Blog

  • Preliminary Survey to Capture MHA Funding Impact

    Dear EDs and Admin Leads,

    Further to our Memo released on January 30th, the IPHCC has developed a preliminary survey to assess the progress and utilization of the MHA funding. Recognizing that teams have until March 31st to spend these funds, the intent of this survey is to capture the work you have underway and identify areas where we can provide further guidance, if necessary. The survey should take 5-7 minutes to complete. Please note this is not a replacement for the fulsome evaluation that the IHPCC will send to you in April. 
     
    Please complete the survey before March 10, by clicking this link. Your participation is greatly appreciated and will help to inform the feedback provided to the Ministry as well as the final survey you will receive in April. 

    Please note the following from the IHPCC regarding the evaluation framework:

    The scope of eligible work is wide, and you may have included unique innovations: we recognize that person-centered mental health is achieved not only by direct services to patients, but also supporting family and caregivers, and may include both individual services as well as panel or population education and outreach interventions, including efforts to address social determinants of mental health. This funding also provides an opportunity to reach systemically marginalized and people facing greater risk, including Indigenous, Black and Francophone communities, children, and youth, as well as those with chronic physical diseases (e.g., diabetes, heart disease and strokes, hypertension, lung diseases like COPD and asthma, kidney disease, etc.) which are associated with higher risk of concurrent mood and anxiety disorders, lower treatment adherence and poor health outcomes. Efforts that are culturally appropriate, motivate patient and caregiver autonomy and include measurements-based assessment (e.g., PHQ-9, GAD-7, PCL-5, Audit-C, etc.) and stepped-care interventions strongly demonstrate the value of all your work.  

  • Winter Highlights 2023: AFHTO IHP Advisory Council Meeting

    We are pleased to launch the first AFHTO IHP Advisory Council Communique. The Council meets on a quarterly basis to provide input on primary care team matters related to IHPs, give advice to the AFHTO board and staff, and foster leadership across the IHP community. The council’s Terms of Reference and membership listing can be accessed here. Below are highlights from the winter 2023 council meeting.

    Market Salary Review & Compensation Working Group
    In 2022, multiple associations and organizations came together as the Community Compensation Working Group to jointly support a market survey in order to get a better idea of the wage disparity and compensation challenges across interprofessional primary care, community support services, community mental health and long-term care. The market salary review will be conducted for 78 positions across the primary and community care sectors.

    The Working Group has since partnered with Eckler Ltd. to begin this work with an estimated completion by end of spring 2023. Once complete, recommendations will be presented to the government and funders on reasonable, fair, and equitable compensation across the healthcare sector. Our goal is to demonstrate the significant pay gap and wage inequities across the community sector and to compel government to pay healthcare providers and staff the compensation they deserve.

    To ensure a successful market study with a substantive sample, Executive Directors are being asked to complete a survey that will accompany the market review. Surveys are targeted to be launched in late February 2023. If you have questions about this market study, please feel free to contact Abisola Otepola at abisola.otepola@afhto.ca.

    IHP Roles & Responsibilities

    As many of you are aware, members requested updated information on roles and responsibilities of IHPs to aid in the coordination and management of their respective teams. AFHTO is currently validating information that had been provided and is planning to release the information over the coming months.  

    Following the release of the guidance document, plans are in place to host a webinar series with a focus on individual IHP disciplines/roles. The goal is to have generative discussion around individual roles and responsibilities, challenges, and key enablers using the guidance document as the starting point. This work will be done in partnership with associations and key stakeholders. Preliminary timelines for this will be summer 2023.

    FHT and NPLC Contracts
    In late January teams received letters from the Ministry of Health with regards to the NPLC and FHT contracts for the upcoming fiscal year. The Ministry intends to transfer the contract management and oversight of the NPLCs to Ontario Health, effective April 1, 2023. All provisions in the NPLC Agreement shall remain in full force and effect.

    A separate letter went to FHTs noting the FHT contract has been extended for another year. The FHT contract now expires on March 31, 2024. Although there should be no direct impact to IHPs, we understand there may be questions on the NPLC transition process and what this might mean for the potential of a future transition of the FHT contracts to OH. We’re speaking regularly with MOH and OH and will provide regular updates to our members.

    Your Health: A Plan for Connected and Convenient Care
    On Feb 2nd 2023,  Health Minister Sylvia Jones launched Your Health: A Plan for Connected and Convenient Care, a plan that sets the vision and direction for Ontario’s health system strategy for the next few years. We were thrilled to see an investment of $30 million to expand or create new teams and help bridge the gap in accessing interprofessional primary care for vulnerable, marginalized, and unattached patients to ensure they are able to connect to care where and when they need it.

    AFHTO has been advocating for years around expansion of team-based care and we were pleased to see the first large investment to expand teams in the province in a number of years. The details of what the implementation will look like (new teams or expansion of already existing teams) is still being worked through and we hope to provide you with more information as we continue to dialogue with the Ministry and Ontario Health. To read more about the Your Health plan please click here.

    AFHTO Conference
    Mark your calendars for October 25, 2023, with pre-conference sessions beginning on October 24th. Now’s the time to start thinking about your submissions for Bright Lights!  Stay tuned for more details over the coming weeks.  

    PCC & AFHTO Pre-Budget Submissions & Local Advocacy

    On February 6, 2023 AFHTO submitted our recommendations to the government for their 2023 budget. Our recommendations are broken into four sections:

    1. Make team-based primary care available to more Ontarians through an investment of an additional $75 million pre year for 10 years (recommendation provided in partnership with the Primary Care Collaborative)
    2. Address the health human resource (HHR) crisis in primary care through the creation of a primary care HHR table (recommendation provided in partnership with the Primary Care Collaborative)
    3. Provide mental health and additions services and home and community care in coordination with primary care
    4. Provide resources to support the implementation of primary care networks (PCNs) and recognize PCNs as the organizing model for primary care. 

