Tag: COVID-19

  • AFHTO partners with Ontario Psychological Association and others to improve access to psychological services for front lines during COVID-19

    Ontario Psychological Association Partners with the Ontario College of Family Physicians, Nurse Practitioners’ Association of Ontario and the Association of Family Health Teams of Ontario to improve access to psychological services for front lines during COVID-19

    Ontario Psychological Association News release

    (Toronto, ON) May 12th, 2020 – In response to Ontario’s growing mental health crisis, hundreds of licensed psychologists have been mobilized to assist our province’s front-line workers in any industry as they battle the COVID-19 pandemic.

    The Ontario Psychological Association continues to monitor the mental health needs emerging in Ontario with regards to COVID-19. Our partnership with leading digital health companies including Strata Health and Think Research will enable us to improve navigation, resource matching, and access to virtual care. We are hopeful that with future investments, we will be able to scale up supports to vulnerable populations such as those experiencing homelessness and seniors who have been forced to isolate.

    “This has been a trying time for everyone, especially our front-line workers. We are in this together and stand united with those who are under immense stress and pressure. As psychologists, we understand the biological, cognitive, emotional, and social impacts that this global crisis has caused. We are working with our partners to provide assistance to our communities,”
    Dr. Diana Velikonja, President of the Ontario Psychological Association.
     
    “We are so pleased to be part of such a great initiative. The Disaster Response Network ensures accessibility of essential mental health services for our frontline workers, vulnerable populations, and provides assistance in communities during this pandemic’.
        Dawn Tymianski, CEO, Nurse Practitioners’ Association of Ontario

    “COVID-19 has created a lot of anxiety and stress for everyone and our teams are seeing an increased need for mental health support for not only their patients but for themselves as well.  The support being provided by the OPA is critical and the importance of having this support, especially for those who are vulnerable and at risk, is essential in ensuring we have a healthy and resilient population who feel connected and supported during the pandemic. We thank the OPA for this very important initiative and are appreciative of our partnership.”
        Kavita Mehta, CEO, Association of Family Health Teams of Ontario
     
    “The OCFP welcomes this collaboration with OPA, AFHTO and NPAO to provide needed mental health support for frontline workers. We know that the health impact of COVID-19 goes beyond the virus itself. It has meant interruptions in care for other chronic conditions and increased mental health struggles — especially among those working on the frontlines of this pandemic. The OPA’s program is meeting an important need for those who are providing care and we are proud to help support them through this program”.
        Leanne Clarke, CEO, Ontario College of Family Physicians

    To learn more, contact Mr. Richard Morrison, CEO of OPA at Richard@psych.on.ca.

    Read the full release here.

  • Bits & Pieces: Virtual Visits – Beginning to End webinar May 20, Nursing Week & more

    Bits & Pieces: Virtual Visits – Beginning to End webinar May 20, Nursing Week & more

    Your Weekly News & Updates


    In This Issue  
    • Virtual Visits – Beginning to End webinar
    • National Nursing Week
    • East GTA FHT NP to receive award today
    • Members’ stories, including a musical interlude
    • Resuming scheduled surgeries and procedures and more
    • eReferral to BounceBack
    • Sharing your innovative initiative
    • CAMH COVID-19 discussion forum and app
    • Upcoming events including Choosing Wisely and more

    Virtual Visits – Beginning to End webinar

    On May 20 please join us for a discussion around virtual visits (one on one & group) with our expert panel. During this IHP-focused webinar, panelists will go through multiple components of how to conduct a virtual visit and a Q&A portion.

    Topics Include:

    • Webside Manner
    • Determining the Best Mode of a Virtual Visit
    • Privacy & Security
    • EMR Documentation
    • Hosting Virtual Groups

    Panelists:

    Date: Wednesday May 20, 2020, 12:00-1:00 pm EDT)

    Registration: Register here


    National Nursing Week

    National Nursing Week

    May 11-17 is National Nursing Week and it’s also WHO’s International Year of the Nurse and Midwife. Thank you to all the RNs, RPNs and NPs in primary care teams. Whether virtual, in-person or at assessment centres, your care for patients in challenging times is truly appreciated.

     

     

     

     

     


    Michael Borja of East GTA FHT

    East GTA FHT NP to receive award today

    Michael Borja of East GTA FHT will receive the award in the Nurse Practitioner category at today’s inaugural Nursing Now Ontario Awards. In July 2017, he pioneered the Home To Stay (HTS) NP-led program for medically complex seniors. Instead of seniors having to go to the clinic, NPs provided home visits, follow-up phone calls, care coordination and community referral.

    As a result, there were fewer ER visits, increased patient satisfaction and savings of $627,000 per year on top of improvement in patient/family quality of life. You can learn more and register for the ceremony which starts at 2:00 p.m. here.

     


    Dr. Tom Higgins, Parry Sound FHT, shares a music message during COVID

     

    Members’ stories

    North Huron and North Perth FHTs: North Perth and North Huron Family Health open COVID-19 testing site

    Parry Sound FHT: Dr. Tom Higgins, Parry Sound FHT, shares a music message during COVID

     

     

     

     

     

     

     

     

     

     


    Resuming scheduled surgeries and procedures and more

    On May 7, the government released their framework to help hospitals assess their readiness and begin planning for the gradual resumption of scheduled surgeries and procedures, while maintaining capacity to respond to COVID-19. Earlier last week they also announced temporary fee codes to cover uninsured patients.

    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.


    eReferral to BounceBack

    BounceBack Ontario is now available on the Ocean eReferral Network. This means that you will be able to send referrals to the BounceBack program directly from your EMR instead of by fax.

    If you are already an Ocean eReferral user, you can do this by opening the Ocean Healthmap from your EMR and searching for the “BounceBack Ontario” listing. If you are not an Ocean eReferral user, please see the Ocean eReferral handout, or contact ereferrals@thinkresearch.com to sign up for your free account.

    Do you need support?
    Do you need any support from the BounceBack team? Whether it’s scheduling a call or facilitating a webinar for your team to explain more about the program, they can assist you. If you have any questions or concerns or require additional resources, please email bounceback@ontario.cmha.ca.


    Sharing your innovative initiative

    Primary care continues to step up and ensure our patients get the care they need. From the beginning of this pandemic to now as the province transitions to re-opening, teams have rapidly been adapting to changes. It is important to share innovative initiatives as teams continue to do quality improvement initiatives on the go.

    Email us at improve@afhto.ca to share what your team is doing. You may be featured in an upcoming webinar!


    CAMH COVID-19 discussion forum and app

    CAMH has created a peer-to-peer COVID-19 discussion forum that is moderated. You can check it out and post a question, comment, or a suggestion on what is helping you manage your stress and anxiety during the COVID-19 pandemic. You can also login using an anonymous name if you would like to protect your identity. During these times, it’s important to pull together and help support one another!

    Relevant links:

    You can download the app now here:


    Pivoting During the Pandemic: Challenges and Opportunities for Continuing Professional Development and Choosing Wisely, May 13, 2020

    Choosing Wisely Canada hosts weekly webinars to discuss pressing topics around COVID-19. Join to learn and connect around freeing up these limited healthcare resources. Learn more here.


    Utilizing Advance Care Planning & Serious Illness Tools During COVID-19 and Throughout the Patient Journey, May 13, 2020
    Learn how to identify at risk patients in the COVID-19 context, prepare yourself & your patients, tools to support conversations and how to integrate outcomes of conversations into “in the moment” care. Learn more here.


    Optimizing Care of the Elderly and Long-Term Care Residents during the Pandemic (French only), May 14, 2020
    Join this French CFPC webinar as part of the COVID-19 Pivots. Find the webinar link posted here.


    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.


    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.

  • COVID-19 Member Initiatives by OH region

    COVID-19 Member Initiatives by OH region

    AFHTO recognizes that our members are doing fantastic work on the frontlines attending to patients and adjusting to the COVID-19 pandemic. To connect our teams and showcase the initiatives made by our them, we’ve created an interactive platform for our members to browse the initiatives made by their fellow members.

    Please feel free to scroll through all the initiatives by OH region.

    Toronto Central West North East

    Have an initiative that hasn’t been featured? Contact us with your initiative to be featured, or share using our AFHTO Members Initiatives webform.

    In collaboration with Drs. Donnelly and Ashcroft, AFHTO has captured AFHTO teams’ initiatives and summarized into a booklet for you. You can also click here to read about the research findings! 

    Crossing Chasms


    Toronto

    Initiative

    Description

    Team Name

    OH Region

    Mass Immunization & COVID vaccination initiatives (people living in encampments, experiencing homelessness) Since running our Dixon Hall clinic in March, we have been leading a mass immunization clinic at a local community centre, in partnership with the St. James Town Community Corner (The Corner). A small team on our health bus has also been vaccinating people living in encampments and other folks experiencing homelessness. All together, our Sherbourne-led COVID vaccination initiatives (still ongoing) has resulted in nearly 17,000 people getting vaccinated Sherbourne Health Toronto
    COVID-19 Vaccine clinic – AstraZeneca AZ pilot

    3 days, administered 205 doses, 60+ years old

    • clinic took place because Sherbourne Health works with marginalized communities – newcomers, LGBT2SQ+, homeless – were having challenges accessing timely vaccines and the interprofessional team at Sherbourne wanted to help in a more direct way (rather than referring our clients to external options – pharmacies/mass immunization clinics which can be difficult for our clients to navigate)
    • partnered with Dixon Hall (188 Carlton Street) in Toronto, which is walking distance from Sherbourne Health. This location is well known to many seniors in the neighbourhood due to their programming for seniors.
    • most people who received vaccines were Sherbourne Health clients who met eligibility criteria for the Astra Zeneca vaccine at the time. Dixon Hall was instrumental in identifying eligible seniors–ranging from their long-time clients, seniors visiting a local food bank, etc–for Astra Zeneca vaccines to ensure equitable vaccine distribution for additional doses (about 30).
    • Sherbourne Health and Dixon Hall built on prior experiences working together for community-based flu vaccine clinics in Fall 2020 (ideal space for physical distancing)
    • used Toronto Region Vaccine Playbook (suggestions for fixed community clinic) as a guide for quick planning (a few days since being notified of getting Astra Zeneca vaccines)
    Sherbourne Health Toronto
    High Volume Outdoor Vaccine Clinics *

    The majority of family physicians in west Toronto practice without the support of an interdisciplinary team, usually in independent offices. Physical distancing made imperative by the COVID -19 pandemic meant that they could not see patients in person, in clinic, at the same rate as a typical fall flu vaccine campaign. The West Toronto Ontario Health Team (WTOHT) identified supporting flu vaccination as high priority and it emerged as its first community initiative. 

