Tag: Management/Operations

  • Bits & Pieces: Astra-Zeneca pause supporting documentation, CMOH webinar and more

    Bits & Pieces: Astra-Zeneca pause supporting documentation, CMOH webinar and more

    Your Weekly News & Updates


    In This Issue  
    • Supporting documentation for Astra-Zeneca pause
    • COVID-19 Education with Daniel Warshafsky, Office of CMOH, June 9
    • Happy Foot Health Month- plus article on initial diabetic foot screening
    • COVID-19 vaccination clinic workflow update
    • Provincial Antigen Screening Program – Intake Portal and more
    • Relevant reports and studies- patient perspectives on quality of care for depression and anxiety and need for team-based primary care in the US
    • ECHO Ontario Integrated Mental and Physical Health
    • OHT Impact Fellows- deadline May 25
    • 1st North American Conference on Integrated Care– call for submissions
    • Upcoming events including Measuring Patient and Provider Experience: Completing the Quadruple Aim and more

     

    Supporting documentation for Astra-Zeneca pause

    As we noted last week the Ontario government announced on May 11 that primary care and pharmacy are to pause on the further use of the AstraZeneca (AZ)/COVISHIELD COVID-19 vaccines as first doses to eligible individuals.

    On May 14, the Ministry released related supporting documentation for healthcare workers:


    COVID-19 Education with Daniel Warshafsky, Office of CMOH, June 9

    From variants of concern to changing directives on vaccines, understanding of the COVID-19 pandemic continues to evolve rapidly. The Indigenous Primary Health Care Council, the Alliance for Healthier Communities, and the Association of Family Health Teams of Ontario are pleased to invite Dr. Daniel Warshafsky, Senior Medical Consultant at the Office of the Chief Medical Officer of Health to speak with our members on the latest findings and considerations related to COVID-19, so that you can be better equipped to answer your patients’ questions.

    This session will cover key questions that we have heard from you, including variants of concern, AstraZeneca and potential mixing of vaccine, breakthrough cases and emerging evidence around vaccination for children 12-17 years old. Nicole Blackman, Provincial Director at the Indigenous Primary Health Care Council will talk about why Indigenous people are prioritized to receive vaccines. Register here.


    Happy Foot Health Month- plus article on initial diabetic foot screening

    This month chiropodists and podiatrists all over Ontario will be promoting awareness and education on the importance of good foot health. Everyone involved in foot health, including physicians, chiropodists, nurses, diabetes teams, and other IHPs, can provide better outcomes for their patients by sharing important weekly tips and information about good foot health, common conditions, and preventative measures. Some useful sources include:

    In recognition of Foot Health Month, we would also like to celebrate a recent peer reviewed publication from Dufferin Area FHT’s chiropodists in The Foot journal. Conducted at the DAFHT, the study explains how the 60-second diabetes foot screens that many diabetes teams and nurses use (to refer) could be enhanced with a use of the Manchester Scale visual tool. The purpose was to emphasize a primary care and inter-collaborative approach to diabetes foot screens.


    COVID-19 vaccination clinic workflow cover data & emr edition tips & tricks

     

    COVID-19 vaccination clinic workflow update
    We have just updated the document geared towards the Super User, with some tips and tricks for teams, their mass vaccination clinics, drive-thru vaccination clinics and in-clinic vaccinations.

     

     

     

     

     

     

     

     


    Provincial Antigen Screening Program – Intake Portal and more

    Recent updates include:

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


    Relevant reports and studies- patient perspectives on quality of care for depression and anxiety and need for team-based primary care in the US


    View frome behind of people in a meeting room with more light on those at the back

    ECHO Ontario Integrated Mental and Physical Health

    Are you looking for support managing your most complex patients?  Apply for ECHO Ontario Integrated Mental and Physical Health.  The FREE and virtual interactive sessions will take place on Fridays from 12:00-1:15 PM EST from June 4-August 27, 2021. 

    Identifying the most effective mental and physical health interventions can be challenging.  Our program connects you with the expertise of leading clinicians and a panel of your peers.  By learning together, you will not be alone in finding the best path ahead for your patients.  Apply here.


