Tag: COVID-19

  • Bits & Pieces: Dr. Rueben Devlin, June 11 webinar, COVID-19 Innovation grants & more

    Bits & Pieces: Dr. Rueben Devlin, June 11 webinar, COVID-19 Innovation grants & more

    Your Weekly News & Updates


    In This Issue  
    • Dr. Rueben Devlin, Chair of the Premier’s Council, has passed
    • Team based care supporting patient communities through COVID-19 webinar
    • COVID-19 Innovation grant program
    • Member renewal – you can now send in your cheques!
    • COVID-19 in Ontario – A Focus on Diversity: Public Health Ontario report
    • Phase two, resources for re-opening, more details in situation report #135 and more
    • EMR communities of practice transition to OntarioMD – update
    • Coping with COVID-19: support for frontline health care workers
    • Ambulatory care residency for pharmacists
    • Ontario Health survey: COVID-19 response
    • Upcoming events hosted by Lung Health Foundation and more

     


    Dr. Rueben Devlin

     

    Dr. Rueben Devlin, Chair of the Premier’s Council, has passed

    We’re saddened to hear of Dr. Rueben Devlin’s passing. Dr. Devlin was appointed as Special Advisor and Chair of the Premier’s Council on Improving Health Care and Ending Hallway Medicine in June 2018.

    You can learn more about his life and legacy here.

     

     

     

     

     


    Team based care supporting patient communities through COVID-19 webinar

    Team-Based Care Supporting Patient Communities Through COVID-19 Webinar

    This Thursday, June 11, 2020, we will be hosting a webinar to share initiatives teams are currently doing to help support patients in their communities during COVID-19. Learn from these teams about how they created virtual care communities, helped long-term care homes, engaged with patients via social media and much more! Teams that will be presenting are South East Toronto FHT, Brockton Area and Kincardine FHTs, Arnprior & District FHT, North Renfrew FHT, West Champlain FHT,  Petawawa Centennial Family Health Centre and Madawaska Valley FHT. Register here for the webinar!


    COVID-19 innovation grant program

    Joule’s COVID-19 innovation grant program is providing up to $1,000,000 in flexible funding to CMA members working on innovative solutions – with each initiative eligible for up to $200,000 in funding.

    Their focus areas are:

    • Supporting and protecting the physical and mental health and well-being of front-line health care workers;
    • Improving access to care during the COVID-19 pandemic; and
    • Addressing the social determinants of health and improving health equity for vulnerable populations affected by the pandemic.

    As long as there is a CMA member on your team, you’re eligible to apply. Deadline June 21.


    Member renewal – you can now send in your cheques!

    Thank you to the teams who have checked in regarding sending cheques for member renewal. While we still encourage teams to pay via electronic means if they can, we are now accepting cheques again.

    Since Canada Post is experiencing delays, we have extended the deadline to July 31. Please don’t delay as access to resources, benefits and members-only updates will be cut off after this date. If you have any questions, please feel free to email info@afhto.ca.


    COVID-19 in Ontario – A Focus on Diversity: Public Health Ontario report

    On June 1, Public Health Ontario released Enhanced Epidemiological Summary COVID-19 in Ontario – A Focus on Diversity . Findings included that people living in the most diverse neighbourhoods were also more likely to experience severe outcomes (hospitalizations, ICU admissions and deaths) than people living in the least diverse neighbourhoods:

    • hospitalization rates were four times higher;
    • ICU admission rates were four times higher; and
    • death rates were twice as high.

    Read the full report here.

    Per a related Globe and Mail article, until recently:
    “You couldn’t really go after the general public and test within the context of communities,” said Tia Pham, lead physician at the South East Toronto Family Health Team and one of the co-ordinators of MGH’s assessment centre in Crescent Town.


    Phase two, resources for re-opening, more details in situation report #135 and more

    Yesterday the province announced that 24 out of the province’s 34 public health units will be permitted to move into stage two as of Friday, June 12, 2020. You can also read H+K’s insight note for more details.

    We added a new Resources for Re-opening page and we continue to update several pages on our site with resources and news:


    EMR communities of practice transition to OntarioMD – update
    The EMR communities of practice (CoP) transitioned from AFHTO to OntarioMD effective March 31, 2020. It is important that if you wish to participate in any Community of Practice you fill out this form to receive meeting invites and updates about the community. You will also be added to the eMailDodo lists.

    The form only takes a few minutes to complete.

    If you have any problems or concerns, please feel free to reach out to nancy.gunn@ontariomd.com.


    Coping with COVID-19: support for frontline health care workers

    Message from the Mental Health and Addictions Centre of Excellence at Ontario Health
    MHACoE@ontariohealth.ca

    Health and community care workers across Ontario are showing incredible strength through the COVID-19 pandemic. But even the strongest among us need help sometimes. For health and community care workers, stress, anxiety, exhaustion, and compassion fatigue are all normal responses in this pandemic. It’s ok to say it: this is really hard. And it’s ok to seek support to help with coping.
     