     
    AFHTO has begun to set up meetings with government bodies to present our recommendations and hopes to begin meeting with officials very soon. Members are encouraged to present the pre-budget submission to their own MPPs if given an opportunity to meet. Please let us know if we can help in your local advocacy efforts!

    Connect with your peers using AFHTO’s IHP Directory
    IHPs in AFHTO member teams are encouraged to sign up to AFHTO’s IHP Directory! This directory will help improve AFHTO’s communication to IHPs, and it will support IHP networking, information sharing, and collaboration.

    After you sign up, you will be emailed a link to a spreadsheet with the names, professions, team names, and work emails of all IHPs who have signed up for open communication. You may sort by profession to see the names of those in the same discipline as you.

    AFHTO will be checking the directory and emailing links to new registrants every 1-2 weeks. We look forward to improved communication from AFHTO to IHPs, and across IHPs in AFHTO-member teams!

    Ongoing Communication
    We hope ongoing communiques will create an opportunity for you to learn and stay involved with what the AFHTO IHP Advisory Council is working on providing to the primary care community and fellow IHP members! Please contact us at any time if you have any questions and please encourage the IHPs in your team to sign up for these communiques. 

  • Bits & Pieces: member stories and more

    Bits & Pieces: member stories and more

    Your Weekly News & Updates


    In This Issue  
    • Member stories
    • Canada’s national nature prescription program, PaRx, celebrates two years in Ontario
    • New Long COVID resources from the OCFP and more
    • New resource for social prescribing
    • Project on women and hypertension
    • 2023 OCFP award nominations now open
    • Evidence of value- financial counselling during baby checkups
    • Farewell card for Kavita
    • Upcoming events including Sickle Cell Disease: A New Quality Standard for High-Quality Care in Ontario and more

    Member stories

    City Of Kawartha Lakes FHTCity Of Kawartha Lakes Family Health Team To Receive Almost $110,000 Additional Base Funding For This Year

    “MPP Laurie Scott made the announcement today. Scott says the provincial government is providing $8.1 million in new annualized base funding to enhance access to primary care in key regions of the province. This funding will support various interprofessional primary care organizations, including 18 Family Health Teams (FHTs), 2 Community Health Centres (CHCs) and 2 Nurse Practitioner Led-Clinics (NPLCs), to continue the delivery of high-quality care that Ontarians know and deserve.”

    If your team is receiving new base funding as well and you’re able to share details, please contact us so we can promote it.

    Peterborough FHTPeterborough Newcomer Health Clinic helps immigrants and refugees transition to Canada’s health care system


    Parx 2022 roundup. Text reads- PaRx was nominated for an Earthshot Prize. Nature prescriptions were officially endorsed by the Canadian Medical Association. 200,000,000+ people learned about nature prescriptions and health

     

    Canada’s national nature prescription program, PaRx, celebrates two years in Ontario

    Research shows how important nature contact is for health, including reduced rates of anxiety, depression, respiratory and cardiovascular disease. To help connect Canadians to the health benefits of nature, the BC Parks Foundation launched PaRx in 2020, starting in British Columbia, then expanding to every province across the country including Ontario in February 2021. From physiotherapists and physicians to nurses and counsellors, over 10,000 prescribers are registered across the country. Learn more about their progress here.

    You can visit www.parkprescriptions.ca for more information on nature prescriptions and to register to become a prescriber.

     

     

     


    New Long COVID resources from the OCFP and more

    Recent updates include:

    We continue to update multiple pages on our site with resources and news:

    Novel Coronavirus (COVID-19) Updates– the original page, with news and updates. You can find links to related pages here as well.


    New resource for social prescribing

    The CEP has launched a new resource for social prescribing, which includes practical tips, talking points and tangible next steps to integrate social prescribing into your practice. It supports primary care clinicians to provide more holistic, patient-centred care and connect those in need to a wide range of non-clinical services in the community, ultimately improving health outcomes. 


    women & high blood pressure eligibility criteria

     

    Project on women and hypertension

    “Management of high blood pressure seems simple in that there is strong evidence of its reduction on hospitalizations and mortality. However, hypertension control is not improving but declining. There is a disconnect between the evidence-based guidelines available and primary care practice. The purpose of this study is to gain insight into the barriers and enablers for family physicians, practice nurses/nurse practitioners, and women living with high blood pressure.”

    Hypertension Canada is focusing on the point of care and treatment process when a woman with high blood pressure attends a family physician clinic. They’re seeking:

    • Women who self-identify as over 40yrs old living with high blood pressure.
    • Family physicians, nurse practitioners, or practice nurses working in primary care.

    This would involve a one-time 30-60min interview (virtual or by phone), a small thank you gift will be provided. For more information contact, Dr Kaitlyn Watson, kewatson@ualberta.ca and (780) 492 3454.


    2023 OCFP award nominations now open

    Help shine a spotlight on the outstanding work and accomplishments of family doctors by nominating a colleague for an OCFP Award. Find out more here.


    Evidence of value- financial counselling during baby checkups

    “When you expand the team that’s providing care for families in early childhood, you can make the well-child experience more meaningful. And when people find things more meaningful, they come”. Read ‘How financial counseling at the pediatrician’s office can help families thrive’-NPR.


