will set out the new expectations of the model, including key functions of lead organizations.

Health Link CoP: Building a Partnership with the Ministry

The Health Link CoP was pleased to have Ministry representation at the September 21^st meeting, including the acting Director (Michael Robertson) and his colleagues from the Capacity Planning and Priorities Branch as well as representation from the Primary Care Branch. Through open and transparent discussions, members highlighted a number of ongoing challenges for FHT led Health Links, including:

Timing of funding: it is widely recognized that the absence of stable base funding creates significant challenges in terms of sustainability, planning, HR retention, and maintaining the ongoing momentum of health links. Many FHTs are faced with the risk of using reserves to bridge the funding gap or obtaining loans from health service partners, such as hospitals or CCACs.
Reporting burdens: Streamlining and/or minimizing the numerous reporting obligations (for some FHTs this includes reports to: HQO, LHIN, Ministry, CCAC and/or hospital) could minimize the associated work load and promote more consistent, standardized reporting. The movement to reporting through the Self Reporting Initiative (SRI) could also help to enhance consistency.
Inconsistent direction: there has been some concern with inconsistent direction being received across the FHT led health links between the Ministry and the LHIN. For example, the Ministry contract identifies physician engagement as an eligible expense, however many LHINs have been providing conflicting advice. There is a desire to improve standardized messaging, materials and expectations, and develop a more common approach across the LHINs.

Member leadership from the CoP, with the support of AFHTO, will continue to work closely with the Ministry in finding possible solutions to the challenges identified. There is a strong commitment from the Ministry to maintain ongoing communication and participation with the Health Link CoP!

NSM Integrate Project

The Health Link CoP continues to be a platform to share achievements and spread success stories! The Integrate Project was launched by Cancer Care Ontario and the approach is being piloted in select regions of Ontario (from 2014-2017). Members received an overview of INTEGRATE project piloted in the North Simcoe Muskoka LHIN. This project is enabling early identification and management of patients who could benefit from a palliative care approach across settings. The collaborative method is transforming the palliative care system from one with a lack of service integration and fragmentation to a system with integrated care across care sites and improved patient related outcomes.

Care Coordination Tool (CCT)

East Toronto Health Link (ETHeL) is going live with its first published CCT on Wednesday, September 23^rd – despite the very tight timelines and delay in funds, they are on track to meet this deliverable for the Ministry and Orion! The administrative burden/challenges that arose from the management of this initiative have been highlighted to the Ministry with the intent to inform subsequent roll-outs of the Care Coordination Tool, including the need to provide input to the Ministry on non-clinician feedback as it pertains to implementation. Further conversations with the Ministry are planned to occur before the end of the CCT proof of concept in March. Just a reminder that ETHeL has already done a legal review on all three agreements (DSA, ESPA and EULA) and comments from the lawyers are available for use by any Health Link that will be participating in the CCT proof of concept. In addition, ETHeL has its agent agreement (for authoring model #3) that they are happy to share for any Health Links using that model. If you would like any of this information please contact Kavita at kavita.mehta@setfht.on.ca.

Primary Care Update: what we know & what we’re doing about it

Over forty AFHTO members from around the province – the combination of AFHTO’s Physician Leadership Council (PLC) and ED Advisory Council (EDAC) – came together on September 17^th to dialogue with the Ministry to gain further clarity on what is known (and not known) as it plans for primary care. One of the key messages is that work to develop policy and strategy is underway and that there will be further discussion and consultation as this progresses. For further details from this meeting please see the meeting summary and/or full report [PDF].

Members expressed interest in conducting a face to face meeting in early 2016. Further details will be provided over the coming months. For any further questions, or if you are interested in participating on the Health Link CoP, please contact:
Marg Alfieri (Chair, Health Link CoP) Health Link Manager, KW4 Health Link Centre for Family Medicine FHT margalfieri@icloud.com	Bryn Hamilton Provincial Lead, Governance & Leadership Program 647-234-8601 Bryn.Hamilton@afhto.ca

September 28, 2015

FHTs lead to improved diabetes care / Auditor’s report on CCACs
Two important reports were released in this past week:
- CMAJ published evidence that the combination of physician payment reform and team-based care led to improved diabetes care. “Our study suggests that Ontarians might be healthier if everyone had access to team-based care” said lead author Dr. Tara Kiran of St. Michael’s Hospital Academic FHT.
  - Click here for more.
- The Auditor General’s Special Report on CCACs instructs government to “take a hard look” at CCACs and the delivery of home and community-based care. As health system reforms move forward, AFHTO joins with its colleagues on the Ontario Primary Care Council to call on government and others in Ontario’s health system to ensure primary care is supported to fulfill this central role in coordinating care.
  - Click here for more.
September 25, 2015
Data to Decisions eBulletin #19: It’s time to play… Physician Family Feud!

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.

September 24, 2015