    Five hospitals have partnered with the Ministry of Health and the Mental Health and Addictions Centre of Excellence at Ontario Health to provide confidential support, including access to iCBT. Frontline health and community care workers from across the province can self-refer online or by phone to any of the five hospital access points below:

    *Les travailleurs de la santé désirant leur premier contact et leur évaluation en français sont invités à remplir le formulaire en ligne du Centre de santé mentale Royal Ottawa.
     
    Health and community care workers from across Ontario can access more information on mental health support here.


    Ambulatory care residency for pharmacists

    The University of Waterloo/Centre for Family Medicine Family Health Team residency program is fully accredited and aims to produce pharmacy practitioners who are well equipped to provide exemplary patient care in ambulatory care practice settings.

    The Centre for Family Medicine (CFFM) Family Health Team in Kitchener is the primary teaching site but required rotations also include Grand River Hospital (GRH), and the School of Pharmacy at the University of Waterloo. Find out more here.


    Ontario Health survey: COVID-19 response

    Ontario Health is gathering lessons learned about our COVID-19 response to-date and invite you to complete this brief survey by Monday, June 15th to provide them with your input.

    This 4-question survey will help to inform future planning. They will also be conducting focus group discussions, and in collaboration with the Ministry of Health, based on what they learn.


    Leveraging Virtual Technology to Ensure Seamless Transitions in Care for Patients Living with Chronic Conditions, June 10, 2020

    Hosted by Lung Health Foundation. Register here.


    COVID-19 Virtual Town Hall with Kawartha Lakes Health Leaders, June 11, 2020
    Join this virtual town hall with the City of Kawartha Lakes healthcare leaders. Learn more here.


    Delivering Virtual Care to Manage Chronic Respiratory Disease: Tips for Healthcare Providers, June 17, 2020

    Hosted by Lung Health Foundation. Register in advance.


    Approaches to Advance Care Planning and Goals of Care Conversations, June 15, 2020

    Discuss approaches to ACP and Goals of Care conversations and gain awareness of Person-Centered Decision-Making.
    Learn more here.

  • Transitions to a new normal, PPE, virtual care, and HR updates

    This email was sent to EDs/Administrative Leads, Board Chairs and Lead Clinicians of AFHTO member organizations.

    Dear triad members,

    AFHTO’s Leadership Council met on June 3, and executive directors joined our fourth round of regional ED calls on June 1 and 2. This communique is in follow-up to those meetings.

    Below is information on the topics discussed on the calls, as well as other updates and supports that we heard would be helpful.

    Transitioning to a new normal

    PPE

      Virtual care

    • On May 20, AFHTO held a webinar on virtual visits with a panel of providers: “Virtual Visits: Beginning to End.” With close to 300 individuals participating in the webinar, we did not have a chance to answer all the questions, so a follow-up Q&A, along with the recording and the presentation, are posted online.
    • We are pleased to be hosting our next virtual care webinar this Thursday, June 11, at 12 PM. We’ll be hearing from teams across the province on innovative work they’re doing in the “Team-based Care Supporting Patient Communities through COVID-19” webinar. Register here!
    • For providers working remotely, more information can be found here to help with privacy and security concerns, as well as some of the VoIP options that teams are using.
    • Primary care teams have adapted to virtual care almost overnight and are leading patient-centric innovations in their community. Take a moment and learn more about what teams across the province are doing, and please share your initiatives with us at improve@afhto.ca.
    • Work is still underway with our primary care partners to roll out a provincial primary care patient survey and provider survey to measure the virtual care experience during the pandemic – stay tuned for more information on that!
    • The ministry is seeking feedback for its Digital health interoperability – proposed amendments to O. Reg. 329/04. The deadline for feedback is July 22, 2020.

    Human Resources

    • On May 25, AFHTO signed a joint letter to the premier regarding pandemic pay and the lack of clarification on how it would work and to whom it would apply. On May 29, the province released information on pandemic pay eligibility – the slide deck outlining this can be seen here. AFHTO can confirm the following:
      • Primary care team members (NPs, RNs, RPNs) that have been redeployed to work in the COVID-19 assessment centres, long-term care homes, retirement homes, and hospitals WILL be eligible for the pandemic pay.
      • Any other team members redeployed (administration, social workers, etc.), are not eligible for the pay. The eligible workers can be found on page 4 of the slide deck.
      • Page 9 outlines how the pay will be paid out:
        • Staff member redeployed from an ineligible employer to an eligible employer (e.g. private sector to hospital):
          • Will be paid by the home employer
          • Funds will be paid to receiving employer who will provide funds to home employer under agreement
      • Pandemic pay is an additional $4/hr from April 24 to August 13. An additional $250 monthly stipend applies to frontline staff working at least 40 hours a week in areas considered high risk.
      • The ministry is hoping to roll out the funds through already existing Transfer Payment Agreements in the next two weeks. They will be releasing a FAQs document Tuesday/Wednesday this week to address questions, including logistics for the payment.
    • Teams can also use the 10% exemption of payroll taxes to acknowledge staff efforts or recognize those whose responsibilities have increased. One-time bonuses or compensation increases are under the purview of each board, and COVID-specific policies would be needed.
    • A reminder to check out the presentation, recording, and documents provided by Maria McDonald, McDonald HR Law, during our recent webcast, “Managing HR and Supporting Staff through COVID-19.”
    • A reminder that R&R funding was disbursed in April, and teams should be working on reallocating the increases. For guidance, please see the Recruitment and Retention Planning Document and the Compensation Guidance Document.