    Farewell card for Kavita
    If you would like to join us in wishing our current CEO Kavita Mehta farewell with your own best wishes, please leave your message to her on this e-card before her last day on Friday, March 10, 2023: https://ellacard.com/sign/6166bcff-87e1-4bd2-bcb6-fdae8226a1a7.


    Sickle Cell Disease: A New Quality Standard for High-Quality Care in Ontario, Feb. 22, 2023
    This session will introduce Ontario Health’s recently released Sickle Cell Disease quality standard and describe how it can drive QI and improve care for Ontarians across the health system. Register here.


    Long COVID, Feb. 24, 2022
    57th in the series “Changing the way we work” on Friday, February 24, 2023, at 7:55-9:15 am, hosted by UofT and OCFP. Register here.


    Strategies to Increase Client and Family Engagement, Feb. 27, 2023
    Hosted by RNAO and presented by Victorian Order of Nurses (VON). Register here.


    Sensemaking Population Health Management in Ontario Health Teams: A Diabetes Example, Feb. 28, 2023
    HSPN OHT webinar hosted by Dr. Walter Wodchis, Principal Investigator at HSPN,
    Co-Founder IFIC Canada and Professor at IHPME. Register here.


    Together We Care 2023, Mar. 27- 29, 2023
    Together We Care is the largest and most comprehensive learning and networking experience for professionals in long-term care and retirement living. Find out more here.

  • City Of Kawartha Lakes Family Health Team To Receive Almost $110,000 Additional Base Funding For This Year

    Kawartha 411 Published an article February 16, 2023

    By Pamela Vanmeer

    KAWARTHA LAKES-The Ontario government has announced that the City Of Kawartha Lakes Family Health Team will receive an additional $109,825 in funding for 2022/23.

    MPPLaurie Scott made the announcement today. Scott says the provincial government is providing $8.1 million in new annualized base funding to enhance access to primary care in key regions of the province. This funding will support various interprofessional primary care organizations, including 18 Family Health Teams (FHTs), 2 Community Health Centres (CHCs) and 2 Nurse Practitioner Led-Clinics (NPLCs), to continue the deliver of high-quality care that Ontarians know and deserve.

    The City of Kawartha Lakes Family Health Team (CKLFHT) will receive up to $109,825 in prorated additional base funding for the 2022-2023 Funding Year, annualizing to up to $439,300 in additional base funding for the 2023-24 Funding Year, to enhance access and support the delivery of quality interprofessional primary care in our community. This will bring the maximum available base funding to $3,928,240 for the 2022-23 Funding Year and $4,257,715 for the 2023-24 Funding Year.

    “Increasing provincial funding for CKLFHT will directly support the residents of our community through the addition of 2 Nurse Practitioners and 1 Administrative Staff”, said Laurie Scott, MPP for Haliburton-Kawartha Lakes-Brock. “This is another step to providing quality health care close to home. Thank you to the CKLFHT for all they do and continue to do to help our residents”.

    “On behalf of the board, staff, physicians, and community, we applaud Ontario Ministry of Health’s recognition for support toward team-based primary health care, and specifically, toward the community of Kawartha Lakes where there is a continued need for health care services for the unattached population,” says Aasif Khakoo, Executive Director for the City of Kawartha Lakes Family Health Team. “A very special thank you to MPP Scott for her tireless support to the City of Kawartha Lakes Family Health Team, and the constituents of Haliburton, Kawartha Lakes and Brock. Like many communities across Ontario with similar demographics, our community needs a continued infusion of resources toward strengthening primary care for all residents in the region, including physicians, nurse practitioners, and integrated healthcare professionals. Today’s announcement is a strong and positive step forward for the community.”

    The City of Kawartha Lakes Family Health Team is located at 55 Angeline Street North in Lindsay.

    Click here for the full article

     

  • Novel Coronavirus (COVID-19) Updates

    Originally posted Jan. 27, 2020. Last updated February 16, 2023

    This page will provide updates on the Novel Coronavirus (COVID-19) as they become available. The Ministry of Health has released guidelines for primary care, along with posters. A website for healthcare providers is now live. You can also access information for the public on their site.

    If you have any questions, you can also email EOCOperations.moh@ontario.ca.

    Resources

    COVID-19 Vaccination Information

    for providers and administration

    Management and operations, human resources and COVID-19

    for HR and administration

    Infection control resources and tools

    for primary care providers and administration

    COVID-19 information

    for Patients, Caregivers and the Public

    Virtual Care, Digital Health and COVID-19

    for providers and administration

    Mental health and wellness during COVID-19

    for providers and the public

     

    Providing Comprehensive Care during COVID-19

    for providers

    Ministry and other sites

    news

    News and updates

    Visit here for 2021 COVID-19 news and updates.

    Visit here for 2020 COVID-19 news and updates.

    SITUATION REPORTS

    For more recent updates, please visit Ontario’s website.

    How to sign up to automatically receive MOH Situation Reports:

    • Click here
    • There is a drop-down menu near the bottom of the form to opt into different automatic reports (Situation Reports, Cyber Security Updates, etc.)
    • If your organization is NOT in the drop-down menu, you can still fill out the form and apply.
    • Access to the report is not instant as each application is manually reviewed and added to the system.

