Tag: government

  • Joint Letter on Ensuring Equity in Ontario’s Vaccination Campaign

    March 1, 2021

    To: Premier Doug Ford
    Christine Elliott, Deputy Premier, Minister of Health

    Cc: General (Ret.) Rick Hillier, COVID-19 Vaccine Distribution Task Force
    Dr. Dirk Huyer, Coordinator, Provincial Outbreak Response
    Dr. David Williams, Chief Medical Officer of Health
    Alison Blair, Associate Deputy Minister, Pandemic Response and Recovery
    Patrick Dicerni, Assistant Deputy Minister
    Nadia Surani, Acting Director, Primary Care Branch
    Loretta Ryan, Executive Director, Association of Local Public Health Agencies

    Re: Ensuring Equity in Ontario’s Vaccination Campaign

    Dear Premier Ford and Minister Elliott,

    We are writing today as your partners in Ontario’s vaccination rollout plan. We have appreciated the opportunity to consult with the vaccine task force regularly over the last several months, and the recent meetings with Ret. General Hillier. We are encouraged by the leadership role of Public Health Units in the vaccine rollout, and know that health equity is a key consideration in General Hillier’s communications and in regional plans to ensure an efficient, equitable access to COVID-19 vaccines. Our health professionals and teams stand ready to support #TeamVaccine in Ontario.

    As has been seen and talked about for some time among public health units, in media stories, and among community providers at the front lines of testing and community supports, COVID-19’s effects have not been felt equally in Ontario. We know that communities who’ve seen the highest rates of infections during the pandemic, the highest impacts on health and wellbeing, have been communities already marginalized before the pandemic hit, and for whom health and social services can be more difficult to access. We also know that it’s many of these people who will have difficulty accessing online or phone system booking, are home bound, or are otherwise hesitant or unable to visit mass vaccination clinics or pharmacies. Premier and Minister, we believe it is critical to have a plan to ensure that the people facing the most barriers and risks due to COVID-19 are given particular attention in vaccine plans.

    The good news is that throughout the pandemic, community health leaders and their partners have worked hard to build lines of trust, and to work with other community leaders, local ambassadors and others to ensure that their services, including testing and isolation supports, could reach people marginalized due to a variety of factors.

    From the experience of implementing COVID-19 testing, we know that one-size-fit-all mass vaccination clinics, even if accessibly located within priority neighbourhoods, will not be effective by themselves. Mobile testing clinics that deliver testing to the door, and smaller testing sites located in trusted community spaces, performed by trusted organizations, have been the keys to success. These lessons can be applied to ensure a successful and equitable rollout of the COVID-19 vaccination campaign.

    Premier and Minister, we ask for your leadership in supporting all Public Health Units across Ontario to work with primary care to include and implement the following in the regional vaccination rollout:

    1. A comprehensive, multilingual, and culturally safe approach to addressing vaccine hesitancy and building vaccine confidence in communities where distrust and marginalization, as well as language and social barriers can play a role in vaccine uptake, by partnering with and resourcing community organizations that have existing lines with trust and have already been supporting COVID-19 response in these priority neighbourhoods. This might mean flyers in building lobbies, door-to-door visits, local language radios, leveraging faith leaders, and other high touch strategies that have already been used during testing and isolation campaigns in the hardest hit communities.
    2. A multi-pronged approach that builds access to the vaccine into existing partnerships, mobile units, community testing sites, and pop-up community campaigns with priority populations. This may include innovative solutions that were successful for testing, such as repurposing public buses to set up vaccination clinics outside of seniors’ residences, social housing, and isolated areas within the hardest hit postal codes.
    3. Collection, review, and reporting of race-based and socio-demographic data as the rollout takes place across marginalized communities to ensure that the people who are at the highest risk are being helped first by the vaccine, and to prevent future outbreaks. This type of collection and reporting will enable healthcare and community providers to know which of their clients require additional outreach immediately, and inform a more just and equitable system going forward.

    We have come this far together, building on the strength of individual, tailored community outreach and supports to help reduce the risk of further outbreaks in the hardest hit areas of Ontario’s most marginalized communities. To get Ontario back on its feet, and begin the recovery we all so desperately want to see, we have to start with those who’ve been pushed the furthest down by this pandemic. Mass vaccination sites alone, however well placed or advertised using social media and traditional advertising buys will only take us so far.

    We have to help those at the greatest risk through community approaches that have proven to be successful. We have seen in other jurisdictions, particularly in the United States, that without a coordinated plan to reach the hardest hit communities, vaccination rates in postal codes with the highest number of outbreaks are often the ones with the lowest vaccination rates. We have a chance to write a different story here in Ontario. Together, we can do it.

    Sincerely,
    Sarah Hobbs, CEO, Alliance for Healthier Communities
    Kavita Mehta, CEO, Association of Family Health Teams of Ontario
    Dana Cooper, Executive Director, Nurse Practitioners Association of Ontario
    Jennifer Clement, CEO, Nurse Practitioner-Led Clinic Association
    Leanne Clark, CEO, Ontario College of Family Physicians
    Anthony Dale, CEO, Ontario Hospital Association
    Dr. Samantha Hill, President, Ontario Medical Association
    Dr. Alykhan Abdulla, Chair, Section on General and Family Practice, Ontario Medical Association

    See the pdf version here.

  • Bits & Pieces: vaccine learnings webinar, 2021 conference and more

    Bits & Pieces: vaccine learnings webinar, 2021 conference and more

    Your Weekly News & Updates


    In This Issue  
    • Supporting older persons at home webinar March 25
    • Reminder – Saegis Cybersecurity Clinic Update 2021, Mar. 4
    • Reminder – AFHTO 2021 Conference: tell us what YOU want, what you really, really want
    • Happy Social Work Week
    • Learnings from primary care: vaccine roll-out slides and video
    • Engaging and supporting caregivers slides and video
    • Video profile of Akausivik Inuit FHT COVID rollout, OECD report and more
    • Supply Ontario appoints first CEO and needs primary care voices
    • OpenNotes study seeking clinician participants- tomorrow deadline to respond
    • Study invitation – characterizing the impact of primary care pharmacists’ consultation notes on health care decisions
    • Healthy Professional Worker study
    • RISE updates
    • Upcoming events including COVID@Home Monitoring for Primary Care Providers, Practising Well CoP and more

    Supporting older persons at home webinar March 25

    Supporting Older Persons at Home – Learning and Collaboration During the COVID-19 Pandemic and Beyond
     

    COVID-19 highlighted numerous barriers and challenges to providing integrated care for older persons living in the community. Join Provincial Geriatrics Leadership Ontario in a discussion on how to better support older persons in the community using lessons learned during the first year of the COVID-19 pandemic.

    We will discuss needs in primary care – focusing on the role of interprofessional teams – and offer some resources and tools to better support team-based care for older persons. We will also discuss how specialized geriatric service programs in your area can provide support to primary care clinicians.


    Reminder – Saegis Cybersecurity Clinic Update 2021, Mar. 4

    Cohosted with Saegis, this webinar:

    • Discusses the top 5 cybersecurity threats facing your clinic
    • Lists the 10 questions to ask before engaging an IT consultant for your clinic, and questions to ask about your clinics network security
    • Describes how and where to report clinic cyberattacks and privacy breaches.

    Learn more here.


    Reminder- AFHTO 2021 Conference: tell us what YOU want, what you really, really want

    We’re going virtual again for this year’s conference and although we haven’t set a date yet, the earliest would be some time in October. Now that we’ve tried it once, we’d like to make the next better for you- more streamlined and focused on your needs.

