Tag: Concurrent Sessions

Theme 3. Transforming patients’ and caregivers’ experience and health

Presentation Materials (members only)

Extending the EMR with Patient Tablets Using an automated patient reminder service and survey to collect information on patients’ experiences Add some SaaS to your patient experience surveys Collecting meaningful data on patient experience can be a time-consuming and challenging, but it can have invaluable results. Four different approaches that have proven successful are explored in this session.

(I) Extending the EMR with Patient Tablets: Using Interactive, Point-of-Care Patient Surveys in the Waiting Room to Generate Clinical Content and Save Time

Learning Objectives

Learn how mobile devices and a cloud-based platform can unlock and extend your EMR, enhance patient communication, and save time. In this session, you will hear how primary care clinics are using mobile tablets and a large library of clinical content with their existing EMRs to allow patients to securely update contact information, provide a detailed patient history, or complete forms like the Nipissing Well-Baby Screen. Data entered by the patient can be automatically used to calculate scores, recommend treatment based on clinical guidelines, add a clinical note to the EMR, and even generate customized patient educational materials and handouts.

Summary

In this presentation, you will see firsthand how one physician is using tablets to transform his practice. Learn how online patient questionnaires – completed on tablets in the waiting room, or from home before the appointment – are reducing appointment time requirements by as much 65%, while allowing more time spent face-to-face with the patient. By automating administrative tasks like email consent and demographic updates, you will also hear how clinics are becoming more efficient and reducing the burden on front-desk staff. Finally, you will see how replacing the scanning of paper forms with digital data entry, patient records can become more structured, more accurate, and minable. Learn how Ocean’s EMR-agnostic, integrated support for mobile tools and the largest library of openly available clinical questionnaires is transforming primary care across the province. With over 300,000 patient record EMR updates completed by patients in waiting rooms and exam rooms in just under two years, this technology is making it possible to access and share crucial healthcare resources in a whole new way.

Presenters

• Dr. Douglas Kavanagh, MD, North York FHT; Founder, CognisantMD
• Dr. Robert Davis, MD, Happy Valley FHT

(II) Transforming Primary Health Care Delivery through Innovative Patient Experience Tool

Learning Objectives

1. Importance of obtaining Patient Feedback on primary health care services delivery
2. Value of Real Time innovative Patient Feedback tools in aiding analysis and relevance
3. Removing Communication Barriers between patients and health care team
4. The value of patient feedback tools on measuring quality improvement of patient experience.
5. Summary (II):

This innovative tool of collecting patient feedback has resulted in removing barriers for patients to provide feedback to their health care team about their experience due to the ease of use and accessibility. Furthermore, we are now using the provincial QIP patient questions in our survey for the past 1 month. This will allow our tool to be leveraged across primary care teams to compare patient experience in different settings and ensuring our alignment with provincial strategy. 

Presenters

• Wise Elephant FHT:
  • Sanjeev Goel, Lead Physician
  • Virgiliu Bogdan Pinzaru, Health Informatics Analyst, QIDSS
  • Lopita Banerjee, Physician

Authors and Contributors

• Jaipaul Massey Singh

(III) Using an Automated Patient Reminder Service and Survey to Collect Information on Patients’ Experiences

Learning Objectives

This session will inform participants about how to use an automated patient reminder service to survey patients on their experiences seeking and receiving care at their FHT. Participants will learn about the cost and minimal burden of this approach as well as the patients it can reach and which survey questions can be used.

Summary

In order to improve the care we deliver, FHTS need to understand patients’ experiences in seeking and receiving their health care. FHTs are also required to survey their patients annually to contribute to their quality improvement plans. At the same time, many FHTS are seeking ways to improve their care through automated reminder systems such as appointment reminders. This session will present an overview of a new approach to surveying FHT patients using automated surveys similar to patient reminder calls, emails, or texts. It will present the results and experiences from FHTs which have used this technology. The strengths and weakness of this technology including the patients it reaches and whom it may not, the burden on practices, and the cost will be shared with participants. 

Presenters

• Anthony Mar, President, Cliniconex Inc.
• Sharon Johnston, Family Physician, Clinician Investigator, University of Ottawa Department of Family Medicine, Bruyère FHT

Authors and Contributors

• Bill Hogg, University of Ottawa Department of Family Medicine, Bruyère Continuing Care

(IV) Add some SaaS to your Patient Experience Surveys

Learning Objectives

Participants will learn novel strategies for coordinating and collecting patient experience surveys that reduce FHT staff and patient burden.