    Crosstown FHT

    Village FHT,

    St. Joseph’s Urban FHT

    Toronto

    In-Person Flu Clinics 

    Central Brampton FHT has ensured that they’re following all IPAC controls and measures along with continuing to provide flu clinics even in the “lockdown” region for the patients of the FHT. The feedback continues to be amazing, Patients are happy with the flow, and clinic being on time with appointments. No wait times and they feel safe when in the flu clinic.

    Central Brampton FHT 

    Toronto

    Flu Shot Clinic – Regular, High Dose & Kids under 5

    North York FHT is offering parking lot drive thru flu clinics on weekends available to the community with no appointment necessary. To accommodate elderly and vulnerable populations, these individuals can receive the flu shot in their car as well. North York FHT is offering a drive thru flu shot clinic with only a 20 minute wait for patients needing a regular or high dose flu shot and for kids under the age of 5. 

    North York FHT Toronto

    Lactation Support

    Village FHT is fortunate to have lactation support available to our patients. The certified Lactation Consultant offers assessments and ongoing lactation support at the clinic. With the closure of Toronto Public Health Breastfeeding Clinics, they recognized a need in our community. With the support of the lead physician and executive director, the Lactation Consultant has been able to extend her services to non-patients who are unable to access lactation resources during this time via telephone, virtual or in-person appointments. 
    They have received thanks from Toronto Public Health and the non-patients who have utilized this service. It is important to recognize the importance of community and how teams can help during these challenging times.

    Village FHT Toronto

    Virtual Well Baby Groups

    Village FHT provides care to many infants and families. Prior to COVID-19, Well Baby Groups were offered in clinic to new parents with the purpose of providing comprehensive education based on infant’s age (starting at 2 months through to 9 months old). Topics such as developmental milestones, nutrition and sleep are discussed in a group of parents and infants of similar ages & stages. Due to COVID-19, all in clinic groups had to be abruptly cancelled. Our team recognized an ongoing need for education and support for new parents and decided to trial Virtual Well Baby Groups as an alternative. Guided by the clinic RN / Lactation Consultant to families continue to receive education, support and connection with other first-time parents in a virtual setting. The regular PowerPoint presentation is shared, and discussion is had between the nurse and participants. Resources are sent via Avocare. The team has received great feedback and appreciation that these services continue despite the current circumstances.

    Village FHT Toronto

    Caring for Seniors and Vulnerable Populations during the COVID Pandemic

    To reduce the spread of COVID-19 in buildings in East Toronto and improve access to the frail, elderly and the vulnerable, SEFHT is collaborating with the East End Community Health Centre and their community partners to create a Primary Care and Community Care Virtual Response Team.

    South East Toronto FHT

    Toronto

    Mobile Unit Medics

    Mobile primary care units (Mobile Unit Medics) are being set-up in East Toronto to address the indirect impact on non-COVID conditions due to resource restrictions. As a result of COVID (2nd wave) and the effect of interrupted care on chronic diseases (3rd wave).

    South East Toronto FHT

    Toronto

    COVID-19 Virtual Monitoring

    SETFHT partnered with MGH to virtually monitor patients discharged from in-patient units, assessment centres and the ER. More details can be found in the Hospital News article – (see p. 28)

    South East Toronto FHT

    Toronto

    Community Pediatric Care During COVID-19

    If patients do not have access to a pediatrician or family doctor, and they are not providing virtual or in-person visits, SETFHT will be providing access to a family-friendly primary care environment for the safe assessment of children during the COVID pandemic. This is to help the patients of the community and their families get through this challenging time.

    South East Toronto FHT

    Toronto

    Social Media Q&As

    SETFHT has found this to be a great tool in helping patients deal with social isolation. They have had a great response from their Instagram LIVE sessions on a variety of topics.

    South East Toronto FHT

    Toronto

    Primary Care Virtual FHT

    NYFHT has supported a new primary care virtual FHT for patients unable to access their primary care provider during this time, including those in congregate settings and those recently discharged from hospital for COVID-related illness. The NYFHT facilitated this by providing increased IHP support and supporting physician/patient EMR accessibility.            

    North York FHT

    Toronto

    Sharing Best Practices and Information/Resources with the Community

    Best practises and information/resource sharing within the community, such as pharmacist-led medication updates, webinars and communiques, were led and distributed by the NYFHT in collaboration with the North York Toronto Health Partners (NYTHP) and Department of Family and Community Medicine (DFCM).

    North York FHT

    Toronto

    Patients Continue to Come First

    NYFHT IHPs conducted outreach and wellness calls to patients identified as vulnerable and high risk. They provided support, resources and connected them with services to keep them safe and at home. Counselling for chronic disease management, health promotion and prevention, and mental health continued to take priority. Urgent in-person care continued where necessary to ensure timely access to care, and to keep patients out of the emergency department.

    North York FHT

    Toronto

    Return to top

     


    Central

    Initiative

    Description

    Team Name

    OH Region

    COVID-19 Vaccine switch  Prime Care in Milton gave AZ for 2 weeks until this week when they had to put the clinic on hold. They experienced some hesitancy, but moved forward positively, and and gave over 300 vaccines!
    Prime Care FHT reached out to their clients and beyond. Their RN Julie even reached out to her Rotary Club to spread the news throughout Halton. 
    Now they are having a walk-in clinic on Saturday May 15th, injecting Moderna. The clinic was fully booked within 15 minutes – and they will be successful in giving 100 vaccines
    Prime Care FHT Central
    Covid-19 Pop Up Testing Centre at 3 locations Carefirst has been approached by Ontario Health and Central LHIN to lead the implementation of the “High Priority Communities Program” in southeast Markham, which has been identified as a COVID-19 hot zone. The initiative addresses COVID-19-related challenges by increasing access to testing, enhancing community outreach and health education, and providing wrap-around care to the community. Carefirst currently has three COVID-19 pop-up testing sites in and around southeast Markham. More details and online booking can be found on their website.  Carefirst FHT Central

    New program by local health group helps monitor COVID patients at home

     

    Home Monitoring Program an ‘important tool’ to prevent an undetected drop in blood oxygen levels and enable quick medical intervention. To better support residents in South Georgian Bay who have been diagnosed with COVID-19 and are recovering at home, the South Georgian Bay Ontario Health Team (SGB OHT) has launched a Home Monitoring Program to care for high-risk patients with suspect or confirmed COVID-19. To learn more, click here.* Georgian Bay FHT Central

    5 consecutive weeks of flu clinic 

    Markham FHT has been giving flu shots for 5 weeks consecutively with a total vaccinations given: 4810! Patient feedback was overwhelmingly positive to boot.

    Markham FHT

    Central

    Drive-thru flu shot clinics open in Collingwood and area next month

    Georgian Bay FHT is supporting a drive-thru flu shot clinic for their community. 

    Georgian Bay FHT Central

    Flu Shot Clinic hits 121 Immunizations by 3 pm

    Summerville FHT is offering a flu shot clinic, for which on November 7, 2020 they had immunized 121 patients by 3 pm. 

    Summerville FHT 

    Central

    COVID-19 testing complete at three local nursing homes

    The Georgian Bay FHT confirmed testing is complete at Bay Haven Care Community, Collingwood Nursing Home, and Creedan Valley (Creemore) and will continue testing for local long term care homes. The Georgian Bay Family Health Team is running the Collingwood COVID-19 assessment centre, a drive-thru tent in front of the medical clinic building. They have set up a website where patients can sign up to be on the waiting list.

    Georgian Bay FHT Central

    In Office Medical Monitoring

    There are a number of stable (Child, Adolescence and Young Adult Eating Disorders Program) patients who were being followed by their family physician for medical monitoring. However, due to COVID-19 some practices have switched to virtual care with no in-person visits. This has increased the potential for these patients to become de-stabilized. As such, Aurora-Newmarket FHT has stepped up and will complete in the in office medical monitoring of these patients.

    Aurora-Newmarket FHT Central

    Virtual Check Ins and Groups 

    At Aurora-Newmarket FHT, the occupational therapist has introduced a new feature, Wellness Wednesdays, where the team shares helpful information on our Facebook page each week to support patients health and well-being while staying home.The team of IHPs are working on a new process to start Virtual Groups to continue providing care for our patients and staying on track with our Schedule A programs. For example, Caring for the Caregiver, What the Tech, and even some groups for patients living with Type 2 Diabetes (carb counting or What the Tech) will be important to run. “What the Tech” will focus on mental health apps and online resources and/or nutritional resources. The team will utilize our social media and website to gather interest.

    Aurora-Newmarket FHT Central

    Providing Care to Unattached Newborns and Moms

    Aurora-Newmarket FHT is providing care to unattached newborns and moms who no longer have ready access to their family physician after discharge from Southlake Regional Health Centre. NP and RNs are administering immunizations for our rostered patients, as well as unattached babies and pregnant women.

    Aurora-Newmarket FHT Central

    Patient Check Ins

    BCFHT has created a template for IHPs to check in on high-risk patients for social supports, health care needs and COVID-19 questions.

    Barrie and Community FHT

    Central

    System Navigation

    RNs at Crosstown FHT are focusing on system navigation and reaching out to isolated patients with resources during this situation

    Crosstown FHT

    Central

    Drive-through Covid-19 Pop Up Testing Centre 

    The Georgina Nurse Practitioner-Led Clinic is proud to be leading the setup of a drive-through Covid-19 pop up testing center on July 29th at the local arena. We have worked with several organizations and they include, but are not limited to, the Town of Georgina, Central LHIN, York Region Public Health, York Region Community Paramedics, Sutton firehall, Health Georgina, Knights of Columbus, Kinsmen and others.  

     

    This testing day will be for asymptomatic people who may be concerned about contact, want to visit family in Long Term Care, or are concerned about exposure such as with health care workers or customer service workers.   As Georgina covers a large geographical area, this will be of great value for those living in remote areas of Georgina or for those who do not want to travel 30-45 minutes to the closest testing centre.

    Georgina NP-Led Clinic

    Central

    Donated funds to purchasing Ventilators

     

    Donated PPE

    Donated money to Southlake Hospital for purchasing ventilator machines ($150k). Donated PPE to a local nursing home and continue to work with them around patient and staff supports

    Georgina NP-Led Clinic

     

     

    Central

    Collaborating with a Group Home for COVID-19 Screening

    Participated in COVID-19 screening at one group home and ran a screening day at a second local group home

    Georgina NP-Led Clinic

     

    Central

    Elderly Patient Check

    RD, HP and RPN called 220 seniors to screen for food security, medication updates, safety, and mental health supports. Patients were able to email images through a general mailbox.

