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“No Side-Effects from This” Implementing a Medication Reconciliation Program Post-Hospital Discharge That is the Best Medicine!
2019 Bright Lights Hall Of Fame
2019 Concurrent Sessions
2020 Bright Lights Hall Of Fame
2020 Concurrent Session Panels
2020 Concurrent Sessions (Live)
2020 On-Demand Sessions
2022 Bright Lights Hall of Fame
2022 Concurrent Sessions
2022 Concurrent Sessions Slides & Materials
2022 On-Demand Sessions
2023 Bright Lights Hall of Fame
2023 Compensation Market Refresh
2023 Concurrent Sessions Slides & Materials
2024 Bright Lights Hall of Fame
2024 Concurrent Sessions Slides & Materials
2024 Livestreamed Concurrent Sessions
A Vision for Primary Care Governance: Beyond “20/20”
A1 – Closing Gaps and Providing Health Care to First Nation Communities in North Western Ontario
A1 – Meeting Seniors needs in rural Ontario – Living outside the box
A1 – The value of IHPs in team based primary care: large scale measurement and effects on outcomes
A1 Expanding Complex Care Program for older adults: an FHT leading interprofessional collaborative care for non-FHT patients
A2- An OHT’s Expansion of Team-Based Primary Care to a FHG for Older Adults Living with Frailty
A2- Integrating Virtual Care: Provincial, Practice & Patient Level Enablers
A2-a Managing Long Covid with Interprofessional Primary Care Teams
A2-a Seeing the forest, not just the trees: Testing a new comprehensive measure of quality in primary care
A2-b – The Hamilton Income Clinic: A novel interdisciplinary clinic model to assist people experiencing homelessness with Ontario Disability Support Program applications
A2-b Shadow Coding: Enhancing Performance and Service Delivery Through Digital Health Tools
A3 – From Dissemination to Implementation of a Digital Health Tool: Shadow Coding to Enhance Performance and Service Delivery Across Family Health Teams
A3 – Kinesiologists: A Key Primary Care Team Member
A3 OHT Integrated Patient Care Teams: The How, Who and Impetus Along the Way
A3- Seizing the opportunity to co design with patients and caregivers….it is the answer to building primary care in a new world
A3-a – Optimizing resilience despite pain: An interdisciplinary team approach for a strength-building chronic pain management program
A3-b – The skinny on self-acceptance and the weight of shame: healthier eating through self-compassion, a group approach
A4 – The “Good Enough” Parent: Supporting Caregivers of Adult Children with Mental Health and Substance Use Disorders
A4 – What the Fax? Improving Patient Care with Ocean eReferral
A4 Sickle Cell Disease (SCD) and Mental Health: Using a Quality Standard to Guide High-Quality Mental Health Care
A4- More than medication: the importance of integrating health care and social supports
A5 – Injection Technique Education can Lead to Significant HbA1c Improvement in Insulin-Dependent Adults.
A6-a – Digital Coalition – How a coalition of the willing is changing the face of primary care
A6-b – Safer Opioid Prescribing through a Clinic-wide Urine Drug Testing System – the HARMS Program
AB-1 – Achieving Better Outcomes through Integrated Care: Learnings from Australia
AB-4 – The Depression Map 2.0: An 8-Session Biopsychosocial Group Treatment for Depression
AB2 – Reducing Silos and Improving Health Care Experience: Integrated Care for Seniors with Complex Needs
AB5 – How to Embed Health Equity and Integrate Social Justice Advocacy into Your Team
About AFHTO
- Who we are – Board of Directors
Access Restricted
Advocacy in Action
AFHTO 2023 Closing Plenary- Many Hands, One Goal: Five everyday personal practices to elevate team-based success.