     

  • Bits & Pieces: interim CEO announced and more

    Bits & Pieces: interim CEO announced and more

    Your Weekly News & Updates


    In This Issue  
    • Interim CEO announced
    • Connect with your peers using AFHTO’s IHP Directory
    • New one-and-done therapy can help curb severe COVID-19 infection and more
    • Open grant: optimizing team-based primary care
    • Updated information about accessing the provincial PPE/testing supplies stockpile
    • Health Connect Ontario is now Health811
    • Seeking older adults with multiple chronic conditions
    • Help address social isolation and loneliness in older adults
    • Upcoming events including Long COVID and more

     

     

    Interim CEO announced

    From President and Board Chair, Sara Dalo:

    “I am pleased to share that the AFHTO Board has appointed Bryn Hamilton to become AFHTO’s interim CEO, effective March 27, 2023. Many of you already know Bryn as AFHTO’s Director of Governance and Integration, supporting our membership through her focus on primary care integration, strengthening Board governance practices and supporting health system integration. Bryn has been with AFHTO since 2014 and is well versed in the needs of the members and the health system transformation currently underway. We invite you to join us in welcoming Bryn in her new role!”

    Visit our site to find out more about the recruitment process and sign Kavita’s farewell e-card.


    Connect with your peers using AFHTO’s IHP Directory

    IHPs in AFHTO member teams are encouraged to sign up to AFHTO’s IHP Directory! This directory will help improve AFHTO’s communication to IHPs, and it will support IHP networking, information sharing, and collaboration.

    After you sign up, you will be emailed a link to a spreadsheet with the names, professions, team names, and work emails of all IHPs who have signed up for open communication. You may sort by profession to see the names of those in the same discipline as you.

    AFHTO will be checking the directory and emailing links to new registrants every 1-2 weeks. We look forward to improved communication from AFHTO to IHPs, and across IHPs in AFHTO-member teams!


    New one-and-done therapy can help curb severe COVID-19 infection and more

    Recent updates include:

    We continue to update multiple pages on our site with resources and news:

    Novel Coronavirus (COVID-19) Updates– the original page, with news and updates. You can find links to related pages here as well.


    Open grant: optimizing team-based primary care

    The Foundation for Advancing Family Medicine (FAFM) has launched an open call for proposals supporting primary care practitioners and teams in augmenting and optimizing interprofessional team-based care in their practices. Funding up to $200,000 CAD is available. Deadline Feb. 20, 2023.


    Updated information about accessing the provincial PPE/testing supplies stockpile

    From the Ministry of Public and Business Service Delivery (MPBSD):
    “In November 2022, we informed you that the current Remedy ordering platform will be sunset by April 1, 2023, and replaced with a new system. We have now received information on the new system (the centralized PPE Supply Portal), including instructions on how each primary care practice will need to set up an account to access the new system.” This document outlines the steps required to onboard primary care teams to the PPE Supply Portal and a link to the registration form. Registration deadline is Tuesday, February 28, 2023.


    Health Connect Ontario is now Health811

    Health Connect Ontario has changed its name to Health811.

    The focus and function is still the same – it remains a resource Ontarians can access 24/7 to receive health advice, speak with a registered nurse, get assistance finding local health supports and to find trusted health information. Health811 can be accessed by calling 811 (TTY: 1-866-797-0007) or by going online at Ontario.ca/Health811 or Ontario.ca/Sante811. Read the memo (EN and FR) for more information.


    Seeking older adults with multiple chronic conditions

    older adults with multiple chronic conditions recruitment poster linked in the blurb

    A PhD student from Ontario Tech University, Julie Vizza, is looking for participants to take part in a study entitled, “Experiences with medication management in interprofessional care models: A study of older adults with multiple chronic conditions”. It will examine the experiences of older adults who have been prescribed multiple medications to manage multiple chronic conditions and who are followed by a FHT in Ontario.

    Its purpose is to understand the impact of managing multiple medications and how individuals conceptualize their medication management care team. The results will offer important ideas on how care can be improved to better support patients in managing their medications.

    Eligible participants are currently being followed by a FHT in Ontario. See the poster for additional criteria. If you know of any older adults that may be interested in sharing their experiences or to learn more about the study, please contact: julie.vizza@ontariotechu.net.

     


    Help address social isolation and loneliness in older adults
    The Canadian Coalition for Seniors’ Mental Health has begun a new project on Social Isolation and Loneliness. It’s intended to lead in the development and promotion of Canadian guidelines for health and social service providers to identify and address isolation and loneliness among older adults. The survey’s focus is to learn more about the attitudes, experiences, knowledge, and ideas of people working directly with older adults, regarding the topic of social isolation and loneliness. It should take roughly 10-15 minutes to complete. Find out more here.


    OHT Engagement Learning Series – Session 3 of 7: Equity, Diversity & Inclusion, Feb. 21, 2023
    Hosted by Institute for Better Health and Trillium Health Partners. Register here.


    Sickle Cell Disease: A New Quality Standard for High-Quality Care in Ontario, Feb. 22, 2023
    This session will introduce Ontario Health’s recently released Sickle Cell Disease quality standard and describe how it can drive QI and improve care for Ontarians across the health system. Register here.


    Long COVID, Feb. 24, 2022
    57th in the series “Changing the way we work” on Friday, February 24, 2023, at 7:55-9:15 am, hosted by UofT and OCFP. Register here.


    Strategies to Increase Client and Family Engagement, Feb. 27, 2023
    Hosted by RNAO and presented by Victorian Order of Nurses (VON). Register here.

