Ultimate Blogging Championship

Category: Uncategorized

  • C3 Planting the Seed – Introducing Advance Care Planning Conversations in “5 Minutes or Less”

    Theme 3. Employing and empowering the patient and caregiver perspective

    Presentation Details

    • Date: Thursday, October 26, 2017
    • Concurrent Session C
    • Time: 8:30am-9:15am
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
    • Target Audience: Clinical providers, Representatives of stakeholder/partner organizations

    Learning Objectives

    • Participants will:
      1. Increase their knowledge and understanding of health care consent and Advance Care Planning (ACP) in Ontario
      2. Review the role of Substitute Decision Making in advocating on behalf of patients
      3. Explore strategies used in Waterloo Wellington to assist primary care providers with introducing Advance Care Planning in “5 minutes or less “
      4. Review an EMR tool that has been developed to assist physicians in guiding their patients through the ACP process and documenting the details in the EMR

    Summary/Abstract

    Advances in medical treatment mean that more Ontarians can expect to live longer with more complex health conditions. As a result, parents, children, and families will be called on more often to make increasingly challenging health care decisions for their loved ones. The objective is to help people understand how health care decisions are made in Ontario and the key role Advance Care Planning (ACP) conversations can play in preparing patients and their Substitute Decision Makers for future health care decision making. ACP conversations are recognized as a valuable part of quality health care, however, these conversations must become integrated into the continuum of care. The longstanding relationships primary care providers have with their patients provide an ideal environment to introduce ACP. This session will review the fundamentals of ACP in Ontario and how ACP can be embedded into primary care practice. Participants will learn about the strategies used by Waterloo Wellington’s ACP Education Program, and partners, to build capacity for ACP in primary care. This session will highlight different models that have been implemented so that session participants can consider options for their own practices. We will demonstrate an EMR tool developed to inform clinicians about ACP and encourage them to start discussions with their patients. It enables them to inform their patients, guide them through the process, and document information in the EMR about a patient’s Substitute Decision Maker(s) in an efficient and easily accessible format, which is not part of the built in functionality of the EMR’s.

    Presenters

    • Ashley Tyrrell, Health Care Engagement Lead, WW’s Advance Care Planning Education Program, Hospice of Waterloo Region
    • Hope Latam, Quality Improvement Decision Support Specialist, East Wellington Family Health Team
    • Dr. Kevin Samson, Family Physician, East Wellington Family Health Team

    Authors & Contributors

    • eHealth Centre for Excellence
    • Woolwich Community Health Centre
    • Dr. Cheryl Pridham, Family Physician, Upper Grand Family Health Team
    • Waterloo Wellington Nurse Practitioner-Led Clinic
    • East Wellington Family Health Team

  • C2 Aging Well & At Home: Two Approaches for Primary Care Teams

    Theme 2. Planning programs for equitable access to care

    Presentation Details

    • Date: Thursday, October 26, 2017
    • Concurrent Session C
    • Time: 8:30am-9:15am
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)

    1. Aging At Home: Access to Care for Our Seniors

    Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff

    Learning Objectives

    1. Identify your target population – using key indicators and resources you currently have.
    2. Program Parameters – Who, What and Where – how to meet the need expectations and outcomes, when to make the exception. Future expansion.
    3. Resources – Making this program work without additional monies.

    Summary/Abstract

    Leeds and Grenville CFHT services a large rural region.  It was identified that our patients with advanced age and multiple chronic diseases were facing barriers to meet their healthcare needs within the confines of an average clinic appointment due to the following reasons: mobility issues, advanced disease process, transportation issues and the clinic format itself.   The Aging at Home program was developed and put into practice earlier this year. A Nurse Practitioner is the MRP for this program and delivers primary care to the identified population. The outcomes have been very positive so far in the following areas: patient satisfaction, caregiver relief, reduced emergency room visits, reduced readmissions to hospital, accurate medication reconciliation, improved access to community resources and improved clinic flow. Come learn how to identify your high risk patients, take home templates and a list of resources to make this program work. Learn about our challenges and how we have overcome them. Hear about how this program can and will expand to meet the ever changing needs of our complex patients living in our rural communities.

