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Telling our Story: External Presentations on Measurement and Quality Improvement

People across Ontario and North America are keen to learn about the ground-breaking advances AFHTO members are making to meaningfully measure and improve primary care. Presentations are listed by theme below, with brief descriptions.

Presentations on AFHTO members’ approach to the Starfield Principles

Presentations on approaching measurement that is meaningful to providers and patients

Presentations on optimizing the use of EMRs for quality improvement

Presentations on moving beyond measurement to improvement

List of upcoming presentations

List of past presentations

Presentations on AFHTO members’ approach to the Starfield Principles:

Ontario data support Starfield’s theory on primary care quality and cost. Evidence shows that quality can be measured according to what matters to patients, and higher quality in primary care is associated with lower costs to the health care system
Demonstration of Starfield’s observations about relationship between primary care quality and health system cost at the level of primary care teams in Ontario (with Paul Faguy, ED of OakMed FHT).

Presentations on approaching measurement that is meaningful to providers and patients:

Changing primary care performance measurement: Honey, we need to talk. This presentation describes the process, findings, and outcomes of D2D, as well as the role of conversations as both a means and an end in efforts to improve performance measurement. (with Ross Kirkconnell (Guelph FHT), Rob Annis (North Perth FHT), Alan MacLean (Superior FHT), and Allan MacPherson (University of Liverpool)). Abstract.
Balancing patient priorities in a measure of primary care quality. This presentation examines which indicators patients feel are most important in reflecting patient-provider relationship, the impact of socioeconomic and health status on these priorities.
Self-assessment of a composite measure of quality of primary care (with R. Glazier). The Quality Roll-Up Composite Indicator (QRU) was examined for alignment with the National Quality Forum Composite Measure Evaluation Framework (UK). Abstract.
Factors affecting patient priorities for measurement in primary care (With S. Burrows). This presentation describes the results of our 2017-18 patient priorities survey. Regardless of health and socioeconomic status, patients had similar priorities, with a small number of exceptions. For the most part, patients give high priority to indicators they perceive as measures of high performance (i.e. biomedical indicators). Abstract.
Measuring Quality in Primary Care: How do we know what we’re doing is working? (With R. Kirkconnell, A. Macpherson, and R. Annis). This presentation describes the outcomes of 7 iterations of D2D. D2D has been successful in terms of participation, increased EMR maturity, and demonstration of Starfield’s observation about the relationship between high quality primary care and lower system costs, but we overall performance on quality and cost measures remains the same.
Patient Priorities for Primary Care Performance: Changing Measurement to Reflect the Patient-Provider Partnership (with A. Maybee, S. Burrows, and B. Clark, patient advisors). This poster and oral presentation describe how we used a survey and focus groups to learn more about what patients value most in the patient-provider relationship, and how it should be measured.
Measuring the value of interprofessional primary care teams. This poster describes a qualitative study undertaken to examine performance measurement in IPC teams (with Nicole Bobbette, Catherine Donnelly, and Amanda Mofina (Queen’s University) and Rachelle Ashcroft (University of Toronto)).
Performance Indicators for Interprofessional Primary Care Teams: Measures of Collaboration. This poster describes a qualitative study aimed at identifying current supports for and measures of collaboration in interprofessional primary care teams, and to identify performance indicators that can be used to measure the outcomes of collaboration (with Catherine Donnelly and others from Queen’s University and the University of Toronto).
Building patient perspective into the “hard data” of primary care performance measurement. This presentation, developed in partnership with patient representatives, describes how AFHTO is using the Patient Priorities Questionnaire to determine what matters most to patients in their relationships with their primary care providers. Through this process, we are building patient priorities into primary care measurement.
Are we REALLY measuring what matters most to patients? Validating the patient-centredness of Ontario’s composite measure of quality in primary care. This poster described a study currently underway to validate the Quality Roll-Up Composite Indicator (QRU) as a measure of patient-centredness by comparing participating teams’ QRU scores with their scores from the Patient Perception of Patient-Centredness Questionnaire (PPPC).
Measuring improvement to improve measurement: Action research to validate a composite measure of quality. This poster describes a study currently underway to demonstrate the statistical reliability the Quality Roll-Up Composite Indicator (QRU).
Making Sense of Measures of Success in Primary Care Programs. This workshop describes a ground-up approach to program performance measurement which balances consistency and relevance. This approach helps ensure that the focus is on improvement rather than just compliance with measurement requirements and it reduces the inherent need of top-down approaches to generate buy-in.
Impact of a ground-up voluntary performance measurement initiative on the use of data for QI in primary care. An exploration of how D2D has changed conversations around using performance data by framing measurement as a means to improving quality, not an end in itself.
Developing a more meaningful way to measure performance in primary care:the impact of getting started.
Getting started with involving patients in improving quality. Through evaluation of QI workshops involving patients and QIDS Specialists, barriers and enablers to patient engagement were identified and subsequently validated by care providers.
What do interprofessional healthcare providers need and want to get better at what they do? Interprofessional health care providers told us what support they need for quality improvement, identifying interprofessional collaboration and patient engagement as important enablers for quality in primary care.
Building a Mosaic: Using locally-gathered data to develop a province-wide program planning tool. This poster describes how, through the Schedule A Indicator Catalogue, AFHTO members have compiled and disseminated locally-developed innovations and evaluation indicators in order to drive evidence-based quality improvement initiatives which balance the need for local relevance with the need to demonstrate collective value and system-wide impact.
Scaling up QI support in Ontario’s primary care sector: Co-design a stopped-wedge clinical trial In this workshop, participants will draw on the learnings of D2D to inform the design of a stepped-wedge randomized trial for spreading QI support and measurement in primary care settings.
Measuring quality according to what matters to patients. This presentation describes a survey of patients we conducted to determine which common performance indicators they feel are most relevant to their relationships with primary care providers, taking health and social determinants into account.
Making sense of measures of success in Primary Care programs. This presentation describes the development and use of the Program Performance Measures Catalogue, a ground-up tool developed by and for AFHTO members to help with program planning and Schedule A completion.