    As re-opening gradually resumes and we reassess how health care is delivered – both from the impact of this pandemic and the ongoing development of Ontario Health Teams – it is critical to show how team-base primary care is a pillar in a strong healthcare system, and that it is the delivery of comprehensive care to individuals that contributes towards the best population health.

    In the midst of a pandemic, there is no better time to demonstrate this. AFHTO is working with our partners to showcase how primary care has stepped up – and will continue to step up – to support Ontarians and to ensure a sustainable and equitable health care system.

    As noted in the last communique, to capture the primary care experience, we will be reaching out to schedule interviews with executive directors. We have interviewed a researcher and we hope to start calls in late June. The research we are undertaking will provide a narrative of how essential team-based primary care was during the pandemic, and how critical it will continue to be moving forward.

    Keep checking out our COVID-19 section that we regularly update with news, tools, and resources, including the daily situation reports and regular memos from the ministry’s command table.

    We’ll continue to keep you updated, and we’ll arrange another round of check-in calls to happen in about 2-3 weeks’ time.

    Please contact us any time. We’re here to support you through this.

    Sincerely,

    Your AFHTO Team

  • COVID-19 in Ontario – A Focus on Diversity: Public Health Ontario Report

    On June 1, Public Health Ontario released Enhanced Epidemiological Summary COVID-19 in Ontario – A Focus on Diversity .

    Purpose

    This report aims to explore neighbourhood-level trends among laboratory-confirmed COVID-19 cases reported in Ontario who do not reside in long term care (LTC) from a health equity perspective. It combines individual case data with neighbourhood-level data on race and immigration as measured by the “ethnic concentration” dimension of the Ontario Marginalization Index (ON-Marg).

    The report findings improve our understanding of how COVID-19 impacts neighbourhoods differently in Ontario, particularly those with greater diversity that may already experience marginalization related to racism and discrimination. This information could be used to inform planning and equitable prioritization of public health and health system resources and interventions.

    Highlights

    • The most ethno-culturally diverse neighbourhoods in Ontario, primarily those concentrated in large urban areas, are experiencing disproportionately higher rates of COVID-19 and related deaths compared to neighbourhoods that are the less diverse.
    • After adjusting for differences in the age structure between neighbourhoods, the rate of COVID-19 infections in the most diverse neighbourhoods was three times higher than the rate in the least diverse neighbourhoods.
    • People living in the most diverse neighbourhoods were also more likely to experience severe outcomes (hospitalizations, ICU admissions and deaths) than people living in the least diverse neighbourhoods:
      • hospitalization rates were four times higher;
      • ICU admission rates were four times higher; and
      • death rates were twice as high.

    Read the full report here.

  • Bits & Pieces: virtual visits webinar materials, members’ stories & more

    Bits & Pieces: virtual visits webinar materials, members’ stories & more

    Your Weekly News & Updates


    In This Issue  
    • Virtual Visits: Beginning to End webinar materials now available
    • Members’ stories
    • Operational requirements for health sector restart and more
    • Questions Are the Answer- patient tips and tools
    • Educational supports for IPAC -Toronto region
    • Research participant recruitment – concussion telerehabilitation study
    • Upcoming events regarding mental health and more

    Virtual Visits: Beginning to End webinar materials now available

    On Wednesday, May 20 we held a discussion around virtual visits (one on one & group) with our expert panel. Panelists went through multiple components of how to conduct a virtual visit and a Q&A portion.

    The recording, slide deck and Q&A document for the webinar are available here. Please log into your AFHTO account first and then click again to access these resources. There were a few questions that were not covered so please find the Q&A document as a follow up in this link. All the resources mentioned within the webinar and in the document can also be found on the AFHTO website here.


    Members’ stories

    Oakridge Assessment Centre team, Thames Valley FHT

    Guelph FHT: Guelph FHT urges residents to not let pandemic stop them from seeking medical attention

    North Huron FHT: North Huron Family Health Team lays out guidelines for visiting local doctors

    North Simcoe FHT: North Simcoe FHT’s virtual-care clinic for orphan patients set to expand

    St. Michael’s Hospital Academic FHT: “It’s time we leveled the playing field”, Dr. Tara Kiran

    Promote your team: we regularly post about members on Twitter and Facebook, such as with the above picture from Thames Valley FHT. If you’re on either, please tag us if you’re promoting any programs, activities or good news. Otherwise, feel free to email us at info@afhto.ca with a picture and details if possible. We’re here to highlight how well you’re taking care of your communities right now.


    Operational requirements for health sector restart and more

    Last week the government released the following:

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

    We’ll update these on a regular basis as we receive relevant resources, while trying to reduce duplication with other sources. We will continue to update the news page daily.