    Presenters

    • Nancy Campbell, NP-PHC, GNC (c), Leeds & Grenville Community Family Health Team
    • Jenny Lane, Executive Director, MCNP-PHC, CHE, Leeds & Grenville Community Family Health Team

    Authors & Contributors

    • Linda Bisonette
    • Jane Fournier

    2. Aging Well, a Team Based Approach to Complex Elder Care

    Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Representatives of stakeholder/partner organizations

    Learning Objectives

    • To address a community care gap, the Barrie and Community Family Health Team (BCFHT) created an Aging Well Clinic for community dwelling seniors that are clinically frail, medically complex or living with dementia.
    • Through this presentation, participants will:
      1. Learn how to use a patient-centered approach to stabilize and improve health status for seniors with multiple chronic illnesses
      2. Learn how to maximize health outcomes and improve access to community resources by assisting patients to navigate the health care system
      3. Learn how to reduce caregiver burden and enhance the ability to age in place

    Summary/Abstract

    The Aging Well Clinic was developed to address the lack of community based geriatric services available in our community and to support family practice offices in the care of their geriatric population. Using an interdisciplinary team approach to care, the BCFHT has been successful in providing comprehensive services to seniors who are clinically frail, medically complex or living with dementia. The interdisciplinary team partners with the patient-caregiver dyad to develop interventions to optimize health, function, independence and start the process of future planning. By focusing on capacity building, ‘aging in place’ is facilitated. System navigation, community engagement and home visits are essential to our patient first philosophy. This presentation will outline how the Aging Well Clinic has been successful in networking with community partners to provide comprehensive geriatric care to patients of the BCFHT and how this approach can be used in other communities to address the unique needs of their geriatric population.

    Presenters

    • Catherine Jones, Nurse Practitioner & Clinical Manager Aging Well Clinic, Barrie & Community Family Health Team
    • Jennifer Handley, Pharmacist, Barrie & Community Family Health Team

    Authors & Contributors

    • Monique DeRooy, RPN,  Barrie & Community Family Health Team
    • Natalie Kidner, RN, Barrie & Community Family Health Team
    • Catherine McEwan, Occupational Therapist, Barrie & Community Family Health Team
    • Diane Parks, Administrative Assistant, Barrie & Community Family Health Team

  • B7 Improving on “Best Practices”: Lessons from an FHT-Based Client-Centered e-Mental Health Project

    Theme 7. Clinical innovations for specific populations

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session B
    • Time: 3:30pm-4:15pm
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
    • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Representatives of stakeholder/partner organizations

    Learning Objectives

    • Upon completion, participants should be able to…
      1. Identify the key components making up a treatment process map
      2. Comprehend the benefits and limitations of e-screening tools  Recognize traps in clinic decision-making flow and how to overcome them
      3. Understand treatment e-monitoring tools and how they can be used to enhance provider behaviors and client outcomes
      4. Classify traditional and e-treatment resources so that they can be allocated more effectively
      5. Expand the use of client-centered methods to create a more effective circle of care

    Summary/Abstract Our Family Health Team is presently leading an e-health project inspired by an Ontario Health Technologies Fund grant application. In collaboration with a private health internet technology company we have been introducing a client-centered mental health web application into a rural community in a stepwise process that began in January, 2017. Participants include mental health providers with a variety of agencies including CMHA, addiction services, crisis services, community psychiatric services, private practice and family health teams along with consumers in the area of Huron and Perth counties in Southwestern Ontario. Use of a prototype client-centered e-mental health system will be reviewed with respect to potential barriers and ethical concerns as well as implications concerning mental health referral patterns, treatment planning and implementation, allocation of resources, and treatment outcomes. The project is revealing some surprising findings concerning common assumptions about best practices for mental health symptom screening, clinical diagnosis, treatment decision-making and the delivery of treatment in community settings.

    Presenters

    • Robert Shepherd, Psychologist, Huron Community Family Health Team
    • Kelly Buchanan, Executive Director, Huron Community Family Health Team

  • B5 BETTER WISE: An Innovative, Evidence-Based Program for Cancer and Chronic Disease Prevention and Screening

    Theme 5. Optimizing use of resources

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session B
    • Time: 3:30pm-4:15pm
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
    • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

    Learning Objectives

    1. Learn about an innovative approach that integrates preventive care for cancer and chronic diseases in the primary care setting including for cancer survivors.
    2. Learn how the BETTER approach can be adapted and used to encourage patients to become active participants in their health.