    Georgina NP-Led Clinic

     

    Central

    Clinic Operation and Virtual care

    The GNPLC has continued to provide access  to primary care for patients, including access two evenings a week. The majority of the staff are working remotely and providing care through e-visits. However, there are a minimum of two NPs, RPN or Lab Tech for in-person visits as needed, as well as two medical secretaries, the lead administrator and clinic director.

    Georgina NP-Led Clinic

     

    Central

    Wait While

    The GBFHT utilized the application “Wait While” to provide patients with a virtual wait list for care at the GBFHT after-hours clinic. Utilizing this virtual list ensures that patients are able to socially distance themselves from other patients while waiting for their appointment. Patients are able to log in through the virtual portal link on the GBFHT website and add themselves to the wait list. They are notified when it is their appointment, and they can then enter the clinic after the prior patient has left. If a patient does not have access to the internet on their phone and would like to add themselves to the wait list, they can either text in their information to be added or speak with a greeter at GBFHT, who will then add them to the list on a tablet. This enables patients to access needed care in the safest way possible for both patients and staff.

    Georgian Bay FHT

    Central

    Team-Based Virtual Care for Education Groups

    GBFHT is promoting use of Primary Care Virtual Care (PCVC) in the team. PCVC is being used for patient counselling and education, and for staff and managers to connect in a more “face to face” manner beyond phone and teleconference. The diabetes team is also encouraging patients to access education videos online demonstrating blood glucose meters, sensors, and injectable medications (mainly those provided by pharma and manufacturers). The team also plans to bring together all the FHT team members (RN, Health Promoter, MH counsellor and RD) who would normally present in the T2 diabetes education groups, to create a video presentation that they can link on their website. GBFHT is committed to make the most of this crisis and to get creative about how they can continue to deliver service while protecting staff and patients!

    Georgian Bay FHT

    Central

    Follow Up of COVID-19 Assessment Centre Patients

    NSFHT is providing nursing support via telephone to patients who attend the local COVID-19 assessment clinics. Patients who are screened/assessed can consent to a follow up call from a nurse within the NSFHT. The nursing staff will share the caseload and reach out to individuals who may be having challenges with self-isolation. The nurses can refer to mental health counselling or counselling from a registered dietitian to increase access to information they may need while at home. This is a service they offer in the community to those individuals who may not already be connected with the family health team.

    North Simcoe FHT

    Central

    Return to top

     


    West

    Initiative

    Description

    Team Name

    OH Region

    Chatham Kent OHT partners (including Tilbury District FHT, Chatham-Kent FHT & Thamesview FHT)

    On Friday, May 21, more than 1,100 people scheduled to receive a COVID-19 Vaccine dose – more than any previous mobile clinic in Chatham-Kent. 

    The collaboration continues to offer COVID-19 vaccines. On May 27, they will hold a pop-up clinic at Tilbury District FHT, and on June 3rd at the Chatham-Kent CHCs in Wallaceburg.

     

    Tilbury District FHT, Chatham-Kent FHT & Thamesview FHT  
    Homebound Vaccine Team 2 Owen Sound FHT nurses partnered up with Grey County Paramedic Services to administer COVID-19 vaccines to homebound patients. Owen Sound FHT West

    Flu Vaccine Availability in Grey Bruce

    Peninsula FHT worked closely with Grey Bruce Public Health to ensure their request of 1,000 doses for 8 flu clinics were received on time to help immunize Bruce Peninsula residents.

    Peninsula FHT

    West

    Owen Sound Family Health Team continuing to run flu shot clinic

    Owen Sound FHT offering a flu clinic for the community. 

    Owen Sound FHT

    West

    Provide virtual support to Mennonite and Amish residents

    The Mount Forest Family Health Team (MFFHT) has received a grant to help it provide virtual support to area Mennonite and Amish residents. The grant enables the township to provide support to help the health team obtain appropriate technology and support services to assist Old Order Mennonite, Old Order Amish, and Dave Martin Group Mennonites with access to health services that must be delivered virtually due to the COVID-19 pandemic.

    Mount Forest FHT West

    Chronic Pain Self-Management Program (CPSMP)

    The Minto-Mapleton FHT has been engaging with patients via OTN since the beginning of this pandemic. Chronic Pain Self-Management Program (CPSMP), a 6-week education session, is geared at teaching new ways to deal with chronic pain and requires participants to take an active role in learning and practicing these tools. Some topics include fitness/exercise, pacing, medications, emotions, fatigue/sleep, and communication. The support from the group members is an added benefit to the program. The feedback from participants has been excellent. If you are interested in learning more about how you can implement this program, more information can be found here.

    Minto-Mapleton FHT West

    GLA:D (Good Life with Osteoarthritis in Denmark)

    GLA:D (Good Life with Osteoarthritis in Denmark) is an 8-week education and exercise program for those with stiff/painful knees or those with OA of the hip/knee, and it consists of two 90-minute education sessions and 12 neuromuscular exercise classes. The program teaches how to control movement and achieve proper posture; builds strength through functional exercises; and teaches how to apply these principles to everyday activities. This group runs twice a week as an interactive virtual exercise session. 

     

    If you are interested in learning more about how you can implement this program, GLA:D Canada provides training and support to run the hip and knee OA program. More information is on their website

    Minto-Mapleton FHT West

    Schedule changes to optimize care during a pandemic

    To improve efficiency, reduce PPE use, and decrease the risk of cross contamination between sites, the HFHT has modified the schedules of its RNs and NPs. Current schedules reflect the pairing and 2-week rotation of the IHPs at various sites. This modified schedule has also helped increase consistency of care in each office and has allowed RNs to continue to work in an expanded role (using medical directives) and to consult with the NPs.

    Haldimand FHT West

    Lung Health – reducing gaps in care during COVID-19

    To reduce the risk of respiratory complications in addicted patients, the HFHT CRE provides continued smoking cessation & relapse prevention services to patients through virtual visits and NRT drop-off/curbside pickup. This effort not only initiated appreciative feedback from patients through social media and radio, but the CRE was also client nominated and selected as the local “Haldimand Hero” for her work in supporting continued patient care.

    To support continued care of patients with COPD & asthma, the HFHT CRE provides wellness calls to patients in isolation. Once assessed, the CRE collaborates with the HFHT team to ensure that patients have updated action plans that help prevent/reduce the risk of exacerbation and that may be self managed during isolation. Coordinated care plans and referrals to other services are initiated where necessary.

    Haldimand FHT West

    Virtual Visits and support for HFHT and non-FHT clinicians

    To reduce the risk of potential exposure to COVID-19, all clinicians of the HFHT initiated virtual visits (phone and/or video) with all patients. Patients requiring in-clinic visits were scheduled appropriately.
    The provision of virtual visits decreased the risk of virus transmission through unnecessary exposure while still providing access to care. An added bonus was the conservation of PPE.
    While some virtual visits were challenged by poor internet coverage in rural areas, the majority of patients were appreciative of the virtual care.

    To facilitate virtual visits throughout the county, the HFHT registered nurse provided support for access to virtual services to all HFHT clinicians as well as clinicians at other non-FHT clinics.

    Haldimand FHT West

    Improved PPE access to Family Practice clinics in Haldimand county

    To simplify distribution of PPE to primary care clinics in Haldimand County, the HFHT became the hub for obtaining and delivering urgent PPE supplies and donated PPE. Spearheaded by the HFHT Clinical Lead, PPE is redistributed and delivered to FHT and non-FHT clinics to ensure an adequate supply for all clinics.
    This effort is ongoing and has:
    • improved relations and collaboration with primary care in the county
    • streamlined access to PPE for clinics while minimizing confusion about how/where to obtain PPE
    • enabled providers to safely continue to care for patients where in-clinic visits are necessary

    Haldimand FHT West

    Mental Health Check-Ins and Counselling

    The HFHT mental health staff recognise a need for support for any isolated patient and provide check-in phone calls to counsel and monitor patients in isolation. This support is provided not only to patients in active counseling (during the period right before the pandemic), but also to patients who may have received mental health support in the past. Through collaboration with other non-FHT clinics regarding PPE distribution, counselling services have been extended to non-HFHT patients.

    Haldimand FHT

    West

    Wellness Calls to Vulnerable Populations

    To improve community support during COVID-19 and reduce the risks associated with isolation, the Haldimand FHT provides wellness calls to all elderly patients and families with children younger than 15. The team recognised that isolation may:
    • prevent elderly patients from receiving needed assistance and may put them at a higher risk for mental health issues
    • put families with young children at a higher risk for anxiety, stress, and potential domestic violence

    The RNs and mental health staff used data extracted from the EMR to identify appropriate patients and used standardised screening forms (developed to support the initiative) to maintain consistency and to help identify gaps in care. Coordinated care plans and referrals to other services are initiated where necessary.
    While vulnerable patients feel especially supported, all patients are appreciative of the service, and the HFHT has identified that the wellness calls may have prevented the need for a hospital visit for some patients.

    Haldimand FHT West

    Local health care organizations work to address long term care COVID-19 crisis

    The Grey Bruce Health Unit, SBGHC staff, and  Brockton and Kincardine Area Family Health Team, have assisted four long-term care homes with swabbing residents and staff. The partnership among public health, hospitals, and primary care to provide the enhanced surveillance testing of all residents and staff in long-term care homes has been a great success.

    Brockton and Kincardine Area FHT West

    Educational Videos for Patients

    The Niagara North FHT has created a series of YouTube educational videos for patients on topics such as hand hygiene, healthy foods, meal planning, and COVID-19 that can be found in this playlist.

    Niagara North FHT West
    Virtual Substance Abuse Program

    The Windsor Team Care Centre’s substance abuse services has moved online due to COVID-19. A new virtual substance abuse program, part of the One Team Recovery (OTR) initiative, will host sessions through the online video call platform GoToMeeting. The service will allow up to 25 people to join the group session. To reach the masses and to provide a group setting, this program could offer those extra services and extra supports virtually and connect other people. 

    Windsor FHT West

    Virtual Nutrition Groups

    Hamilton FHT offers a variety of nutrition programming from educational groups such as Healthy You, Cooking Demonstrations, Diabetes groups and grocery store tours to treatment-based groups such as Mindful Eating and Binge Eating Disorder Treatment Program.

     

    To help stay connected to patients during this challenging time, they have switched to nutrition counseling over the phone and have modified Diabetes Groups, Cooking Demonstrations, Healthy You Lifestyle Groups for a virtual platform. Participants now join their much-loved groups through Zoom meetings. They have even created a HFHT Zoom Etiquette to help facilitators and participants get used to this new platform.