  • Update on CEO Recruitment Process, Appointment of Interim CEO and Sending Your Best Wishes to Kavita

    Update on CEO Recruitment Process, Appointment of Interim CEO and Sending Your Best Wishes to Kavita

    Message Sent on Behalf of Sara Dalo, Chair of the AFHTO Board of Directors

    Dear Members,

    I am pleased to share that the AFHTO Board has appointed Bryn Hamilton to become AFHTO’s interim CEO, effective March 27, 2023. Many of you already know Bryn as AFHTO’s Director of Governance and Integration, supporting our membership through her focus on primary care integration, strengthening Board governance practices and supporting health system integration. Bryn has been with AFHTO since 2014 and is well versed in the needs of the members and the health system transformation currently underway. We invite you to join us in welcoming Bryn in her new role!

    With Bryn in the role of the Interim CEO, the work has started to recruit our current CEO’s (Kavita Mehta) successor. The AFHTO Board of Directors has established a CEO Selection Committee to recruit  our new CEO and ensure a smooth leadership transition by July 2023. The Committee has engaged Mirams Becker to lead the search. Inquiries may be directed to Sarah Adams, Principal, at sarah@miramsbecker.com.

    As we wind down the time we have with Kavita, I would like to recognize her once again for the contributions to our sector, especially in advancing interprofessional team-based primary care. Kavita, your leadership, passion, and values will not be forgotten. You will be missed and we wish you all the best! If you would like to join us in wishing Kavita farewell with your own best wishes, please leave your message to her on this e-card before her last day on Friday, March 10, 2023: https://ellacard.com/sign/6166bcff-87e1-4bd2-bcb6-fdae8226a1a7.

    Over the next year we will see a lot of changes in AFHTO, but it also mirrors a lot of changes happening in the health care system. I want to take this opportunity to thank all our members for their support and patience as we navigate this new chapter for AFHTO – your ongoing dedication to ensuring the ongoing success and sustainability of the organization is very much appreciated. If you have any questions, please do not hesitate to contact me at any time.

    Yours in Good Health,

    Sara Dalo signature

     

     

     

     

    Sara Dalo
    Board Chair and President, AFHTO

  • QI in Action eBulletin #126: The Health Equity Questionnaire

    QI in Action eBulletin #126: The Health Equity Questionnaire

    In this Issue:

    • The Health Equity Questionnaire: Standardized Entry of Social Determinants of Health into EMRs
    • Resources for social determinants of health
    • Food for thought
    • Updated Primary Care Data Reports for Ontario Health Teams
    • Help shape the future of virtual health care in Ontario
    • Phase I Guidance for Clinically Appropriate Use of Virtual Care for Primary Care evaluation survey
    • Virtual Care Guidance Statements Checklist for Clinicians and other resources
    • Upcoming Events

     

    The Health Equity Questionnaire: Standardized Entry of Social Determinants of Health into EMRs

    The Health Equity Questionnaire: Standardized Entry of Social Determinants of Health into EMRs. Below are a group of hands in different watercolours reaching upwards

    To provide the most equitable care for our patients we need to know their social determinants of health. Current EMR specifications don’t require that this information is included in the dataset for each patient and EMRs don’t provide a standardized way to enter it.

    The Health Equity Questionnaire (HEQ) has been developed to allow social determinants of health information to be entered into EMRs efficiently and in a standardized way, allowing it to be easily accessed, updated, and searched.

    Questions and data elements from an extensive set of existing tools were collected, prioritized, and distilled into a practical new format designed around provider workflows. Many stakeholders, including several EDI specialists, were consulted.

    At the time of a visit, clicking on the ‘HEQ’ button in the chart will bring up the Questionnaire form. The provider can then enter any information that may be relevant to the patient’s care and save it to the chart. Clicking the button again will bring up a new copy of the form which is pre-populated with any previously entered data and can be updated as needed. The form is designed to display all the information in an “at a glance” view which means that all the information is shown in one window without any clicking or scrolling.

    The questions can also be sent directly to the patient via secure messaging. They can then answer any of the questions that they’re comfortable with and their responses will be automatically entered directly into their charts. If an HEQ form is not already in the chart, then a new one will be created. If there is an existing form in the chart, then it will simply be updated with their responses.

    Care must be taken to ensure that the patient understands why the questions are being asked, that the information will be treated with the same confidentiality as the rest of their medical information, that it will only be used to provide them with the best care possible, and that they only need to provide whatever responses they’re comfortable with.

    A video demonstration of the tool is available here.

    The toolkit can be downloaded from the TELUS Health Practice Solutions Community Portal by navigating in Chatter to Groups, Active Groups and then the East Wellington Family Health Team group. Plans are in progress to migrate the toolkit to the other main EMRs as well.

    Questions and feedback are welcome and can be directed to Dr. Kevin Samson kevin.samson@ewfht.ca.

    Resources for social determinants of health
    Webinars and conference sessions

    Select Resources

    Food for Thought

    Updated Primary Care Data Reports for Ontario Health Teams
    INSPIRE PHC has posted the updated Primary Care Data Report for all of Ontario. These reports track key primary care health system indicators and guide attachment strategies in Ontario Health Teams (OHTs). The Primary Care Data Working Group produced reports specific to each OHT and are intended to provide a deeper understanding of the attributed population of each OHT. Find out more.

    Help shape the future of virtual health care in Ontario
    Help shape the future of virtual health care in Ontario! We are looking for patients and caregivers in Ontario to take a 15 to 20-minutes survey on the experiences and expectations with virtual care appointments as a patient or caregiver with a doctor, nurse, or another healthcare professional in a family practice. This study from the University of Toronto and the Bruyére Research Institute is led by Dr. Rachelle Ashcroft and Dr. Simone Dahrouge.