Presentations on optimizing the use of EMRs for quality improvement:

Putting your EMR to work for you: How expert-built tools can help you improve patient care. This presentation describes how the Algorithm Project Team has developed tools to help you identify patients with chronic conditions using expert-built EMR queries and how they are now collaborating with experts to develop tools, which will help teams improve care for these patients.
Reduce, reuse, recycle: digging for gold in EMR data. This presentation outlines standardized EMR queries developed by AFHTO’s QIDS Specialists and shows how they can help us move from “garbage in, garbage out” to “reduce, reuse, recycle.”
Feasibility and impact of using EMR to trigger automated patient experience surveying. An observational study of 8 primary care teams who used an automated patient contact management system to survey patients by phone or email.
Moving the needle on diabetes care.This presentation describes the AFHTO member-built Diabetes Care Composite Indicator, which employs standardized EMR queries to identify patients with diabetes and quantify the quality of care they receive according to a small number of evidence-based measures. With this tool, teams can evaluate their progress in a more accurate way that reflects the contribution of the entire team. This presentation was awarded Abstract of Distinction at Health Quality Transformation.
Data stewardship and primary & community care transformation partnerships (with Darren Larson of Ontario MD and Gail Dobell of HQO).
Evidence of improving EMR data quality in primary care teams. This poster provides both qualitative and quantitative evidence that the EMR Data Quality (EMR-DQ) composite indicator has led to improved data quality, increased use of EMR data, and better care.
Improving Primary Care Management of Depression: Buddy up, Start Where you can, Learn and then Take the Next Step Together/ Start here, start now: Cross-Sectoral Partnership in Improving Depression Management in Primary Care. This presentation describes how AFHTO and the Centre for Addictions and Mental Health (CAMH) teamed up to help primary care teams use their EMRs to identify two groups of patients with or at risk of depression and create programs to improve their care.

Presentations on moving beyond measurement to improvement:

Quality Improvement in Dietetics. This presentation introduces several QI tools that are effective in interprofessional primary care settings. It then explores in-depth several real-life examples of QI initiatives. Participants are then invited to practice using the tools to develop QI plans for challenges they are experiencing in their own teams.
Learning How to Get Lucky: Enablers of High-Performing Teams. This presentation describes what D2D is telling us about enablers of high performance in primary care teams. Some of these factors may be out of teams’ control (e.g. panel characteristics), others, such as single- vs. multi-site design, EMR management, and governance may be amenable to change.
The Care and Feeding of QI Specialists in Ontario: The First Five Years. This poster describes the experience of the first five years of the QIDS program, from the perspective of those coordinating, delivering, and receiving QIDS Specialist support.
Using Mobile Technology to Collect Patient-Reported Outcomes for Quality Improvement in Primary Care: There’s an App for That (with C. Steele Gray, J. Nie, J. Gravesande, P. Hans, and C. Cott). This presentation demonstrates how mobile technology can be used to improve care for patients with multiple chronic conditions and complex needs and to gather data which support research and system-level planning. Abstract.
Readiness for Patient Engagement in Ontario’s Primary Care Teams (with N. Sunderji, V. Tang, A. Ion, and J. Rayner): This poster/presentation describes research into the question of how ready and willing primary care teams are to practice meaningful patient engagement in quality improvement related to mental health care. Abstract.
Engaging Ontario’s Primary Care Teams: Learning the secrets of success from those who have achieved it. D2D data reveals that patients of single-site teams had statistically lower per capita health system costs, even when patient complexity is considered, regardless of whether the team is rural or urban. This paper explores how single-site design might be a useful place to start exploring what drives better outcomes in primary care teams.
Evidence of the positive impact of co-location on quality and healthcare system costs in Ontario’s primary care teams. This poster describes the finding, observed over 6 iterations of D2D, that single-site teams are associated with lower system costs, and it explores the implications for quality improvement in all team, including multi-site teams.
Ontario’s primary care teams are moving beyond measurement to improvement . This poster described patters of improvement observed over the first five iterations of D2D. “Increasers” began below average in the first iteration but were among the highest overall performers by the most recent iterations. “Decreasers” began among the highest performers but became the worst performance in the most recent iterations. Differences in characteristics between these groups are being examined and will be shared in the poster.

