Peterborough This Week article published March 8, 2017. Article in full pasted below. This Week PETERBOROUGH — Primary care services in Peterborough are expanding as the Family Health Team launches the Trans Care Clinic. The Peterborough Family Health Team (PFHT) announced the launch on Wednesday (March 8), noting the nurse practitioner-led clinic will operate once a week at the main building located at 185 King St. In preparation for the clinic’s launch, PFHT spent months planning and consulting with various organizations and subject matter experts such as PARN; Gender Journeys; CMHA; VON 360; Dr. Vanita Lokanathan and Sheena Howard, RN. The Trans Care Clinic will offer services for transgender patients such as counselling support, medical treatment initiation, hormone monitoring and additional individualized service and supports, such as surgical consultations. Data collected during the development of the clinic identified one in every 200 people are transgender. Additionally, evidence shows that roughly 70 per cent of trans Ontarians live outside of the GTA. “We are incredibly happy to be able to help those in our community who have struggled in finding and accessing a specific type of care,” states Lori Richey, executive director of PFHT. “We are committed to delivering high-quality care to patients and to be a leader in the development of a holistic health care system, which is evident through the programs and services we offer to our patients.” Patients belonging to a PFHT family doctor can request a referral or self-refer to the clinic. Those who are not rostered with a PFHT family doctor may still contact PFHT for assistance in finding similar services available to them. “The overarching goal of the Trans Care Clinic is to integrate this service back to the hands of the primary care providers; your family doctor,” states Richey. “This clinic is only the first step while we continue to educate clinicians and better position ourselves to offer these services to patients.” This initiative is made possible by the Community Fund for Canada’s 150th, a collaboration between the Community Foundation of Greater Peterborough, Community Foundations of Canada, the Government of Canada, and extraordinary leaders from coast to coast. The Greater Peterborough Health Services Foundation not only made the Trans Care Clinic possible with their kind donation, but they also support patients in the community who rely on expert, compassionate care delivered by the Family Health Team. For more information, visit peterboroughfht.com Click here to access the Peterborough This Week article.
Category: Uncategorized
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Data to Decisions (D2D) advancing primary care measurement
Improving and demonstrating the value of primary care
AFHTO members are guided by the Starfield Principles – focusing on the relationship with patients and the primary care team’s ability to deliver the care patients value. Its objective is to optimize quality, access and total health system cost of care for patients. Through Data to Decisions (D2D) and the quality improvement decision support (QIDS) program, AFHTO members are making strides to measure and improve the quality of care they deliver by:
Voluntarily participating in initiatives to advance measurement
- Nearly two-thirds of AFHTO members participate in D2D. This gives insight into the care of close to 2 million Ontarians.
- This voluntary approach has changed conversations around using performance data by framing measurement as a means to improving quality, not an end in itself.
Focusing on what matters to clinicians and patients
- Evidence from D2D shows that quality can be measured according to what matters to patients, AND that higher quality in primary care is associated with lower costs to the health care system.
- Focus groups with interprofessional health providers and patients provided valuable insight into the measures and next steps that will have the best effect on improving patient care.
Optimizing the use of EMRs for quality improvement
- Standardized EMR queries are spreading beyond AFHTO member family health teams and nurse practitioner-led clinics to increase the use and usefulness of the data in EMRs.
- Hundreds of clinicians across the province participate in EMR communities of practice to optimize the use of EMRs in team practice.
Continuing to advance measurement with Data to Decisions (D2D)
- The next iteration of Data to Decisions will be released in Fall 2017.
- See the Planning and Preparation page to learn how to participate and which steps your team should be taking now (members only).
These advances in measurement are capturing attention. AFHTO recently submitted nine abstracts to four major conferences – and all have been accepted. These presentations will be posted on the AFHTO website here.
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Webinar: Program Planning and AOP Reporting
This webinar will support you in developing your annual operating plan for 2017-18.