AFHTO 2023 Opening Plenary- Team-based care for all: Patient and Public Perspectives on the future of primary care
AFHTO 2024 Closing Plenary- Empowering Primary Care Teams: The AI Advantage
AFHTO 2024 Opening Plenary- Integrating Caregivers as Partners in Care: Momentum for a Whole-System Approach
AFHTO Case Studies
AFHTO Conference Live Stream Day 1
AFHTO Conference Live Stream Day 2
AFHTO Leadership Council
AFHTO Leadership Council – Members List
AFHTO Learning and Development
AFHTO Media Statements
AFHTO Videos and Webinars
AFHTO’s Role in Supporting Team-Based Care
- Participating in Primary Care Research
An Integrated Care Team for Older Adults: Embedding Geriatric Expertise in a FHT
Artificial Intelligence and Robots in Primary Care. The Future is Now
B1 – Collaborative OHT Approach Makes COVID-19 Therapeutics Accessible in the Community
B1 – Enabling the Adoption of Patient E-Communication
B1 – Implementing and Evaluating a Community of Practice for Social Determinants of Health Practitioners in Frontenac, Lennox & Addington Ontario Health Team
B1 Small Rural Team Providing Virtual or No-Touch Medical Abortions for Rural & Remote Northern Ontario Populations
B2 – Affirming Care for Trans People: Experiential Education for an Interprofessional Care Team
B2 – What matters to patients in the transition from hospital to home
B2 HealtheSteps: Implementation and Outcomes of a Virtual Healthy Lifestyle Counselling Program delivered by Medical and Allied Health Students to At-Risk Adults
B2- Primary Care Networks in OHT acceleration. Engagement strategies, challenges and opportunities. Experiences from the North York Toronto Health Partners and the Greater Hamilton Health Network.
B3 – HRM Task Force Priorities: Actions to Ease Clinicians’ Report Burden
B3 – The Creation of the Timmins Integrated Palliative Care Team – Working Together to make a Difference
B3-a – NP-Led Adult ADHD Assessment & Management Program for FHT
B3-a -The ICANBEWELL app improves community health
B3-a Primary Care Networks (PCNs): Their Important Role in Ontario Health Teams (OHTs). The North York Toronto Health Partners (NYTHP) Experience.
B3-A: Primary Care Connects: Networks and Other Methods to Center Primary Care in an OHT
B3-b – Medical Nutrition Therapy 2.0: How a Digital Technology (RxFood) for New Dietary Diagnostics Met the Quadruple Aims
B3-b – Ontario Health Teams: What Every FHT Should Watch For
B3-b Key Digital Supports for Primary Care Network formation in OHTs
B4 – Crisis Response for Covid-19 Outbreak in Migrant Worker Congregate Settings
B4 – Gender-Affirming Care for Gender-Diverse Adults: A New Quality Standard
B4 – If you build it, better care will come – Eating Disorders Management Resources for Primary Care
B4-a – Jargon? What medical jargon? : Health literacy as a determinant of health
B4-b – TECC-Y: Using technology to provide a “one-stop shop” of holistic care for youth at their fingertips!
B6 – Evidence-Based Patient Care: The Impact of Translating Knowledge to Practice in Primary Care
BC4 -Two Perspectives: Strengthening Mental Health and Addictions Support in your Community & Building your Mental Health and Addictions Clinic
Board Development Resources
Board Responsibilities
C1 – b – Unleashing the Power of Partnerships: Exploring the Enablers, Challenges, and Lessons Learned in Delivering Team-based Primary care to Frail Homebound Seniors within an Ontario Health Team
C1 – Eat.Move.Repeat: A cross cultural, action based approach to lifestyle and wellness programs.
C1 – Primary Care’s Role in COVID-19 Vaccination Efforts in Ontario
C1-a – Leveraging existing funds and FTEs to support the increasing number of unattached patients with in-person acute and episodic care
C1-a How caregiver supports can be embedded into a primary care setting: Ways that FHTs can support caregiver well-being and resilience for better patient care
C1-b Offering Hyper-local Community Health and Information Fairs through an Ontario Health Team to provide low-barrier access to care
C1-c “Like an umbrella, protecting me from the rain until I get to my destination”: Evaluating the Implementation of a Tailored Primary Care Model for Urban Marginalized Populations
C2 – Black Same Gender Loving Men: Navigating Structural Barriers and Anti-Black Racism in Health Care
C2 – To protect patient health information, a human defence is the best defence!