List of upcoming presentations

Topic	Title	Conference	Location	Format	Date
Approaching measurement that is meaningful to providers and patients	Scaling up QI support in Ontario’s primary care sector: Co-design a stepped-wedge clinical trial	North American Primary Care Research Group – Practice-Based Research Network	Bethesda, MD	Oral	6/22/2017
Optimizing the use of EMRs for quality improvement	Improving primary care management of depression: buddy up, start where you can, learn and then take the next step together	North American Primary Care Research Group – Practice-Based Research Network	Bethesda, MD	Oral	6/22/2017
Moving Beyond Measurement to Improvement	Ontario’s primary care teams are moving beyond measurement to improvement	North American Primary Care Research Group – Practice-Based Research Network	Bethesda, MD	Poster	6/22/2017
Approaching measurement that is meaningful to providers and patients	Primary Care in Ontario: Driving Data to Decisions (with Paul Faguy of Oakmed FHT)	National Health Leadership Confefrence	Vancouver, BC	Oral	2017-06-12
Optimizing the use of EMRs for quality improvement	Data stewardship and primary & community care transformation partnerships (with Darren Larson of Ontario MD and Gail Dobell of HQO)	e-Health Annual Conference and Trade Show	Toronto, ON	Oral	2017-06-04
Approaching measurement that is meaningful to providers and patients	Measuring Quality According to What Matters to Patients	Trillium Research Day	Toronto, ON	Oral	2017-05-31
Optimizing the use of EMRs for quality improvement	Measuring EMR Data Quality Improves Care as well as Quality and Use of EMR Data	Trillium Research Day	Toronto, ON	Poster	5/31/2017
Optimizing the use of EMRs for quality improvement	Start here, start now: Cross-Sectoral Partnership in Improving Depression Management in Primary Care	Trillium Research Day	Toronto, ON	Oral	31-May-17
Optimizing the use of EMRs for quality improvement	Evidence of improving EMR data quality in primary care teams	Canadian Association for Health Services and Policy Research (CAHSPR) 2017 Conference	Toronto, ON	Poster	2017-05-24
AFHTO Members’ Approach to the Starfield Principles	Demonstration of Starfield’s observations about relationhip between primary care quality and health system cost at the level of primary care teams in Ontario	Canadian Association for Health Services and Policy Research (CAHSPR) 2017 Conference	Toronto, ON	Oral	2017-05-24

Optimizing the use of EMRs for quality improvement	Putting your EMR to Work for you: how Expert-built Tools can help you Improve Patient Care	OntarioMD: Every Step Conference	Toronto, ON	Oral	9/28/2017
Optimizing the use of EMRs for quality improvement	Measuring EMR Data Quality Improves Care as well as Quality and use of EMR Data	Health Quality Transformations	Toronto, ON	Poster	10/24/2017
Approaching measurement that is meaningful to providers and patients	Building patient perspectives into the “hard data” of primary care performance measurement	North American Primary Care Research Group	Montreal, QC	Oral	11/17/2017
Moving Beyond Measurement to Improvement	Ontario’s primary care teams are moving beyond measurement to improvement	North American Primary Care Research Group	Montreal, QC	Poster	11/17/2017
Approaching measurement that is meaningful to providers and patients	Are we REALLY measuring what matters most to patients? Validating the patient-contentedness of Ontario’s composite measure of quality in primary care	North American Primary Care Research Group	Montreal, QC	Poster	11/17/2017
Approaching measurement that is meaningful to providers and patients	A composite measure of Primary Care quality that incorporates patient perspectives is feasible. Now, how reliable is it?	North American Primary Care Research Group	Montreal, QC	Poster	11/17/2017
Approaching measurement that is meaningful to providers and patients	Making Sense of Measures of Success in Primary Care Programs	Institute for Healthcare Improvement	Orlando, FL	Oral	12/10/2017
Approaching measurement that is meaningful to providers and patients	Measuring the Value of Interprofessional Primary Care Teams	Canadian Association of Occupational Therapists (CAOT)	Vancouver, BC	Poster	6/20/2018
Moving Beyond Measurement to Improvement	Evidence of the positive impact of co-location on quality and healthcare system costs in Ontarioâ€™s primary care teams	Centre for Health Services and Policy Research (CHSPR) 30th Annual Health Policy Conference	Vancouver, BC	Poster	3/8/2018
Approaching measurement that is meaningful to providers and patients		Centre for Health Services and Policy Research (CHSPR) 30th Annual Health Policy Conference	Vancouver, BC	Oral	3/8/2018
Approaching measurement that is meaningful to providers and patients	Measuring quality in primary care: How do we know what we’re doing is working?	North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)	Bethesda, MD	Panel	6/25/2018
Approaching measurement that is meaningful to providers and patients	Patient Priorities for Primary Care Performance: Changing Measurement to Reflect the Patient-Provider Partnership	North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)	Bethesda, MD	Oral	6/25/2018
Moving Beyond Measurement to Improvement	Engaging Ontario’s Primary Care Teams: Learning the secrets of success from teams who have achieved it	North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)	Bethesda, MD	Oral	6/25/2018
Approaching measurement that is meaningful to providers and patients	Changing Primary Care Performance Measurement: Honey, we need to talk.	Trillium Primary Care Research Day	Toronto, ON	Oral	6/6/2018
Approaching measurement that is meaningful to providers and patients	Patient Priorities Regarding Relationships with their Providers Only Marginally Affected by Socioeconomic and Health Status	Trillium Primary Care Research Day	Toronto, ON	Oral	6/6/2018
Moving Beyond Measurement to Improvement	Engaging Ontario’s Primary Care Teams: Learning the Secrets of Success from those who have Achieved It	Trillium Primary Care Research Day	Toronto, ON	Oral	6/6/2018
Moving Beyond Measurement to Improvement	Learning How to Get Lucky: Enablers of High-Performing Teams	Trillium Primary Care Research Day	Toronto, ON	Oral	6/6/2018
Moving Beyond Measurement to Improvement	Learning how to get lucky: enablers of high performing primary care teams	North American Primary Care Research Group (NAPCRG) Annual Meeting 2018	Chicago, IL	Oral	11/13/2018
Approaching measurement that is meaningful to providers and patients	Self-assessment of a composite measure of quality of primary care using National Quality Forum evaluation criteria	North American Primary Care Research Group (NAPCRG) Annual Meeting 2018	Chicago, IL	Oral	11/13/2018
Approaching measurement that is meaningful to providers and patients	Patient priorities regarding relationships with their providers only marginally affected by socioeconomic and health status	North American Primary Care Research Group (NAPCRG) Annual Meeting 2018	Chicago, IL	Oral	11/13/2018
Approaching measurement that is meaningful to providers and patients	Changing primary care performance measurement: Honey, we need to talk	North American Primary Care Research Group (NAPCRG) Annual Meeting 2018	Chicago, IL	Oral	11/13/2018
Moving Beyond Measurement to Improvement	Readiness for Patient Engagement in Ontario’s Primary Care Teams	North American Primary Care Research Group (NAPCRG) Annual Meeting 2018	Chicago, IL	Oral	11/13/2018
Moving Beyond Measurement to Improvement	Using Mobile Technology to Collect Patient-Reported Outcomes for Quality Improvement in Primary Care: Thereâ€™s an App for That	North American Primary Care Research Group (NAPCRG) Annual Meeting 2018	Chicago, IL	Oral	11/13/2018

