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

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

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

Resources

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

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

New Considerations for D2D 3.0

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

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

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

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

Data Submission

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

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