     

    The dietitian/mental health counsellor-led treatment groups (Mindful Eating Groups and Binge Eating Disorder Groups) have also gone virtual. To meet the needs of the community, during the months of May and June, they are offering Zoom webinars for the public on topics of interest including diabetes, heart health, depression, and emotional eating. They are excited at the prospect of continuing to run virtual groups such as these to support patients now and in the future.

    Hamilton FHT

    West

    Return to top

     


    North

    Initiative

    Description

    Team Name

    OH Region

    COVID-19 Vaccine Collaboration Working with the Thunder Bay District Health Unit, the North Shore FHT has been vaccinating community members through 150 to 500-person vaccine clinics in the community. It is estimated that as of May 17th,  over 74% (2107) of eligible residents have received their first dose and over 13% (320) have received their second dose. North Shore FHT  
    Elliot Lake FHT Continues To Support Delivery Service For Seniors

    The Age Friendly Delivers program is a grocery shopping and delivery service that was established by the city at the onset of the pandemic this year. The Age Friendly Check-ins program is a daily contact service for those in self-isolation. Initially, the check-in program was administered by the city, but the Elliot Lake Family Health Team has since taken over.

    Elliot Lake FHT North

    Drive Thru and Walk- In Flu Shot Clinics 

    Wawa FHT was offering drive thru flu shots to the community within their cars, however now in the colder weather they are offering walk-in clinics in various locations. 

    Wawa FHT  North
    COVID-19 outreach team finishes Long Term Health Care Home testing

    Powassan & Area FHT worked closely with the Health Centre’s COVID-19 Assessment Centre Outreach Team and the North Bay Parry Sound District Health Unit to collect a total of 1,239 swabs. The outreach team conducted testing at Cassellholme, Nipissing Manor, Water’s Edge and Eastholme and tested both residents and staff.

    Powassan & Area FHT North

    Exploring primary care information as an indicator of impacts of changes in restrictions related to COVID‐19

    Public Health Sudbury & Districts has started an initiative to collect primary care data from FHTs and NPLCs that are currently screening COVID-19 patients. They anticipate the data may provide an early signal of those impacts in the community and support decision makers in their efforts to mitigate the outbreak.

    Public Health Sudbury & Districts – FHTs & NPLCs

    North

    INR Testing in the Parking Lot

    As teams move to providing care to patients within their cars in parking lots for immunizations, COVID testing etc., Atikokan FHT is providing INR testing for patients within their cars. 

    Atikokan FHT

    North

    ED Diversion Strategy

    Sunset County FHT has partnered with their local hospital to create a communication strategy in which they are offering unrostered patients’ same day/next day appointments to ensure patients continue to have access to primary care.

    Sunset County FHT

    North

    Diabetic Patient Check Ins

    Northeastern Manitoulin FHT has created a script that their dietitians are using to check in on diabetic patients to ensure continuity of care.

    Northeastern Manitoulin FHT

    North

    COVID-19 mobile assessment service

    Elliot Lake FHT has developed a COVID-19 mobile assessment service. They screen people over the phone and if a person qualifies, they send a nurse to the home to do a swab.

    Elliot Lake FHT

    North

    Primary Care Support for Supported Isolation Centre and Temporary Emergency Centre

    The emergency shelter in the City of Greater Sudbury has been temporarily relocated to a hotel. Sudbury District Nurse Practitioner Clinics is working with Canadian Mental Health Association Sudbury/Manitoulin and the City of Greater Sudbury to provide primary care for individuals who are using the temporary emergency shelter. Through a Supported Isolation Centre, homeless individuals that have to be in quarantine due to COVID-19 (e.g. symptomatic individuals, those awaiting results) will be monitored by a team of health care providers. In addition, primary care providers review all intake assessments and participate in care plan development, renew and/or adjust chronic disease medications, and consult with addiction and mental health specialists as required.

     

    Sudbury District Nurse Practitioner Clinics

    North

    Virtual Programming for Community

    Through Zoom and promotion on Facebook, the website, and emails to community stakeholders, they are holding free virtual programming for patients and broader community. The Social Worker and Dietitian are holding ‘Am I doing this right? Caring for ourselves in unprecedented times.’ This provides practical strategies for managing mental and emotional health during a pandemic. The Social Worker and Registered Nurse are holding Mindfulness Awareness Stabilization Training to help participants learn how the body processes stress and emotions, and to develop resources for self-care.

    Sudbury District Nurse Practitioner Clinics

    North

    Connecting with Patients via Multiple Platforms

    Marathon FHT has shared any clinic changes in various ways with communities they serve. Some examples include: clinic Facebook page, sent to First Nations clinics, local paper, and email.

    Marathon FHT

    North

    Collaborating with Local Pharmacists for Prescription Extensions

    Marathon FHT contacted the local pharmacist to arrange for extension of prescriptions for chronic medications rather than sending renewal requests for those medications to the physicians/NP at this time, plus a letter to employers (there are only a couple of major employers) and Chamber of Commerce indicating that they will not be providing off work notes for workers.

    Marathon FHT

    North

    Return to top


    East

    Initiative

    Description

    Team Name

    OH Region

    Drive-thru COVID-19 Vaccine clinics & tips Ottawa Public Health offered the vaccines to Rideau FHT with  2 weeks to plan and register patients & train staff. Saturday, April 24- vaccinated over 500 patients in similar fashion to their flu clinics. The mobile approach continues to work extremely well for them. Tips available on the OMD link or through Dr. Shadbolt. Rideau FHT East
    Outdoor Flu Clinic

    The Athens District FHT recognized that their yearly flu clinics typically attract large crowds, so they planned an outdoor drive-thru flu clinic. To ensure they were covered during the uncertain November weather, they partnered with a local church to make use of their awning to shield them from the weather. 

    The drive-thru clinic created a buzz in the community and was a complete hit! The team of  2 MDs and 2 NPs administered approximately 500 flu shots in the span of 6 hours on November 10, supported by their nursing team. Patients and unrostered community members felt grateful and safe as a result of their teams’ initiative.

    Athens District FHT East

    Covid-19 Assessment Centre for Inuit 

    The AIFHT also implemented enhanced responses as Covid-19 Assessment Centre for Inuit starting in April on receiving East Region Ontario Health approvals. Working with Public Health, EROLA lab/Ottawa Hospital the AIFHT implemented streamlined assessment and testing of all patients throughout the pandemic, including those presenting as symptomatic, asymptomatic, or for surveillance/sentinel swabbing. 

    Akausivik Inuit FHT

    East

    Isolation Hotel HUB 

    The AIFHT was also requested to provide primary care, and Covid-19 support for Inuit waiting to be re-patriated Up North at the Isolation Hotel HUB in Ottawa. Akausivik Inuit Family Health Team (AIFHT) sends an outreach team (physician, nurse, Inuktitut case manager) twice a week to the HUB. This has been and continues to be provided since the beginning and for the duration of the pandemic. Patients are seen for urgent primary care challenges such as pain, wound care, post-surgical exam, medication reviews, prescription needs (physical and mental health), blood work, Covid-19 testing and differential assessment, pre-post natal, well baby/child/mother checks, and chronic disease needs. 

    Akausivik Inuit FHT

    East

    AIFHT Paramedic Outreach Program 

    To respond to the enhanced needs of housebound patients the AIFHT also established an AIFHT Paramedic Outreach Program in partnership with the Ottawa Paramedics. Together, the AIFHT Paramedic Program has enhanced outreach to Inuit patients who are elderly, those with mobility challenges,  surgical pre-admission, post hospital discharge, and medically fragile requiring multiple follow up visits and case management.

    Akausivik Inuit FHT

    East

    Drive Thru, Clinic, Retirement Residence Flu Shots 

    The Bancroft Community FHT has been offering drive thru flu shot clinics in the parking lot. Some clinics have been by booked appointments while others have been walk in/drive thru clinics. Bancroft Community FHT offered flu shot clinics at seniors apartment buildings and retirement residences so that they did not have to actually leave their homes. 

    Bancroft Community FHT

    East

    Peterborough Family Health Team offers drive-through flu shots

    Peterborough FHT is offering a drive-thru flu shot clinic to their community within a parking garage. 

    Peterborough FHT

    East

    Flu Shot Clinic in Collaboration with Town Partners 

    In collaboration with their town North Durham FHT is supporting flu shot clinics. 

    North Durham FHT

    East

    Minimize Contact & Spread

    During the first wave of the COVID-19 pandemic, Belleville NPLC split its team into 2 cohorts to minimize contact & limit the number of people in the building. “That was to allow us to work on a rotating basis between home and the clinic” 

    Belleville NPLC

    East

    Outdoor RN Injection Clinic

    West Carleton FHT is running an injection clinic under a tent in the staff parking lot for injections. Patients are instructed to arrive in short sleeves and pre-screened over the phone. Patients appreciate this effort as injections for allergies, chemo etc. continue.

    West Carleton FHT

    East

    Renfrew County Virtual Triage and Assessment Centre (RC VTAC)

    The RC VTAC is a collaboration between Renfrew County Primary Care teams, the County of Renfrew Paramedic Service, Renfrew County Hospitals, and the Renfrew County and District Health Unit, with the support of Ontario Health East.

     

    The RC VTAC is a primary care solution to reduce the demand on Emergency Departments and provide Renfrew County residents, who do not have a family physician or cannot access their family physician, with the appropriate level of care when they have any health concerns (including concerns related to COVID-19).

    Primary Care in Renfrew County

    East

    Elderly Patient Check Ins & Community Collaboration Website

    Bancroft Community FHT is calling all elderly patients to encourage self-isolation, checking to ensure that they have enough medication and groceries, and assisting with making arrangements. They have set up a community website for individuals to offer or ask for help.

    Bancroft Community FHT

    East

    Transitioning Care Virtually in response to a Positive COVID-19 Patient

    In late March, Lakelands FHT discovered a positive case at the Northbrook site, which resulted in the immediate closure of the building. They all had to go home for a 14-day self-isolation. In response, they decided to build a clinic without walls! They created an email account for patients to contact them and posted this on their website and Facebook page. Physicians and NPs were able to remotely access the PSS EMR and fax prescriptions from their homes. Their super RN/IT expert also had remote access and provided critical support. They were able to create schedules for themselves and call patients from their homes by turning off the Caller IDs on their phones. The mental health social worker was able to call the patients in her schedule as well.