    We need your help. What do you want to hear more about and how would you like it?Tell us in this really quick survey. Deadline now March 9


    Recognizing social workers. Social Work Week 2021. #YouAreNotAlone. OASW

    Happy Social Work Week

    The first week of March marks the beginning of Social Work Week in Ontario (#SWW2021). The current environment we find ourselves in is truly unlike any other. Please consider this year’s Social Work Week theme, “You are Not Alone” and explore the resources being shared as part of Social Work Week, at: www.oasw.org/socialworkweek. 

    Join us as we recognize our fellow social work colleagues by celebrating Social Work Week and their many contributions to teams and their patients.


    learnings from pc vaccine webinar

    Learnings from primary care: Vaccine roll-out across Ontario

    Last Friday, February 26 we heard from teams who have stepped up to provide leadership for vaccine distribution in their communities. Ministry of Health officials, including Daniel Warshafsky (Senior Medical Consultant, Office of the Chief Medical Officer of Health) was also there to provide an update on vaccine roll-out and to take questions. Slides and video are now on our site.

     


    Engaging and supporting caregivers slides and video

    OCO Webinar Title Slide

    On Feb. 25, the Ontario Caregiver Organization highlighted resources and opportunities for primary care teams to support and engage caregivers. Attendees learned about:

    • The Ontario Caregiver Organization and their key programs, services, and resources
    • Three key caregiver-related strategies that can positively impact health outcomes and the patient/family/caregiver experience
    • Resources, programs, and actions that primary care teams can take to help advance these strategies

    Slides and video are now available.


    Video profile of Akausivik Inuit FHT COVID rollout, OECD report and more

    Recent updates include:

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


    Supply Ontario appoints first CEO and needs primary care voices

    Supply Ontario is a single integrated supply chain across the public sector that will leverage the province’s purchasing power to provide greater value and consistent access to high-quality products and services. The agency has appointed Frank Rochon as their first CEO, effective March 1, 2021.

    They need your input to help identify opportunities to improve the value they can deliver for your organization and patients, through better supply chain processes. Deadline now March 9.


    OpenNotes study seeking clinician participants- tomorrow deadline to respond

    Researchers at CAMH are looking to recruit mental health care providers across Ontario who document patient notes within an electronic health record, to participate in the “The OpeN Study”. This study is looking to understand and explore the needs of clinicians who are providing patients and their family members access to their clinical notes.

    The study is recruiting participants to take part in a 60–90-minute interview to share their experiences. More information about the project can be found in this poster.

    If you are interested in participating in this study, please email Strudwick.research@camh.ca by Wednesday, March 3rd, 2021.


    Study invitation – characterizing the impact of primary care pharmacists’ consultation notes on health care decisions

    Dr. Nicole Domanski is a clinical pharmacist at the UBC Pharmacists Clinic. Her research project is designed to characterize the impact of pharmacists’ consultation notes on healthcare decisions made by prescribers. As a physician or nurse practitioner working in FHTs, you have likely received a consultation note written by a primary care pharmacist.

    She invites you to complete the following anonymous survey: to share your perspectives on pharmacist consultation notes. The survey consists of ranking and multiple-choice questions that should take approximately 10 minutes to complete.

    Click here complete survey.


    Healthy Professional Worker study

    An interdisciplinary, multi-university research team led by Dr. Bourgeault at the University of Ottawa is exploring the mental health experiences of professional workers, and how these experiences are affected by their personal, work and family life. They are particularly interested in the role that gender has on these experiences. There will also be some questions about how COVID-19 has impacted these experiences.

    If you are interested in taking part in this study, please follow this link to the online survey in English or in French. The survey will take about 15-20 minutes to complete. If you would prefer to participate in an interview, please contact the study project coordinator, Audrey Kruisselbrink, at HPW@uottawa.ca. The interview will take 40-60 minutes, for which there will be a $20 honorarium.

    To learn more, you can see the flyer.


    RISE updates

    You can also sign up for their monthly newsletter here.


    Personal Resilience for Hospice Palliative Care, Mar. 3, 2021
    Learn how to enhance personal resilience during even the most challenging times.
    Find out more here.


    Advancing Excellence in Transgender Health, Mar. 4, 2021
    The aim of this conference is to bridge this gap and provide information and resources to better equip Nurse Practitioners providing care to Gender Diverse individuals. The highlight is hearing the patient perspective. Find out more.


    COVID@Home Monitoring for Primary Care Providers webinar, Mar. 4, 2021
    Ontario Health webinar with speakers:

    • Moderator: David Kaplan, Chief Clinical Quality, Clinical Institutes and Quality Programs, Ontario Health
    • Dr. Dee Mangin and Dr. Cathy Risdon, McMaster University Department of Family Medicine
    • Georgian Bay FHT – Gaynor Edwards, RN, Clinic Director
    • Marathon FHT – Jodi Osborne, Physician Assistant

    Register here.


    Practising Well Community of Practice, Mar. 5, 2021
    A space created by family physicians, for family physicians. Connect in real time with, and learn from, others who are working with patients to address their mental health, substance use disorders and chronic pain. The first session focuses on the challenges for family doctors in managing their own mental health/substance use during the pandemic. Join in on the discussion. Register here.


    OHT evaluation webinars, Feb. 23 recording & Mar. 23 registration
    The recording and slides for Health System Performance Network’s Population Health Management & Applying Population Segmentation from Feb. 23, and OHT Improvement Measures from Health Administrative Data: Where are OHTs Starting From? on Mar. 23 registration are available here.


    BounceBack refresher webinar, Mar. 18 & 25, 2021
    The BounceBack communications and marketing team invites you to a 30-minute refresher presentation on BounceBack, a free CBT skill-building program designed to help individuals 15+ manage low mood, mild to moderate anxiety or depression, stress or worry.

  • March 1st Update on COVID-19 Vaccination Roll Out

    Dear Members,
    We are writing to provide you with an update from our united Primary Care COVID-19 Vaccination Collaborative (PC-VAC*).  This past week’s key messages that we shared with vaccine decision-makers can be found here.

    The Collaborative has been working closely together and is meeting regularly with representatives from the Provincial Vaccine Task Force, public health, home care, hospitals, and other stakeholders. The provincial vaccine strategy is continuously evolving, and despite the close collaboration, we are often not privy to government decisions prior to their announcement. We are committed, however, to providing you with the most up to date information that is available to us and advocating on behalf of our colleagues and the patients that we serve.

    Even as information is uncertain there are four things that primary care can do: educate, communicate, collaborate, and vaccinate:

    • Educate: we have built trusting therapeutic relationships with our patients and can help answer questions about vaccine hesitancy and consent
    • Communicate: we have rosters of patients and can reach out easily through EMR, secure email, websites as well as our office voicemail messaging.
    • Collaborate: we have long standing relationships with public health and can be a huge help in supporting their vaccine rollout plans. Please consult your PHU’s vaccination plan for how you can best support your 80+ and other priority clients to be vaccinated. You can also reach out to the primary care liaisons for your local PHU.
    • Vaccinate: it’s at the core of what primary care providers do. Prevention is our specialty. The rollout will be faster with us helping out as part of mass vaccination clinics, mobile teams and in our own offices.