    To take the survey, please click one of the links below:

    As part of the recruitment efforts, primary care clinics will have the opportunity to receive a customized report based on the template regarding the experiences of their patients with virtual care. In addition, you can view the report last year on virtual care that was shared broadly to key decision makers. Should you be interested in participating or learning more, please contact Simon Lam, research coordinator, at sck.lam@utoronto.ca.

    Phase I Guidance for Clinically Appropriate Use of Virtual Care for Primary Care evaluation survey
    Ontario Health is conducting an evaluation of the ‘Phase I Guidance for Clinically Appropriate Use of Virtual Care for Primary Care’ developed in collaboration with an Expert Panel. You’re invited to complete this survey to capture your awareness of, access to and adoption of the Phase I Guidance for Clinically Appropriate Use of Virtual Care for Primary Care.   

    You may access the survey here.  

    The survey should take approximately 5-10 minutes to complete, and your responses will remain anonymous. If you have any questions or concerns regarding the survey, please do not hesitate to contact Mimosa Zhao by email at zhao@theevidencenetwork.com.

     

    Upcoming Events

    Sickle Cell Disease: A New Quality Standard for High-Quality Care in Ontario
    February 22, 2023, 12:00pm
    This session will introduce Ontario Health’s recently released Sickle Cell Disease quality standard and describe how it can drive quality improvement and improve care for Ontarians across the health system. Register here.

    Media Messaging on Equity: How do we do better?
    March 6, 2023, 4:30 pm
    The third-annual Vohra Miller Lectures in Critical Public Health Issues in collaboration with the Institute for Pandemics puts a spotlight on the media’s handling of equity issues, including health equity, during the COVID-19 pandemic and beyond. What are the forces that shape media coverage of equity matters? What does the future of the media landscape hold and, what are the possibilities? Register here.

    In Case You Missed It: Check out eBulletin #125 or other back issues here!
    Questions? Comments? Contact us at improve@afhto.ca.

  • Bits & Pieces: 2023 pre-budget submission and more

    Bits & Pieces: 2023 pre-budget submission and more

    Your Weekly News & Updates


    In This Issue  
    • 2023 pre-budget submission and a new Canada Health Transfer agreement
    • Collaboration in team-based primary care during the COVID-19 pandemic: study
    • COVID vaccinations and digital supports materials
    • Member stories
    • Coming soon: Updated High Risk OBSP genetic assessment referral criteria and forms
    • Seeking participants for an online survey about improving osteoarthritis care
    • Seeking patients for early detection of Mild Cognitive Impairment and Alzheimer’s disease
    • Upcoming events including Using Culturally Safe Practices to Build Meaningful Relationships with Indigenous Communities and more

     

    2023 pre-budget submission and a new Canada Health Transfer agreement

    over of AFHTO 2023 prebudget submission titled Primary Care: The Foundation of the Healthcare System. It's an overhead view of five people in blue scrubs and white coats meet around a white table with coffee, paper and laptops.

    On February 6, 2023 AFHTO submitted our recommendations to the government for their 2023 budget. Recommendations 1 and 2 of our 2023 pre-budget submission was done in collaboration with partners in the Primary Care Collaborative and recommendation 3 and 4 are two other recommendations AFHTO is advocating for.

    Our recommendations are broken into four sections:

    1. Make team-based primary care available to more Ontarians through an investment of an additional $75 million per year for 10 years.
    2. Address the health human resource (HHR) crisis in primary care through the creation of a primary care HHR table.
    3. Provide mental health and addictions services and home and community care in coordination with primary care.
    4. Provide resources to support the implementation of primary care networks (PCNs) and recognize PCNs as the organizing model for primary care.

    Read more here.

    And in related news, read the Primary Care Collaborative’s release on today’s meeting between the Prime Minister and premiers here:


    Collaboration in team-based primary care during the COVID-19 pandemic: study

    Now published in BMJ Open, “A qualitative study of collaboration in interprofessional primary care teams during the COVID-19 pandemic” is our study with Drs. Rachelle Ashcroft, Catherine Donnelly and others. “Results revealed the importance of collaboration for provider well-being, and the challenges of providing collaborative team-based primary care in the pandemic context. Caution against converting primary care collaboration to predominantly virtual modalities postpandemic is recommended.” Read more here.


    COVID vaccinations and digital supports materials

    Recent updates include:

    We continue to update multiple pages on our site with resources and news:

    Novel Coronavirus (COVID-19) Updates– the original page, with news and updates. You can find links to related pages here as well.


    Member stories

    Markham FHTDr. Allan Grill on how primary care is dealing with demand

    St. Michael’s Hospital Academic FHTDr. Tara Kiran contributes to The Globe and Mail– “We need bold reform to fix family health care”


    Coming soon: Updated High Risk OBSP genetic assessment referral criteria and forms

    Ontario Health wishes to inform everyone of some upcoming changes to the High Risk Ontario Breast Screening Program (OBSP). The High Risk OBSP was launched in 2011 to support organized screening of people at high risk for breast cancer. The program now screens approximately 13,000 participants each year with mammography and screening breast magnetic resonance imaging (MRI) (or screening breast ultrasound if breast MRI is not medically appropriate). Read the full email here.


    Seeking participants for an online survey about improving osteoarthritis care

    With funding from the Arthritis Society, Dr. Anna Gagliardi and University Health Network (UHN) researchers interviewed 27 women with osteoarthritis (OA) and 31 healthcare professionals to identify strategies needed to improve OA care for diverse women, and possibly other disadvantaged groups. They are now seeking women with OA, family physicians, and healthcare researchers to participate in a two-round online survey. They will ask you to complete the Round One online survey (about 20 minutes). A few weeks later, they will send you anonymous results, and ask you to complete the Round Two survey (about 10 minutes).