    Lakelands FHT

    East

    Return to top

  • Federal COVID-19 support programs available to charities and not-for-profit programs

    Shared by Grant ThorNton 

    Table of contents

    1. Canada Emergency Wage Subsidy (CEWS)
    2. Temporary Wage Subsidy
    3. Work Sharing Program
    4. Supplemental Unemployment Benefit (SUB) Plan
    5. Canada Emergency Business Account (CEBA)
    6. Canada Emergency Commercial Rent Assistance (CECRA)
    7. Tax Filing & Payment Relief
    8. Canada Emergency Response Benefit (CERB) – for Individuals
       

    Return to: COVID-19 Resources: Management, Operations, HR and COVID-19


    Canada Emergency Wage Subsidy (CEWS)

    How it can benefit your organization

    The CEWS enables organizations to retain employees and avoid significant lay-offs by offering to cover up to 75% of eligible employees’ wages during the pandemic period (retroactive from March 15, 2020 up to June 6, 2020).

    Eligibility check

    1. The CEWS is wide-reaching and open to businesses (taxable corporations, self-employed, partnerships) as well as not-for-profit organizations (“NPOs”) and registered charities.
    2. Organizations need to meet certain minimum requirements for revenue declines (see details below).
    3. Organizations need to attest that they are doing all they can to pay employees the remaining 25% of their wages.

    How to access
    The application process will be available beginning April 27th. An online application portal on the CRA website is under development.  You can take the following steps to prepare for your application:

    1. Organizations should register for My Business Account on CRA online (this can be done now).
    2. Organizations are required to apply for each eligible month, i.e. the revenue criteria below must be met on a month-by-month basis, however once qualified, the organization will be automatically qualified for the immediately subsequent period, i.e. if you qualify for March, you’ll automatically qualify for April.  For May, the organization must meet the qualifying criteria.
    3. Once the organization determines its eligibility, the organization must continue to pay its employees and then apply for the subsidy through the online portal based on the remuneration paid.
    4. Use the calculator available on the government website (link provided below) to determine the subsidy for your organization.  Step by step instructions have been provided.  The information you input in to the calculator is not being retained by the CRA but is only a tool to assist you with calculating claim amounts.
    5. The employer will then receive a direct deposit payment for the subsidy amount.

    Benefit details and further reading
    The 75% subsidy is calculated for each employee. The subsidy is 75% on the first $58,700 of remuneration paid, up to a maximum of $847 per week. The maximum period of time available is March 15, 2020 up to June 6, 2020 (12 weeks).  There is no maximum limit per employer.

    The CEWS benefit will also include the employer-paid premiums on Employment Insurance, the Canada Pension Plan, the Quebec Pension Plan or the Quebec Parental Insurance Plan related only to employees who are on paid leave.

    To qualify, organizations must see a decrease in “revenues” of 15% in the current period (i.e. March, or 30% for April and May 2020) compared to either A) the same month in 2019 (i.e. March, April, or May 2019 respectively), or B) the average revenues from January and February 2020. Note that once your organization qualifies for one period, i.e. for a particular month, it will automatically qualify for one month after that as well.

    “Revenues” refers to the inflow of cash or receivables in the course of the sale of goods, rendering of services, and others’ use of your resources in Canada for the period. Notably, Organizations can use their regular accounting method in determining whether revenues have fallen. So, if the accrual method is typically used and deferred revenues are recorded, reductions in revenues recognized from those deferral accounts should qualify.  The option to use cash method accounting is available providing the employer elects to use this method and it is applied consistently to each period.

    For more information about the Canadian Emergency Wage Subsidy, please read their insights.
     


     

    Temporary Wage Subsidy

    How it can benefit your organization

    For those organizations not eligible for the larger wage subsidy above, the Temporary Wage Subsidy is still available to provide up to 10% back for each employees’ wages during a similar period (retroactive from March 18, 2020 up to June 19, 2020).

    Eligibility check

    1. The Temporary Wage Subsidy is also wide-reaching and open to certain small businesses (CCPCs which had at least $1 in business limit allocated to them i.e. $1 of the small business deduction in the prior year), individuals, partnerships, NPOs, and charities.
    2. Organizations must have had an existing payroll account with the CRA (“RP000X”) as of March 18, 2020.
    3. Organizations must pay remuneration to individuals employed in Canada.

    How to access

    1. Organizations should continue paying employees and withholding source deductions (CPP, EI, income tax) from payments to employees as normal.
    2. When the organization is ready to remit those source deductions, compute the amount of Temporary Wage Subsidy the organization is eligible for.
    3. Remit the normal amount of CPP and EI to the CRA. Then also remit income tax withholdings but reduce the amount of income tax withholdings by the amount of the wage subsidy.

    Example from the CRA website linked below: if you deducted $2,500 of income tax from your employees’ pay and calculated a subsidy of $2,050, you would reduce your current payroll remittance of federal, provincial, or territorial income tax by $2,050. You would remit $450 of income tax to the CRA. The remaining $2,050 that you keep would represent your subsidy.

    Benefit details and further reading
    Similar to the CEWS, the 10% subsidy is calculated for each employee. For each employee, the subsidy is 10% back on the first $13,750 of remuneration paid. Unlike the CEWS, there is a maximum subsidy of $25,000 for the employer. For associated or related organizations, they are not required to share or split the maximum $25,000 limit – in other words, it is strictly a $25,000 limit per employer. The maximum period of time available is March 18, 2020 up to June 19, 2020 (13 weeks).

    Note: the remuneration covered by the Temporary Wage Subsidy will not also be eligible for the CEWS.

    Grant Thornton has outlined what you need to know when it comes to the Temporary Wage Subsidy in a downloadable PDF.


     

    Work Sharing Program

    How it can benefit your organization
    Designed to help employers avoid full layoffs, Work-Sharing (WS) is an employment adjustment program providing income support to employees eligible for EI benefits who work a temporarily reduced work week while their employer recovers from a temporary reduction in the normal level of business activity. Organizations will benefit by paying reduced salaries to the eligible employee(s) for a reduced work-week and the government would provide income support to the individuals for the difference.

    Eligibility check

    1. The organization must have been a business in Canada year-round for at least the past year.
    2. The organization must be a:
      1. private business
      2. publicly held company
      3. Government Business Enterpricse (GBE), also referred to as public corporations, and
      4. NPO experiencing a shortage of work due to a reduction of business activity and/or a reduction in revenue levels due to COVID-19.
    3. Must demonstrate that the shortage of work is temporary and beyond the organization’s control, and that the decrease in business activity (not necessarily revenues alone), is 10% or more.
    4. Must also submit a recovery plan designed to return the WS employee(s) to normal working hours by the end of the WS agreement. There must be a reasonable expectation of recovery.

    Eligible employees include “core” employees (i.e. full or part-time employees employed year-round) who are eligible for EI benefits and who agree to participate in the WS program. In other words, seasonal hires or coops would not be eligible.

    How to access
    The application period must have a minimum duration of 6 weeks and a maximum duration of 76 weeks (increased from the typical 38 weeks). Applications must be made 10 calendar days prior to the requested start date (reduced from the typical 30 days). To apply, organizations must complete forms EMP5100 and EMP5101, and email them by clicking here.

    Benefit details and further reading
    The work sharing program allows organizations to reduce employees’ hours worked on a weekly basis from between 10% (one half-day) up to 60% (three days), on average.  There are additional details and restrictions in place listed in the above government website.

    If you need more information around the work sharing program, Grant Thornton breaks it down for you here.


    Supplemental Unemployment Benefit (SUB) Plan

    How it can benefit your organization
    To help with employee retention after the pandemic period eases, this program allows employers to top up an employee’s EI benefits so that the total amounts received by the employee equal up to 95% of the employee’s original remuneration. In other words, employers would pay an amount into the plan to raise the employee’s weekly earnings (EI benefits + top up).

    Eligibility check

    1. The employee must be currently entitled to EI benefits, i.e. not currently working.
    2. The sum of the EI payments and top-up payments to the employee (made by the employer) cannot exceed 95% of the employee’s previous weekly earnings.
    3. The SUB plan must be registered with Service Canada.

    How to access

    1. Interested organizations should register a SUB plan (see below for link to instructions).
    2. Organizations must also complete application form NAS5036, available online.
    3. Organizations then submit the SUB plan and application form to Service Canada in Bathurst, NB.
    4. Once approval is obtained, employers can start making top-up payments.

    Benefit details and further reading
    The purpose of the SUB plan is to provide supplemental payments to EI benefits during a period of unemployment due to a temporary stoppage of work, training, injury, or illness/quarantine.

    If you need to register for a Supplemental Unemployment Benefit Plan, please click here.
     


    Canada Emergency Business Account (CEBA)

    How it can benefit your organization

    The CEBA is implemented by eligible financial institutions in cooperation with Export Development Canada to provide interest-free loans to help cover costs during a period of reduced revenues. A portion (up to 25%) may be forgiven if repaid by Dec 31, 2022.

    Eligibility check

    1. Organizations must be a small business  or NPO.
    2. Organizations must demonstrate that they paid between $20K and $1.5M in total payroll in 2019.

    Note that it is currently unclear whether a reduction in revenues must be demonstrated and what the definition of revenues would include.

    There are certain organization’s which are excluded from eligibility including:

    1. Government organization’s or bodies, or an entity owned by a government organization or body
    2. Unions, charitable, religious or fraternal organization or entity owned by such an organization or it if is, it is a registered T2 or T3010 corporation that generates a portion of its revenue from sales of goods or services.

    How to access
    Financing programs began rolling out in the three weeks after March 27, 2020. Interested organizations should contact their current financial institutions to partake.

    Benefit details and further reading
    These loans are available up to $40,000 and are interest-free in order to provide NPOs with additional cash flow. If the loan is repaid by Dec 31, 2022, up to 25% ($10,000) is forgivable.

    For further details around the Canada Emergency Business Account, see Grant Thornton’s insights.


     

    Canada Emergency Commercial Rent Assistance

    How it can benefit your organization
    Designed to provide rent relief to organizations, the program offers forgivable loans to eligible commercial property owners for the months of April, May and June. Rent owed by an organization can be reduced by at least 75%.
      
    Tenants – Eligibility check

    1. The organization must pay less than $50,000 per month in rent, per location, as per a valid and legally enforceable rental agreement.
    2. The organization must have temporarily ceased operations or have experienced a 70% decrease in pre-COVID-19 revenues. 
    3. The organization must generate no more than $20 million in gross annual revenues, on a consolidated basis.

     
    Landlords – Eligibility check

    1. The landlord must generate rental revenues from a commercial real property located in Canada
    2. The landlord must have a mortgage loan secured by the commercial real property that is occupied by one or more small business tenants. A landlord that does not have a mortgage on the property may still be eligible.
    3. There must be a rent reduction agreement in place for each of April, May and June 2020, providing rent reduction of at least 75% each month. The agreement must also include a moratorium on eviction for the same three months.
    4. The landlord must have declared rental income on their tax return for 2018 and/or 2019.
    5. The landlord must agree that it will not attempt to recover the foregone rent after the 3-month period is over.