C2 Small but Mighty: How the Ottawa Shared Care Program has worked to do more with less
C3 – Expanding Team-Based Care to Community Physicians through a Unique Integrated Primary Care Model
C3 – Safeguarding Healthcare: A Prescription for Cybersecurity Resilience
C3 The routine collection of patient-reported experience data in primary care: supporting Ontario Health Teams to achieve the Quadruple Aim
C3-a – Dementia care partner education using the iGeriCare web-based platform
C3-a – Sedative-Hypnotics Deprescribing – Beyond the Basics
C3-b – A framework to support the progressive implementation of integrated team-based care for the management of COPD: A collective case study
C3-b – A multi-disciplinary CBT group for depression and anxiety with psychiatry supports
C3-c – Comprehensive Team Based COPD Care for Vulnerable Patients
C3-c – Why Develop Guidance for the Clinically Appropriate Use of Virtual Care in Primary Care?
C4 – Beyond the Grind: Cultivating Work-Life Balance with Compressed Workweeks
C4 – Delivering a universal parenting program using physician versus self-referral: A comparison of two virtual groups and lessons learned
C4 – Interprofessional Therapeutic Yoga Programs: Supporting Healthy Lifestyles for Older Adults and People with Dementia
C4 – Why there’s no “I” in COVID-19: A collaboration between healthcare students, primary care providers and the community to improve PPE stewardship and distribution
C4-b – The challenges of managing chronic pain with concurrent mental health and substance use concerns
C5 – Creative Expansion of Social Work Services
CANCELLED -Stronger Together – Lessons learned – Virtual cardio-pulmonary rehab program
Careers
CD2 – The digital health toolbox: Enabling high-performance teams in the delivery of integrated, patient-centred care
CD6 – Working towards one practice report for Ontario’s primary care clinicians
Clinical Systems Renewal Funding Criteria
Collaborative Governance: Moving at the Speed of Trust
Contact
COVID-19 Monoclonal Antibody Treatment Referral (ONTARIO) Form – OSCAR
Creation and Implementation of a Homebound Vaccination Program During the COVID-19 Pandemic: A Multi-Disciplinary Approach
Curing Hepatitis C: A team-based approach to treating a silent epidemic
D1 – Go Big or Go Home! Launching a novel, large-scale, community program beyond the roster.
D1 – Redesigning an existing but underutilized and untapped HHR to expand the inter-disciplinary primary care team
D1-a – A Postal Code Visualization of Patient Distribution and Referrals to Mental Health and Psychiatry Programs at the Hamilton Family Health Team
D1-c – Expanding Team Based Care Through Partnership
D2-a – Working to the Full Scope of Practice – Nursing in Primary Care Offices
D2-b – Introducing medical scribes: role redesign and practical tips
D2-b – Poppy: Robotic Process Automation for Population Health
D2D – Data to Decisions
D2D indicators
D3 – Primary care at the centre of an integrated health care system: the experience of the FLA OHT
D3 – Revolutionizing Patient Care: Integrating AI with Legal Safeguards to Optimize Primary Care
D3-a – Evaluation of Midwifery-led Group Perinatal Care in an Academic Family Health Team
D3-a – Leveraging Social Media during the Pandemic
D3-b – Hit the Road Jack…Mobile Integrated Health Care. Beginning a new journey to support patients with Mental Health & Addictions in your community.
D3-b – Supporting Older Adults with a Virtual Community Based Model of Care During COVID-19 and BEYOND!