List of past presentations

Topic	Title	Conference	Location	Format	Date
Approaching measurement that is meaningful to providers and patients	Getting started with involving patients in improving quality	Trillium Primary Care Research Day	Toronto, ON	Oral	2016-06-01
Optimizing the use of EMRs for quality improvement	Feasibility and impact of using EMR to trigger automated patient experience surveying	Trillium Primary Care Research Day	Toronto, ON	Oral	2016-06-01
Approaching measurement that is meaningful to providers and patients	What do interprofessional healthcare providers need and want to get better at what they do?	Trillium Primary Care Research Day	Toronto, ON	Oral	2016-06-01
AFHTO Members’ Approach to the Starfield Principles	Ontario data support Starfield’s theory on primary care quality and cost	Trillium Primary Care Research Day	Toronto, ON	Oral	2016-06-01
Approaching measurement that is meaningful to providers and patients	Impact of a ground-up voluntary performance measurement initiative on the use of data for QI in primary care	NAPCRG Practice-Based Presearch Network Conference	Bethesda, MD	Oral	2016-07-11
AFHTO Members’ Approach to the Starfield Principles	Making composite measures of primary care useful for front-line providers	NAPCRG Practice-Based Presearch Network Conference	Bethesda, MD	Oral	2016-07-11
Approaching measurement that is meaningful to providers and patients	Building a Mosaic: Using locally-gathered data to develop a province-wide program planning tool	HQO Health Quality Transformation: Quality Matters 2016	Toronto, ON	Poster	2016-10-20
Optimizing the use of EMRs for quality improvement	Moving the needle on diabetes care	HQO Health Quality Transformation: Quality Matters 2016	Toronto, ON	Oral	2016-10-20
AFHTO Members’ Approach to the Starfield Principles	Ontario data support Starfield’s theory on primary care quality and cost	CCFP Family Medicine Forum	Vancouver, BC	Oral	2016-11-09
Approaching measurement that is meaningful to providers and patients	Developing a more meaningful way to measure performance in primary care: the impact of getting started	NAPCRG 2016 Annual Meeting	Colorado Springs, CO	Poster	2016-11-12
AFHTO Members’ Approach to the Starfield Principles	Ontario data support Starfield’s theory on primary care quality and cost	NAPCRG 2016 Annual Meeting	Colorado Springs, CO	Oral	2016-11-12
Optimizing the use of EMRs for quality improvement	Reduce, reuse, recycle: Digging for gold in EMR data	OCFP 545th Annual Scientific Assembly	Toronto, ON	Oral	2016-11-24
AFHTO Members’ Approach to the Starfield Principles	Demonstration of Starfield’s observations about relationship between primary care quality and health system cost at the level of primary care teams in Ontario	Centre for Health Services and Policy Research (CHSPR) 2017 Health Policy Conference	Vancouver, BC	Oral	2017-03-09
Optimizing the use of EMRs for quality improvement	Evidence of improving EMR data quality in primary care teams	Canadian Association for Health Services and Policy Research (CAHSPR) 2017 Conference	Toronto, ON	Poster	2017-05-24
AFHTO Members’ Approach to the Starfield Principles	Demonstration of Starfield’s observations about relationhip between primary care quality and health system cost at the level of primary care teams in Ontario	Canadian Association for Health Services and Policy Research (CAHSPR) 2017 Conference	Toronto, ON	Oral	2017-05-24
Optimizing the use of EMRs for quality improvement	Start here, start now: Cross-Sectoral Partnership in Improving Depression Management in Primary Care	Trillium Primary Care Research Day	Toronto, ON	Oral	2017-05-31
Approaching measurement that is meaningful to providers and patients	Making sense of measures of success in primary care programs.	Trillium Primary Care Research Day	Toronto, ON	Oral	2017-05-31
Approaching measurement that is meaningful to providers and patients	Measuring Quality According to What Matters to Patients	Trillium Primary Care Research Day	Toronto, ON	Oral	2017-05-31
Optimizing the use of EMRs for quality improvement	Measuring EMR Data Quality Improves Care as well as Quality and Use of EMR Data	Trillium Primary Care Research Day	Toronto, ON	Poster	2017-05-31
optimizing the use of EMRs for quality improvement	Data stewardship and primary & community care transformation partnerships (with Darren Larson of Ontario MD and Gail Dobell of HQO)	e-Health Annual Conference and Trade Show	Toronto, ON	Oral	2017-06-04
Approaching measurement that is meaningful to providers and patients	Primary Care in Ontario: Driving Data to Decisions (with Paul Faguy of Oakmed FHT)	National Health Leadership Conference	Vancouver, BC	Oral	2017-06-12
Moving Beyond Measurement to Improvement	Ontario’s primary care teams are moving beyond measurement to improvement	North American Primary Care Research Group – Practice-Based Research Network	Bethesda, MD	Poster	2017-06-22
Optimizing the use of EMRs for quality improvement	Improving primary care management of depression: buddy up, start where you can, learn and then take the next step together	North American Primary Care Research Group – Practice-Based Research Network	Bethesda, MD	Oral	2017-06-22