    Questions Are the Answer- patient tips and tools

    Questions Are the Answer helps patients effectively prepare for making decisions about medical treatment options by asking the right questions. It considers topics for before, during, and after appointments, using past, present, and future medicines, medical tests, and surgeries. You can share these tips and tools from the Canadian Patient Safety Institute with your patients.


    Educational supports for IPAC -Toronto region

    The Toronto region has a mental health and addictions working group, co-chaired by Catherine Zahn, CEO of CAMH, and Heather McDonald, CEO of LOFT Community Services. They have collaborated to develop a resource hub for high-value materials related to infection prevention and control in community settings. It is available on a public-facing website, EENet, so anyone can access.

    They have also created a webinar series hosted by the CAMH IPAC specialist for those in community settings to ask any IPAC-related questions. The webinars are held weekly on Mondays from 12:00 -12:30 pm and anyone can sign up to receive invites. You can sign up here.


    Research participant recruitment – concussion telerehabilitation study

    Researchers in the Department of Occupational Therapy at the University of Toronto are currently recruiting youth with concussion to participate in a study exploring the use of telerehabilitation for concussion management.

    Youth will participate in a 6-week rehabilitation program consisting of education, support and low-intensity exercise delivered by a kinesiologist or occupational therapist through weekly videoconferencing appointments.

    Who can participate?
    •    Youth (ages 13-18 years) experiencing concussion symptoms
    •    At least 2 weeks post-concussion

    For more information or to help with participant recruitment, please contact the research team at oaktelerehab@utoronto.ca or 416-946-3273.


    Ask Me Anything about Health Privacy, June 3, 2020

    Still have questions around Health privacy? Join Kate Dewhirst Law for another AMA. Register here.


    Overview of Managing Common COVID-19 Respiratory Symptoms in Palliative Care and End of Life – A Primer for Front Line Staff, June 4, 2020
    Familiarize yourself with respiratory symptom management in palliative care and end of life. Hosted by the HPCO and CHPCA. Learn more here.


    Re-opening, Warily: Re-Thinking Clinical Practice in a Time of Physical Distancing, June 3, 2020

    Choosing Wisely weekly virtual gatherings during COVID-19. Register in advance.


    Mental Health in the COVID-19 Pandemic (Psychiatric Dimensions of Disasters III), June 6, 2020

    Disaster Psychiatry Canada and University of Toronto Psychiatry are holding a free event for all healthcare professionals. Look forward to mental health discussions in 7 different sessions from morning to afternoon.
    Learn more here.


    Integrated Mental and Physical Health – ECHO Ontario Mental Health, June 5, 2020
    Join this 12-week program beginning on June 5 and ending August 28 to strengthen your capacity in integrated Mental and Physical Health. Learn more and register here.

  • North Simcoe FHT’s virtual-care clinic set to expand

    Orillia Matters article published May 28, 2020

    By Mehreen Shahid

    The North Simcoe Family Health Team hopes to soon expand its virtual-care clinic program from two to five days a week.

    A local health team has a virtual solution for orphan patients in the area.

    Noticing the rising need of family physicians in the area and having five physicians retire in the last year or so, North Simcoe Family Health Team (NSFHT) thought it was time to bring technology in the mix. It wants to connect up to 3,000 local patients with family physicians virtually through a virtual care program it currently offers two days a week.

    “We have relied on telemedicine in the past to connect people with specialists who are in the GTA (Greater Toronto Area),” said NSFHT executive director Andrew Shantz, adding expansion is slated to happen as soon as possible. 

    The model is based on one used a few years ago by the Peterborough Family Health Team, according to Shantz.

    “They partnered with the virtual family physician network, an organization that helps connect physicians through telemedicine to communities,” he said. “We became aware of their situation and contacted (the virtual family physician network) earlier this year to see if they would interested in doing a similar program in North Simcoe.”

    This program doesn’t act as a walk-in clinic, he said, but it does help reduce pressure on the local hospital’s emergency room.

    “We supply the space and equipment and the nursing staff,” he said, adding physicians, who are typically based in larger urban centres, connect with client via telemedicine. “The program is unique because it connects a patient with a primary care provider long-term. This allows a relationship to be developed between the client and the nurse and the client and the physician.”

    Amber Kolsen, a registered nurse working with NSFHT, has been helping run the program, which is currently only offered two days a week.

    “I think it’s a great program,” she said. “We’ve had a lot of positive feedback from clients that have used it, just in terms of how easily accessible it is. It’s frustrating not to have a family doctor.”

    Kolsen said the health team encourages people to inquire about the program and even to try it out.

    “There is no obligation to stick with the program,” she said. “If they have one visit and don’t like the technological aspect, they don’t have to stick with it.”

    In her role, Kolsen said, before COVID-19 restrictions for in-person visits came in place, she had been helping up to 40 people each day, out of the 255 people currently enrolled in the program.

    “Anyone who reaches out will be offered a meet and greet,” she said, adding it’s all done virtually or over the phone these days. “The doctor will review their history and medications.”