Presenters:
- Bryn Hamilton, provincial lead for Governance and Leadership, AFHTO
- Allison Meserve, Health Promotion Consultant, Planning and Evaluation, Ontario Public Health
- Fernando Tavares, Program Manager, Interprofessional Programs Unit, Ministry of Health and Long-Term Care
Topics to be covered:
- Principles of program planning and evaluation
- Program planning for population-based care
- Review of AFHTO’s program-planning materials
- AOP submission process
- Timeline Review
- Orientation to the updated, expanded, and easier-to-use Program Performance Measures Catalogue (formerly known as the Program Indicators Catalogue)
Who should attend?
- This webinar is open to all AFHTO members.
- EDs, QIDS Specialists, IHPs, and anyone involved in program planning, evaluation, reporting, or quality improvement will benefit.
To join:
Please register at this link. Once registered, you will receive an email with information on joining the webinar.
Video and Materials:
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Data to Decisions eBulletin #53: I can’t handle the antici…
It’s almost here! The D2D Data to Decisions Interactive Display Platform will be updated with the results of D2D 4.1 on Tuesday, March 7, 2017. Register now for our post-launch webinar on March 28. Need something to keep you busy while you wait? It’s never too early to think about sharing your story at our 2017 Conference. For inspiration, check out last year’s concurrent session presentations, poster gallery, and Bright Lights award winners.Help spread the word about D2D – invite others to sign up for the eBulletin.
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Member news: responding to patients threatening self-harm, nominations, and more
Below are relevant updates and items for AFHTO members, some with fast approaching deadlines: AFHTO News

North Perth FHT staff with petition

Hamilton FHT NPs with petition

MPP Laurie Scott with City of Kawartha Lakes FHT petition

Belleville NPLC staff presenting petition to MPP Todd Smith
- Compensation Campaign Phase 2: Thank you to everyone who have signed petitions, written letters, met with their MPPs, tweeted and more. It’s not too late to take part- send an eletter to key Cabinet Ministers and make your voice heard!
Success Stories & Publications
- Applying the pharmaceutical care model to assess pharmacist services in a primary care setting: Canadian Pharmacists Journal article by North York FHT pharmacists Eric Lui, Christine Truong & Rita Ha
Ministry News
- Volunteers for Ontario’s Patient and Family Advisory Council Needed: encourage your patients & their caregivers to participate. Deadline Apr. 10, 2017
- Patients First Update, Feb. 27, 2017: webinar on progress of implementation co-hosted by Deputy Minister Dr. Bob Bell and Nancy Naylor, Associate Deputy Minister, Delivery and Implementation.
- Other updates available here.
Awards Nominations & Funding Opportunities
- Nominate a nurse for the Toronto Star Nightingale Award: 16th annual nominations now open. Deadline Mar. 16, 2017
- 2017 Ontario College of Family Physicians Awards open: nominate your team or team member today. Nomination deadline is Mar. 31, 2017.
- Health System Impact Fellowships: Canadian Institutes of Health Research funding opportunity for PhD graduates. Deadline May 9. Information webinar Mar. 7- register here.
Training, Resources and Requests for Input
- Responding to Patients Threatening to Endanger Themselves: protocol for reception provided by HarbourView FHT
- Chronic Insomnia Tool: developed as part of Knowledge Translation in Primary Care Initiative
- Seeking participants for research study to help improve care for patients with chronic kidney disease: McMaster PhD student trying to understand the factors that influence whether primary care providers order follow-up laboratory tests when they first identify patients with abnormal kidney function.
- Eligible to participate- family physicians or nurse practitioners who are primary care providers for patients with chronic kidney disease. Participation is voluntary and involves an approx. 30-minute telephone or in-person meeting. Please contact Danielle Nash for more information at 519-685-8500 x55980 or Danielle.nash@lhsc.on.ca.
- Barrie & Community FHT privacy survey: seeking input from FHTs on how they manage their privacy responsibilities and their relationships with their physicians. To be completed by each ED or designated privacy lead. Once completed, results will be shared with all members. Deadline Mar. 3, 2017
- Health Links patient story: learn more about Teresa and the importance of feeling accepted by your primary care provider.