    Summary/Abstract

    Family physicians often lack time, resources, and tools to address cancer and chronic disease prevention and screening (CCDPS). Although most patients have multiple risks, most guidelines and resources are focused on one specific disease, organ system, or lifestyle risk. Furthermore, cancer survivors and patients living in poverty achieve fewer prevention and screening goals. The BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) approach integrates evidence-based preventive care for cancer with other chronic diseases, specifically focusing on lifestyle factors. An individual in the primary care setting is trained to take on the role of a Prevention Practitioner (PP), who then develops a tailored “Prevention Prescription” with each patient, helping them to set S.M.A.R.T. (specific, measurable, attainable, realistic, time-based) goals for their health and linking them to community resources, as appropriate. The BETTER WISE study will build on this approach to improve clinical outcomes, reduce the burden of chronic disease, and improve the sustainability of the healthcare system through improved CCDPS and cancer surveillance in primary care. Using the BETTER toolkit, which includes blended care pathways for cancer survivors and CCDPS, the PP will address the CCDPS needs of patients (including cancer survivors) as well as screen for poverty. BETTER provides a framework for an adaptable, collaborative approach that is grounded in evidence and allows for primary care practices to develop skills and resources for cancer surveillance and CCDPS.

    Presenter

    • Aisha Lofters, MD, PhD, University of Toronto

    Authors & Contributors

    • Donna Manca, MD, MCISc, FCFP, University of Alberta, dpmanca@ualberta.ca
    • Kris Aubrey-Bassler, MD, MSc, Memorial University of Newfoundland, kaubrey@mun.ca
    • Denise Campbell-Scherer, MD, PhD, CCFP, FCFP, University of Alberta, dlcampbe@ualberta.ca
    • Melissa Shea-Budgell, MSc, University of Calgary, melissa.sheabudgell@ucalgary.ca
    • Eva Grunfeld, MD, DPhil, FCFP, University of Toronto, eva.grunfeld@utoronto.ca

  • B4 An Opportunity to Collectively Lead – A Rural Collaborative of Primary Care Leaders

    Theme 4. Strengthening partnerships

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session B
    • Time: 3:30pm-4:15pm
    • Room:
    • Style: Panel Discussion (in addition to providing information, panelists interact with one another to explore/debate a topic)
    • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
    • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.)

    Learning Objectives This panel presentation is intended to present a concept that we have been working on at the leadership level across many partnering organizations. Our Rural Island Health Care Collaborative

    1. Can we as leaders from our various organizations come together and articulate a Common Cooperative Vision, as a shared pathway for improving local health care services for indigenous people and non-indigenous people?
    2. “Does this align with your values, your organization’s Strategic Directions, and is this best for Patient Care?”
    3. If you put the patient first you can coordinate primary care and acute care with all your rural health care partners.
    4. Please take these points away, think about them, discuss them amongst yourselves as Board Members, Directors, Community Partners in Primary Care.

    Summary/Abstract With so many of our organizations at local, regional and provincial levels, we gathered the right partners to join a Manitoulin Island Health Care Collaborative. Our 13,000 patients/community members living on the island live in 7 first nations’ communities, 3 of the long term care homes, and are 64 rural communities. Therefore in order to provide population-based patient care in a complex environment, forging new partnerships and strengthening current ties was necessary. This collaboration highlights how primary care teams can do so, whether it is with social and community organizations or through LHIN sub-region collaboration, to provide island wide services. We will demonstrate how the Manitoulin Island Health Care Collaborative was established. We will highlight our common goals that brought us together. We will address some of the rural challenges in partnering and how they were implemented. We will share with the group the steps the Collaborative has taken, in various areas of shared care initiatives such as programs, preventative care, chronic disease management, increasing access and sharing resources. Presenters

    • Sandra Pennie, Executive Director, Assiginack FHT, (Manitowaning)
    • Judy Miller, Executive Director, Northeastern Manitoulin Family Health Team, (Little Current)
    • Lori Oswald, Executive Director, Manitoulin Central FHT (Mindemoya)
    • Pam Williamson, Executive Director, Noojmowin Teg Health Centre ,AHAC, Aundeck Omni Kaning First Nation