    Kolsen said during an in-person visit, she would be the hands and eyes for the doctor to conduct a physical examination, if needed.

    The program has some limitations, she said, in that doctors are unable to see patients with narcotics prescriptions or for acute conditions, which might be best dealt at the ER.

    “The good thing is that the physician is able to provide referrals for specialists,” Kolsen said.

    Visit the NSFHT website for more information.

    To view the full article, click here.

  • Guelph FHT urges residents to not let pandemic stop them from seeking medical attention

    Guelph Today News article published May 23, 2020

    By Anam Khan

    Executive director Ross Kirkconnell of the Guelph Family Health Team said the health system has always been there for residents and the pandemic is no different

    The Guelph Family Health Team has a message for those holding themselves back from seeking medical attention during the pandemic. Don’t.

    “We want to remind people that family practice is available, has been available and always will be available. So don’t put things off that you shouldn’t be,” said Guelph Family Health Team’s executive director Ross Kirkconnell. 

    He said he’s recently been hearing stories of people not visiting their doctors while enduring pain because they believe the health system is busy. 

    “No. If you have symptoms you should be getting it checked like you normally would,” said Kirkconnell.

    Once the pandemic was declared mid-March, the clinics across the city immediately saw a decrease in the number of visits to their clinics across the city.

    “People were reluctant at first to sort of bother the health care system. Everyone was cautious about going anywhere,” said Kirkconnell.

    Now that it has been almost two months, he said the clinics are beginning to see more calls from patients who do not want to wait any longer but still are not at the number of visits they used to be before the pandemic. 

    “Some people can get by with their friends and family for support but at some point, you need care again and we shouldn’t feel bad about that,” said Kirkconnell.

    He said things like vaccines for new babies, chronic pain and necessary checkups should not be put off.  

    Kirkconnell said the system has always been open and now with the pandemic, the clinics are just operating differently.

    The team’s 100 medical professionals manage roughly 80 per cent of their 3,000 daily appointments through phone and video. People who need access to urgent care are seen in-person on an appointment basis. 

    Dr. Will Ruddock at the Guelph Family Health Team said switching to online methods is a two-sided effort as doctors have to make those services accessible and patients have to feel comfortable with the process. 

    “Anecdotally I would say that has really been increasing gradually over the last couple of weeks as everybody gets more comfortable with this,” said Ruddock. 

    He said he urges people to contact their family doctors regarding their concerns so they can be dealt with accordingly. 

    “In a year or five, having gotten started with this, everybody might have more interest in some of their care being done this way,” said Ruddock.

    With distancing measures, increased sanitation and use of masks already in place, Kirkconnell said many of their clinics are even allowing patients to wait in their car till they are called inside for their appointment to further enhance comfort and safety for the patient. 

    “If you need to see a physician or a member of the care team, they are available for you. If you need to go to emergency at the hospital, it’s there for you. Just because its a pandemic doesn’t mean other things stop,” said Kirkconnell. 

    To view the full article, click here.

  • Bits & Pieces: open letter on pandemic pay, updated primary care guidance & more

    Bits & Pieces: open letter on pandemic pay, updated primary care guidance & more

    Your Weekly News & Updates


    In This Issue  
    • Joint open letter on pandemic pay, updated primary care guidance and testing memo
    • AFHTO 2020 Conference: switching things up
    • Nominations to the AFHTO Board of Directors open until July 3, 2020
    • Updated symptoms document and more
    • Update on COVID-19 testing- Primary Health Care Branch
    • Reminder- Ontario Community Support Association meals/essentials delivery
    • Upcoming events including Hospice Palliative Care CoPs and more

    Joint open letter on pandemic pay, updated primary care guidance and testing memo

    Yesterday we submitted an open letter with ten other organizations to Premier Ford and Minister Elliott calling for immediate clarity on the implementation details and timing on pandemic pay for frontline workers. Read the full letter here.

    It was highlighted by the Toronto Star and also picked up across their regional network, landing in many local papers from Hamilton to Windsor, Ottawa and across the GTA.

    On a related note, on Friday, May 22 the government released updated primary care guidance. On Sunday they also provided a memo describing new testing direction for COVID 19 (English and French).  It outlines that testing is available to all people with at least one symptom as well as those who are not experiencing symptoms but are at risk or are concerned about exposure. 

     


    Excited children at laptop

    AFHTO 2020 Conference: switching things up

    In March, as we prepared to announce our 2020 conference themes and program, the COVID-19 pandemic overtook our plans. Thank you for your patience as we monitored the situation and made decisions about how it might affect the 2020 Conference, set to take place this October in Toronto.

    Based on information from the World Health Organization (WHO), Public Health Canada, Public Health Ontario, and others, we find we cannot hold the conference in-person as originally planned. Our focus and priority are member and stakeholder safety and well-being.

    Last year attendees said they wanted a change so we’re exploring virtual options. Without an in-person component, we can create something new and envision the conference differently. What can it look like without those familiar constraints?

    We’re working on this right now and we need your help. What do you want to hear more about and how would you like it? Tell us in this quick survey. Deadline tomorrow, Wed. May 27, 8:00 a.m.