Summary

While the collection of patient experience data is mandated by HQO, there is little guidance around how to collect this data with existing resources. Strategies are needed to support survey distribution that minimize burden on both FHT staff and patients. To address this challenge, the Women’s College Hospital Academic FHT has developed an automated system to collect patient experience data. We designed 3 short surveys, each focussed on a different domain of patient experience. Each survey includes:

• the questions mandated by HQO,
• questions related to chosen domain, and
• demographics questions.

Patients receive an email with survey link during their birth month, so that each patient only receives one survey annually. Our process, which involves use of SaaS (software as a service) solutions, allows us to:

• Minimize data entry and analysis burden by automating distribution, data entry, and analysis
• Minimize patient burden, while still collecting feedback on a wider variety of issues (3 short surveys)
• Monitor improvements over time (the 3 surveys are rotated throughout the year, allowing for quarterly analysis on all domains)
• Semi-automate qualitative analysis of patient comments
• Adopt best practices in electronic survey distribution, including via mobile devices
• Minimize privacy and confidentiality issues related to the US Patriot Act
• Be compliant with Canada’s anti-spam legislation (CASL) which came into effect July 1, 2014.

While subscription costs for SaaS solutions are not inexpensive, economies of scale may be achieved if a system is adopted and shared across FHTs.

Presenters

• Women’s College Academic FHT:
  • Nicole Bourgeois, Dietitian and Health Promoter
  • Holly Finn, Program Coordinator
  • Susie Kim, Family Physician and FHT QI Lead
• Craig Thompson, Director of Digital Communications, Women’s College Hospital

Authors and Contributors

• Ranjana Shardha, Quality Improvement Decision Support Specialist

Theme 4. Building the rural health care team: making the most of available resources

Presentation Materials (members only)

Presentation Slides: From Soup to Tomatoes

Learning Objectives

1. Learn how to access this free program via OTN and the “how- to’s” for implementing.
2. Learn the rationale and benefits in offering an arm-chair based exercise program to the citizens of a community.
3. Participate in a demonstration of the three programs “From Soup to Tomatoes” offers.
4. Be inspired to offer “From Soup to Tomatoes” exercise programs in your own community.

Summary

The session begins with a 15-minute PowerPoint presentation outlining “From Soup to Tomatoes”; from inception, growth, current programs, future plans and brief reports of studies and statistics. Presented information will include the following: In 2006 From Soup to Tomatoes was conceived by Susan Clarke who believed that in order to help patients become active, a new approach was needed. A free program that addressed accessibility, nutrition, financial constraints, and transportation was the answer. Inspiration was found from quoting Dr. Ian Blumer, who once told an audience “studies have proven that using two cans of soup to exercise just ten minutes a day is beneficial”. So Susan started a patient out with two cans of soup with instructions to slowly increase reps and weight. The patient quipped that one day, she may just advance to cans of tomatoes. From this conversation came an armchair-based exercise program named From Soup to Tomatoes, consisting of three non-consecutive days of armchair-based resistance exercises that would meet the CDA guidelines. The three classes offered (basic, gentle, and yoga) are viewed “live” via the Ontario Telemedicine Network (OTN) at many locations. All webcasts are archived and available free of charge to anyone with internet access. Many hundreds view via the web. Participants report enhanced physical, mental and social well-being. After the PowerPoint presentation, Renee Desjardins will lead the audience to participate in a 15-to-20-minute demonstration of the basic, gentle and yoga programs. 10 minutes of Q and A will follow.

Presenters

• Espanola and Area FHT:
  • Susan Clarke, RN, Certified Diabetes Educator, Telemedicine Coordinator
  • Renee Desjardin, BA, RN, PTS (Personal Training Specialist), OAS(Older Adult specialist)

Theme 2. Optimizing capacity of interprofessional teams

Presentation Materials (members only)

Presentation Slides: Charting a Blueprint for Improved Interprofessional Primary Care Team Effectiveness

Learning Objectives

The University of Toronto (U of T) Department of Family and Community Medicine (DFMC) Quality Improvement (QI) Program has launched an 18-month “teaming” project. Teaming refers to the collective actions or processes associated with an interprofessional primary care team performing optimally. This session will introduce the results of the environmental scan and how they have framed a blueprint that will guide interprofessional primary care teams to function effectively, and with ultimate outcomes leading to improved health of populations, improved patient and provider experiences, and improved value.