    Learnings From Primary Care: Vaccine Roll-Out Across Ontario Webinar
    On Friday, February 26, we heard from four AFHTO teams who have stepped up to provide leadership for vaccine distribution in their communities. They spoke to work that is underway, offered guidance and advice, spoke to challenges faced and how they are resolving them, and answered questions.

    Dr. Daniel Warshafsky, Senior Medical Consultant, Office of the Chief Medical Officer of Health, also joined the call to provide an update on vaccine roll-out and to take questions. You can access the slide deck and webinar on our site here.

    Updates:

    COVAXON update
    OntarioMD is working on sending the vaccine report through HRM (source: MOH COVAX app) and the target is to have this live by the end of April. No additional information at this point as they are in the early design stage. They will have communications and an FAQ ready once they know more.

    COVID@Home  

    The Ministry of Health is working to procure oxygen saturation monitors for use by primary care professionals wishing to provide enhanced monitoring of their COVID+ patients. These devices can be requested via provincial stockpile, similar to how you request PPE, and more details on ordering will soon be available.

    Please reach out to your regional digital leads to learn more about existing remote monitoring programs in your region and how you can assist or leverage these programs for your patients. In the meantime, Ontario Health will be hosting a webinar on March 4th from 12:00 to 1:00 p.m. on COVID@Home Monitoring for Primary Care: Clinical Pathways and Resources so please register for more information.

    Ontario Community Support Program
    Since the start of the pandemic, the Ontario Community Support Program (OCSP), funded by the Ministry for Seniors and Accessibility, has provided funds to help vulnerable clients stay home safely.

    This ongoing program helps low-income, isolated seniors and people with physical disabilities get the meals, groceries, medications, and other essentials they need to stay at home safely during COVID-19. This week, the Government extended the program to March 2022, creating more security for people in need. Please help raise awareness of these services so people can continue to isolate safely.

    Below is a short message you can share with your patients, families, and caregivers:

    COVID-19 Support Available for Isolated Seniors and People with Physical Disabilities

    Do you know an isolated, low-income senior or person living with a physical disability, without family or community support, who needs help getting essentials during the current COVID-19 pandemic?  
    The Ontario Community Support program helps those in need get meals, groceries, medicine, and other essentials delivered through Meals on Wheels so that they can safely isolate at home. Service is available through March 2022.

    To identify a local community provider and request service, visit www.ontariocommunitysupport.ca or dial 211 or 1-877-330-3213 (toll free). TTY service is also available at 1-888-340-1001.

    New Resources:

    • University of Toronto Department of Family and Community Medicine and the Ontario College of Family Physicians has released four e-modules for primary care professionals: why we need the vaccine, the safety and efficacy of mRNA vaccines, plans for vaccine rollout and how to build vaccine confidence among patients. Updated modules on the viral vector vaccines are coming soon.
    • COVID Learning Series: free 5-part self-paced learning series through CFPC Learn
    • Covid19 Vaccine Facts: Instagram account by Dr. Amanda Adams, Department of Family Medicine, Markham Stouffville Hospital, with answers by Canadian doctors to combat vaccine hesitancy.
    • ‘Onions Don’t Cure COVID-19’: University of Guelph students combatting COVID-19 misinformation through videos and infographics.

    Find resources from previous weeks here.

    We look forward to continually updating you on the provincial vaccination strategy. Please do not hesitate to contact us if you have any questions or ideas.

     

    Yours in good health,

    The AFHTO Team

    *Ontario Primary Care COVID-19 Vaccination Action Council:

    • Alliance for Healthier Communities
    • Association of Family Health Teams of Ontario
    • Indigenous Primary Health Care Council
    • Nurse Practitioner-Led Clinic Association/Nurse Practitioners’ Association of Ontario
    • Ontario College of Family Physicians
    • Ontario Medical Association Section on General and Family Practice
    • Ontario’s Academic Chairs of Family Medicine
  • Bits & Pieces: vaccine learnings webinar, 2021 conference and more

    Bits & Pieces: vaccine learnings webinar, 2021 conference and more

    Your Weekly News & Updates


    In This Issue  
    • Learnings from primary care: Vaccine roll-out across Ontario
    • Urgent reminder- Supply Ontario needs primary care voices
    • AFHTO 2021 Conference: tell us what YOU want, what you really, really want
    • Black Health Matters: Building a primary health care system that works
    • Prescribing nature: PaRx launches in Ontario
    • Updated provincial testing guidance, workflow, COVID-19 educational series x 2 and more
    • Member stories
    • Primary care virtual groups slides and video available
    • Humber College Healthcare Management student placements
    • Upcoming events including engaging caregivers, cybersecurity and more

    Learnings from primary care: Vaccine roll-out across Ontario

    Please join us this Friday, February 26, from 1 – 2:30 p.m. to hear from teams who have stepped up to provide leadership for vaccine distribution in their communities. They will speak to work that is underway; offer guidance and advice; speak to challenges faced and how they are resolving them; and answer questions you may have.
     

    Speakers:

    • Jill Berridge (ED, McMaster FHT)
    • Robin Mackie (ED, Delhi FHT)
    • Teri Arany (ED, Toronto Western FHT) and Camille Lemieux (Lead Physician, Toronto Western FHT)
    • Michèle Lajeunesse (Community Health Promotion Coordinator, Marathon FHT)

    Ministry of Health officials, including Daniel Warshafsky (Senior Medical Consultant, Office of the Chief Medical Officer of Health) and Nadia Surani (Director, Primary Health Care Branch), will be on a portion of the webcast to provide an update on vaccine roll-out and to take questions. Register now.


    Urgent reminder- Supply Ontario needs primary care voices

    Supply Ontario is a single integrated supply chain across the public sector that will leverage the province’s purchasing power to provide greater value and consistent access to high-quality products and services.

    They need your input to help identify opportunities to improve the value they can deliver for your organization and patients, through better supply chain processes. Deadline now March 9.


    AFHTO 2021 Conference: tell us what YOU want, what you really, really want

    It’s the last week of February and we’re starting to plan this year’s conference. We’re going virtual again and although we haven’t set a date yet, the earliest would be some time in October. Now that we’ve tried it once, we’d like to make the next better for you- more streamlined and focused on your needs.

    We need your help. What do you want to hear more about and how would you like it?Tell us in this really quick survey. Deadline now March 9

    Note: Yes, we made a Spice Girls reference. If you’d like a trip down memory lane or a dance break (we hear looking away from your screen occasionally is good for you) click here.


    Black Health Matters: Building a primary health care system that works

    BHM panel 2020

    In recognition of Black History Month, we offer this session from our 2020 conference (video link below). Anti-Black racism was already a pre-COVID pandemic, with its roots in history. What does this mean for primary care? For this session there was:

    • An overall focus on Black people’s experience with healthcare in Ontario
    • Context for this at the system/ policy level- including the ways in which seemingly neutral instruments and tools feed an anti-Black narrative
    • Replicable programs addressing these issues as carried out by Black health leaders
    • What primary care teams can do

    Watch the video


    Prescribing nature: PaRx launches in Ontario

    2 people walking through fall foliage

    Nature prescriptions were named one of the top 8 global wellness trends in 2019. And it’s no surprise—research shows that kids and adults who spend more time in nature are happier and healthier. Starting with a BC launch in November 2020 to significant media attention (The Globe & Mail, CBC), PaRx is breaking ground as Canada’s first national, evidence-based nature prescription program.  
     
    On February 22nd PaRx officially launched in Ontario. Featuring practical resources like quick tips and patient handouts, its goal is to make prescribing time in nature simple, fun and effective.