    Nominations to the AFHTO Board of Directors open until July 3, 2020

    Are you interested in serving on the AFHTO Board of Directors? The governance committee of AFHTO’s board invites anyone who works within an AFHTO member organization to apply. Priority for the directors to be elected will be given to candidates who are:

    • Interprofessional health care providers (IHPs), especially those working in mental health and addiction;
    • Board members, especially community members in the position of Chair of the Board; or
    • Experienced in finance, including accreditation as a financial professional (e.g. CA, CPA, CMA).

    Deadline is July 3, 2020. Find out more here.


    Updated symptoms document and more

    Yesterday the government released an updated symptoms document to include some additional language around how multisystem inflammatory vasculitis may present in children.

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

    We’ll update these on a regular basis as we receive relevant resources, while trying to reduce duplication with other sources. We will continue to update the news page daily.


    COVID-19 assessment centres

     

    Update on COVID-19 testing- Primary Health Care Branch

    Yesterday we received an important email from the Primary Health Care Branch regarding COVID-19 testing. It included a link to the Personal Protective Equipment Intake Form and referred to the list of assessment centres.

    This list is updated on our site on a regular basis.

     

     


    Reminder- Ontario Community Support Association meals/essentials delivery

    OCSA seniors help

     

    Weeks ago Ontario Community Support Association established a link on their website to connect individuals/community providers to meals services/essentials delivery.

    As the province prepares to reopen for business, there are still millions of seniors and people with disabilities and chronic conditions that will continue to need to self-isolate at home. So, they think their work has only just begun.  
     
    If there are cohorts of populations or individuals that members feel need support during COVID-19, please contact OCSA so they can help.  

    In this portal, you can search Meals providers or Essential Service providers by searching based on address. If service providers exist in the area, a referral can be made directly through the portal to the provider. If nothing can be found there, a link will pop up asking to “Sign Me Up” to receive a phone call from a Canadian Red Cross (CRC) Coordinator to make connection to services. 

     


    Choosing Wisely – Canada’s National Meeting, May 26, 2020
    The Virtual National Meeting will bring together health professionals, patients, system leaders, and researchers from across the country to discuss and engage in topics related to overuse in health care. Learn more here.


    Meeting Social Needs in an Integrated Health System: Social Prescribing During COVID-19 and Beyond, May 27, 2020

    The Alliance for Healthier Communities has made their social prescribing meeting virtual. Join the conversation around integrating healthcare and social supports. Learn more here.


    Driving and Accelerating a ‘One System’ Response: Why COVID-19 has Shone a Spotlight on Integrated Care, May 27, 2020
    This webinar will profile Canadian and international examples that demonstrate what teams have leveraged and accelerated in order to respond to COVID-19 as one connected team and community. Learn more and register here.


    Hospice Palliative Care CoPs, Ongoing

    HPCO hosts virtual CoPs related to:

    • Health Care Consent, Advance Care Planning
    • Rural Hospice Palliative Care
    • Compassionate Communities

    Find out how you can join.


     

    Psychological PPE: Exploring Compassion Fatigue and Learning How to Keep Ourselves Psychologically Well, May 27, 2020
    The University of Toronto Faculty of Medicine is holding a webinar on Wednesday evening around the impact of compassion fatigue and burnout on health care professionals. Learn more here.


    ECHO Ontario Bariatric Network, June 3- August 26, 2020
    Learn how to work with your patients living with obesity who have received specialty care from a Bariatric Centre of Excellence (BCoE). Find out more.

  • Windsor FHT Launches Virtual Substance Program

    CTV News article published May 14, 2020

    By Ricardo Veneza

    WINDSOR, ONT. — The Windsor Team Care Centre’s substance abuse services are being forced online by COVID-19 – but the move may be a blessing in disguise.

    A new virtual substance abuse program, part of the One Team Recovery (OTR) initiative, will have its first session on Tuesday, through the online video call platform Go To Meeting. The service will allow up to 25 people to join the group session.

    “They’re really wanting the help,” says Beth Lalonde, an addiction counsellor with the program. “No one wakes up and says, ‘Hey guess what I want to be today? I want to be having a problem with this.’”

    The OTR is a five-week harm reduction program launched in October backed by a $40,880 grant from the Windsor-Essex Community Foundation and Green Shield Canada.

    Lalonde says counselling services have continued during the pandemic through one-on-one video calls and phone conversations, but the options are not good substitutes for in-person and group consultations.

    That led to the launch of the new virtual platform.

    “To reach the masses and to provide a group setting, we just found that this program could offer those extra services and extra supports this way and connect other people, so they don’t feel as alone,” says Lalonde.

    That loneliness may be creating further problems for those struggling with substance abuse.

    Lalonde says while opioid and crystal meth abuse is widespread in Windsor, half of her clients are struggling with alcohol.

    “Because of that isolation component with COVID, we’re seeing that clients are sometimes escalating their drinking or substance use because no one is there to support them,” says Lalonde.