D3-c – Co-design as a Tectonic Shift in Primary Care Collaboration
D4 – Beyond Patient Advisory Councils: Meaningful Engagement with Specific Populations (Youth) in Primary Care Settings
D4-a -Primary Care and Improving Equity for People with Eating Disorders
D4-b – Evidence2Pratice Ontario: Supporting evidence-based primary care for patients with anxiety disorders and major depression
D4-b- Shifting Gears, Creating Clear Paths for Patients through Strategic Mental Health Navigation
D4-c – Innovative Partnership Between Public and Private Sector to Treat Patients with Addiction and Mental Health Challenges…The Right and Equitable Service at the Right Time
D4-d – Anxiety Disorders and Major Depression in Primary Care: Supporting Clinicians and Patients through Evidence2Practice Ontario
D5 – An interdisciplinary team approach to providing education on feminizing and masculinizing hormone therapy to gender-diverse clients
D5-a – Oh my! I forgot about the Social Determinants of Health in my Patient’s Health! A program model that doesn’t forget!
D5-b – Bridges to Housing –a Powerful Example of Comprehensive Team Based Care
Data to Decisions (D2D)
- Planning & Preparation for D2D
DE-2 – Effective and Accountable Primary Care Representation-Development of tools and best practices for Co-Design
DE-4 Social Isolation and Loneliness in Older Adults: Integrating Clinical Guidelines for Meaning Practice Change
Diabetes Indicator – HbA1c Queries
E1 – Implementing Social Prescribing and other Social Interventions: Learnings and Critical Reflections
E1- Confronting the Tsunami: The Fourth Wave of Mental Health and Addiction
E1-a – Pharmacist Medication Reviews via Videoconference: A Prospective Cohort Pilot Study in Remote and Rural Underserviced Communities
E1-b – Challenges in implementing collaborative mental health care: the case study of PARTNERs -Primary Care Assessment and Research of a Telephone Intervention for Neuropsychiatric Conditions with Education and Resources
E2 – PREVENT – Improving the transition from hospital to home for patients with CHF/COPD (Preventing Readmissions and ER Visits in Elgin through Novel Transitions)
E4 – Health and Wellness Program(s) for the Employees – Systems Approach: The Change Needed at the Organizational Level
E4 – Your Healthcare Journey with Us – A Patient and Clinic partnership to better understand and manage our relationships with one another
E5 – Data & Engagement Build Capacity for Health Workforce Planning
E5- Black Health Matters: Building a primary health care system that works
E5-a – Improving Community Prosperity by Addressing Social Determinants of Health
E5-b – Out of the Closet and Into the Light: How one FHT secured annualized funding to provide transgender-specific health care to their region.
E5-b Making Healthcare More Environmentally Sustainable – Practical Guidance for Primary Care Clinicians
E6 – Becoming Ontario Health Teams: The Journey So Far
EF6 – Improving quality care through an EMR-enabled clinician dashboard
Events
Executive Director OHT Mentorship Program
Explore Topics
F1 – Improving Caregiver Inclusion to Impact Patient Outcomes in Primary Care
F1-a – Primary care and community pharmacy demonstration project for patients with depression in northern Ontario
F1-a – The TEAM is in: Adding More Players to Solo Practitioners’ Teams
F1-b – An integrated model of comprehensive primary care for unattached patients
F1-b – Using Digital Tools in Primary Care: Engaging Patients and Providers in Mental Health and Addiction Services
F2 – Implementing Networks in Primary Care: Insight into the Irish Experience
F2-a – Providing a seamless transition of care (shared care model) for colorectal cancer survivors within an urban family health team
F2-b – Keeping “A Breast”; Building Collaborative Care and Transitions to optimize breastfeeding success across the City of Hamilton through Primary Care
F3 – Cardiac Rehabilitation Within a Family Health Team- Improving Access For Our Community
F3 – Nursing Support – A Click or Scan Away
F4 – Increasing Rural Patient-Centered Care Through Multi-Digital Solutions
F4-a – Supporting Physician Well-Being in the Workplace: Findings from a CMHA Ontario Pilot Project
F4-b – Expanding our scope: Working with RAAM clinics to better support people who use substances
F5 – A Quality Standard for Hypertension: Guiding High-Quality Care for Adults in Ontario
F5 – Interactive Art Therapy: A Tool to Reduce Social Isolation Among seniors in a Primary Care Setting
F5-a – Serving Marginalized Communities during COVID: Clinic, Community and Advocacy Responses
F5-b – What will a Tectonic shift in relation to Equity and Anti-Racism look like in Ontario’s New Health Teams?