     
    How to access
    The program will be administered by the CMHC, details on how to apply is expected to be available mid-May.

    Benefit details and further reading
    The CECRA will provide forgivable loans to commercial property owners (landlords) to cover 50% of commercial rent for the months of April (retroactive), May, and June. The loan to the landlord will be forgiven if they provide the commercial tenant with rent forgiveness equal to at least 75% of their rent. The tenant would cover the remainder.

    If you need more information around the rent assistance program, Grant Thornton breaks it down for you here.

    You can also sign up with CMHC to recieve more information as it becomes available.
     


     

    Tax filing and payment relief
    GST/HST

    • GST/HST payments and import/export duties are deferred until June 30, 2020 for:
    • Monthly filers for reporting period end dates of February, March, and April 2020
    • Quarterly filers for reporting period end dates of February, March, and April 2020
    • Annual filers for the year end dates ending in February, March, and April 2020 (including instalments due in March, April, or May 2020)

    Incorporated Not-for-Profit Organizations (T2 and T1044)
    For tax year-ends with typical filing deadlines between March 19, 2020 and May 31, 2020, filing deadlines have been extended to June 1, 2020. Examples:

    Fiscal Year-End

    Typical Filing Due Date

    Revised Filing Due Date

    September 30, 2019

    March 31, 2020

    June 1, 2020

    October 31, 2019

    April 30, 2020

    June 1, 2020

    November 30, 2019

    May 31, 2020

    June 1, 2020

    December 30, 2019

    June 30, 2020

    June 30, 2020

    Charity Returns
    If the Organization’s typical filing due date for the charity return falls between March 18, 2020 and December 31, 2020, the filing date has been extended to December 31, 2020.

    Individuals

    Taxpayer

    Original filing deadline

    New filing deadline

    New balance due date

    2020 Instalments extension

    Individuals without business income

    April 30, 2020

    June 1, 2020

    September 1, 2020

    June 15, 2020 instalments deferred until
    Sep 1, 2020

    Individuals with business income (& spouse)

    June 15, 2020

    Unchanged

    September 1, 2020

    June 15, 2020 instalments deferred until
    Sep 1, 2020


    Canada Emergency Response Benefit (CERB) – For individuals

    How it can benefit your organization
    While the CERB will not benefit organization’s directly, any employees that ultimately need to be laid off should be directed to apply for the CERB benefit which is the largest benefit announced for previously employed or self-employed individuals. Organizations can work with the employees that needed to be laid off to help maintain morale during the crisis.

    Eligibility check

    1. Individuals must have earned at least $5,000 of employment or self-employment  in 2019 or in the 12-month period before the application period.
    2. Individuals must be a resident of Canada and at least 15 years of age.
    3. Individuals must not earn income in excess of $1,000 during each four-week application period.
    4. Individuals must cease working for at least 14 consecutive days in each four-week application period due to reasons related to COVID-19.

    How to Access
    CERB can be applied for by individuals online at the webpage linked below by answering a few questions at the bottom of the page and then proceeding to the application process. Individuals can also apply using CRA’s My Account and through Service Canada.

     

    Benefit Details and Further Reading
    Individuals who qualify will receive up to $500 per week for up to 16 weeks. On April 15th, the government expanded the eligibility to also include seasonal workers and other workers who have exhausted their regular EI benefits and cannot find work due to COVID19.

    Canadians who have already applied for EI and whose application is processing should not apply for CERB. Also note that if CERB payments are received by an individual who later is determined to not have been eligible, those payments will need to be repaid.

    For assistance with navigating the Canadian Emergency Response Benefit, please click here.
     

     

    Return to: COVID-19 Resources: Management, Operations, HR and COVID-19

  • Managing HR and Supporting Staff through COVID 19: Q&A with Maria McDonald

    This email was sent to EDs/Administrative Leads of AFHTO member organizations.
     
    1. Managing HR and Supporting Staff through COVID 19: Q&A with Maria McDonald
    Over the past 2 months Primary Care has quickly transitioned to provide the ‘new normal’ of care delivery during COVID-19. Teams became virtual overnight, accommodations were made to ensure the safety of staff and patients, and the sector implemented a range of primary care-based initiatives to enable more patients to stay at home and avoid unnecessary hospital visits during this pandemic.

    But change is not always easy and as the crisis continues, staff fatigue, anxiety and questions about the future of care delivery are beginning to arise. For many staff, balancing work load and caring for family members is becoming more and more challenging. How do we support staff, recognize their efforts, and provide the flexibility needed while maintaining equity in the workplace? For advice on these questions and more, join us for a one hour webcast hosted by Maria McDonald of McDonald HR Law.

    • Date: Thursday, May 14th 1-2 p.m.
    • Please register here: *this webcast in intended for EDs/managers only. All registrants will be authorized by AFHTO to attend. Please submit your questions for Maria via the registration link so she can prepare her presentation accordingly.

    2. Ontario Health Request for Support
    Ontario Health is reaching out to health care organizations asking for assistance in settings with urgent needs. We ask all teams to consider their capacity and identify HR availability to help with the following:

    • Provide staff needed to go into LTC homes to do PSW-type work. The greatest need is PSWs but if there are other staff willing to help out from an administrative point of view, it would be helpful. Answering phones and delivering meals are some examples of the types of support that is needed.
    • Anyone that is able to support the Northern rural areas is also being requested as the hospitals and LTC homes are at or close to 100% occupancy.

    Please fill out this survey identifying name and type of staff available, email address, availability (number of days per week, shift and number of weeks available) and we will coordinate with Ontario Health/Regional tables to facilitate the deployment of people to settings of highest need in each region. We anticipate the pandemic pay order will be applicable to staff redeployed to both hospital and LTC homes. We also suggest that each team connect locally with their hospitals to let them know if they are able to offer staffing if needed.

    3. Support for COVID related mental health issues
    The Ontario Psychological Association has set up a network of psychologists who can provide no-cost short term mental health support for COVID related mental health issues to both patients and front line workers. Find out more regarding these two opportunities for mental health support (please do not forward this letter).

  • Bits & Pieces: partnership to improve access to psychological services for the front line & more

    Bits & Pieces: partnership to improve access to psychological services for the front line & more

    Your Weekly News & Updates


    In This Issue  
    • Partnership to improve access to psychological services for front line workers
    • Letter from AFHTO’s President
    • Pandemic Pay
    • Update to critical supplies & equipment survey portal- training sessions
    • Mental Health Week
    • Updated screening and testing guidance and more
    • Infection prevention and control CoP in Ontario Central West Region
    • Ontario Community Support Association meals/essentials delivery
    • Seeking participants to examine practice patterns during COVID-19
    • Financial management webinar series
    • Upcoming events regarding Advance Care Planning and more

    Partnership to improve access to psychological services for front line workers

    AFHTO, OCFP, NPAO, and the Ontario Psychological Association partner to improve access to psychological services for front line workers- We would like to announce two pathways of care for mental health services from a Psychologist through the Ontario Psychological Association (OPA).

    One stream is for your patients who are experiencing mental health issues such as anxiety and depression related to the COVID 19 pandemic. The OPA has set up a network of psychologists who can provide no-cost short term mental health support for COVID related mental health issues.

    The second stream provides access to mental health support to you as primary care providers. As professionals providing front line care, we recognize the stresses to which you are exposed. Find out more regarding these two opportunities for mental health support (please do not forward this letter).


    Letter from AFHTO’s President

    On Friday we emailed a letter from AFHTO’s President and Chair Dr. Tom Richard:

    “As we approach a new month contending with this pandemic, I thought it would be a good time to touch base.

    The continued disruptions, frustrations and adjustments of how we provide our services has been a tremendous source of anxiety to ourselves, our families and those we look after.

    Yet, despite all this, primary care continues to step up and ensure our patients get the care they need.” Read the full letter here.


    Pandemic Pay

    The Ministry is working on its policy and implementation related to the release of pandemic pay and who is eligible. As we wait for further details, we will be working with our primary care partners to reinforce the important role primary care providers play in the COVID response and continue to advocate on behalf of team-based primary care. More details will be made available as information starts to roll out.

    And as a reminder, if you’re an interprofessional health provider at a FHT, A team of researchers wants to learn more about your experience as a provider during the COVID-19 pandemic. Over 350 IHPs have filled it out to date and the deadline is this Thursday, May 7. Find out more here.


    Update to critical supplies & equipment survey portal- training sessions

    On Friday, the Ministry announced the health sector PPE survey would transition to an enhanced submission portal as of yesterday, May 4. To support the transition, they are hosting several webinars as well as providing respondents with detailed support material that they can access and reference as they input their inventory data. Training sessions include:


    Psychological First Aid for Frontline Health Care Providers: A Quick Guide to Wellness

     

    Mental Health Week

    It’s Canadian Mental Health Association Mental Health Week. This year’s theme is social connection. You can get their toolkit here and find relevant articles here. They may help you help your community not just get loud, but #GetReal.

    On a related note, there is a free resource, the Psychological First Aid for Frontline Health Care Providers: A Quick Guide to Wellness, a workbook recommended by the Ontario Psychological Association.

     

     


    Updated screening and testing guidance and more

    On May 2, the government released updates to

    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.


    Infection prevention and control CoP in Ontario Central West Region

    Public Health Ontario would like to invite Primary Care workers responsible for Infection Prevention and Control in the Ontario Central West Region (those located within Halton, Hamilton, WDG, WW, Brant, Niagara, and HN public health units) to their virtual Community of Practice meeting on May 14, 2020 from 9:00 to 10:00 a.m.

    The meeting will focus on the latest COVID-19 updates and provide an opportunity for primary care colleagues to discuss their questions. If you are interested in attending, please email ipaccentralwest@oahpp.ca.

    Access information:
    1. Please dial in to the teleconference at 1-866-261-6767 and enter code: 4889444#
    2. Join the webinar and enter your full name


    Ontario Community Support Association meals/essentials delivery

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

    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.


    Seeking participants to examine practice patterns during COVID-19

    Two primary care researchers, Rachelle Ashcroft, and Catherine Donnelly are submitting a CIHR Rapid COVID-19 response grant to examine practice patterns of interprofessional primary care teams during COVID-19. The grant is due Monday May 11. If your team would be interested in participating in the study please contact Catherine by email Catherine.donnelly@queensu.ca for further study details. 