    ELIGIBLE WOMEN:
    — Have suspected or confirmed osteoarthritis
    — Are aged 40 or older
    — Were born in or have lived in Canada for 10 years or more
    — Can speak and understand English language
    — Represent the following ethno-cultural group(s): Chinese, Filipino, Indian, Pakistani, African, Caribbean
    ***If you are a woman interested in participating or wish to learn more about the study, please contact: Angelina.abbaticchio@uhn.ca. Women will receive an e-giftcard for their participation.

    ELIGIBLE HEALTHCARE PROFESSIONALS:
    — Are a family physician practicing in Canada
    — AND/OR are a researcher in the area(s) of health services research on OA or inequities in women’s health
    ***If you are a healthcare professional interested in participating or wish to learn more about the study, please contact: madeline.theodorlis@uhn.ca.


    Seeking patients for early detection of Mild Cognitive Impairment and Alzheimer’s disease

    The Alzheimer Society of Toronto (AST), Toronto Memory Program, Retispec and Summerhill Optometry are conducting a study, funded by the Davos Alzheimer’s Collaborative. The aim is to enable early detection of Mild Cognitive Impairment and Alzheimer’s disease through increased awareness and assessment in accessible community-based settings. While they have 3 assessment locations in Toronto, they are also open to travel to your location if there is significant interest. Cognitive Assessments are delivered by trained social workers. The completed assessments will be provided to the patient’s primary care provider for interpretation and follow-up. AST will provide services to those diagnosed with mild cognitive impairment or dementia.
    The study is open to individuals 65 years and over who are experiencing memory problems, but do not have a diagnosis of Mild Cognitive Impairment or Dementia.

    Inclusion and Exclusion Criteria:

     Inclusion - Adults (≥ 65 years of age); Able and willing to provide informed consent; Have a memory complaint. Exclusion- Prior diagnosis of dementia or Alzheimer’s disease or MCI; Exclusion Criteria for RetiSpec scan Have contraindications to the use of mydriatic (dilation) drops (for RetiSpec imaging procedure only)

    To learn more:

    If you would like to find out more by speaking to someone directly, please contact Sangeeta Semwal at DACstudy@alz.to or 416-708-8423.


    Canadian Health and Well-Being In Developmental Disabilities, Feb. 8, 2023
    Digital conference hosted by Temerty Faculty of Medicine, University of Toronto. Find out more here.


    Using Culturally Safe Practices to Build Meaningful Relationships with Indigenous Communities, Feb. 9, 2023
    Hosted by Indigenous Primary Health Care Council. Register here.


    New Horizons Speaker Series webinar, Feb.10, 2023
    What are the roles of virtual only clinics and technology-enabled care in the future of the health care system? How will these shape the future of primary care in Ontario? Join U of T Department of Family and Community Medicine faculty members for this discussion. Register here.


    Cybersecurity and Canadian Health Care: Where do vulnerabilities lie? Feb. 14, 2023
    Hosted by The Globe and Mail. Register here.


    OHT Engagement Learning Series – Session 3 of 7: Equity, Diversity & Inclusion, Feb. 21, 2023
    Hosted by Institute for Better Health and Trillium Health Partners. Register here.


    Strategies to Increase Client and Family Engagement, Feb. 27, 2023
    Hosted by RNAO and presented by Victorian Order of Nurses (VON). Register here.

  • Primary Care Leaders Urge Canada’s Premiers and Federal Government to Strike a Deal That Focuses on Expanding Team-Based Primary Care Including Access to a Primary Care Provider

    Primary Care Leaders Urge Canada’s Premiers and Federal Government to Strike a Deal That Focuses on Expanding Team-Based Primary Care Including Access to a Primary Care Provider

    TORONTO, Feb. 6, 2023 /CNW/ – The Primary Care Collaborative (PCC) is encouraging Premiers across the country, and the federal government, to strike a new Canada Health Transfer agreement that will focus on expanding team-based care and ensure that every Canadian has access to a family doctor or nurse practitioner within an interprofessional team.

    At this critical time, political leaders across the country can make a real impact on Canada’s ongoing healthcare crisis. Research shows that high-performing healthcare systems are based on a strong foundation of comprehensive primary care. But millions of Canadians from coast to coast, including the Indigenous peoples and communities of Canada, are currently unable to access the care they deserve.

    That is why the Premiers and Federal Government need to ensure that team-based models of care are at the centre of a renewed Canada Health Transfer Agreement. Doing so will ensure that we are building a cost-effective healthcare system where people can access better, more integrated, more accessible and continuous care.

    In team-based models of care, patients can access primary care from a family physician or nurse practitioner, but the benefit to the patient and the system comes from the larger team, which also includes interprofessional healthcare providers, including nurses, social workers, dietitians, pharmacists and many others. These healthcare providers work as a team to meet patients’ health and social needs, including their mental health needs.

    A special focus should be placed on Canada’s Indigenous communities, many of which do not have access to Indigenous Primary Health Care. Access to culturally appropriate and safe care is critical to ensure that Indigenous Peoples and communities are supported and able to thrive.

    With primary care at the foundation, the Primary Care Collaborative’s 2023 Ontario Budget submission lays out what is needed to help build a healthcare system where people can access better care. With increased funding from the Canada Health Transfer Agreement, we are recommending that the Ontario government: 

    • Makes team-based primary care available to more Ontarians through an investment of an additional $75 million per year for 10 years;
    • Addresses the health human resource (HHR) crisis in primary care through the creation of a primary care HHR table; and
    • Invests in primary care for Indigenous Peoples.