Summary

A significant provincial investment has been made in Ontario in family health teams and inter-professional models of care. Significant work has also been done in Ontario on improving team governance and leadership. There has been a large transformation from solo practitioners to teams yet there has been very little structured team function guidance and support. The opportunity exists for change and improvement; teaming will promote the best possible function from interprofessional primary care teams, leading to better patient care and improved outcomes. The development of a conceptual framework has been derived from the environmental scan, guided a research design and blueprint to be tested at the Trillium Health Partners affiliated Credit Valley FHT, Family Medicine Teaching Unit. Change ideas, tools, instruments and qualitative and quantitative measurement related to team performance and patient outcomes have been defined to support team effectiveness improvement. The teaming project will enable individuals and teams to embark on a journey of thinking and working differently in order for them to drive change and improvement.

Presenters

• University of Toronto DFCM:
  • Dr. Philip Ellison, MD MBA CCFP FCFP
  • Patricia O’Brien, RN BA CNeph(C)

Authors and Contributors

• Monica Aggarwal, PhD, Innovative Health Care Management Soluntions Inc.
• MaryKay Whittaker, BScN, DFCM

Theme 1. Population-based primary health care: planning and integration for the community

(I) Going Upstream: Building the Infrastructure to Address Social Determinants at the St. Michael’s Hospital Academic Family Health Team

Learning Objectives

At the end of the presentation, participants will have: 1. Gained knowledge of initiatives being implemented to intervene on the social determinants of health at St. Michael’s Hospital Academic Family Health Team, including work on income security, access to legal services, access to decent work and child literacy. 2. Gained skills in developing an administrative structure and partnerships required to administer these new programs, including the creation of a Social Determinants of Health Committee. 3. Gained knowledge of the role of evaluation in helping build and sustain new programs that address social determinants.

Summary

Social determinants of health (SDOH) are “the conditions in which people are born, grow, live, work and age.” The concept of the SDOH is not new, and indeed, can be found in the observations of Hippocrates. However, modern healthcare organizations have typically not considered addressing SDOH as part of their core business, with few exceptions (e.g. community health centres). The landmark 2008 Final Report of the Commission on Social Determinants of Health triggered renewed interest in this area, followed closely by calls by the British Medical Association, the Canadian Medical Association and the College of Family Physicians of Canada for greater action by health professionals on SDOH. Family Health Teams are well-placed to address SDOH as they aim to provide quality primary care to Ontarians. Over the past two years, we have identified a number of new and innovative approaches to address SDOH in a practical manner. These include:

• the routine collection of detailed socio-demographic data on all patients in order to assess health equity;

• the implementation of an innovative Income Security Health Promotion service;

• the implementation of a medical-legal partnership;

• the implementation of a Reach Out And Read early childhood literacy program; and

• the development of a combined advocacy and service program to address employment conditions and access to decent work.

Our experiences implementing and evaluating novel interventions will be described and used as a springboard for supporting participants to effect changes to the SDOH in their own communities. 

Presenters

• St. Michael’s Hospital Academic FHT
  • Andrew D. Pinto, MD CCFP FRCPC MSc, Staff Physician & Scientist
  • Gary Bloch, MD CCFP, Staff Physician & Chair, Social Determinants of Health Committee

(II) Community Engagement Can Support Population-Based Primary Health Care: Lessons learned at St. Michael’s Hospital Academic Family Health Team

Learning Objectives

At the end of the presentation, participants will have:

1. Gained knowledge of what community engagement is and how it relates to patient engagement.
2. Gained knowledge of the role of community engagement in Family Health Teams, particularly in supporting population-based primary health care.
3. Gained skills around applying for funding to support community engagement specialists and reporting on performance measures, based on lessons learned within the St. Michael’s Hospital Academic Family Health Team.