Facts vs. Myth: the realities of equity in Canadian healthcare
Finance Policy Manuals
Find a Team Near You
Fireside Chat – Ontario Primary Care for the next five years
G1-a – Sustaining innovation in virtual mental health through integration and person-centered quality of care
G1-b – ECHO Coping with COVID: Promoting Resilience and Mental Wellbeing during the COVID-19 Pandemic
G5 – An introduction to LGBT2SQ patients’ unique needs and a tour of Rainbow Health Ontario’s new online learning platform for Ontario healthcare providers
Governance Documents
Governance Page
Healing From The Inside, Out: Trauma Informed Mindfulness Training for PTSD
Home
How to get involved
HR Policy Manuals
IHP Advisory Council – Members List
Implementation of an Adult ADHD Group through Interprofessional Collaboration on a Family Health Team Improves Functional Outcomes
Implementing Youth Advisory Councils in Primary Care Settings: The Importance of Acknowledging Youth Patient Voices
Indigenous Health
It’s a safe place: Online clinical simulation games for healthcare providers caring for LGBTQI2S clients
Join AFHTO as a Member
Knowledge and Translation Webinars 2021
Knowledge and Translation Webinars 2022
Knowledge and Translation Webinars 2023
Knowledge and Translation Webinars 2024
Leadership & Operations Member Page
Let’s Talk About… Sessions and Topics
Managing dementia at home: the Ontario Programs for Sustaining family caregivers
Member Resources
Membership Form Disabled
Neuroplasticity and mental health – how the brain changes
News
OD1 – Scope of Nursing in Primary Care Offices- The Handguide
OD2 – How to use team-based care and personalized tech to help patients with chronic conditions successfully cope and self-manage at home
OD3 – Effective and Efficient Diagnosis of Adult Patients with Cervical Lymphadenopathy: An Ontario Health (Cancer Care Ontario) Pathway Map
Ontario Health – Call for Expressions of Interest
Ontario Health Team Handbook for Boards
Ontario Health Teams
Operations Policy Manuals
Pandemic Patch up: Using Zoom(TM) to Create a Virtual Teaching or Interprofessional Clinic
Partnering with 19 to Zero
PDOM project Request for Advisory Group Participants
Poster Displays
Preventative Care Indicator – Cancer Screening Queries
Primary Care Collaborative Updates
Primary Care Ontario Practice-based Learning and Research Network (POPLAR)
Privacy and Data Sharing
Program Planning and Evaluation
Purchase the Complete Financial Webinar Series Recordings
Purchase your Financial Webinar Series Recordings
Q&A with Fernando Tavares, Primary Health Care Branch, Ministry of Health
Q&A with Ministry of Health and Ontario Health
Q&A with Ontario Health
QI Enablers study
QIP Indicator Library
Quality Improvement and Knowledge Translation
Quality Improvement Plans
Reaching patients at risk of complication from COVID-19: Digital Health Tools to Support Identification and Planned Proactive Visits
Same/next-day appointment
Sample Page
Save on UpToDate® with a special AFHTO member offer!
Socio-demographic QIP Indicators and Resources
Speak Up Ontario is now Advanced Care Planning Ontario
Strategic Direction & Reports
Submit Payment for your 2019-20 Membership
Submit Payment for your 2020-21 Membership
Submit Payment for your 2025-26 Membership
The Development of a Youth Advisory Council in Primary Care Settings: Meeting the Needs of Youth Patients Through Virtual Care
The Opioid Epidemic – The Forgotten Public Health Crisis
The Power of Social Media during COVID
The Starfield Model of Measurement in Primary Care
Toolkits page
Triad Resources
UpToDate Discount for AFHTO member professionals
UpToDate Discount for AFHTO members
What are primary health care teams?
What we do
What’s a family health team?
Why team-based care
- Facts & Stats
- The Value of Team-Based Care

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September 24, 2008

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