    Authors & Contributors

  • B3 Indigenous-Specific Cultural Safety Training Programs: Exploring the Evidence… to Achieve Better Outcomes

    Theme 3. Employing and empowering the patient and caregiver perspective

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session B
    • Time: 3:30pm-4:15pm
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Research/Policy (e.g. Presentation of research findings, analysis of policy issues and options)
    • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers

    Learning Objectives

    • In this presentation, inter-professional primary care teams (IPCTs) will learn about the evidence-based wise practices for developing and implementing Indigenous-specific cultural safety (ICS) training programs.
    • IPCTs will also learn
      • What is needed to improve the patient-centered care they deliver to Indigenous peoples;
      • What should be expected from ICS training programs;
      • What to be cautious about when striving to deliver and learn more about culturally safe care.

    Summary/Abstract An Evidence Brief was prepared to identify the “wise practices” for developing and implementing Indigenous-specific cultural safety training (ICS) programs in Ontario. We will present the key findings from this Evidence Brief. The Evidence Brief included articles that were identified from a list of resources generated from a scoping review (i.e. n=7 peer-reviewed review papers evaluating the effectiveness of cultural safety training programs) and, to fill critical gaps in the literature, from cross-referencing the resources and consulting with colleagues in Ontario and British Columbia (i.e. several peer-reviewed and grey literature sources that were informed by critical theoretical perspectives, such as critical race theory and decolonizing anti-racist pedagogy). We opted for the term “wise practices” because it has been widely used in Indigenous contexts. We chose “cultural safety” rather than “cultural competency” because the former has a distinct focus on power structures, healthcare providers engaging in critical self-reflection, and being defined by clients/recipients of care. Seven evidence-based wise practices were identified. It is anticipated that these wise practices will help guide the development, implementation, and evaluation of ICS training programs that effectively address the root causes of inequities, reduce the barriers that Indigenous peoples face in accessing high-quality culturally safe care, and contribute to a wider systemic shift towards safer more equitable healthcare and outcomes for Indigenous peoples. Points of caution are also noted. The findings of this Evidence Brief are timely given the recent expansion of ICS training programs that are meant to improve how care is delivered by groups like inter-professional primary care teams. Presenters

    • Michèle Parent-Bergeron, RN, PhD, Provincial Practice Lead, Ontario Indigenous Cultural Safety Program, Southwest Ontario Aboriginal Health Access Centre
    • Diane Smylie, Director, Ontario Indigenous Cultural Safety Program, Southwest Ontario Aboriginal Health Access Centre
    • Mackenzie Churchill, MPH, Research Coordinator, Well Living House, Centre for Urban Health Solutions, St. Michael’s Hospital

    Authors & Contributors

    • Janet Smylie, MD, MPH, FCFP
    • Michelle Firestone, PhD

  • AB5 Choosing Wisely Canada: Embedding its Principles Within Your Family Health Team

    Theme 5. Optimizing use of resources

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session A & B
    • Time: 2:30pm-4:15pm
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
    • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

    Learning Objectives

    1. Gain familiarity with the principles and content of the Choosing Wisely Canada campaign, including resource stewardship and shared decision-making, and their relevance to important QI Pillars
    2. Consider how your team can “embed” the campaign into both clinical practice and QIP goals, applying an interprofessional approach to one or two recommendations relevant to your FHT
    3. Consider how to create partnerships with other FHTs to work jointly toward implementation goals, thus contributing to Choosing Wisely national measurement data

    Summary/Abstract

    With its core concepts of resource stewardship and shared decision-making, the Choosing Wisely Canada campaign is immediately relevant to primary care. Its recommendations are best implemented within FHTs, where team members can apply their unique strengths to enhance patient safety and effectiveness of care. This is what we have done across six community academic FHTs in the GTA. We will describe our 2-year ARTIC project that has focused on efforts to enhance patient safety through deprescribing long-term PPIs, sedative-hypnotics in the elderly, and glyburide in the elderly. We will elaborate on key elements for success, such as having social workers offer CBT-Insomnia, and having pharmacists work closely with patients to taper off low-value, high-risk medications. We will also share our QIP entries for each of the deprescribing efforts. Implementation of CWC recommendations is meaningful to clinicians, and can flow directly and easily into QI Plans. As a key partner of CWC, Health Quality Ontario (HQO) is keen to have these measures implemented and reported.