Summary

Community engagement is defined as the process of working collaboratively with groups of people – connected by geographic proximity, interest, identities or similar situations – to address issues affecting their health and wellbeing. St. Michael’s Hospital Academic Family Health Team was recently successful in obtaining funding for a full-time Community Engagement Specialist as part of opening a clinic site in a new community. The need to ensure that services was responsive to community needs was evident, alongside the growing focus within the Family Health Team on addressing social determinants of health and improving access to care for the most vulnerable populations. The key actions of community engagement are

1. intelligence gathering,
2. relationship building, and
3. conceptualizing innovative services.

The focus to date has been on relationship-building with residents, health care providers, other community members and organizations through formal and informal activities. The Community Engagement Specialist acts as a liaison: mobilizing information, connections and resources between the Family Health Team and various groups to support action that improves primary health initiatives through intersectoral collaborations and partnerships. This role provides value to primary health providers and to communities through better informed decision-making, an increased sense of involvement and responsibility, an increased range of ideas and options for improvements in primary care, better access and outcomes, and increased credibility, transparency and accountability. It is an approach that aims to engage beyond our patient population, reaching unattached patients, community members and residents in communities to reduce health inequities.

Presenters

• St. Michael’s Hospital Academic FHT:
  • Cian Knights, MBACED HonBA, Community Engagement Specialist
  • Andrew D. Pinto, MD CCFP FRCPC MSc, Staff Physician & Scientist

Theme 7. Clinical innovations keeping people at home and out of the hospital

Learning Objectives

Participants will learn about the value, effectiveness and availability of Telehomecare, which connects patients to their healthcare teams in real time for monitoring and coaching. Data will highlight how Telehomecare is helping to shift resources from hospital-based acute and ER care to a more proactive, community-based model. Participants will gain an understanding of how Telehomecare helps patients remain independent and optimize their health using self-management skills, bridging the gap between appointments, increasing access to care and making better use of healthcare resources. Participants will also learn how to refer patients or start their own Telehomecare program in their FHT.

Summary

The evolution of Telehomecare will be the focus of the panel presentation, led by Ontario Telemedicine Network (OTN) CEO Dr. Ed Brown. Telehomecare brings together specially trained clinicians and simple technology to coach patients with chronic obstructive pulmonary disorder (COPD) and/or congestive heart failure (CHF) to monitor vital signs and manage their health at home. Offered in eight LHINs in Ontario through hospitals and Community Care Access Centres, Telehomecare has been delivered to more than 5,000 patients to date. It enhances patient confidence and self-management skills significantly, avoiding unnecessary ER visits and reducing inpatient hospitalizations. Telehomecare is now expanding to target patients with COPD and/or CHF with diabetes as a comorbidity, as well as patients with chronic complex needs. To enhance accessibility, the program is now being offered in a format that can be tailored to smaller, individual sites, to accommodate particular needs and resources. The panel will feature a Telehomecare physician “champion”, a representative involved in the diabetes pilot and a representative from a Family Health Team involved in a pilot for patients withchronic complex needs. They will highlight how expansion of Telehomecare across Ontario can offer the community supports to manage chronic disease and prevent exacerbations, promoting improved access to care for enrolled patients and reduced healthcare resource utilization.

Presenters

• Dr. Ed Brown, CEO, Ontario Telemedicine Network
• Co-presenters TBD

Authors and Contributors

• Ontario Telemedicine Network:
  • Shelley Morris, Engagement & Implementation Lead
  • Kimindra Tiwana, Engagement & Implementation Lead

Theme 6. Leadership and governance for accountable care

Presentation Materials (members only)

Presentation Slides: Solutions for Managing Patient Privacy across Clinics and Community Partners

(I) A Stewardship Privacy Model for a FHT and its Clinics

Learning Objectives

As the province’s third largest FHT, the Guelph FHT has 76 doctors and is operationally broken down into 17 clinics. While privacy is always a challenge, privacy in the Guelph FHT’s environment is especially challenging and requires a purposeful privacy governance structure to ensure consistency across clinics, to support FHT staff and to meet legal obligations. Participants will learn about the Guelph FHT’s approach to privacy governance, how the model was implemented and how other FHTs may take a similar approach.