    As part of the Ontario launch, and out of gratitude to health-care workers, the BC Parks Foundation is offering free remote nature therapy sessions led by certified nature therapy guides to all prescribers in March so they can experience the stress-relieving benefits of nature themselves.
     
    Check out www.parkprescriptions.ca for more information on nature prescriptions and to register to become a prescriber.


    Member stories

    Guelph FHT – 98 doctors write letter encouraging community to get vaccinated

    Markham FHT – AFHTO president and Markham FHT Lead MD Dr. Allan Grill on vaccine rollout to 80+ with CP24 and Global News

    Six Nations of the Grand River FHT- Six Nations band members can soon preregister for COVID-19 vaccine


    Updated provincial testing guidance, workflow, COVID-19 educational series x 2 and more

    Recent updates include:

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


    Transitiong to virtual title slide screenshot

    Primary care virtual groups slides and video available

    On Feb. 17 we hosted the webinar Primary Care Virtual Groups – Transitioning a CBT Program & Cardio-Pulmonary Rehab Program to Virtual with Arnprior and District FHT and Scarborough Academic FHT. Video and slides are now available. 

     

     


    Humber College Healthcare Management student placements

    The Honours Degree, Healthcare Management Bachelor of Commerce program takes the best of business management practices – business law, marketing, microeconomics, financial management, and business research methods- then add the edges: an in-depth study of healthcare issues and systems. Key courses including Population Health, Health Data and Analysis, Health Economics Health Policy and Evaluation and Healthcare Financial Management.    
     
    This program equips third year students with the skills required to contribute to your organization with good understanding of the best management practices through the Healthcare Management lens. Additional key courses include Health Informatics, Healthcare Strategy and Markets, Healthcare Systems and Health Services Organization and Management. See their flyer.


    Engaging and supporting caregivers in primary care teams: working together to improve outcomes and enhance the patient, caregiver, and family experience, Feb. 25, 2021

    Cohosted with Ontario Caregiver Organization, this webinar will highlight resources and opportunities for teams to support and engage caregivers.

    Register today.


    Saegis Cybersecurity Clinic Update 2021, Mar. 4, 2021
    Cohosted with Saegis, this webinar discusses the top security threats facing your team and explores best practices to decrease the risk of breaches in the clinic setting. Learn more here.


    Atopic dermatitis seminar for healthcare professionals, Mar. 1, 2021

    The Eczema Society of Canada and University of Ottawa is hosting this webinar aimed towards primary care providers.
    Find out more here.


    Personal Resilience for Hospice Palliative Care, Mar. 3, 2021
    Learn how to enhance personal resilience during even the most challenging times.
    Find out more here.


    Advancing Excellence in Transgender Health, Mar. 4, 2021
    The aim of this conference is to bridge this gap and provide information and resources to better equip Nurse Practitioners providing care to Gender Diverse individuals. The highlight is hearing the patient perspective. Find out more.

  • February 17th Update on COVID-19 Vaccination Roll Out

    Dear Members,

    We are writing to provide you with an update from our united Primary Care COVID-19 Vaccination Action Council (*PC-VAC). Last week’s key messages that we shared with vaccine decision-makers can be found here.

    We are mindful that the news regarding vaccines is evolving daily, and we will have to continue to be prepared for changes and uncertainties in the coming months as a sector. Along with our partners in primary care, we are committed to sharing regular updates, usually weekly, except on weeks where there are no significant new developments to share.

    Earlier this week, the Ministry of Health released updated sequencing of Phase One priority populations for vaccination which sets out the provincial direction for the vaccination program over the coming weeks.

    Engaging Primary Care in Vaccine Rollout – a Practical Guide for Public Health

    Key messages:

    • Public health leadership is committed to strong primary care partnerships in all phases and in all regions. These relationships are key enablers of an effective, efficient, and equitable rollout.
    • To ensure successful partnership with primary care, 1) invite primary care professionals and teams in planning and co-design, 2) involve them in feedback and rollout, and 3) inform them of local opportunities, uncertainties, and changes.
    • The enclosed partnership checklist can inform and validate existing strategies from health leaders involved in local COVID-19 vaccine planning in engaging primary care.

    Collaborating with Others:

    • Over the last two weeks, the collaborative of primary care organizations met with General (retired) Rick Hillier, Chair, COVID-19 Vaccine Distribution Taskforce, who emphasized the importance of an ongoing partnership with primary care provincially and locally.
    • We were pleased to see the addition of Dr. Kieran Moore, the Medical Officer of Health for Kingston, Frontenac and Lennox & Addington Public Health, join the Ontario Ministers’ COVID-19 Vaccine Distribution Task Force. Dr. Moore is a passionate advocate for public health, and as a trained family physician he will ensure that the primary care voice is added to the conversation. PC-VAC is now meeting weekly with Dr. Moore, in addition to Dr. Isaac Bogoch, to provide updates on issues arising from the field.
    • Health and primary care leaders from throughout the country led a virtual roundtable with Prime Minister Justin Trudeau. During the roundtable, the Prime Minister and other participants affirmed what we know to be true: family doctors and primary care professionals are “most knowledgeable and most trusted” and “a core part of getting everyone vaccinated.”
    • Listen to the Evan Solomon Show speak to Dr. Isaac Bogoch about the importance of family physicians and primary care providers in the COVID vaccine rollout. Leveraging the existing relationships primary care has with their patients, based in trust, will accelerate vaccination in the community.

    COVAXON

    • As we had mentioned in our last update, the Ministry of Health has introduced an electronic central repository to input the vaccine information for individuals and manage site inventory called COVAXON. This web-based application will allow for ease in checking people in for their vaccination appointment, capture the consent and personal data information, as well as which health unit region they are in and their vaccination clinic site. While clinics will be required to submit names of the staff (along with user names and email addresses) to request access to the system, the mechanism to apply is not yet finalized however we will advise once we know the information. Please note however that once you get an email from the system, you must reply within 24 hours in order to complete the authentication process.
    • Access for primary care users will fall within phase two and three of the vaccine rollout and training webinars will be available prior to the on-boarding schedule to ensure that everyone is prepared. While it likely won’t be fully integrated into your EMR, we understand COVAXON system will be able to send reports of your vaccinated patients to your EMR.  
    • More on COVAXON will be shared when it becomes available.

    New Resources:

    Reminder of resources from previous weeks

    We look forward to continually updating you on the provincial vaccination strategy. Please do not hesitate to contact us if you have any questions or ideas.

    Yours in good health,

    The AFHTO Team

    *Ontario Primary Care COVID-19 Vaccination Action Council:

    • Alliance for Healthier Communities
    • Association of Family Health Teams of Ontario
    • Indigenous Primary Health Care Council
    • Nurse Practitioner-Led Clinic Association/Nurse Practitioners’ Association of Ontario
    • Ontario College of Family Physicians
    • Ontario Medical Association Section on General and Family Practice
    • Ontario’s Academic Chairs of Family Medicine
  • Bits & Pieces: cultural safety toolkit, many vaccine resources and more

    Bits & Pieces: cultural safety toolkit, many vaccine resources and more

    Your Weekly News & Updates


    In This Issue  
    • Creating a safer environment for Indigenous Peoples
    • Reminder- Supply Ontario survey
    • Reminder- primary care virtual groups webinar tomorrow
    • Saegis cybersecurity clinic update webinar Mar 4
    • PHAC COVID-19 vaccination toolkit for HCWs, many Ministry resources, and more
    • Wellness Together Canada
    • OCFP Awards – call for nominations
    • CPSO policy consultations including MAID
    • Noninvasive Fetal RhD Blood Group Genotyping Task Force
    • Upcoming events including engaging and supporting caregivers and more

    Creating a safer environment for Indigenous Peoples

    The Indigenous Primary Health Care Council has just released Ne’ iikaanigaana Toolkit: Creating Safer Environments for Indigenous Peoples. Ne’ iikaanigaana is the Anishinaabe word for ‘All Our Relations’.

