1. Preparing for D2D 3.0 Data Submission
December 2, 2015
Quality Improvement Decision Support Team
3.0

2. Agenda Introductions D2D 3.0 resources Data sources
Exploratory indicator: time spent delivering primary care
Quality Roll-up indicator
D2D 3.0 submission: walk through
Key messages
carol

3. Today’s Purpose
Show you the resources and tools to help your team prepare for D2D 3.0
Provide you with a walk through of the D2D 3.0 submission form
Answer any questions you may have at this time

5. Resources

6. Overview of D2D 3.0 Resources
Use these tools to help you assemble the data for D2D 3.0 (core & expanded indicators)
Rationale: Why do D2D?
D2D 3.0 Data Dictionary *VERSION 4
D2D 3.0 Step-by-Step Guide *VERSION 6.4
D2D 3.0 Data Input Toolkit to help you compile your data and calculate composite indicators
angie

7. D2D 3.0 Planning and Preparation
Data sources
Your Team
ICES via HQO Primary Care Practice Reports
Patient Experience Surveys
EMRs
Cancer Care Ontario Screening Activity Reports
QIPs
MOHLTC
D2D 3.0 Planning and Preparation

9. New Considerations for D2D 3.0

10. Time spent delivering primary care (formerly known as “capacity”)
AFHTO Board decision: include in D2D 3.0 to fill urgent data gap
Decisions are CURRENTLY being made about team capacity based on data such as physician head counts or even position counts (regardless whether positions are filled full, part-time or at all)
AFHTO needs better data to demonstrate and advocate for the value that teams bring to primary care
AND….
It is a difficult environment to have conversations about workload

11. Approach to Getting the Data
Work through your Medical Lead
It is their call to engage their peer physicians or not
Voluntary: Invite people to provide data only if they want to
Anonymous: Do NOT ask people to give their name
Team-level data: Roll the data up and use at TEAM level only (not at the individual provider level)
Exploratory indicator: Team-level data available only to team - - aggregate summary (ie at AFHTO-membership level) may be shared externally

12. Data to be Captured
Invite ALL clinicians (physicians, NPs, IHPs) to provide 3 numbers each to describe the time they spend on the following:
office appointments with patients
work done OUT OF OFFICE delivery primary care: eg LTC or home visits (including travel), EMR documentation, reviewing lab results, phone calls, QI efforts etc
specialized care: shifts in Emergency Departments, obstetrics, coroner, hospitalist, locums in other settings (ie not your team)
Data for the entire team will be entered into D2D and presented as hours per patient served
Instructions: PAGE 7 in the step-by-step guide version 6.4

13. Quality Roll-up Indicator
A measure of the quality of comprehensive primary care that reflects what’s important to patients, using a single indicator
Makes it possible to measure the relationship between primary care and cost (and suggests it is going in the right direction)
See many new resources on AFHTO members only web page including brand new videos
CURRENT D2D 2.0 scores are more for interpretation at membership than team level because they are still “raw”
D2D 3.0 will be better IF enough teams submit enough data to refine the measure
Immediate priority: 14 indicators plus as many others as you can

14. Data Submission

15. IMPORTANT TIPS: D2D 3.0 Submission Form
Use the D2D 3.0 Data Input Toolkit to compile your data in advance
Save your data often by clicking
You do NOT need to enter all your data in one shot! – If you before you logout you can come back later and continue to modify or add data BEFORE you
Once you successfully submit your data you can return to the submission form to view your data but you will NOT be able to edit it
Enter ONLY a rate OR enter a numerator and denominator and have the platform calculate your rate. NOTE: rate will only be calculated once you hit ssave this dat or “Enter”
angie

16. Key Messages Keep these notes handy
Refer to the step by step guide OFTEN
Capacity: talk to your med lead!
Ask us – we work here!
angie