Summary

FHTs are continually asked to provide leadership in data. This leadership often involves searching, accessing and summarizing data about clinics. Often, however, the relationship between a FHT and its clinics from a privacy perspective is ambiguous, and questions of custodianship, responsibility and training are unclear. As FHTs are strategically moving to play a even stronger role in data, the question of privacy and privacy governance needs to be formally resolved. As the province’s third largest FHT, privacy in the Guelph FHT’s environment is especially challenging and requires a purposeful privacy governance structure to ensure consistency across clinics, to support FHT staff and to meet legal obligations. The Guelph FHT’s privacy model is based on the concept of privacy stewardship, and sharing privacy roles and responsibilities between the Guelph FHT and its clinics. The goal of this model is to allow the Guelph FHT to participate in regional data programs, while simultaneously giving individual clinics appropriate control and responsibility for their privacy responsibilities. The Guelph FHT’s approach is broken down into two parts: the first part of this governance model is based on a common set of privacy principles that are adopted by all clinics. This “Harmonized Privacy Policy” establishes universal privacy policies for all clinics and clearly outlines the role of the FHT and the role of the clinic regarding privacy responsibilities and obligations. The second part of the governance model is a Stewardship Agreement, which formalizes the relationship between the FHT and its clinics from a data and privacy perspective. The presentation will conclude with a review of lessons learned through the process of negotiating this privacy model, and an update on its current status. 

Presenters

• Kirk Miller, Director of Performance and Accountability, Guelph FHT
• Justin St-Maurice, Privacy Consultant, St-Maurice Consulting Services

(II) Quality-Based Reporting and PHIPA Compliance

Learning Objectives

Increase overall awareness of privacy, security and confidentiality of data. Review current PHIPA regulations and the relevance to Family Health Teams in quality-based reporting. Provide an overview of the current challenges faced by Family Health Teams in meeting PHIPA requirements Share useful and practical ideas that may be adopted by other FHTs in terms of contract negotiations with internal and external partners, implementation of processes, policies and procedures, and internal quality monitoring through audits.

Summary

Quality-Based Reporting and PHIPA Compliance. No one would argue that information from data is key to improving efficiencies within the healthcare system, influencing public policy development and administration and supporting research to advance patient care. At the same time, information security and privacy in the healthcare sector is an issue of growing importance, where breaches can incur serious consequences for both the individual and the organization involved. The adoption of electronic patient medical records and the increasing need for providers and funders to access and utilize patient data all point towards the need for a better understanding and adoption of policies and protocols regarding information security. The main threats to patient privacy and information security are those that arise from inappropriate access of patient data either internally or by exploiting disclosed data, including big data, beyond its intended use. Compliance with provincial regulations governing privacy and security of health information is mandatory (PHIPA, 2004) and yet, many Family Health Teams and other healthcare organizations are failing to comply and struggling to understand the risks they face by not meeting these requirements. This presentation will highlight some of the challenges faced by the North York Family Health Team in meeting PHIPA requirements as we continually strive to implement best practices in addressing quality-based reporting both internally and with our external partners. The importance of a data flow chart; end-user agreements; staff training and education; privacy, security, data breach and confidentiality policies and procedures; audits; and other necessary checks and balances will be discussed.

Presenters

• Susan Griffis, Executive Director
• Jennifer Leung, Clinical Manager, North York FHT
• Marjan Moeinedin, Quality Information Decision Support Specialist

Authors and Contributors

• Joyce Lo, Project Manager, North York FHT
• Andrew Levstein, Information Technology Support, North York FHT

Theme 5. Advancing manageable meaningful measurement

Presentation Materials (members only)

Presentation Slides: Measuring what really matters to patients

(I) Indicator Management: Weighted Indicator Selection Matrix (QSFHT Experience)

Summary

The presentation showcases the Weighted Indicator Selection Matrix a complementary tool to the Accountability Management System (AMS) (“QIDSS Innovation Fund”). Since indicators are key part systemic system performance, they need a uniform and robust approach for selection and measurability. The AMS, manages and organizes indicators by linking them through goals, objectives and activities. But, how should we select the best indicators to highlight an organization’s performance? We need to have an objective system; and that is why we developed the “Weighted Indicator Selection Matrix”. The presentation will deal with the process of how a FHT team can develop their own customized Matrix and translated it into a practical decision-making process to enhance data gathering and collection tools.

Presenters

• Queen Square FHT:
  • Abel Gebreyesus, BA, MHI, QIDSS
  • Heba Sadek, Executive Director
• Lindsey Thompson, RN, BScN, MPH – Health Services Planner/RN

Learning Objectives

The objective is:

1. Why indicators matter to primary care performance
2. Mastering prioritization of indicators efficiently
3. Exercising objectivity in indicator selection evidenced through Six Sigma Tool.