    The toolkit was created to support mainstream organizations on their journey towards creating safer environments for Indigenous participation, which is inclusive of participating as both an employee and a client or patient seeking services.


    Reminder- Supply Ontario survey

    The government recently established Supply Ontario, a single integrated supply chain across the public sector that will leverage the province’s purchasing power to provide greater value and consistent access to high-quality products and services.

    They’re need your input to help identify opportunities to improve the value they can deliver for your organization and patients, through better supply chain processes. Deadline February 24.


    Reminder- primary care virtual groups webinar tomorrow

    This webinar is in collaboration with two FHTs transitioning in-person programs to virtual. Scarborough Academic FHT will share how they transferred their CBT skills group for depression and anxiety to online along with the benefits and challenges.

    Arnprior FHT is presenting on how they modified an in-person Cardio-Pulmonary Rehab to Virtual in their rural community. In this webinar they will share their patients’ thoughts and feelings on the program adjustment, discussing wins and struggles along the way. Register here.


    Pre-budget submission
    AFHTO submitted recommendations last week to the Ministry of Finance as part of the 2021 Ontario Pre-Budget Consultations. The submission is entitled “The Heart of Health Care: Delivering Better Primary Care for Ontarians.”  This was done in collaboration with the Ontario College of Family Physicians, the OMA Section on General & Family Practice, and the Nurse Practitioners’ Association of Ontario. The submission can be read here.


    Saegis cybersecurity clinic update webinar Mar 4

    This webinar on March 4 will explore Canadian data/trends from the Canadian Centre for Cybersecurity, discuss the top security threats facing your team, and explore best practices to decrease the risk of breaches in the clinic setting. We will take a look at what a cyber-attack looks like, and how to respond if one should happen. Register today.


    COVID-19 vaccine fact sheet, cancer screening update and more

    Recent updates include:

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


    Woman in pyjamas sits on the floor wth her head resting against a bed

    Wellness Together Canada

    Wellness Together Canada is Canada’s first and only online platform offering immediate mental health support for people of all ages, in every province and territory, and in both official languages.

    It provides a “stepped care” model where Canadians can be instantly connected to virtual mental health services, from a five-minute self-assessment, to extensive support and resources, to live phone, video or text counselling with a mental health professional or crisis responder.

     

    All services and resources are available at no cost to users, ever. This includes:

    • Immediate crisis support
    • Mental health self-assessment and monitoring
    • Access to self-directed virtual programs
    • Moderated community of support
    • Virtual group coached anxiety program
    • E-courses, including drop-in mindfulness class
    • Live one-on-one counselling support by video, phone, or text

    Visit Wellness Together Canada for 24/7 access to free mental health and substance use support at wellnesstogether.ca.


    OCFP Awards – call for nominations

    Nominate your colleagues for an OCFP award. Multiple categories ae open, including regional Family Physician of the Year. Deadline Feb. 28, 2021


    CPSO policy consultations including MAID

    CPSO is conducting policy consultations on the issues below. You can provide your input by March 15 for the first and April 12 for the rest:


    Noninvasive Fetal RhD Blood Group Genotyping Task Force

    The PSO Advisory Committee is looking for representation from the following categories to join the Noninvasive Fetal RhD Blood Group Genotyping Task Force:

    • Primary Care (Family Medicine, Midwifery, Nurse Practitioner)
    • Care for Indigenous Populations and/or Remote Care

    This is a short-term task force that will provide evidence-based and clinical/scientific leadership advice on implementation considerations for noninvasive fetal RhD blood group genotyping in Ontario. The terms of reference are here.

    How to Apply (Deadline: February 24, 2021):

    1. Complete and submit the RhD Task Force Survey
    2. Forward your CV to pso@bornontario.ca

    Engaging and supporting caregivers in primary care teams: working together to improve outcomes and enhance the patient, caregiver, and family experience, Feb. 25, 2021

    Cohosted with Ontario Caregiver Organization, this webinar will highlight resources and opportunities for teams to support and engage caregivers.

    Register today.


    Infection Prevention and Control at Work: Basic Awareness Training

    The PSHSA recently released this free, 30-minute training module for Ontario workers to recognize and prevent infection hazards in the workplace. Learn more here.


    Goal Management Training for Treatment of Executive Dysfunction, Feb. 19, 2021
    Learn more about the intervention, research, and models to deliver Goals Management Training virtually. Learn more here. 


    Changing the way we work: Long COVID and lessons from the UK, Feb. 19, 2021
    The COVID-19 CoP by the OCFP is covering learnings from the Dr. Greenhalgh, a renowned primary care researcher and GP in the UK. Learn more here.


    Atopic dermatitis seminar for healthcare professionals, Mar. 1, 2021

    The Eczema Society of Canada and University of Ottawa is hosting this webinar aimed towards primary care providers.
    Find out more here.


    Personal Resilience for Hospice Palliative Care, Mar. 3, 2021
    Learn how to enhance personal resilience during even the most challenging times.
    Find out more here.


    Advancing Excellence in Transgender Health, Mar. 4, 2021
    The aim of this conference is to bridge this gap and provide information and resources to better equip Nurse Practitioners providing care to Gender Diverse individuals. The highlight is hearing the patient perspective. Find out more.

  • Bits & Pieces: COVID-19 collaborative home monitoring resources, fact sheets and more

    Bits & Pieces: COVID-19 collaborative home monitoring resources, fact sheets and more

    Your Weekly News & Updates


    In This Issue  
    • COVID-19 collaborative home monitoring program resources now available
    • Happy Psychology month
    • Supply Ontario survey
    • Interprofessional primary care during COVID-19: a survey of the provider perspective
    • Correction-anti-racism webinar series open to members
    • COVID-19 vaccine fact sheet, cancer screening update and more
    • Reminder- primary care virtual groups webinar, Feb. 17, 2021
    • Trans health mentorship call
    • Infection prevention and control at work: basic awareness training
    • Microsoft Teams update
    • PHAC webinar: emerging issues on covid-19 vaccines: allergies, anaphylaxis, and low dead volume syringes
    • Upcoming events including transitioning programs to virtual and more

    COVID-19 collaborative home monitoring program resources now available

    Related to this recently launched program, Georgian Bay FHT has provided resources to help other members set up their own program, including CHMP pathway, patient information handouts and EMR assessment forms.


    Happy Psychology month

    To all our Psychologists, thank you for looking out for Ontarians’ mental health throughout the pandemic. Happy Psychology Month!

    Reminder- The Ontario Psychological Association is also still working with AFHTO to improve access to psychological services in times of need. Last spring, they activated the Disaster Response Network to connect essential front-line workers who needed support from psychologists. Until March 31st, Ontario physicians, nurse practitioners and FHTs may still refer essential workers with no or limited health benefits directly to OPA or inform patients to call 211 to be connected to a psychologist within 48 hours. Up to 6 counselling sessions are offered at no cost.