    OHT Impact Fellows- deadline May 25
    The OHT Impact Fellows program offers recent Master’s and PhD graduates a one-year embedded fellowship opportunity in Ontario Health Teams, where they will support local projects and contribute to rapid learning.

    The program provides Fellows with advanced training in implementation and evaluation while enabling them to apply their skills in an exciting work environment and be a catalyst for health systems change. Deadline May 25. Find out more here.


    1st North American Conference on Integrated Care– call for submissions

    The 1st North American Conference on Integrated Care in association with the 6th World Congress on Integrated Care will be run as a virtual conference in partnership with the University of Toronto, KPMG Canada, HSPN and iCOACH from October 4 – 7,  2021. With the overarching theme ‘Co-designing for health and wellbeing with individuals and communities’, deadline to submit is May 31. Find out more here.


    Input needed today on the curriculum for a new mentoring program on occupational and environmental medicine
    How confident do you feel about identifying a work-related illness, completing a WSIB Form 8, or doing a functional abilities assessment with injured patients?  You can get support on these topics and more through the new Project ECHO Occupational and Environmental Medicine (OEM) for Ontario healthcare providers.  Help tailor the program curriculum by completing this short needs assessment.  It takes less than 10 minutes, and you could win a $50 gift card. The (free) ECHO OEM program launches this fall. Deadline extended to today, May 18.


    Addressing COVID-19 vaccine hesitancy in clinical practice, May 19 & 20, 2021
    The Public Health Agency of Canada (PHAC) and the National Collaborating Centre for Infectious Diseases (NCCID) is hosting a webinar to inform health care providers on addressing COVID-19 vaccine hesitancy in clinical practice.  


    COVID-19 CoP: Mobilizing community, administering Moderna in the office, evolving guidance and more, May 21, 2021
    Join the OCFP for their 23rd CoP to see how primary care is vaccinating communities and more.
    Find out more here.


    Measuring Patient and Provider Experience: Completing the Quadruple Aim, May 25, 2021
    HSPN will be discussing the measures of provider experience they recommend for use in OHTs. Patient & provider experiences will be shared from their own perspective.
    Register here.


    McMaster University Review Course in Psychiatry, May 27-28, 2021
    Hosted by Continuing Professional Development, McMaster University and accredited. Find out more here.


    Child & Youth Eating Disorders: Information for Primary Care, June 1 – 15, 2021
    This special interest ECHO session series will cover:

    • Understanding Medical Implications and Monitoring for Children and Youth with Eating Disorders, June 1, 2021
    • Supporting a Young Person with an Eating Disorder in Primary Care – Tips and Tricks for the Primary Care Provider, June 15, 2021

    For more information, click here.


    Project ECHO: Ontario Bariatric Network, Starting June 2, 2021
    Join these OBN Project ECHO Series held by Guelph General Hospital BCOE & The Ottawa Hospital BCOE.
    Find out more here.

  • Bits & Pieces: nursing week, EMR audit materials, vaccination workflow and more

    Bits & Pieces: nursing week, EMR audit materials, vaccination workflow and more

    Your Weekly News & Updates


    In This Issue  
    • Nursing Week
    • EMR/EHR Auditing Obligations video and materials
    • COVID-19 vaccination clinic workflow and mass upload tips & tricks
    • Member stories
    • High-risk healthcare workers to get second dose sooner, VITT guidance and more
    • IPHCC youth-produced social media and video series on vaccine promotion
    • Message for pregnant individuals about the COVID-19 vaccine
    • KTE webinars on hold
    • Respiratory Health Forum – call for expression of interest
    • Upcoming events including primary care vaccine QI support and more

     

    Thank You Nurses with red chocolate hearts and red paper hearts

    Nursing Week

    It’s Nursing Week so we’re extending a heartfelt THANK-YOU to nurses in primary care teams. This week, we’re recognizing your dedication to your patients, your teams and your community during the pandemic and beyond. You can join with #NursingWeek2021.

     

     

     


    Privacy audits webinar title slide

     

    EMR/EHR Auditing Obligations video and materials
    On May 7 we held an hour and a half webinar with Kate Dewhirst Law to better understand the obligations to audit EMR and EHRs. Video, slides, and an audit report sample are now available here.