Approaching measurement that is meaningful to providers and patients	Scaling up QI support in Ontario’s primary care sector: co-design a stepped-wedge clinical trial	North American Primary Care Research Group – Practice-Based Research Network	Bethesda, MD	Oral	2017-06-22
Optimizing the use of EMRs for quality improvement	Putting your EMR to Work for you: how Expert-built Tools can help you Improve Patient Care	OntarioMD: Every Step Conference	Toronto, ON	Oral	2017-09-28
Optimizing the use of EMRs for quality improvement	Putting your EMR to Work for you: how Expert-built Tools can help you Improve Patient Care	OntarioMD: Every Step Conference	Toronto, ON	Oral	2017-09-28
Optimizing the use of EMRs for quality improvement	Evidence of improving EMR data quality in primary care teams.	Health Quality Transformation	Toronto, ON	Poster	2017-10-24
Approaching measurement that is meaningful to providers and patients	Building patient perspectives into the “hard data” of primary care performance measurement	North American Primary Care Research Group	Montreal, QC	Oral	2017-11-17
Moving Beyond Measurement to Improvement	Ontario’s primary care teams are moving beyond measurement to improvement	North American Primary Care Research Group	Montreal, QC	Poster	2017-11-17
Approaching measurement that is meaningful to providers and patients	Are we REALLY measuring what matters most to patients? Validating the patient-contentedness of Ontario’s composite measure of primary care quality	North American Primary Care Research Group	Montreal, QC	Poster	2017-11-17
Approaching measurement that is meaningful to providers and patients	Measuring Improvement to Improve Measurement: Action research to validate a composite measure of quality	North American Primary Care Research Group	Montreal, QC	Poster	2017-11-17
Approaching measurement that is meaningful to providers and patients	Performance Indicators for Interprofessional Primary Care Teams: Measures of Collaboration	North American Primary Care Research Group	Montreal, QC	Poster	2017-11-17
Approaching measurement that is meaningful to providers and patients	Measuring the value of interprofessional primary care teams	Canadian Association of Occupational Therapists National Conference	Vancouver, BC	Poster	2018-06-20
Moving Beyond Measurement to Improvement	Evidence of the positive impact of co-location on quality and healthcare system costs in Ontario’s primary care teams	Centre for Health Services and Policy Research (CHSPR) 30th Annual Health Policy Conference	Vancouver, BC	Poster	2018-03-08
Approaching measurement that is meaningful to providers and patients	Patient priorities for primary care performance: Changing measurement to reflect the patient-provider partnership	Centre for Health Services and Policy Research (CHSPR) 30th Annual Health Policy Conference	Vancouver, BC	Poster	2018-03-08
Approaching measurement that is meaningful to providers and	Changing Primary Care Performance Measurement: Honey, we need to talk.	Trillium Primary Care Research Day	Toronto, ON	Oral	2018-06-06
Approaching measurement that is meaningful to providers and	Factors affecting patient priorities for measurement in primary care	Trillium Primary Care Research Day	Toronto, ON	Oral	2018-06-06
Moving Beyond Measurement to Improvement	Engaging Ontario’s Primary Care Teams: Learning the Secrets of Success from those who have Achieved It	Trillium Primary Care Research Day	Toronto, ON	Oral	2018-06-06
Moving Beyond Measurement to Improvement	Learning How to Get Lucky: Enablers of High-Performing Teams	Trillium Primary Care Research Day	Toronto, ON	Oral	2018-06-06
Approaching measurement that is meaningful to providers and patients	Measuring quality in primary care: How do we know what we’re doing is working?	North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)	Bethesda, MD	Oral	2018-06-25
Approaching measurement that is meaningful to providers and patients	Patient Priorities for Primary Care Performance: Changing Measurement to Reflect the Patient-Provider Partnership	North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)	Bethesda, MD	Oral	2018-06-25
Moving Beyond Measurement to Improvement	Engaging Ontario’s Primary Care Teams: Learning the secrets of success from teams who have achieved it	North American Primary Care Research Group, Practice-Based Research Network (NAPCRG PBRN)	Bethesda, MD	Oral	2018-06-25
Approaching measurement that is meaningful to providers and patients	Changing Primary Care Performance Measurement: Honey, we need to talk.	North American Primary Care Research Group Annual Meeting (NAPCRG)	Chicago, IL	Oral	2018-11-09
Approaching measurement that is meaningful to providers and patients	Balancing patient priorities in a measure of primary care quality.	North American Primary Care Research Group Annual Meeting (NAPCRG)	Chicago, IL	Oral	2018-11-09
Approaching measurement that is meaningful to providers and patients	Self-assessment of a composite measure of primary care quality.	North American Primary Care Research Group Annual Meeting (NAPCRG)	Chicago, IL	Oral	2018-11-09
Moving Beyond Measurement to Improvement	Learning How to Get Lucky: Enablers of High-Performing Teams	North American Primary Care Research Group Annual Meeting (NAPCRG)	Chicago, IL	Oral	2018-11-09

November 20, 2018

Apply now for LeaderShift’s LEADS LITE Learning Series in early 2019!