    Supply Ontario survey

    The government recently established Supply Ontario, a single integrated supply chain across the public sector that will leverage the province’s purchasing power to provide greater value and consistent access to high-quality products and services.

    They’re asking for input to help identify where there may be opportunities to improve the value that the agency can deliver for your organization and patients, through better supply chain processes. Deadline February 24.


    Interprofessional primary care during COVID-19: a survey of the provider perspective
    Thank you to those who participated in the survey led by Drs. Catherine Donnelly (and Jordan Miller and Rachelle Ashcroft. An article has now been published, with input from our own Sandeep Gill.


    Correction- Anti-racism webinar series open to members
    Hosted by Central Brampton FHT’s mental health team & CMHA Toronto Opening Doors Project, Anti-Racism – What is it and Where do you fit in? is a webinar series with four consecutive episodes, which offers an opportunity to explore our own individual identities and how it relates to practicing anti-racism:

    • Part 1: Reflecting on our own Identities -Feb. 17 AND 24
    • Part 2: Building Bridges: Anti-Racism 101- Mar. 3 AND 10

    Members are welcome to attend.


    COVID-19 vaccine fact sheet, cancer screening update and more

    Recent updates include:

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


    Reminder- primary care virtual groups webinar, Feb. 17, 2021

    This webinar is in collaboration with two FHTs transitioning in-person programs to virtual. Scarborough Academic FHT will share how they transferred their CBT skills group for depression and anxiety to online along with the benefits and challenges.

    Arnprior FHT is presenting on how they modified an in-person Cardio-Pulmonary Rehab to Virtual in their rural community. In this webinar they will share their patients’ thoughts and feelings on the program adjustment, discussing wins and struggles along the way. Register here.


    Trans health mentorship call

    Rainbow Health Ontario’s Trans Health Mentorship call is a teleconference every other week for Ontario clinicians to connect with peers who have experience caring for trans and non-binary service users.  

    The call is open to any professional (physician, nurse, social worker, mental health worker, etc.) who is or will be working with trans and non-binary service users. Learn more here.


    An employee with glasses, mask and glove cleans a counter

     

    Infection prevention and control at work: basic awareness training

    A new online training program is now available to help Ontario workers recognize infection hazards in the workplace and what can be done to prevent them. Developed in consultation with infection control consultants and epidemiologists, this free, 30-minute eLearning program from Public Services Health & Safety Association equips workers with knowledge in how infections spread and what action can be taken to protect themselves and others in the workplace.

     

     


    Microsoft Teams update

    AFHTO continues its conversations with Ontario Health on extending the Microsoft 365 licensing (which includes Microsoft Teams) to AFHTO members. Ontario Health is working through the details with Microsoft, and they are considering affiliate licensing that would be made available through a licensing provider. AFHTO will advise members when the affiliate licensing has been set up, along with the details on the discount pricing (hopefully before fiscal year end).


    PHAC webinar: emerging issues on covid-19 vaccines: allergies, anaphylaxis, and low dead volume syringes

    Public Health Agency of Canada (PHAC) webinar hosted by the National Collaborating Centre for Infectious Diseases (NCCID):
    English Session
    February 10, 2021 1pm-3:00pm EST
    Register: Click here
     
    French Session
    February 12, 2021  1pm-3:00pm EST
    Register: Click here
     
    Previous Public Health Agency of Canada COVID-19 vaccine webinars for health care providers can be found here.


    Engaging and supporting caregivers in primary care teams: working together to improve outcomes and enhance the patient, caregiver, and family experience, Feb. 25, 2021

    Cohosted with Ontario Caregiver Organization, this webinar will highlight resources and opportunities for teams to support and engage caregivers.

    Register today.


    Waiting Room Revolution – A Podcast About Unlocking the Secrets to a Better Illness Experience

    Drs. Hsien Seow and Samantha Winemaker share the stories of patients and families’ serious illness journeys. Listen to the first 4 episodes today.


    Goal Management Training for Treatment of Executive Dysfunction, Feb. 19, 2021
    Learn more about the intervention, research, and models to deliver Goals Management Training virtually. Learn more here.


    Recognizing and Managing Anxiety Disorders in Primary Care during COVID-19, Feb. 9, 2021
    Ontario Health webinar with experts in the field and resources about how to support patients presenting in primary care with symptoms of anxiety. Register here.


    Personal Resilience for Hospice Palliative Care, Mar. 3, 2021
    Learn how to enhance personal resilience during even the most challenging times.
    Find out more here.


    Advancing Excellence in Transgender Health, Mar. 4, 2021
    The aim of this conference is to bridge this gap and provide information and resources to better equip Nurse Practitioners providing care to Gender Diverse individuals. The highlight is hearing the patient perspective. Find out more.


    Advance Care Planning & Goals of E-Learning Modules, Available until Mar. 31, 2021
    The HPCO is offering their e-modules on person-centred decision making for a limited time. Register before the end of March to access the resources. Learn more here.

  • Winter Highlights 2021: AFHTO Leadership Council

    The AFHTO Leadership Council met on February 4, 2021. Below are the highlights from the winter 2021 council meeting; updates on last week’s meeting with officials at the Ministry of Health; and links to useful resources.

    AFHTO review

    • Highlights of the work that is keeping AFHTO busy were shared with the council, including COVID-19 vaccination roll-out, OHT development, the pre-budget submission, and quality improvement work. Updates on vaccination roll-out and OHT development are later in the communique.
    • The pre-budget submission is underway in collaboration with the Ontario College of Family Physicians, the OMA’s Section on General and Family Practice, and the Nurse Practitioners’ Association of Ontario.
      • Together, we are recommending expansion of team-based primary care; embedding mental health and addiction and home and community care services in primary care; and strengthening virtual care foundations in primary care.
      • The submission will be posted on AFHTO’s site next week, after it has been submitted.
    • An update on the work of AFHTO’s Quality & Knowledge Translation Program was provided to the council and can be read here.
    • Dr. Rob Annis, a member of AFHTO’s board of directors, spoke to governance structure changes that are underway at the Ontario Medical Association. New board members could help drive leadership and change in primary care. Member leaders are encouraged to apply, and physicians are encouraged to vote for primary care representation. The deadline to apply is tomorrow, February 9, and voting is March 23 to April 13. Anyone with questions can contact Dr. Annis.

    COVID-19 vaccination roll-out

    • Leadership council members received an update from Dr. Daniel Warshafsky (Senior Medical Consultant, Office of the Chief Medical Officer of Health, Ministry of Health) and Nadia Surani (Director, Primary Health Care Branch) on the provincial approach to vaccination roll-out.  AFHTO is regularly speaking with the Ministry of Health and the COVID-19 Vaccine Distribution Task Force regarding the role of primary care in vaccine roll-out – in stage 2, but particularly in stage 3 when the general population will be vaccinated.
    • Work is being done to ensure primary care is a pillar in the planning. The pivot of primary care to go into mass vaccination clinics will be part of the planning.
    • As vaccine planning happens across the province, a reminder that PHUs are in charge of the planning and are to engage with primary care. Primary care will determine clinical priorities and will need to decide if there is capacity to support initiatives like mass immunization campaigns. Please connect with your PHU to ensure that they are sharing their vaccine roll-out plans, and share your plans with us.
    • Teams are reminded that they can access the provincial Pandemic PPE Transitional Support stockpile through the remedy system (even if you have more than 7 days of stock you can still access this supply). Ignore the question that asks if you have connected with your supplier first.  
    • A detailed update was circulated on Saturday, February 6, and can be read here.