    Presenters

    • Kimberly Wintemute, MD CCFP FCFP, North York Family Health Team
    • Sue Griffis, RN, MA, DBA, CHE, Executive Director, North York Family Health Team

    Authors & Contributors

    • Kimberly Wintemute MD CCFP FCFP, North York FHT
    • Sue Griffis RN, MA, DBA, CHE, Executive Director, North York  FHT

  • AB1 Leadership in the Age of Privacy Breaches: Cyber Risk and Lessons Learned

    Theme 1. Effective leadership and governance for system transformation

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session A & B
    • Time: 2:30pm-4:15pm
    • Room:
    • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)

    1. Privacy and Cyber Risk and Information Governance for FHTs

    Style: Presentation (information provided to audience, with opportunity for audience to ask question) Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations Learning Objectives

    1. Participants will learn about the evolution of privacy and cyber risk in the health sector, unique issues for family health teams and strategies for managing privacy and cyber breaches and risks.
    2. They will learn about the key components of an Enterprise Risk Management framework for privacy and cyber security and how this relates to effective Board Governance.

    Summary/Abstract This session will address the evolution of privacy and cyber risk in the health sector, including new trends, the emergence of new privacy torts and class action law suits. In this context, it will examine the unique structure of family health teams, the importance of defining roles and responsibilities under the Personal Health Information Protection Act, 2004, including as it relates to the sharing of personal health information, and the obligations of senior leadership and the board of directors for the protection of personal health information and information governance. The presenters will explore the implications of privacy and cyber breaches and strategies to manage this risk, including enterprise risk management. The presenters will explore strategies for addressing, mitigating, avoiding through the development of information governance frameworks or transferring this risk, including through the use of cyber insurance or other tools. Presenters

    • Kathyrn Frelick, Partner, Leader Heath, Miller Thomson
    • Declan Friel, Healthcare Practice Leader, Hub International

    2. Tales of a Privacy Breach – What Our FHT Learned and How We Are Stronger Because of It

    Style: Panel Discussion (in addition to providing information, panelists interact with one another to explore/debate a topic) Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff Learning Objectives

    • Participants will hear first hand how our team managed a major privacy breach that occurred as a result of a privacy audit on the EMR after a practice transition to another family physician.
    • Skills and knowledge gained will include:
      1. The importance of having privacy policies and audit procedures
      2. What do to in the event of a breach
      3. How to report a breach – and manage the communication stakeholders (patients)
      4. Dealing with the media
      5. Our leadership team’s role in supporting the process
      6. Managing next steps
      7. Our HFHT will share lessons learned and our privacy resources with attendees

    Summary/Abstract We envision having a panel discussion/presentation that will provide an overview on how a privacy breach was discovered and then how it was managed. Our response and support to the practice team who discovered the breach.  How we dealt with reporting the breach, dealing with the privacy commissioner, EMR vendor, those who were involved with the breach, managing the media and managing the communication about this across our organization. We gained valuable lessons learned and although this was a very difficult situation, those involved felt supported through the process and we are stronger for having gone through this. We feel our lesson’s learned would be of value to other FHTs and healthcare providers. Each panel member had a role to play in the process and they will share their experience. We will provide a short presentation/overview of how the breach was discovered, how we managed the process and our lessons learned. We will then open it up to the audience to ask questions and have an interactive dialogue with attendees. Presenters

    • Dr. Lindsey George, Privacy Officer, Hamilton Family Health Team
    • Terry McCarthy, Executive Director, Hamilton Family Health Team
    • Vanessa Foreman, Health Planning and Communications Coordinator, Hamilton Family Health Team
    • Monica Debenedetti, Lead Physician, Hamilton Family Health Team

    Author & Contributor

    • Kate Dewhurst, Lawyer

  • AB2 Patient Medical Neighbourhoods in Primary Care: Expanding Access to Patient Medical Homes Across Ontario

    Theme 2. Planning programs for equitable access to care

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session A & B
    • Time: 2:30pm-4:15pm
    • Room:
    • Style: Panel Discussion (in addition to providing information, panelists interact with one another to explore/debate a topic)
    • Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and practical steps for implementation)
    • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

    Learning Objectives

    1. Determine how the PMH concept can be implemented in your team
    2. Identify tools and resources to support population-based planning with other practices in your PMH neighbourhood
    3. Determine the role a FHT can play in supporting the PMH neighbourhood concept.