Were you or one of your colleagues interested in participating in the 5-day LEADS Learning Series, but couldn’t break away from your day-to-day responsibilities? Then our LEADS LITE learning series is for you! Become a better leader in five 90-minute webinars. Current and emerging community and primary health care leaders need practical leadership capability. That’s exactly what LeaderShift’s new LEADS LITE is all about. The five-part, interactive, online workshop series connects you with expert facilitators and a small, supportive group of leaders from across our sectors for a dynamic, action-oriented look at the LEADS leadership framework. Develop your leadership skills, right where you are. The five 90-minute webinars take place over seven weeks, starting in January 2019. Expect an additional hour a week for assignments. *Those who have already participated in a 5-day LEADS Leaning Series are not eligible for this program.* Space is limited. Apply by December 7. Click here for more information and to apply.

November 20, 2018
Opioid tapering and tools for use in clinical practice

Dr. Andrea Furlan, co-chair of ECHO Ontario Chronic Pain and Opioid Stewardship, spoke on November 19, 2018, about opioid tapering and tools for use in clinical practice. The following were the learning objectives: • Describe barriers and facilitators for a successful opioid taper • Develop an approach for managing opioid withdrawal • Remember some tools for use in clinical practice to assist in opioid tapering The slide deck can be seen here. And the recording is here:

November 19, 2018
AFHTO members recognised in 2018 OCFP Awards
AFHTO congratulates Medical Associates of Port Perry, North Durham FHT and physicians in our member family health teams who were recognized on Wednesday, November 14, 2018 at the Ontario College of Family Physicians (OCFP) 2018 Awards Ceremony.

Congratulations to all those recognized this year:

Dr. Dieter Poenn of Northeastern Manitoulin FHT, named 2018 Reg. L Perkin Ontario Family Physician of the Year as well as Regional Family Physician of the Year. Medical Associates of Port Perry, North Durham FHT, named 2018 Family Practice of the Year. Regional Family Physicians of the Year
- Dr. Rochelle Dworkin, Hanover FHT
- Dr. Joseph Lee, The Centre for Family Medicine FHT
- Dr. Brian Watada, Prime Care FHT
- Dr. Erika Catford, Couchiching FHT
- Dr. Lyne Pitre, Équipe de santé familiale académique Montfort
Dr. Lianne Gauvin, ESF NORD-ASKI FHT, named Community Teacher of the Year And the following Award of Excellence recipients:
- Susan McNair, Thames Valley FHT
- Douglas Friars, Risa Adams, Joan Mackenzie Chan and Dorothy Bakker, Guelph FHT, for the Act As One Service initiative, also an AFHTO 2017 conference presentation
- Karen Tu, Toronto Western FHT
- Lynne Schwertfeger, Timmins FHT
- James Pencharz, Credit Valley FHT
- Mohamed Alarakhia, the eHealth Centre of Excellence, The Centre for Family Medicine FHT
And a special congratulations to new OCFP President Dr. Jennifer Young (Georgian Bay FHT) – we look forward to working with you! Relevant Links:
November 15, 2018
Peterborough FHT adds third ultrasound machine

The Peterborough Examiner article published on November 13, 2018 By Jessica Nyznik, The Peterborough Examiner

To be used for Ontario Breast Screening Program general imaging in Peterborough

The Medical Centre now has a third ultrasound machine in operation to increase access and reduce wait times. The centre received a $16,000 donation from GPHSF, Your Family Health Team Foundation to refurbish an ultrasound machine for the facility.

It’ll be used for general imaging along with the Medical Centre’s Ontario Breast Screening Program.

The machine was previously used by a doctor at the centre for breast screening. When he retired, he donated the machine to the centre, but it wasn’t equipped to do abdomens and obstetricals. The probe to do the additional screening was $16,000. GPHSF, Your Family Health Team Foundation supports patient care delivered by the Peterborough Family Health Team. It raises money through fundraisers, such as an annual golf tournament. “If you have a family doctor in Peterborough, then you’re a member of the Peterborough Family Health Team and you have access to all these resources we’ve been funding as well,” foundation executive director Laura Kennedy said at the Medical Centre Tuesday. Cheryl Collins, the centre’s diagnostic services manager, said the new equipment and designated room will speed up the entire process for someone who needs an ultrasound, from wait time to results. The centre has three obstetricians in the building who refer patients for ultrasounds, and other patients from outside the building get referred there as well. The Medical Centre sees between 8,000 to 10,000 patients a year for ultrasounds. With the two machines, Collins said patients could wait a week or more to get an appointment.

Now, with the additional equipment, patients will be booked in within the same week.

“Having an additional ultrasound room and equipment will mean we can provide even more service to our community when they need it most,” said Dr. Bob Neville, Medical Centre physician lead. The Medical Centre was established in 1948, with three physicians. Today, it houses more than 35 medical practices, 19 family medicine specialists, five nurse practitioners and several allied health professionals. Click here to access The Peterborough Examiner article

November 14, 2018
Internal Responsibility System (IRS) and Workplace Violence Prevention Initiative 2018/2019

The Ministry of Labour regularly undertakes “Safe at Work Ontario” activities, such as initiatives to focus attention on important health and safety hazards or concerns.

Between July 1, 2018, and March 31, 2019, health and community care workplaces may be visited as part of the MOL’s Safe At Work Ontario internal responsibility system (IRS) initiative to promote compliance with the Occupational Health and Safety Act (OHSA) and its regulations..