- Submit an abstract for Trillium Primary Health Care Research Day: poster and oral presentations for an audience of PHC researchers, trainees, decision makers, clinicians and patients. Due May 1, 2017.
- IDEAS Advanced Learning Program applications open: equipping healthcare professionals with the knowledge, practical skills and tools to lead quality improvement initiatives that aim to improve patient care, experience and outcomes. Deadline May 15, 2017.
- Advance Care Planning Primer: free online course co-authored by Dr. Tia Pham of South East Toronto FHT (SETFHT)
- A Canadian Provider’s Handbook to Home-Based Primary Care: co-authors Dr. Sabrina Akhtar (Toronto Western FHT) & Dr. Tia Pham (SETFHT)
Conferences and Events
- Program Planning and AOP Reporting, Mar. 6, 2017: webinar co-presented with Ontario Public Health to support you in developing your annual operating plan for 2017-18.
- Get Moving! Physical Activity for Better Quality Care, Mar. 7, 2017: for clinicians, QIDSS and patients. Travel support available for participants with more than $300 in travel costs. Limited space available.
- Democratizing Knowledge to Reduce Disparities in Healthcare, Mar. 3, 2017: online & in-person event with Dr. Sanjeev Arora of Project ECHO (Extension for Community Healthcare Outcomes)
- QIP Navigator Support Sessions, Mar. 8 & 23, 2017: Health Quality Ontario webinars for individuals that play a key role in leading the completion and submission of the annual QIP.
- Living Well with Dementia, Mar. 16, 2017: symposium at Ryerson University on assumptions about dementia and current local, national and international initiatives.
- Advancing Team-Based Primary Care, Mar. 20-21, 2017: Institute for Healthcare Improvement seminar in San Francisco on how to optimize primary care team composition, roles, and activities.
- Educating Service Providers about STBBIs and Stigma, Mar. 27, 2017: free session in Windsor hosted by the Canadian Public Health Association
- South West Regional Wound Care Program, Mar. 29 & Apr. 3, 2017: free workshops for clinicians with skin and wound care management knowledge and experience
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Data to Decisions eBulletin #52: D2D, Program Planning & more
Thank you to all who contributed data to D2D 4.1. The results will be released on Tuesday, March 7th. Join us for a webinar at noon on March 28th to ask questions and tell stories about how your teams are using D2D. Taking D2D to the LHINs: Dr. Danielle Martin, who thinks D2D is “the most exciting measurement work happening in Canada”, will be speaking with the LHIN primary care and quality leads on April 4th in Toronto (see details here). Please ask your lead physicians to encourage your LHIN leads to attend! Choosing program-level indicators is getting easier: Check out the refreshed and easier-to-use Program Performance Measures Catalogue to see what indicators your fellow AFHTO members are using and which ones might be useful for you. Even MORE support for program planning: The Annual Operating Plan is coming soon! Register now for a webinar on designing and reporting your programs. We’ll review timelines and expectations for the AOP as well as tools to help you meet them. Monday, March 6th from 12:00 to 1:30 pm. Get moving! Physical Activity for Better Quality Care. Good news! A small amount of travel support is now available for those attending our one-day learning workshop on Tuesday, March 7th. Patients, QIDSS and IHPs will learn how incorporating physical activity into all kinds of programs can improve outcomes. Spread the word to your teams! Exploring EMR Dashboards? There are a lot of different approaches and options to consider. To help you get started, we’ve compiled a working “roadmap” with some questions you might want to ask and the kinds of answers you can expect to find. This will help you get started; as you share your discoveries with us, we’ll keep expanding the map. Help for your QIPs from HQO: Group support sessions are available over the next few weeks. Visit HQO’s website for more information.
D2D 4.1 Timeline

Help spread the word about D2D – invite others to sign up for the eBulletin.