    Summary/Abstract The Patient’s Medical Home (PMH) was a vision developed by family physicians based on the principles of family medicine, evidence – including from Barbara Starfield, and the centrality of the relationship between a patient and their family physician working with a team of inter-professional healthcare providers in primary care. The Patient’s Medical Home (PMH) is an internationally recognized evidence-based vision for transforming primary care. It is a model to organize and deliver care that is: patient-centered, comprehensive, coordinated, based in continuous relationships, equitable and accessible, and is committed to data-driven improvement. Given the devolution of primary care to a region and population-based approach, the presentation will focus on how the Ontario College of Family Physicians is using the PMH to anchor a change management approach that will support practices within communities become Patient Medical Homes in Patient Medical Neighbourhoods. The OCFP established a PMH Advisory Committee with family physicians across all practice models. The presentation will describe the PMH strategy that ensures that no practice or patient is left behind as the PMH is implemented. The OCFP is working on a multi-pronged approach to develop a practical toolkit and undertaking work to develop partnerships, notably with AFHTO, to advocate for resources in primary care to address equity and patient access. Participants will learn about the tools to support PMH implementation in their practices and across communities with their teams and colleagues. Presenters

    • Dr. Elizabeth Muggah, Assistant Professor, Department of Family Medicine, Bruyere Academic Family Health Team, University of Ottawa, OCFP Board Member
    • Dr. Sundeep Banwatt, Primary Care Clinical Lead, Southwest Mississauga, OCFP Board Member
    • Dr. Mira Backo-Shannon, Vice President, Clinical, Mississauga Halton LHIN
    • Dr. Walter Wodchis, Principal Investigator, Health System Performance Research Network, and Faculty, Institute of Health Policy, Management and Evaluation, University of Toronto

    Authors & Contributors

  • A7 Exercise is Medicine: Prescribing Confidence with Unlimited Refills

    Theme 7. Clinical innovations for specific populations

    Presentation Details

    • Date: Wednesday, October 25, 2017
    • Concurrent Session A
    • Time: 2:30pm-3:15pm
    • Room:
    • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
    • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
    • Target Audience: Clinical providers

    Learning Objectives

    1. Learn how to implement an Exercise is Medicine (EIM) program in your Family Health Team.
    2. Learn how to use the Exercise Self Efficacy tool to measure program success.
    3. Learn how to use Action Plans in a group setting to promote weekly activity goal setting.

    Summary/Abstract The EIM program was initiated at McMaster Family Practice in the fall of 2016 by two staff physiotherapists. The program included three lectures delivered over 4-6 weeks. The first week involved education about fundamental differences between exercise and physical activity, the components of exercise and a discussion around motivators and barriers for exercise participation. Participants completed a measure of exercise self-efficacy by rating (0-100%) their current level of confidence in completing exercise in increasingly longer increments to a final time of 150 minutes/week, exercise two and three times per week for the next 3 months, as well as their confidence in incorporating strength, flexibility and balance activities into their routine. Participants also indicated their current level of physical activity, framed within the stages of change theory. Participants were taken through a resistance training program to strengthen the six major muscle groups. The expectation was that the participant will take the band home to perform the exercises on their own and track their results. The final task involved setting a specific activity or exercise goal using the Action Plan. The second lecture was about exercise physiology, balance exercises were prescribed and the Action Plan was reset. The third lecture was developed according to the needs of the participants, stretching exercises were prescribed, the Action Plan was reset and the measure of self-efficacy was re-administered. Weekly tracking of all exercise was encouraged using provided documents. The group was provided with FITBITs or pedometers to track daily steps. The participants were called on the weeks they were not in class as well as at weeks 9 and 12 to confirm they were continuing to be more physically active, tracking their progress and using the Action Plans to set goals accordingly. Presenters

    • Colleen McPhee, Physiotherapist, McMaster Family Health Team
    • Laura Doyle, Physiotherapist, McMaster Family Health Team

    Authors & Contributors

    • Colleen McPhee, Physiotherapist, McMaster Family Health Team
    • Laura Doyle, Physiotherapist, McMaster Family Health Team