    About the Primary Care Collaborative (PCC):
    We are a coalition of primary care organizations collectively representing 14,000 family doctors, 1,000+ primary care nurse practitioners, 286 primary care teams, 28 Indigenous primary care teams, including northern, rural, and remote teams. This alliance of comprehensive primary care organizations joined together for a common purpose to build on the collaborative work during the COVID-19 pandemic as we move towards recovery in a time of health system transformation. The PCC provides a collective and cohesive voice with the purpose of advancing equitable person-centred primary care in Ontario and is focused on influencing policy by creating a unified voice towards resolving barriers or challenges that prevent comprehensive primary care from being the foundation of the health system. Learn more about the PCC here.

    Click here for the full article

    SOURCE Primary Care Collaborative

    For further information: Kavita Mehta, Chief Executive Officer, kavita.mehta@afhto.ca

    French Translation below


    Les responsables des soins primaires exhortent les premiers ministres des provinces et des territoires et le gouvernement fédéral à conclure une entente portant sur l’expansion des soins primaires dispensés en équipe, y compris l’accès à un fournisseur de soins primaires   

    TORONTO, 6 février 2023 /CNW/ – Le Groupe collaboratif de soins primaires (Primary Care Collaborative – PCC) invite les premiers ministres des provinces et des territoires et le gouvernement fédéral à conclure une nouvelle entente de Transfert canadien en matière de santé portant sur l’expansion des soins dispensés en équipe afin que chaque Canadienne et Canadien ait accès à un médecin, une infirmière praticienne ou un infirmier praticien au sein d’une équipe interprofessionnelle. 
    En cette période critique, les dirigeants politiques canadiens peuvent avoir une incidence réelle sur la crise des soins de santé qui perdure au pays. Les études montrent que les systèmes de soins de santé très performants sont fondés sur des soins de santé primaires complets. Cependant, des millions de Canadiennes et Canadiens d’un bout à l’autre du pays, y compris les peuples et les communautés autochtones, sont incapables d’avoir accès aux soins auxquels ils ont droit.
    C’est pourquoi les premiers ministres des provinces et des territoires et le gouvernement fédéral doivent s’assurer que les modèles de soins dispensés en équipe sont au cœur d’une nouvelle entente de Transfert canadien en matière de santé. Ainsi, il sera possible d’établir un système de soins de santé ayant un bon rapport coût-efficacité au sein duquel les personnes peuvent recevoir des soins continus meilleurs, plus intégrés et plus accessibles.   
    Dans les modèles de soins dispensés en équipe, les patients peuvent recevoir des soins primaires d’un médecin de famille, d’une infirmière praticienne ou d’un infirmier praticien; cependant, les avantages pour le patient et le système proviennent de l’équipe élargie, qui comprend des fournisseurs de soins de santé interprofessionnels, notamment du personnel infirmier, des travailleurs sociaux, des diététistes et des pharmaciens. Ces fournisseurs de soins de santé travaillent en équipe pour satisfaire aux besoins des patients en matière de soins de santé et de services sociaux, y compris leurs besoins en matière de santé mentale. 
    Une attention particulière devrait être accordée aux communautés autochtones du Canada, dont plusieurs n’ont pas accès à des soins de santé primaires à l’intention des Autochtones. L’accès à des soins respectueux des valeurs culturelles est essentiel afin d’aider les peuples et les communautés autochtones et de leur permettre de s’épanouir.  
    Reposant sur les soins primaires, le mémoire du Groupe collaboratif de soins primaires pour le budget de l’Ontario de 2023 précise ce qui est nécessaire pour créer un système de soins de santé au sein duquel les personnes ont accès à de meilleurs soins. Grâce au financement accru provenant de l’entente de Transfert canadien en matière de santé, nous recommandons au gouvernement de l’Ontario les mesures suivantes :  
    •    Améliorer l’accès aux soins de santé primaires dispensés en équipe pour les Ontariennes et Ontariens grâce à un investissement additionnel de 75 millions $ par année pendant 10 ans; 
    •    S’attaquer à la crise des ressources humaines du secteur de la santé quant aux soins primaires par la création d’une table sur les ressources humaines en santé à ce sujet;  
    •    Investir dans les soins primaires pour les peuples autochtones. 
    À propos du Groupe collaboratif de soins primaires :
    Nous sommes une coalition d’organisations offrant des soins de santé primaires, qui ensemble, représentent 14 000 médecins de famille, plus de 1 000 infirmières praticiennes/infirmiers praticiens, 286 équipes prodiguant des soins primaires, 28 équipes de soins de santé primaires autochtones, y compris des équipes en milieu nordique, rural et éloigné. Cette alliance d’organisations offrant des soins de santé primaires complets s’est formée dans le but commun de tirer parti du travail collaboratif accompli au cours de la pandémie de la COVID-19 alors que nous nous dirigeons vers le rétablissement en période de transformation du système de santé. Le Groupe collaboratif de soins primaires forme une voix commune et cohérente ayant pour but d’améliorer les soins de santé primaires équitables axés sur la personne en Ontario, et il tente d’influencer les politiques en faisant front commun afin d’éliminer les obstacles et les difficultés qui empêchent les soins de santé primaires d’être le fondement du système de santé. Pour en lire davantage sur le Groupe collaboratif de soins primaires, cliquez ici.
    SOURCE : Groupe collaboratif de soins primaires
     
    Pour de plus amples renseignements : Kavita Mehta, directrice générale, kavita.mehta@afhto.ca