The following IRS focus priorities will be integrated into MOL workplace inspections:

• Training / information and instruction/supervisory competency
• Personal protective equipment (PPE) / protective devices:
• Reporting incidents of workplace violence and other reporting requirements
• Notification requirements
• Duties of directors and officers of a corporation

A joint webinar with the Ministry of Labour & Public Services Health and Safety Association (PSHSA) on November 14, 2018, reviewed how “Safe at Work Ontario” activities may affect your workplace and what compliance support resources are available to help you with achieving compliance with the Occupational Health and Safety Act (OHSA) and its regulations.

The slide deck is here.

The webinar was also recorded:

Speakers:
Eunice John, Provincial Specialist, Ministry of Labour
Sherri Bastos, Director of Prevention and Operations, Engagement and Retention, Public Services Health & Safety Association

November 14, 2018
Internal Responsibility System (IRS) and Workplace Violence Prevention Initiative 2018/2019

The Ministry of Labour regularly undertakes “Safe at Work Ontario” activities, such as initiatives to focus attention on important health and safety hazards or concerns. Between July 1, 2018, and March 31, 2019, health and community care workplaces may be visited as part of the MOL’s Safe At Work Ontario internal responsibility system (IRS) initiative to promote compliance with the Occupational Health and Safety Act (OHSA) and its regulations.. The following IRS focus priorities will be integrated into MOL workplace inspections: • Training / information and instruction/supervisory competency • Personal protective equipment (PPE) / protective devices: • Reporting incidents of workplace violence and other reporting requirements • Notification requirements • Duties of directors and officers of a corporation A joint webinar with the Ministry of Labour & Public Services Health and Safety Association (PSHSA) on November 14, 2018, reviewed how “Safe at Work Ontario” activities may affect your workplace and what compliance support resources are available to help you with achieving compliance with the Occupational Health and Safety Act (OHSA) and its regulations. The slide deck is here. The webinar was also recorded: Speakers: Eunice John, Provincial Specialist, Ministry of Labour Sherri Bastos, Director of Prevention and Operations, Engagement and Retention, Public Services Health & Safety Association

November 14, 2018
City of Kawartha Lakes FHT helps keep Woodville Medical open

The Lindsay Advocate article published on November 12, 2018 By Roderick Benns,The Lindsay Advocate Health care services continue to be available at the Woodville Medical Centre, thanks to a collaborative effort between the Community Care Health & Care Network and the City of Kawartha Lakes Family Health Team. Following the departure of Dr. Muhammed Khan from his practice at the Woodville Medical Centre at the end of October, the two organizations have stepped up to meet the health care needs of Woodville residents through an interim arrangement until March 31, 2019. Primary care professionals from the Community Care Community Health Centre (CHC), including family physician Dr. Jill Caines, nurses and nurse practitioners, as well as medical administration staff, are stepping up. The City of Kawartha Lakes Family Health Team will provide additional support through a nurse practitioner one day a week. The clinic will operate five days a week, Monday to Friday, 9 am to 5 pm. When efforts to find a replacement for Dr. Khan were not successful, the Woodville Medical Trust asked Community Care for assistance. Community Care Director of Clinical Services Margot Fitzpatrick says the organization moved quickly to expand service to Woodville. “At the heart of the community health centre model of care is the ability of residents to receive health care where they live. It has been rewarding to work with our dedicated CHC health care team to keep the Medical Centre open to serve the residents of Woodville,” Fitzpatrick explained. Mike Perry, executive director of the City of Kawartha Lakes Family Health Team said, “I am delighted to join Community Care in finding a local solution for ongoing primary care in Woodville. I really want to commend Community Care for its leadership to help ensure care for patients in the Woodville area.” “Health care takes local cooperation to provide care where people live, especially in our rural area,” adds Perry. Although funding arrangements to support the services beyond March 31, 2019 have not yet been finalized, Barb Mildon, chief executive officer with Community Care stated, “Community Care is committed to continue working to find a permanent solution to enable continuing service delivery in Woodville.” For further information about services at the Woodville Medical Centre (115 Nappadale St.), contact Margot Fitzpatrick, Director of Clinical Services, Community Care Health & Care Network. mfitzpatrick@ccckl.ca. Clients of the medical centre can contact staff at 705-439-2411. Click here to access the The Lindsay Advocate article

November 13, 2018
The most effective outreach for patients overdue for cancer screening, according to St. Michael’s Hospital Academic FHT

By Tara Kiran, MD, MSc, Sam Davie, MSc, Rahim Moineddin, PhD, and Aisha Lofters, MD, PhD; St. Michael’s Academic FHT

Background: There is good evidence that cancer-specific patient outreach improves rates of cervical, breast, and colorectal cancer screening. However, it is unclear how primary care practices should implement integrated outreach for all 3 types of cancer screening. They aimed to understand whether integrated outreach using mailed letters or phone calls were more effective at increasing screening uptake in a primary care organization.

Click here to access the complete article

November 13, 2018

Bits & Pieces: Helen Bevan, NP week, Family Doctors week, members in the media & more

Your Weekly News & Updates

Helen Bevan webinar registration open

Internationally renown change agent Helen Bevan will facilitate a virtual lunch and learn on Primary Care and Health System Change on Nov. 22, hosted by The Change Foundation and offered to AFHTO and OCFP members.

Bevan, the Chief Transformation Officer for the National Health Service (NHS), will be joined by a panel of esteemed primary care practitioners from the UK and Ontario who will share their insight on system transformation, leading and responding to change, building relationships and maintaining momentum.