    OHT development

    Triad survey: Primary care priorities

    • Thank you to triad members who completed a survey that was circulated prior to the leadership council meeting to help AFHTO frame priorities moving forward. Feedback is still welcome.
    • The survey was one question: “In your role as ED, board chair, or lead physician, what do you think is the biggest opportunity for primary care teams to focus on over the next 3 to 6 months?” The following were shared as top priorities and discussed with the council:
      • COVID-19 vaccination roll-out
      • Mental health and addiction challenges and needed support
      • Advancing OHT work
      • Maximizing utility of virtual care
      • Spreading access to team-based programs and services
      • Getting back on track
    • AFHTO will continue to focus on supporting teams in these areas.

    Meeting with the Primary Health Care Branch, Ministry of Health
    AFHTO met with officials from the Ministry of Health’s Primary Health Care Branch on Thursday, February 4, following the leadership council meeting. Here are the highlights of the meeting with the ministry:

    • Mental health and addiction funding letters
      • The letters are in the final stage of approval and, once signed, the Ministry will be sending them out to all interprofessional teams.
      • All FHTs will receive a minimum of $5,000, with a top-up based on roster size. Teams can choose to pool this funding within regions to target areas in greatest need.
      • At the moment, the expectation will be to utilize the funds by fiscal year end, but a parallel stream of work is happening at the Ministry to enable the funding to be carried into next fiscal year. This is still to be determined.
    • Annual Operating Plans and funding support:
      • About 60% of teams submitted their Annual Operating Plans for FY 2020/2021, which the Ministry is currently reviewing in tandem with AOPs submitted in FY 2019/2020. A reminder that you do not have to mention all the COVID-related clinics you are doing as those are one-time events.
      • The Ministry recognizes that program and service delivery targets may be affected as a direct result of COVID. Teams will not be penalized if programs and services are not delivered as planned and should continue to balance urgent/high need service provision with the need to support COVID testing/assessment centres and vaccination roll out.
      • Timelines for AOPs for FY 2021/2022 has not yet been determined.  
      • Although there is not a pool of operational funding to support teams right now, the Ministry continues to ask teams to keep track of COVID-related expenses to enable advocacy for more funding if needed in the next fiscal year (ex. upgrades of IT for virtual care, licenses for virtual care modalities, IPAC in your teams). As we will be entering into a new political cycle, we are hopeful it may create opportunities for further investment in primary care. Teams are advised to start thinking about other increased budgetary demands, such as rent increases, so we can begin advocacy efforts accordingly.
      • Though budget funding requests typically are only reviewed during the AOP submissions, teams are still able to make unsolicited in-year funding requests through their ministry program consultant, although there is no guarantee that those requests will be met.
    • FHT contract:
      • The FHT contract is expiring in March 2022. Although we have had preliminary discussions with the Ministry on opportunities to modernize the contracts, we expect that there will be at least a one-year extension to the current contract due to the impacts of COVID. We will keep members updated as we learn more.
    • Pandemic pay:
      • We have heard that some primary care staff redeployed to an assessment centre run by hospitals still have not received their pandemic pay. The Ministry confirmed that hospitals have been reimbursed for March and April expenses and are still working on the subsequent months’ reimbursement, so this may be creating delays. If you are still having issues in accessing pandemic pay for your staff, please let us know.

    Supply Ontario survey

    • The government recently established Supply Ontario, a single integrated supply chain across the public sector that will leverage the province’s purchasing power to provide greater value and consistent access to high-quality products and services. They are asking for input to help identify where there may be opportunities to improve the value that the agency can deliver for your organization and patients, through better supply chain processes.
    • Please take a moment to fill out this survey by Wednesday, February 24.    

    Webcasts and other supports

    And, finally, for new members of the council who may not have access to the members only section of the website – or any member who may not have signed up for it! – you can set up your log-in here:

    • Click on ‘Member Login’ in the top right corner of AFHTO’s homepage
    • Go to “Create New Account” and follow the steps
    • All individuals are verified as members by AFHTO staff and then permission is granted.
    • If your email address does not show the team where you work, members are encouraged to send a quick email to info@afhto.ca to share this information after creating the account. This helps ensure permission is quickly granted.
  • February 6th Update on COVID-19 Vaccination Roll Out

    Dear Members,

    We are writing to provide you with an update from our united Primary Care COVID-19 Vaccination Action Council (*PC-VAC). This week’s key messages that we shared with vaccine decision-makers can be found here.

    We are mindful that the news regarding vaccines is evolving daily, and we will have to continue to be prepared for changes and uncertainties in the coming months as a sector. Along with our partners in primary care, we are committed to sharing regular updates, usually weekly, except on weeks where there are no significant new developments to share.

    New Resources:

    • The Ministry has provided a number of guidance documents describing common side effects following vaccination including an After Care sheet and Guidance for Health Care Workers.
    • We know that vaccine supply issues are an ongoing concern but phase 1 continues to roll out with the intent to accelerate the vaccination of long-term care, high-risk retirement, and First Nations elder care residents. Please click here to read the most up to date COVID-19 Vaccination Technical Briefing.
    • The OCFP has developed a resource for special populations and the recording for their most recent Community of Practice session on New Vaccines, building vaccine confidence and more from February 5, 2021 can be found here.
    • A COVID-19 – Allergy/Immunology BASE™ Managed Specialty Group is now available through Ontario eConsult. Physicians and nurse practitioners can ask COVID-19 vaccine allergy related clinical questions to Allergy and Clinical Immunology specialists electronically and receive a response within days.

    Patient Resources:

    Other Information:

    • The updated prioritization framework for the population is being finalized for approval by the cabinet over the next few weeks and we will share the guidance document once it is received.
    • The COVID-19 Science Table released its lessons learned from Israel’s vaccine rollout, including: “leveraging primary care providers, including family doctors, nurse practitioners and other community-based clinicians who have established relationships with patients is key to promoting vaccine confidence, while increasing human resources required to administer vaccines as quickly as the supply will allow.”
    • The Ontario Hospital Association released a media statement calling for the need to migrate vaccination efforts away from hospitals to public health, primary care, and pharmacies.
    • We continue to work with public health to encourage all the public health units to engage primary care early, are supporting connections with local primary care leaders, and are soon releasing a practical guide to primary care partnership in vaccine rollout. Please ask your PHU for your region’s vaccine rollout strategy if you have not seen it and share with us so we can support best practices across the province.  
    • COVAXON is the provincial system to record COVID vaccination, adverse events and eventually also integrate the approved prioritization sequence.  
      • See ADM Memo to Primary Care – COVID-19 Vaccination and COVAXON, February 1, 2021.
      • The prioritization framework will be integrated into COVAXON and an associated scheduling system is planned that will enable patients to choose their preferred locations and make direct appointment bookings.
      • While it likely won’t be fully integrated into your EMR, we understand COVAXON system will be able to send reports of your vaccinated patients to your EMR.  

    To facilitate coordinated action in primary care, we are seeking to understand beliefs relating to the COVID-19 vaccine and what supports are needed for healthcare professionals in primary care. Please complete this new, very brief survey to help gain a better understanding of your perspectives and experience. Click here to access the survey.

    We look forward to continually updating you on the provincial vaccination strategy. Please do not hesitate to contact us if you have any questions or ideas.