(II) Measuring What Really Matters to Patients

Learning Objectives

The partnership between AFHTO and Patients Canada on the Patient/Doctor survey to find out what matters to patients in their relationship with their doctor and clinic, led to two important areas of learning:

• About why patient/caregiver collaboration in developing the survey led to better uptake and results
• About the value and process of the partnership itself

You will learn why partnering with informed patients can help target and improve a survey and increase the response rate. You will also learn what makes an effective partnership and how to develop the partner relationship.

Summary

The presentation will look at the development and results of the Patient/Doctor survey and why and how the successful partnering of AFHTO and Patients Canada impacted the quality of the survey and increased the response rate. The goal of the survey was to determine what is important to patients and how important each question was in how patients evaluated their relationship with their primary care provider. The results of the survey will inform clinicians which are the most important questions to include in their own surveys to determine the quality of the care they deliver. The Key Performance Targets (KPTs) developed by Patients Canada from patient experiences helped identify questions important to patients. Initially, the survey design was complex, with levels of questions framed in research speak. The challenge was how to make the survey goal, its structure and language understandable to patients. It took several rounds of work with AFHTO researchers and informed patients from Patients Canada to rework and streamline the survey. After all, if patients cannot understand the need for the survey, its questions and how to answer, what value can come of it? So what did we learn? The nature of the patient partnership determines the depth of value patients can bring to the project. Measuring what is important to patients from their perspective and acting on the results can lead to better experience of primary care for patients in Ontario.

Presenters

• Patients Canada
  • Alies Maybee, Patient Advisor, Patients Canada
  • Brian Clark, Patient Advisor, Patients Canada
• Puja Ahluwalia, Project Coordinator, Quality Improvement Decision Support, QIDS, AFHTO

Authors and Contributors

• Carol Mulder, Provincial Lead, Quality Improvement and Decision Support, AFHTO
• Jenny Cockram, consultant to AFHTO, J. Cockram & Associates

Theme 4. Building the rural health care team: making the most of available resources

Presentation Materials (members only)

Presentation Slides: Rural Health Hubs Framework for Ontario

Summary

Rural communities face unique challenges in delivering high-quality care due to lack of critical mass and economies of scale. Some communities have worked hard to overcome these challenges through innovative local solutions and are well-positioned to continue to improve access to care as part of health system transformation. Rural health hubs and improved health and social service integration are important to all local providers, including physicians in rural and remote practice. Therefore, the OHA and the OMA agreed to establish a Multi-Sector Rural Health Hub Advisory Committee with broad stakeholder representation to develop a framework for implementation of rural health hubs in Ontario. By the end of the presentation we want to hear from the audience what aspects of the Rural Health Hub model could work in your community? Is there anything like this already? What are the issues, barriers and/or opportunities where you are?

Presenters

• Randy Belair, Executive Director, Sunset Country FHT
• Dr. Adam Steacie, Physician, Upper Canada FHT

Learning Objectives

By the end of the presentation, participants will:

1. Review the rural health hub framework and the context for its creation
2. Identify existing health hubs and pilot projects – what makes them work? What are the elements of community partnership that are relevant for primary care across Ontario
3. Discuss issues and opportunities for implementation in primary care

Theme 3. Transforming patients’ and caregivers’ experience and health

Presentation Materials (Members only)

Presentation Slides: Measuring the Patient Experience

Learning Objectives

Observe the benefit of centralizing the development, implementation, collating, and reporting of a standardized patient experience survey that would require limited resources from FHTs. Compare response rates, responses, and respondent demographics from different survey methods including waiting room, web-based, and emailed surveys. Reflect on how patient experience surveys can be used to differentiate patients’ experience within different clinics and/or for different physicians/clinicians. Reflect on challenges with feeding back survey data to staff to drive improvements in quality of care. Reflect on the best method of delivering a patient experience survey in your FHT context.