Within this interactive webinar, participants will have the opportunity to learn about how to overcome obstacles and address challenges based on lessons learned in the UK and how they might apply to primary care in Ontario. Register here.

In this Issue:

Helen Bevan webinar registration open

Happy Nurse Practitioner Week

Happy Family Doctors Week

Helping children find their inner heroes

Members in the media and journals

ImPACT – Primary Care Team Pharmacists website launched

ED performance management slides, materials and video

Walk or Run to Quit 2.0 feasibility survey

College of Nurses seeking volunteers for new PN exam development

Invitation to co-design dementia education app

HPCO call for abstracts

New quality standards-schizophrenia and osteoarthritis

Upcoming events regarding follow-up in the north and more

Happy Nurse Practitioner Week

Happy Nurse Practitioner Week to all the NPs working in primary care teams across the province! Thank you for your hard work and dedication to the patients that you see and the team that you work with.

Over the past few months and years we have seen many changes to the NP scope of practice in Ontario. This has led to the need for additional time in education and training for NPs and you should all be proud of the work that you have done to expand your ability to care for patients.

Please take some time this week to reflect on the work that you do and know that you make a difference in the lives of your patients and teams.

Happy Family Doctors Week

And Happy Family Doctors Week to all the family physicians working with primary care teams across Ontario as well! Whether affiliated, salaried or consulting, your insight and collaboration are appreciated and valued.

We know times have been challenging for the past few years, but you should be proud of all the work you’ve done and the strides you’ve made in improving your patients’ and communities’ health. Thank you!

Members can also join celebrations this week by using #LoveMyFamilyDoc on social media and sharing CFPC’s video.

Helping children find their inner heroes

Thanks to our AFHTO 2018 conference attendees’ generosity, Starlight Children Foundation kids in Montreal got to dress up as their favourite superheroes. Look at those smiling faces!

Members in the media and journals

City of Lakes FHT– certified as a Great Place for Millennials to Work

Espanola and Area FHT– recognized as Healthy Change Champion

St. Michaels Hospital Academic FHT – 10 tips for advancing a culture of improvement in primary care

ImPACT – Primary Care Team Pharmacists website launched

The ImPACT network of primary care team pharmacists just launched their new site.

Visit today.

ED performance management slides, materials and video

The Lead Executive Performance Guide – an optional tool to assist boards with the requirement of having an executive director performance evaluation process in place – was reviewed with Accompass at last week’s webcast on ED performance management.

The guide, the two presentations from the webcast, and the recording are here.

Walk or Run to Quit 2.0 feasibility survey

In December Canadian Cancer Society’s Walk or Run to Quit (WRTQ) will close out the current 3-year project. The results have inspired them to consider a new program design that could reach more smokers with the opportunity to use a physical-activity based cessation program to help them along in their quit attempts.

They’re seeking your input on the feasibility of having a modified version of WRTQ available for community-based champions to deliver in their own settings. Deadline Nov. 15.

College of Nurses seeking volunteers for new PN exam development

College of Nurses (CNO) is seeking volunteers to participate in a Practice Analysis Jan. 9 & 10, 2019 in Chicago, Illinois as part of their new PN exam development.

Your travel-related expenses will be covered. Application deadline noon on Mon., Nov. 19, 2018.

Invitation to co-design dementia education app

Queen’s University, Sinai Health System and partners are developing an online education platform to educate primary care physicians and NPs about dementia diagnosis and management. They’re seeking physicians and NPs to participate in focus groups to help them design a system that is valuable and useful to providers. Dates available:

Wed. Nov. 21, 5pm – 11^th floor classroom (600 University – Mount Sinai)
Thurs. Nov 22, 5pm – 14^th floor classroom (600 University) – Mount Sinai)

Food and an honorarium will be provided, and remote attendance can be offered for some participants using the Zoom platform. Additional dates in Kingston and via remote on Nov .19 and/or Nov. 26 during the lunch hour may be available. See the recruitment poster and consent form for more information.

New quality standards-schizophrenia and osteoarthritis

Health Quality Ontario has released new quality standards:

HPCO call for abstracts

Hospice Palliative Care Ontario has opened their conference call for abstracts. If you’re interested in submitting an abstract, please visit their website for more details. Deadline Nov. 28.

If you have any questions, you can contact, Randy Markus, Conference Manager at rmarkus@hpco.ca or by telephone at: 416-304-1477 or 1-800-349-3111 ext. 23

OPHA Fall Forum: Cannabis in our Communities, Nov. 14, 2018

Learn about the health effects of cannabis and the public health approach to marijuana. Learn more here.

Sweden-Canada Digital Health Initiative, Dec. 5, 2018

Share knowledge and discuss Ontario & Sweden’s digital health strategies and the challenges with implementing digital health solutions. Learn more here.

Focus on Follow-up, Nov. 27, 2018

A full-day, interprofessional workshop highlighting northern teams and their solutions on how they can help their patients get the right follow-up from the right providers at the right time. Learn more here.

Governance Webcast Series: Board Orientation and Education, Dec. 6, 2018

Learn why board orientation and education is important. Register now!

November 13, 2018

Author: sitesuper

Presentations on AFHTO members’ approach to the Starfield Principles:

Presentations on approaching measurement that is meaningful to providers and patients:

Presentations on optimizing the use of EMRs for quality improvement:

Presentations on moving beyond measurement to improvement:

List of upcoming presentations

List of past presentations

Congratulations to all those recognized this year:

Your Weekly News & Updates