     

     


    COVID-19 vaccination clinic workflow and mass upload tips & tricks

    COVID-19 vaccination clinic workflow cover data & emr edition tips & tricks

    COVID-19 vaccination mass client upload workflow

     

     

     

     

     

     

     

     

     

     

     

     

     

    As teams move from pilot COVID-19 vaccination clinics to mass vaccination clinics, drive-thru vaccination clinics and in-clinic vaccinations, we have put together a document geared towards the Super User, with some tips and tricks. Learning from the experience of Windsor FHT, Hamilton FHT, Upper Grand FHT, London FHT and many more we have summarized the key learnings for you!

    We have also put together a Mass Client Upload Workflow document in collaboration with the QI in PC Council, with tips and tricks for data extraction, manipulation, and upload. Read more in last week’s eBulletin.


    Member stories

    Elliot Lake FHTElliott Lake FHT to get Pfizer-BioNTech vaccine

    Guelph FHT “I got my COVID-19 vaccine to keep my community safe”: Health Care Providers addressing vaccine hesitancy

    Hamilton FHTHamilton opens AstraZeneca vaccine walk-in for ages 40 and up

    Owen Sound FHT Grey Bruce – COVID-19 Vaccines for Homebound Residents

    Prime Care FHTMilton clinic offers COVID-19 vaccine for Ontarians 40 and up

    You can share your own stories with our member initiative webform. If you have any questions, please email us at info@afhto.ca.


    High-risk healthcare workers to get second dose sooner, VITT guidance and more

    Recent updates include:

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


    IPHCC youth-produced social media and video series on vaccine promotion

    The Indigenous Primary Health Care Council, in partnership with the National Reconciliation Program at Save the Children, has been leading an Indigenous youth vaccine advocacy program. As part of the program, each of the 20 youth participants has created a 30-40 second video “story” which they will be sharing on social media. Each of the videos includes a brief story explaining how COVID has affected their life, a COVID fact and finishes with their reason for getting vaccinated.
     
    As this is a youth run program, they have created their own social media strategy. The videos are being shared through Facebook stories, Instagram (both as stories and reels), TikTok and other platforms that the youth may choose beginning on Monday May 3. Each participant will be sharing a different video for 20 days to maximize their reach. IPHCC is also sharing the videos on Facebook, Instagram, Twitter and TikTok. The youth also chose several hashtags to use for the campaign- #SmudgeCOVID #4MyRelations #BrighterFuture and #IndigenousYouth4Vaccine. If you choose to share the content, please use these hashtags so they can monitor the campaigns reach.

    Social media handles are:

    Facebook: @IPHCC.ca
    Instagram: @iphcc.ca
    Twitter: @iphcc_ca
    TikTok: @iphcc


    Message for pregnant individuals about the COVID-19 vaccine

    BORN Ontario Video Collage Language Logo

    Pregnant individuals are eligible for the COVID-19 vaccine in Ontario, and now have a decision to make about getting vaccinated while pregnant. Making sense of information from various sources can be difficult. There is an urgent need to deliver COVID-19 messages from reliable sources of information and empower individuals to make an informed choice.
    To this end, pregnancy care providers in Ontario are sharing a unified video message for pregnant individuals, aimed at highlighting the risks of COVID-19 infection in pregnancy (notably the increased likelihood of ICU admission), and at increasing vaccine confidence.

    The message is currently available in English, French and numerous other languages, such as Arabic, Cantonese, Farsi, Mandarin, Spanish, Tamil, Vietnamese, and Yoruba. Please share the link to the video collection with the pregnant people in your care, and the public.


    KTE webinars on hold
    We have had so many great webinars so far this year, but right now we will have a brief pause for May and possibly June as vaccination efforts are expedited. Of course, things can change quickly so please keep up to date by checking our emails. In the meantime, you can catch up with these webinars from the past few months.


    Respiratory Health Forum – call for expression of interest
    The Lung Health Foundation invites those working in primary or community care programs and initiatives related to lung health to submit an expression of interest to present a virtual and interactive presentation at the Respiratory Health Forum on Oct. 13, 2021. Deadline May 28, 2021.


    Choosing Wisely Canada’s Virtual National Meeting, May 12 – 13, 2021
    Remember to register for Choosing Wisely’s 2-day national meeting, in collaboration with the CMA.
    Learn more here.