    Yet, at the same time, Lalonde has seen a drastic dip in the number of physician referrals.

    Addiction counsellors at the centre usually have 25 clients at any one time.

    The OTR program has allowed self-referrals since March as a result of the COVID-induced dip.

    Derek Roberts, another addiction counsellor with the team, hopes the virtual platform will allow for more personal discussions with clients at a time when in-person visits are restricted or ill-advised.

    “Ideally we would like to provide the service in-person but, with what’s going on, we’re not able to do that so we’ve got to go on to the next best thing,” says Roberts.

    There are 10 people registered for the first virtual program cycle.

    Roberts and Lalonde will be connecting with the group on Friday to ensure a smooth launch next week.

    The program is already showing promise, according to Roberts, who sees the platform as more convenient for clients – helping to cut down on skipped meetings – and more efficient for the counsellors to potentially see more referrals.

    Roberts expects the program could become a mainstay even as group programs return, as pandemic restrictions are lifted, including those that bring families impacted by addiction together.

    “We know that statistics show for everyone individual’s addiction, that it directly affects five additional people,” says Roberts. “Which are their loved ones and friends.”

    Roberts adds the OTR program has no current wait list. Those seeking help can call 519-250-5524.

    To view the full article, click here.

  • Follow-up to ED calls, May 12 and 13 – PPE, virtual care, and HR updates

    This email was sent to EDs/Administrative Leads, Board Chairs and Lead Clinicians of AFHTO member organizations.

    Thank you to all the executive directors who joined our third round of regional ED calls last week.

    This email is a follow-up to provide the information promised during the calls, as well as other updates and supports, including a link to last week’s webinar with Maria McDonald, which you’ll find in the HR section below.

    PPE

    Question: What are the recommendations related to use of PPE with asymptomatic patients?

    • The Chief Medical Officer of Health recommends that asymptomatic patients should first be screened over the phone prior to visiting the clinic. For non-COVID-19 related visits that are unavoidable, the patient should again be asked the COVID-19 screening questions upon arrival. If the patient screens negative to all questions and exhibits no signs or symptoms of COVID-19, the following is being recommended:   
      • At reception, if able to maintain spatial distance of at least 2 m or separation by physical barrier then no personal protective equipment (PPE) required by reception staff.  
      • Primary care providers should consider wearing procedural masks if within 2 m of a patient.  
      • Proceed with the patient as per Routine Practices, including hand hygiene and apply PPE as required based on the intervention. It’s suggested that a point-of-care risk assessment (PCRA) be performed by every health care worker before every patient interaction and additional PPE precautions be taken based on risk assessment.
    • Check out the OH West PPE site for “Point of Care Risk Assessment – PPE Selection Guide” for guidance on precautions to take based on risk assessment.
    • A one-page summary on the recommendations for asymptomatic patients and the “Point of Care Risk Assessment – PPE Selection Guide” is here.

    Question: How can I access PPE?

    • The ministry recommends the following pathway for accessing PPE:
      • Contact your regular supplier. They are your first point-of-contact and many suppliers have now increased stock.
      • If you’re unable to acquire PPE from your regular supplier, contact your OH regional table.
      • As a last resort, and if you have less than a 5-day supply, contact the Ministry Emergency Operations Centre (MEOC) at eocoperations.moh@ontario.ca
    • The OMA SGFP has secured an arrangement for bulk purchasing of PPE with Surgo Surgical Supply – please connect with your affiliated physician group to get access to this information.
    • The government’s Workplace PPE Supplier Directory also provides information on companies that sell PPE.
    • With our primary care partners, AFHTO continues to advocate for a provincial approach to PPE bulk purchasing and centralized distribution.
    • Guidance for PPE reprocessing is expected shortly. We will share this as soon as it is public.

    Virtual care

    • Kate Dewhirst of Kate Dewhirst Health Law has developed a number of virtual care policies that can be found on her website. The most recent policies and documents can be found on the bottom of her webpage.
    • There have been some concerns about patients recording their appointments. AFHTO is discussing this with the OMA and CMPA and will provide feedback on how to mitigate this risk.
    • We are hearing increasing concerns about analog lines and rural accessibility to virtual care, including the challenge that not all patients have access to the internet or digital tools like computers and phones. We will continue to bring this to the attention of the ministry.
    • Primary care teams have adapted to virtual care almost overnight and are leading patient-centric innovations in their community. Take a moment and learn more about what teams across the province are doing, and please share your initiatives with us at improve@afhto.ca.
    • Teams are also starting to think about what aspects of virtual care they want to become standard in the new normal.
      • We encourage EDs to consider getting input from staff and patients about what recent changes they’d like to maintain. For example, North York FHT has recently done a Virtual Care Provider Experience Survey.
      • AFHTO is working with our primary care partners to roll out a provincial primary care patient survey and provider survey to measure the virtual care experience during the pandemic – stay tuned for more information on that!

    Human Resources

    Canadian Family Physician (CFP), the journal of the College of Family Physicians of Canada, posted a blog by Dr. Kimberly Wintemute and Dr. Guylène Thériault on the “Post-COVID primary care reboot” that you may find of interest.