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Dilico FHT One of Six Funded Aboriginal Midwifery Programs
CBC News article published February 10, 2017. Article in full pasted below. Cathy Alex, CBC News The Ontario government is establishing six Aboriginal midwifery programs, with the goal of offering culturally appropriate child and maternity care to a number of Indigenous communities. “If you think about it now, most Indigenous communities don’t have midwives anymore, and what’s left in Indigenous communities is not birth anymore. We’re hearing in the media about suicides, we’re hearing about death but the way that I look at it, now that we’re going to be having midwives coming through and working in community, we will now see the restoration of that beautiful ceremony,” said Ellen Blais, the policy analyst on Indigenous midwifery for the Association of Ontario Midwives. As an Indigenous midwife herself, she is helping to deliver an initiative that is near and dear to her heart, because she believes it preserves families. “I was apprehended from my mother at birth and never got to meet her, so I became a midwife because I thought if we had midwives standing at the births of our women, and being there as primary care providers, this would interfere with some of the numbers of apprehensions we’re seeing of out infants and babies,” she said. Provides choice The certified Aboriginal midwives will offer health care throughout a woman’s pregnancy and for up to six weeks after, and in most cases will work in existing health care teams with family doctors, nurse practitioners, social workers, mental health and addiction counsellors and traditional healers. “It provides choice,” said Dr. Eric Hoskins, Ontario’s minister of health. “It enables Indigenous women to receive care from an individual that understands and respects their uniqueness and their tradition and their culture and provides it, as all midwives do, in a highly comprehensive way.” Sign of reconciliation Hoskins made the program announcement Thursday at the Dilico Family Health Team Clinic in Fort William First Nation, explaining that the clinic is hiring two Aboriginal midwives to provide culturally appropriate child and maternity care for up to 30 women over the next three years. Both Hoskins, and Nathaniel Izzo, the manager of the family health team at Dilico, see the restoration of midwifery to Fort William First Nation as a sign of reconciliation. “We will work with Indigenous women from our 13 affiliated communities and the midwife will travel to and from those communities to ensure that service is provided in the comfort of home for those women, so I think it will mean a repatriation of traditional midwifery services,” said Izzo. Some of the Aboriginal midwives are already using traditional practice said Blais. “They go out on the land and they pick the traditional medicines and herbs and things and they make teas and they know all of their medicines for prenatal care, and to help get labour going and to support breastfeeding, ” she said. Midwives are “the keeper of that knowledge”, said Blais. In addition to the Dilico clinic on Fort William First Nation, the government is spending approximately $2-million to support the establishment of Aboriginal Midwifery programs in:
- K’Tigaaning Midwives, Nipissing First Nation
- Kenhte:ke Midwives, Tyendinaga Mohawk Territory
- Onkwehon:we Midwives, Akwesasne
- Shkagamik-Kwe Health Centre, Sudbury
- Southwest Ontario Aboriginal Health Access Centre, London.
As well there are development grants to explore future sites for Aboriginal Midwifery services being offered to organizations in Cornwall, Cutler, Fort Frances, Keewatin, Kenora, Nestor Falls, Oshawa, Thamesville and Thunder Bay. Click here to access the CBC article.
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Volunteers for Ontario’s Patient and Family Advisory Council Needed
The Ministry of Health and Long-Term Care (MOHLTC) is inviting patients, families, and caregivers to apply to be a member of the new provincial Patient and Family Advisory Council. No experience is necessary — you simply need to be 18 years of age or older and live in Ontario. Over the course of 18 months, the Council will advise on:
- Changes in how care is delivered
- New initiatives being planned by the Ministry
- How the Ministry can better engage with members of the public.
The aim is to involve patients, families, and caregivers in the policy development process, ensure their needs and concerns are understood, and help the health system become more responsive, transparent and accountable. Fifteen members will be chosen through an open public process and will represent Ontarians from across the province. There is no cost to be a member of the Council — meals, travel, and accommodation when needed, will be paid for. The deadline to apply is April 10, 2017. Relevant Links:
- Patient and Family Advisory Council – MOHLTC site