    Primary Care Vaccine QI Support Group Webinar, May 13, 2021
    Join Ontario Health to learn valuable lessons from pilot sites, gain access to resources, information, and quality improvement tips to assist you in moving forward with your vaccine plans.
    Register here.


    Child & Youth Eating Disorders: Information for Primary Care, May 18 – Jun. 15, 2021
    This special interest ECHO session series will cover:

    • Understanding Eating Disorders and Assessment of Children and Youth with Eating Disorders, May 18, 2021
    • Understanding Medical Implications and Monitoring for Children and Youth with Eating Disorders, June 1, 2021
    • Supporting a Young Person with an Eating Disorder in Primary Care – Tips and Tricks for the Primary Care Provider, June 15, 2021

    For more information, click here.


    CFPC Pivots: May & June 2021

    • The Art And Science Of Medication Optimization For Heart Failure With Reduced Ejection Fraction, May 18, 2021
    • At A Loss For Weight Loss? Scaling Down The Evidence For Primary Care, June 8, 2021

    To access the webinar links, click here.


    Project ECHO: Ontario Bariatric Network, Starting June 2, 2021
    Join these OBN Project ECHO Series held by Guelph General Hospital BCOE & The Ottawa Hospital BCOE.
    Find out more here.

  • QI in Action eBulletin #107: COVID-19 Vaccination Clinic Workflow and Mass Upload Tips & Tricks

    QI in Action eBulletin #107: COVID-19 Vaccination Clinic Workflow and Mass Upload Tips & Tricks

    In this Issue:

    • COVID-19 Vaccination Clinic Workflow and Mass Upload Tips & Tricks
    • Ontario Health Updates: Quality Standards (QS)
    • Recent Research Publications
    • Upcoming Webinars

     

    COVID-19 Vaccination Clinic Workflow and Mass Upload Tips & Tricks

    COVID-19 vaccination clinic workflow cover data & emr edition tips & tricks

     

    As teams move from pilot COVID-19 vaccination clinics to mass vaccination clinics, drive-thru vaccination clinics and in-clinic vaccinations, we have put together a document geared towards the Super User, with some tips and tricks. Learning from the experience of Windsor FHT, Hamilton FHT, Upper Grand FHT, London FHT and many more we have summarized the key learnings for you!

    OntarioMD continues to provide live and recorded series of webinars for the COVaxON system. In addition, it’s recommended to keep an eye on their website for any updates on End to End sessions, EMR Tools and Queries, Job Aids and much more!

     

     

    COVID-19 vaccination mass client upload workflow

     

     

    In collaboration with the QI in PC Council, we have put together a Mass Client Upload Workflow document with tips and tricks for data extraction, manipulation, and upload.

    In addition, to these tips and tricks it is highly recommended to keep an eye on the OntarioMD and eHealth Centre of Excellence Community Portal for up-to-date queries to help identify patient lists for vaccinations.

     

     

     

     

    Ontario Health Updates: Quality Standards (QS)

    Recognizing World Asthma Day (May 5th)

    Asthma is one of the most common chronic conditions in Canada. Two million Ontarians have asthma and an estimated 90% of them have uncontrolled asthma that could be improved by optimizing medication. It’s more important than ever for people with asthma to get the best treatments to prevent emergency room visits for asthma flare-up during the pandemic.

    Ontario Health has also developed placemats based on the Asthma quality standards to support you and your patients living with asthma. The placemat is a quick-reference tool that concisely summarizes key information from the quality standard and can be used by primary care providers to facilitate patient-centered discussions. See the links below to access the asthma placemats:

    EMR Resources for primary care providers
    Ontario Health is making the QS placemats more accessible by supporting their use within electronic medical record (EMR) systems. They have developed EMR user guides to help you access the QS placemats in Accuro and Practice Solutions Suite EMR systems. A step-by-step guide to support OSCAR EMR users will be available soon.

    OH encourages you to share these resources with your colleagues and networks. Please let them know how these resources are being used in the field and in your EMR systems. To share your feedback, please email qualitystandards@hqontario.ca.  

    Research Publications

    Upcoming Webinars:

    In Case You Missed It: Check out eBulletin #106 or other back issues here!
    Questions? Comments? Contact us at improve@afhto.ca.