    Financial management webinar series

    The Ontario Nonprofit Network has launched a free four-part financial management webinar series to help nonprofits adapt and recover from the COVID-19 pandemic, starting May 7:


    Ask Me Anything about Health Privacy, May 6, 2020
    These monthly webinars give you the chance to ask Kate Dewhirst about your Health Privacy concerns. Register here.


    Advance Care Planning and Goals of Care In The COVID-19 Pandemic, May 6, 2020
    Choosing Wisely Canada hosts weekly webinars to discuss pressing topics around COVID-19. Join to learn and connect around freeing up these limited healthcare resources. Learn more here.


    Complicated Grief and Trauma – Skills Building Education, May 6 – July 15, 2020
    This ten-session webinar series will focus on COVID-19 related complicated and traumatic grief. Provided by the HPCO and CHPCA. Learn more here.


    PEER’s review of the evidence for COVID-19, May 7, 2020
    Join this CFPC webinar as part of the COVID-19 Pivots. Find the webinar link posted here.


    Congestive Heart Failure (CHF) and COVID-19, May 7, 2020
    Join the Family Physician Airways Group for a discussion around CHF and COVID-19. To register, click here.

  • Bits & Pieces: BounceBack free CBT program, primary care guidance update & more

    Bits & Pieces: BounceBack free CBT program, primary care guidance update & more

    Your Weekly News & Updates


    In This Issue  
    • BounceBack free CBT program available
    • AFHTO on The Agenda
    • Members’ stories
    • Updated primary care guidance and more
    • Evidence of value- Health Tapestry
    • Seeking IHP input on current practice
    • Understanding Bronchiectasis webinar audio
    • Primary Care Dietitian Association
    • Doctors’ Day is May 1
    • Nominations open for the N4’s newcomer navigation program
    • Upcoming events including Safety Considerations with Chloroquine, Hydroxychloroquine and Azithromycin in the Management of COVID-19

    BounceBack free CBT program available

    Mental health concerns are among the many challenges Ontarians are currently facing amid the COVID-19 pandemic. The Canadian Mental Health Association wishes to remind you that their BounceBack program remains an effective option to support you and your patients who may be dealing with mild-to-moderate anxiety or depression, or may be feeling low, stressed, worried, irritable or angry.

    BounceBack is a free, evidence-based cognitive behavioural therapy (CBT) skill-building program for adults and youth 15 and older. You can find out more here- English and French.

    They also have a tip sheet- 10 things you can do right now to reduce anxiety, stress, and worry related to COVID-19English and French.


    AFHTO on The Agenda

    Be sure to watch last Friday’s episode of The Agenda, where AFHTO’s president and board chair, Dr. Tom Richard, joined Dr. Sarah Newbery, Marathon FHT and Dr. Javed Alloo to discuss how family physicians and primary care are coping with caring for patients during the COVID-19 pandemic.


    Georgina NPLC NPs Beth Cowper-Fung, Melissa Cassidy & John Holbrook at their community outreach COVID testing visit

    Members’ stories

    Georgina NPLC- on April 24, held a community outreach COVID testing visit. They tested thirty-one people in twenty minutes, with York Region Community Paramedics performing the ‘clean work’.

    Hamilton and McMaster FHTsHamilton and McMaster FHTs provide drive-thru COVID-19 testing for 60 people per day

    STAR FHT– “We should not be distancing ourselves socially. We want to stay connected,” said Hayley Stretch, a psychotherapist with the STAR Family Health Team in Stratford.

    Wawa FHTHealthy Exercising During COVID-19 – video


    Updated primary care guidance and more

    Yesterday, the government released an updated primary care guidance document, amended from one released on Apr. 25 that needed further clarification. Other updates are:

    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.


    Evidence of value- Health Tapestry

    A study published on April 15 examines implementation of Health TAPESTRY in relation to interprofessional teamwork including volunteers. It contributes key strategies for effective implementation of interventions. Authors include Lisa Dolovich, Gina Agarwal, Cathy Risdon of McMaster FHT. Read more here.


    Seeking IHP input on current practice

    If you’re an interprofessional health provider at a FHT, A team of researchers wants to learn more about your experience as a provider during COVID-19. during the COVID-19 pandemic. Find out more here.


    Understanding Bronchiectasis webinar audio

    On April 21 we hosted a webinar about bronchiectasis, helping participants to understand the difference between bronchiectasis and COPD, recognize lifestyle changes needed to improve quality of life, and how to avoid environmentally acquired antibiotic-resistant bacteria.

    Presented by Isabelle LeClerc, Chronic Disease Self-Management and Support Registered Nurse, Bruyère Academic FHT, the audio for this session is now available. In true 2020 fashion, you can listen to it like a podcast while you do the dishes.


    Primary Care Dietitian Association

    Primary Care Dietitian Association

    The Primary Care Dietitian Association (PCDA) was created as a community of practice for Registered Dietitians practicing in team based primary care. PCDA will enable Registered Dietitians to provide evidence-based nutrition care.

    The Primary Care Dietitian Association enables Primary Care Dietitians to provide medical nutrition therapy, disease prevention and health promotion collaboratively within team based primary health care settings. The PCDA is committed to the Quadruple Aim and patient centric care.

    Please contact Marg Alfieri ( margalfieri@icloud.com) if you have any questions or wish to collaborate with hundreds of team-based primary care Dietitians to optimize Canadian’s health and wellness.


    Doctors’ Day  2020

    Doctors’ Day is May 1

    On Friday, May 1 we will be celebrating Doctors’ Day, to highlight the work doctors do to keep us healthy. With this year’s Doctors’ Day falling in the middle of COVID-19, the Ontario Medical Association is organizing a special moment so Ontarians can come together from a distance and participate in celebrating doctors.
    On May 1st at 9:00 p.m., they’re asking Ontarians to Shine A Light For All They Do. You can share through your channels with hashtags #DoctorsDay & #ShineALightForThem. You can also find out more at www.doctorsday.ca.


    Nominations open for the N4’s newcomer navigation program

    The National Newcomer Navigation Network (N4) is a national network for the diversity of providers who assist newcomers in navigating the complex Canadian healthcare and social service systems. They provide opportunities for education, virtual discussions, networking, and the sharing of data and resources.
    They are now accepting nominations for the second cohort of the online Newcomer Navigation Program. Teams may wish to consider nominating a member for the program! Deadline to nominate for this cohort is May 15. More information is here.


    Investigating The Current And Potential Use Of EMR Data For Primary Health Care Performance Measurement Across Canadian Jurisdictions, April 28, 2020
    Hosted by the Dalla Lana School of Public Health, listen in on the key findings for jurisdictions that are optimize EMR data and performance measurement. Learn more here.


    Considerations with Chloroquine, Hydroxychloroquine and Azithromycin in the Management of COVID-19, April 29, 2020
    Choosing Wisely Canada hosts weekly webinars to discuss pressing topics around COVID-19. Join to learn and connect around freeing up these limited healthcare resources. Learn more here.


    COVID-19 Virtual Psychosocial Support Groups, April 30, 2020
    The de Souza institute provides nurses and healthcare providers a platform to discuss fear, normalize stress reactions and learn effective coping mechanisms and build resilience during these times. Click here to learn more.


    How to do a Virtual Asthma Visit during COVID-19, April 30, 2020
    Join the Family Physician Airways group on Thursday evening. Click here for the webinar join link.


    Ask Me Anything about Health Privacy, May 6, 2020
    These monthly webinars give you the chance to ask Kate Dewhirst about your Health Privacy concerns. Register here.


    PEER’s review of the evidence for COVID-19, May 7, 2020
    Join this CFPC webinar as part of the COVID-19 Pivots. Find the webinar link posted here.

  • Follow-up from ED calls, April 21 – 22 and more

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

    Dear triad members,

    Thank you to all the executive directors who joined our second round of regional ED calls last week. It’s proving helpful to hear what is working well, how you are managing the challenges you’re facing, and how we can help.

    This email is a follow-up to provide the information promised during the calls, as well as other updates and supports.

    PPE

    •         AFHTO, OCFP, and NPAO issued a joint letter to the Minister of Health on April 15 regarding the urgency for PPE across the primary care sector.
    •         Teams are encouraged to reach out to their Ontario Health regional leads to ensure they are part of regular communication across regions, and to provide updates and need regarding PPE supply. Regional table leads can be seen here.
    •           The ministry will be releasing PPE guidelines in about a week’s time, which will include an outline on how distribution is prioritised and strategies to help ensure PPE conservation.

    Virtual care

    •         Two documents have been posted to assist with virtual care: Hosting Group Platforms Virtually and Summary of Virtual Visit Platform Solutions.
    •         The amount of care that is being delivered in-person is fairly consistent across teams. Polls during the ED calls showed that the majority of physicians and nurse practitioners – 79% and 80%, respectively – are delivering 10% or less of the care in-person.
    •          Almost all teams polled on the calls have RNs and RPNs delivering at least some in-person care (97%). The other three professions most likely to be delivering in-person care, across the teams polled, were pharmacists (18%), chiropodists (15%), and physician assistants (13%).

    Financial Information

    • The federal and provincial governments have announced a series of tax changes and financial measures to build on the federal government’s COVID-19 Economic Response Plan, including:
      • 10% wage subsidy – teams may qualify for a federal payroll deduction rebate for employee compensation paid between March 18, 2020, and June 19, 2020 (up to $1,375 per employee and to a maximum of $25,000 total per employer).
      • Employer Health Tax (EHT) – Retroactive to January 1, 2020, the EHT exemption for 2020 will be increased from $490,000 to $1 million. If you have been remitting EHT, you can contact the Ministry of Finance to check your organization’s EHT account.
    • Teams should work with their accountants or financial advisors to determine and understand eligibility for any financial subsidies.
    • For teams that qualify, they can request repurposing money towards COVID-related costs. The ministry is developing guidelines on eligible reallocations for unintended expenses through the normal reallocation process. Teams are encouraged to contact their senior program consultant about applying for reallocations.

    Human resources

    • AFHTO has confirmed WSIB’s new Classification Structure does not apply to FHTs and NPLCs. These changes only impact Schedule 2 organizations (e.g. those that have a public board appointed municipally or provincially), so it is not mandatory for teams to carry WSIB coverage at this time.
    • We heard many teams are beginning to redeploy staff to other sectors/organizations in need of support. We encourage all teams to check with their insurers on the best approach to redeployment to mitigate risk and liability concerns. We can also provide teams with a sample secondment agreement to help outline the terms and conditions of deployment.
    • The current emergency order prohibits long-term care employees from working in more than one long-term care home, retirement home, or health care setting. However, if primary care staff are redeployed to a long-term care home (or hospital setting or a testing/assessment centre), there is no provincial recommendation preventing them from continuing to work at their home organization. Similarly, there is nothing prohibiting staff from working across multiple primary care sites. That said, we encourage teams to follow these best practice tips for staff that are working in more than one sector or organization:
      • Ensure staff working in other settings are provided with appropriate PPE.
      • Encourage staff working in more than one setting to provide as much virtual care as possible and limit any in-person visits to those deemed necessary.
      • Where possible, loan staff on a full-time basis to other sectors as required to limit the need to work in two different settings.
    • AFHTO will update teams if/when further provincial guidance is offered on redeployment.