    Yours in good health,

    The AFHTO Team

    *Ontario Primary Care COVID-19 Vaccination Action Council:

    • Alliance for Healthier Communities
    • Association of Family Health Teams of Ontario
    • Indigenous Primary Health Care Council
    • Nurse Practitioner-Led Clinic Association/Nurse Practitioners’ Association of Ontario
    • Ontario College of Family Physicians
    • Ontario Medical Association Section on General and Family Practice
    • Ontario’s Academic Chairs of Family Medicine
  • Bits & Pieces: engaging and supporting caregivers webinar Feb. 25 and more

    Bits & Pieces: engaging and supporting caregivers webinar Feb. 25 and more

    Your Weekly News & Updates


    In This Issue  
    • Engaging and Supporting Caregivers, Feb. 25
    • Members’ stories
    • Anti-racism webinar series open to members
    • Mental Health and Additions Centre of Excellence supports for HCW and more
    • Now is the Time to Choose Wisely: Advancing QI slides and video
    • Improving access and navigation to psychological services during COVID-19
    • Prenatal Screening Ontario seeking working group members
    • Survey to better understand public beliefs and perceptions of the COVID-19 vaccines
    • COVID-19 cohort study in GTA
    • Joint letter on vaccination roll-out and community providers
    • Upcoming events including transitioning a CBT program & cardio-pulmonary rehab program to virtual and more

    Engaging and Supporting Caregivers, Feb. 25

    There are 3.3 million family caregivers in Ontario who play a critical role in health outcomes. We are pleased to cohost a webinar with the Ontario Caregiver Organization which will highlight resources and opportunities for teams to support and engage caregivers:

    • Learn about the Ontario Caregiver Organization and the key programs, services and resources they offer.
    • Learn about three key caregiver-related strategies that can positively impact health outcomes and the patient/family/caregiver experience.
    • Find out about resources, programs, and actions that teams can take to help advance these strategies.

    Register for this webinar on Feb. 25.


    Members’ stories

    City of Lakes Family FHT staff with the Tim Hortons for Good campaign van

    City of Lakes FHT – The City of Lakes Family FHT was visited by the Tim Hortons for Good campaign Feb. 1.

    Georgian Bay FHT – South Georgian Bay OHT has launched a Home Monitoring Program to care for high-risk patients with suspect or confirmed COVID-19.


    Anti-racism webinar series open to members
    Hosted by Central Brampton FHT’s mental health team & CMHA Toronto Opening Doors Project, Anti-Racism – What is it and Where do you fit in? is a webinar workshop series which offers an opportunity to explore our own individual identities and how it relates to practicing anti-racism:

    • Part 1: Reflecting on our own Identities -Feb. 17 & 24
    • Part 2: Building Bridges: Anti-Racism 101- Mar. 3 & 10

    Members are welcome to attend.


    Mental Health and Additions Centre of Excellence supports for HCW and more

    Recent updates include:

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


    Now is the Time to Choose Wisely: Advancing QI slides and video

    Choosing Wisely webinar slide

    On January 27 we cohosted a webinar with Choosing Wisely Canada on improving practice, enhancing patient experiences, and reducing unnecessary tests and treatments. Slides and video are now available.


    Improving access and navigation to psychological services during COVID-19

    Ontario Psychological Association has recently launched Askforhelptoday.ca, a new e-referral and matching service that improves the way Ontarians connect to psychological services. Funded by RBC Insurance, it utilizes technology from Strata Health Solutions to match patients to the most appropriate provider. OPA navigators will ensure each patient is connected quickly and confidentially to a psychologist based on their needs and personal preferences. This can be paid either through benefits or out of pocket.

    The Ontario Psychological Association is also still working with AFHTO to improve access to psychological services in times of need. Last spring, they activated the Disaster Response Network to connect essential front-line workers who needed support from psychologists. Until March 31st, Ontario physicians, nurse practitioners and FHTs may still refer essential workers with no or limited health benefits directly to OPA or inform patients to call 211 to be connected to a psychologist within 48 hours. Up to 6 counselling sessions are offered at no cost.


    Woman in blue shirt making heart on stomach

     

    Prenatal Screening Ontario seeking working group members

    Consider using your experience to support Ontario’s prenatal screening system. Prenatal Screening Ontario depends on input from experts and advisors from relevant fields to ensure that all the elements of a robust screening program are best carried out.

    They’re looking for representation from across all regions of Ontario including Northern Ontario, rural and Indigenous communities, to join the Genetics Working Group and Education Working Group. Check out their website for more details about the working groups, and how to apply. The deadline for applications is February 19, 2021.


    Survey to better understand public beliefs and perceptions of the COVID-19 vaccines

    To facilitate coordinated action in primary care, Women’s College Research Institute is seeking to understand beliefs relating to the COVID-19 vaccine and what supports are needed for healthcare professionals in primary care.

    You are invited to complete a brief survey to help them better understand your perspectives and experience.

    Note: They will be distributing this survey monthly for a total of four months to understand how experiences are changing over time.

    Click here to access the survey.


    COVID-19 cohort study in GTA

    A COVID-19 Research Study led by Mt. Sinai Hospital and funded by Weston Foundation, Physicians’ Services Inc., and COVID-19 Immunity Task Force is looking for people working in private medical offices and clinics in the Toronto area. The COVID-19 Cohort Study (CCS) follows staff and their families throughout the pandemic to find out the rate of COVID-19 infection, antibody levels over time, and the uptake of vaccines against COVID-19.

    The researchers are looking for staff who have direct patient contact as well as those that have no contact with patients.

    For more information about the study visit here.


    Joint letter on vaccination roll-out and community providers
    AFHTO, in partnership with other primary care and home care associations, wrote to Premier Ford and Minister Elliott last week regarding the need to plan the vaccination roll-out to vulnerable and home-bound individuals.

    “While we understand that currently, there is a shortage of vaccines, and that this reality is outside of the province’s control, we are concerned that there is not a transparent plan around how needles are going to get into the arms of people identified to be in Stage 2, namely those that are vulnerable and/or home-bound and the providers that care for them.”

    Read the full letter here.


    Primary care virtual groups – transitioning a CBT program & cardio-pulmonary rehab program to virtual

    This webinar is in collaboration with two FHTs transitioning in-person programs to virtual. Scarborough Academic FHT will share how they transferred their CBT skills group for depression and anxiety to online along with the benefits and challenges.

    Arnprior FHT is presenting on how they modified an in-person Cardio-Pulmonary Rehab to Virtual in their rural community. In this webinar they will share their patients’ thoughts and feelings on the program adjustment, discussing wins and struggles along the way. Register here.


    Mental health for adults with developmental disabilities during COVID: A virtual course for family caregivers, starting Feb. 2, 2021
    This course will run for 6 weeks beginning on Tuesday February 2, 2021. Find out more here.


    Changing the way we work: Update on COVID-19 Vaccines, Feb. 5, 2021
    The next in OCFP/DFCM COVID-19 CoP sessions. Register here.


    Recognizing and Managing Anxiety Disorders in Primary Care during COVID-19, Feb. 9, 2021
    Ontario Health webinar with experts in the field and resources about how to support patients presenting in primary care with symptoms of anxiety. Register here.


    What do Covid-19 vaccines mean for me? Feb. 18, 2021
    Part two of The Globe and Mail and The Royal Society of Canada’s COVID-19 vaccine series. Register here.


    Advancing Excellence in Transgender Health, Mar. 4, 2021
    The aim of this conference is to bridge this gap and provide information and resources to better equip Nurse Practitioners providing care to Gender Diverse individuals. The highlight is hearing the patient perspective. Find out more.