  • Bits & Pieces: mental health week, updated Directive #2 Q&A, phase 2 prioritization and more

    Bits & Pieces: mental health week, updated Directive #2 Q&A, phase 2 prioritization and more

    Your Weekly News & Updates


    In This Issue  
    • Mental Health Week
    • Member stories
    • Updated Directive #2 Q&A, phase 2 prioritization, supporting patients with IDD and more
    • Reminder- EMR/EHR Auditing Obligations, May 7, 2021
    • Free seated desk yoga, May 12
    • Mask removal rules for the lunchroom
    • Seeking input on an occupational medicine mentoring program curriculum
    • Patients and caregivers needed for primary health care team policy discussion
    • Upcoming events including NACI recommendations on extended dose intervals and effectiveness of COVID-19 vaccines and more

    CMHA Name it, don't numb it. Child crying with the word 'sad'.

    Mental Health Week

    Mental Health Week is being observed May 3-9, 2021. The theme of this year is understanding our emotions, key during COVID-19 when 40% of Canadians say their mental health has deteriorated since the onset of the pandemic. You can take part and access toolkits at https://mentalhealthweek.ca/.

     


    Staff at Arnprior drive through vaccine clinic processing a patient

     

    Member stories

    Arnprior & District FHTArnprior & District FHT, VTAC and COVID-19 vaccination drive through clinics

    Madawaska Valley FHT Madawaska Valley FHT NPs start their own practice

    You can share your own stories with our member initiative webform. If you have any questions, please email us at info@afhto.ca.

     

     

     

     

     


    Updated Directive #2 Q&A, phase 2 prioritization, supporting patients with IDD and more

    Recent updates include:

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


    Reminder- EMR/EHR Auditing Obligations, May 7, 2021

    Join Kate Dewhirst Law 12 p.m. to 1:30 p.m. to better understand the obligations to audit EMR and EHRs.  To be discussed:

    • Why do you have to audit?
    • What’s new in the 2020 changes to PHIPA about audits of electronic systems
    • Contractual obligations when signed onto Connecting Ontario platforms or sharing systems with OHT partners or other agencies in your geographic region
    • How often should you audit?
    • What do you have to audit?
    • How do you audit?
    • What tools to use to document your auditing practices

    Register here.


    GoodLife yoga flyer may

     

    Free seated desk yoga, May 12

    On May 12 at 12 noon, GoodLife is offering a free 45-minute virtual seated desk yoga class for healthcare workers. Click on the link in the poster to join. Space is limited so arrive early.

     

     

     

     

     

     

     


    Mask removal rules for the lunchroom
    Per Maria McDonald, McDonald HR law:

    On April 23, 2021, the Government of Ontario introduced new rules about removing masks to eat or drink at work (Regulation 82/20 see section 2 (5.1)).

    Specifically, a person responsible for an organization which is opened shall ensure workers who remove their mask or face covering to eat or drink, are separated from all other people by:
    (a)  a distance of at least two metres; or
    (b)  plexiglass or some other impermeable barrier.

    Please take this into consideration as it relates to your clinics.


    Seeking input on an occupational medicine mentoring program curriculum

    How confident do you feel about identifying a work-related illness, completing a WSIB Form 8, or doing a functional abilities assessment with injured patients?  You can get support on these topics and more through the new Project ECHO Occupational and Environmental Medicine (OEM) for Ontario healthcare providers. Help tailor the program curriculum by completing a short needs assessment before May 10th. It takes less than 10 minutes, and you could win a $50 gift card. The (free) ECHO OEM program launches this fall.  Take the short survey.


    Patients and caregivers needed for primary health care team policy discussion

    Researchers including Drs. Sharon Johnston (Bruyere/University of Ottawa) and Catherine Donnelly (Queen’s University) are inviting interested patients, family members and caregivers to participate in an online discussion about patient and caregiver involvement in building policies on primary health care teams and applying them.

    This is part of a larger study led by Dr. Nelly Oelke (Nursing, UBC, Okanagan) in four provinces, including British Columbia, Alberta, Ontario, and Quebec, to explore Canada’s approaches to improving health system integration. Participants will receive an honorarium for their participation and should RSVP by Wednesday, May 12th, 2021.  Learn more here.