    Quality and research projects

    •          A brief web-based survey is underway to understand the experiences of IHPs in FHTs and to describe their state of practice during the COVID-19 pandemic. We encourage you share the link to the survey with your teams: https://queensu.qualtrics.com/jfe/form/SV_cZQNQrpCqKAc8K1
    •          The QI in PC Council has started two projects to support all teams. Please consider speaking with QIDSS and QIDSS-like individuals to encourage they join these groups, and contact Sandeep Gill with any questions:
    •    Standardized Queries for Chronic Diseases & High-risk Patients: Creating standardized queries to identify chronic disease patients, high-risk patients, and OHT priority populations. This will help with lists for vulnerable check-in calls during COVID-19 and priority population identification for OHTs post-COVID-19
    •    Let’s Measure the Impact of Primary Care during COVID-19: Creating meaningful indicators for primary care that can measure care provided during COVID-19 (ex: support provided to patients by IHPs, number of screenings completed, number of case reports sent to Public Health). This will create indicators to measure the impact of virtual care transition pre-, during, and post-COVID-19

    A few other things

    •           On April 25, the government announced an additional $4/hour of ‘pandemic pay’ for the next four months for frontline workers. The current list of eligible workplaces and workers does not seem to include primary care, but we are seeking clarity, especially for those who have been redeployed to COVID-19 assessment centres, LTC/retirement homes, or hospitals, and for those providing in-person clinical care.
    •          On April 25, the ministry also released version 4 of “COVID-19 Guidance: Primary Care Providers in a Community Setting.” There are significant inconsistencies in the document, including the misalignment between the case definition and the screening guidance and when full PPE should be used in the clinics. We have let the Emergency Operations Centre know that there are inconsistencies and requested a thorough review be done before dissemination.
    •         On April 27, the premier announced a high-level framework for the reopening of the province. The news release, which includes a link to the framework, is here.
    •         The provincial government has announced it’s partnering with the federal government to provide urgent rent relief for small businesses.
    •         The CEO of Ontario Health, Matt Anderson, issued an update on Wednesday, April 22, from Ontario Health’s COVID-19 Health System Response Team. You can read the memo here.
    •          AFHTO will be reaching out to EDs in the coming weeks to arrange an interview on teams’ pandemic approach, how virtual care changed practice, and a vision for primary care post-COVID in the ‘new normal.’

    Be sure to watch last Friday’s episode of The Agenda, where AFHTO’s president and board chair, Dr. Tom Richard, joined Dr. Sarah Newbery and Dr. Javed Alloo to discuss how family physicians and primary care are coping with caring for patients during the COVID-19 pandemic.

    And 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.

    Please consider sharing success stories that we can post and spread to help teams learn from one another, and to continue to show how team-based primary care is stepping up in the wake of this pandemic.

    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

  • Hamilton and McMaster FHTs provide drive-thru COVID-19 testing for 60 people per day

    Y108 News article published April 23, 2020

    By Lisa Polewski

    Hamiltonians can now book a COVID-19 test at the city’s drive-thru site, based inside the Dave Andreychuk Mountain Arena.
    It’s not quite the same as a fast-food drive-thru, but the COVID-19 testing centre at the Dave Andreychuk Mountain Arena is as efficient as it gets.

    Since Hamilton’s third testing site opened its doors a week ago, they’ve been testing about 60 people per day.

    “We book every five minutes, and it takes about three and a half minutes for a client to come through,” said Laurel Turnbull, manager of nursing, complex care and quality improvement at the Hamilton Family Health Team.

    The arena is functioning as a COVID-19 testing centre between 10 a.m. and 3 p.m., seven days a week. The Hamilton Family Health Team and the McMaster Family Health Team are operating the site, which is staffed by primary care clinicians.

    Jill Berridge, co-executive director of the McMaster Family Health Team, said the response to the unique method of testing has been overwhelmingly positive, especially from those who are being tested.

    “They love the fact that they can stay in the comfort of their own car, and go through this process, and how quick it is,” said Berridge.

    The mountain site is also testing those who don’t have a car. Elderly residents or those who rely on mobility devices are able to get a ride through DARTS, and anyone who may get to the arena by public transit can also simply walk around the track to the different stations.

    It’s not as simple as turning up and getting tested, however. Appointments at the Hester Street location still need to be booked through a family doctor or Hamilton public health.

    Berridge said most people understand that process, although a handful of people are still showing up on a daily basis without an appointment.

    “But they’ve been very reasonable when we’ve asked them to go ahead and call public health and get an appointment to come back.”

    Although testing has ramped up across Hamilton — specifically in long-term care and retirement homes — Berridge said they are following the provincial guidelines on who qualifies for testing, which means you cannot simply request a test.

    “It would be hard to test everybody. The capacity for that type of testing just isn’t available right now. I think we do a good job of prioritizing people that really need to be tested.”

    During an update from the city last week, Dr. Elizabeth Richardson, Hamilton’s medical officer of health, said they’ve been getting requests from people who have had their employers ask them for a “clearance note” to go back to work.

    “That is not recommended at all, and in fact, it’s taking up resources that could be used for those who are symptomatic,” said Dr. Richardson.

    “We want to really get the message out that that kind of testing, it’s not helpful. For somebody who’s well, the fact that they have a negative test today means nothing about tomorrow, or even five minutes after they’re tested.”

    There have been 3,238 tests administered at the city’s testing and assessment centres since the first two opened their doors on March 16.

    To view the full article, click here.

  • Bits & Pieces: COVID-19 has likely peaked in Ontario, guidance update & more

    Bits & Pieces: COVID-19 has likely peaked in Ontario, guidance update & more

    Your Weekly News & Updates


    In This Issue  
    • COVID-19 outbreak has likely peaked in Ontario
    • Open letter on PPE in primary care during COVID-19
    • COVID-19 provincial testing guidance update and more
    • Virtual annual general meetings
    • Leadership in a crisis- one-page guide
    • Faces of COVID- Healthy Debate seeking frontline worker profiles
    • Upcoming events including Resource Stewardship in Primary Care During COVID-19

    COVID-19 outbreak has likely peaked in Ontario

    Yesterday the Ontario government released updated COVID-19 modelling, which shows that the enhanced public health measures are working to contain the spread of the virus and flatten the curve. However, the Chief Medical Officer of Health says emergency measures must remain in place to continue reducing the number of cases and deaths.

    Find out more on our site.

    A reminder that the Ministry has created a new website (https://covid-19.ontario.ca/) that includes the link to check your lab results if you have been tested for COVID-19, allows you to take the self-assessment and includes up to date number of COVID-19 cases, that is updated daily at 10:30 a.m.


    Open letter to Minister PPE Mask and gloves April 2020

    Open letter on PPE in primary care during COVID-19

    On Wednesday, April 15 an open letter regarding the lack of PPE in Primary Care during COVID-19 was released from the Association of Family Health Teams of Ontario (AFHTO), Nurse Practitioners’ Association of Ontario (NPAO) and the Ontario College of Family Physicians (OCFP). On behalf of our members we are seeking urgent assistance from Ontario’s Ministry of Health in ensuring access to appropriate PPE in order to safeguard patient access to primary care.

    We are recommending that the Ontario Ministry of Health immediately streamline the procurement of PPE through one central source for distribution to primary care through Ontario Health/regions and not leave primary care clinics to have to find PPE on their own. Read the full letter here.

    We are happy to hear that discussions related to the lack of PPE are continuing at the newly created Provincial Primary Care Advisory Table and at the Ontario Health regional tables.


    COVID-19 provincial testing guidance update and more

    The Ministry released multiple updates, including with situation report #83 last week, such as:

    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.


    Virtual annual general meetings

    Virtual collaboration is being considered and used more than ever considering the pandemic. On March 31, 2020, the Government of Ontario issued an Emergency Order that permits nonprofits to hold meetings of directors, shareholders, and members electronically or over the phone, even if there is legislation or bylaws (ex: Ontario’s Corporations Act) that say otherwise.

    Boards may consider this option for their Annual General Meetings (AGM). The Ontario Non-profit Network (ONN) has provided some tools to help boards move AGMs online and to facilitate them effectively and efficiently. Get resources here.


    Leadership in a crisis- one-page guide

    The coronavirus has caused LEADS Canada to shift immediately and dramatically to offering support to health leaders across the country in leading through (and following) the pandemic.
     
    In response, they developed a one-page guide called “Leadership in a Crisis”, which is based on recent research and input from a cadre of health and military experts (listed at the bottom of the document).


    Faces of COVID- Healthy Debate seeking frontline worker profiles

    Healthy Debate is looking to share the experience of frontline workers. If you are or if you know anyone currently on the front lines of COVID-19, send an email to contactus@healthydebate.ca or DM them on Twitter.


    CMHA Ontario and Mental Health Works Webinars – In response to COVID-19 pandemic, April 22, 2020
    For health care professionals and workers: with topics relevant to both hospitals and clinics, as well as telehealth professionals and those who work to support patient outcomes, such as custodial staff, security professionals, and administrators.

    General Workplace Supports:

    • Being Mindful at Work (office and from home) –(FR) April 22, 1 pm

    Less is More: Resource Stewardship in Primary Care During COVID-19, April 22, 2020
    Learn what primary care practices and re-organizing resources can protect staff while ensuring continuity of care in response to COVID-19. Choosing Wisely Canada invites you to their weekly discussions. Learn more here.


    Optimizing Care of the Elderly and Long-term Care Residents during the Pandemic, April 23, 2020
    Tune into this CFPC webinar hosted by AFHTO’s VP, Dr. Allan Grill. This webinar is part of the CFPC’s COVID-19 Pivots. Links will be available here.


    Investigating The Current And Potential Use Of EMR Data For Primary Health Care Performance Measurement Across Canadian Jurisdictions, April 28, 2020
    Hosted by the Dalla Lana School of Public Health, listen in on the key findings for jurisdictions that are optimize EMR data and performance measurement. Learn more here.


    Ask Me Anything about Health Privacy, May 6, 2020
    These monthly webinars give you the chance to ask Kate Dewhirst about your Health Privacy concerns. Register here.