    To capture the primary care experience, we will be reaching out soon to schedule interviews with executive directors, which we hope to start in early June. We ask you do your best to schedule one with us or to delegate to someone on the team who would be willing to be interviewed. We will hopefully be working with students at the University of Toronto to conduct these interviews, which will provide us with the narrative of how essential the role of team-based primary care was during the pandemic.

    A reminder to keep checking out our COVID-19 section that we regularly update with news, tools, and resources, including the daily situation reports and regular memos from the ministry’s command table.

    We’ll continue to keep you updated, and we’ll arrange another round of check-in calls to happen in about 2-3 weeks’ time.

    Please contact us any time. We’re here to support you.

    Sincerely,

    Your AFHTO Team

  • Bits & Pieces: members’ COVID-19 initiatives, updated case definition & more

    Bits & Pieces: members’ COVID-19 initiatives, updated case definition & more

    Your Weekly News & Updates


    In This Issue  
    • ICYMI- members’ COVID-19 initiatives and vulnerable patient outreach queries
    • World Family Doctor Day
    • Videos for the pandemic from Niagara North FHT for patients and providers
    • Members’ stories
    • Updated case definition, symptom, and screening documents for COVID-19
    • Call for abstracts- Virtual ADHD Research Day
    • Upcoming events including Virtual Visits- Beginning to End and more

    ICYMI- members’ COVID-19 initiatives and vulnerable patient outreach queries

    Last week we released a table highlighting members’ innovations in care in response to the current pandemic, organized by Ontario Health regions. If your team isn’t there, please email improve@afhto.ca to share your work.

    We also published QIDSS and QIDSS-like folks’ queries and scripts to help identify vulnerable, isolated, and high-risk patients, and virtual care resources. Read the QI in Action eBulletin here.


    World Family Doctor Day

    Today’s World Family Doctor Day so we celebrate all family physicians and residents affiliated with primary care teams. Thank you for your leadership, dedication, and resilience especially as we face this once-in-a-lifetime pandemic.


    Videos for the pandemic from Niagara North FHT for patients and providers

    Videos for the pandemic from Niagara North FHT for patients and providers

    Niagara North FHT’s registered dietitian Melissa Dunlop and Dr. Brian Kerley teamed up to produce several YouTube videos that may prove useful for your patients:


    Windsor Team Care Centre’s substance abuse services

    Members’ stories

    Brockton and Kincardine Area, Hanover FHTs: Local health care organizations work to address long term care COVID-10 crisis
     

    Georgian Bay FHT: COVID-19 testing complete at three local nursing homes
     

    Powassan & Area FHT: COVID-19 outreach team finishes Long Term Health Care Home testing
     

    Windsor FHT: New virtual substance abuse program launched in Windsor-Essex


    Updated case definition, symptom, and screening documents for COVID-19

    Last week the government released an updated case definition and reference document for symptoms. They also provided the following:

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

    We’ll update these on a regular basis as we receive relevant resources, while trying to reduce duplication with other sources. We will continue to update the news page daily.


    Call for abstracts- Virtual ADHD Research Day

    Submit your abstract to present at Canadian ADHD Resource Alliance’s Virtual ADHD Research Day on October 23. The deadline is June 8th.

    Student/trainee awards available:

    • Kids Brain Health Network (KBHN) Junior Researcher Awards of $300 each (10 available)
    • KBHN/CADDRA ADHD Research Day Registration Awards (complimentary registration will be presented to the 40 top ranked student oral/poster submissions)
    • CADDRA Poster Awards of $150 each (two available, junior presenters only)

    Click here for submission guidelines.

    Submit your abstract here: caddra.societyconference.com


    Virtual Visits- Beginning to End, May 20, 2020

    Join AFHTO for our highly anticipated webinar on virtual visits. Panelists from Scarborough, East Wellington, Hamilton and West Carleton FHTs share their virtual visit tips- from start to finish. Register today!


    Choosing Wisely – Canada’s National Meeting, May 26, 2020
    The Virtual National Meeting will bring together health professionals, patients, system leaders, and researchers from across the country to discuss and engage in topics related to overuse in health care. Learn more here.


    Meeting Social Needs in an Integrated Health System: Social Prescribing During COVID-19 and Beyond, May 27, 2020

    The Alliance for Healthier Communities has made their social prescribing meeting virtual. Join the conversation around integrating healthcare and social supports. Learn more here.


    Asthma Action Plans: Keeping Asthma Under Control (Especially In The Virtual World), May 27, 2020
    Join this talk held by Dr. Gupta on asthma action plans in a virtual environment. Learn more here.


    ECHO Evening Series on Cannabis and Pain, June 8-22, 2020

    Free online sessions open to all healthcare providers:

    Session Times and Topics
    All sessions are 6:30-8:00PM

    • June 8, 2020 -Cannabis: Working & Driving  
    • June 15, 2020 – Trends in Cannabis Research
    • June 22, 2020- Cannabis Use Disorder: Signs & Symptoms  

    Find out more.