Summary

First, FHTs from the Champlain LHIN will describe the implementation of their second annual Patient Experience Survey, the goal of which was to understand the key elements of patient’s experience in the Champlain LHIN according to key performance indicators. While each FHT is distinct and cares for a unique population, the results of the survey should help FHTs establish their own priorities for improvement. The FHTs are provided with a report, which aims to provide information for the Quality Improvement Plan, initiate action within the FHTs, enable FHTs to learn from each other, and perform benchmarking within a FHT year over year; it is not intended to compare FHTs. We will describe the creation of the survey, the various methods of delivery, and the questions asked. Second, the St. Michael’s Hospital Academic Family Health Team will describe their experience with two different survey delivery methods – emailing a link to an online survey and approaching patients in the waiting room to complete a survey using tablet computers. They will share how response rates, respondent characteristics, and responses differed between the two survey methods. This interactive workshop will engage participants in a discussion around how to administer surveys using few resources, how survey responses can be used to improve quality of care, and what survey delivery methods can sustainably produce generalizable, meaningful results in your setting.

Presenters

• Ellie Kingsbury, QIDSS, Champlain FHTs
• St. Michael’s Hospital Academic FHT:
  • Tara Kiran, Family Physician, QI Program Director
  • Sam Davie, QIDSS
  • Morgan Slater, PhD, Senior Research Associate
  • Lisa Miller, EMR Administrator

Theme 2. Optimizing capacity of interprofessional teams

Presentation Materials (Members only)

Well Baby Group Baby Friendly Initiative (BFI)

(I) Well-Baby/Well-Child Care Groups: The Bridgepoint FHT Report Five Years Later

Learning Objectives

The Bridgepoint FHT has been providing well baby care in a group model since 2010. Well baby groups optimize the scope of nursing practice, primary provider time and create a community of support for new parents. In this workshop we will explain how to get groups started, discuss pitfalls and successes and how to automate your processes to keep this model sustainable.

Summary

Well-baby groups were started at the Bridgepoint FHT due to the overwhelming demand for well child appointments. Since 2010 we have utilized and revised our model for well baby group visits. This model of care optimizes the nursing scope of practice, improves primary provider efficiency while meeting the needs of the growing young community our FHT serves. In this workshop we will provide the practical perspective from nurses, administration and primary providers of what works and what does not in the well baby and child care model. We will provide tools to get your team started, discuss how to optimize your team roles to keep this model sustainable and how to spread this model within and across teams. 

Presenters

• Bridgepoint FHT
  • Lora Cruise, Medical Director
  • Alice McDermott, Administrative Assistant
• Meghan Rule, RN, NP Candidate Ryerson, Bridgepoint FHT

Authors and Contributors

• Colleen Youngs, RN, NP candidate Bridgepoint FHT

(II) Baby Friendly Initiative (BFI): Leveraging the EMR to Capture Breastfeeding Statistics

Learning Objectives

Using the Newborn Support and Breastfeeding Program as a case example, presenters will demonstrate how breastfeeding data collection has evolved from paper-based surveys distributed at group classes, to retrospective data collection through the Healthy Beginnings Program, to custom forms integrated into encounter assistants using the EMR. Presenters will describe the team-based approach taken to ensure consistent and reliable data collection for Baby Friendly Initiative (BFI) reporting. Participants will learn about the challenges in accurately capturing breastfeeding statistics and tips and tricks to promote organization wide data collection.

Summary

In pursuing Baby Friendly Initiative (BFI) accreditation, Two Rivers Family Health Team is required to monitor breastfeeding rates, duration and exclusivity. Since 2010 when the breastfeeding program was first developed we have struggled to find an accurate method to capture breastfeeding statistics. Although breastfeeding status is collected at each well-baby visit, extracting data from the Rourke is a challenge due to inconsistencies in documentation. We initially started with paper-based surveys distributed at breastfeeding classes, but found a bias as we were only reaching those patients who attended the sessions. Data collection then evolved to a retrospective approach extracted from the 3-year old Healthy Beginnings appointment. Finally, through taking a team-based approach, breastfeeding rates are now recorded at each well-baby visit using a breastfeeding status custom form. Medical office assistants input a breastfeeding status form at patient each encounter- 2 months, 4 months, 6 months, 9 months, 12 months, 15 months and 18 months. Through taking a consistent and team-based approach, BFI data collection has progressed to a more accurate, reliable and meaningful process.

Presenters

• Kim Lichty, RN, International Board Certified Lactation Consultant, Two Rivers FHT

Authors and Contributors

• Jessie Rumble, RN, MScN, Health Promoter, Two Rivers FHT