    Recommendations of the National Advisory Committee on Immunization (NACI) on Extended Dose Intervals and Effectiveness of COVID-19 Vaccines, May 5, 2021
    Public Health Agency of Canada (PHAC) Webinar for Health Care Providers. Register here.


    Project ECHO: Ontario Bariatric Network, Starting May 6 & June 2, 2021
    Join these OBN Project ECHO Series held by Guelph General Hospital BCOE & The Ottawa Hospital BCOE.
    Find out more here.


    OCFP COVID CoP: Variants, the J&J vaccine, VIIT, and more, May 7, 2021
    Learn more about variants of concern, the Johnson & Johnson vaccine & helping patients weigh the risk and benefits of viral vector vaccines in light of Vaccine Induced Immune Thrombotic Thrombocytopenia.
    Register here.


    Choosing Wisely Canada’s Virtual National Meeting, May 12 – 13, 2021
    Remember to register for Choosing Wisely’s 2-day national meeting, in collaboration with the CMA.
    Learn more here.


    Child & Youth Eating Disorders: Information for Primary Care, May 18 – Jun. 15, 2021
    This special interest ECHO session series will cover:

    • Understanding Eating Disorders and Assessment of Children and Youth with Eating Disorders, May 18, 2021
    • Understanding Medical Implications and Monitoring for Children and Youth with Eating Disorders, June 1, 2021
    • Supporting a Young Person with an Eating Disorder in Primary Care – Tips and Tricks for the Primary Care Provider, June 15, 2021

    For more information, click here.


    CFPC Pivots: May & June 2021

    • The Art And Science Of Medication Optimization For Heart Failure With Reduced Ejection Fraction, May 18, 2021
    • At A Loss For Weight Loss? Scaling Down The Evidence For Primary Care, June 8, 2021

    To access the webinar links, click here.

  • Bits & Pieces: join over 200 people for lung health webinar and more

    Bits & Pieces: join over 200 people for lung health webinar and more

    Your Weekly News & Updates


    In This Issue  
    • Reminder – Respiratory Care During COVID-19: What Have We Learned One Year Later, April 21, 2021
    • Member stories
    • COVID@Home webinar video & resources, pregnancy & breastfeeding tools and more
    • Microsoft Teams update
    • Improving the population health of people at risk or living with diabetic foot complications slides and video
    • ONE Mail direct retirement and transition
    • Patients at low risk of amoxicillin allergy can undergo oral provocation challenge: study
    • Co-developing a culturally appropriate question prompt tool about CVD risk after hypertensive pregnancy
    • Upcoming events including building a resilient non-profit organization and more

     

     

    Reminder- Respiratory Care During COVID-19: What Have We Learned One Year Later, April 21, 2021

    Over 200 people have already registered for this webinar co-hosted with the Lung Health Foundation. We invite you to reflect on best practices & considerations for diagnosing and managing lung diseases during the pandemic.
    Find out more here and join us.


    Member stories

    Clinton FHT – Kimberly Van Wyk, ED on an episode of Humanizing Our Differences, discussing how to be a welcoming community to newcomers

    East Wellington FHT – East Wellington FHT purchases vaccination fridge with donation from Erin Rotary Club

    You can share your own stories with our member initiative webform. If you have any questions, please email us at info@afhto.ca.


    COVID@Home webinar video & resources, pregnancy & breastfeeding tools and more

    Recent updates include:

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


    Microsoft Teams update
    About a year ago we had mentioned that we were talking to Ontario Health (OH) to get access to a discounted rate of Microsoft 365 (which includes Microsoft Teams), through Ontario Health’s affiliate licensing.  Currently OH is still negotiating with Microsoft about the discount pricing as they finalize the enterprise agreement. Penalties related to opting out of existing agreements to move to OH’s Microsoft 365 affiliate licensing are being looked into by Microsoft and they will advise us on how this transition will work. Members will be informed when details become available.


    Title slide with holding hands

    Improving the population health of people at risk or living with diabetic foot complications slides and video

    This interactive webinar on Thursday, April 15 provides an overview of your role to improve the population health of people at risk or living with diabetic foot complications across the full continuum of care settings to improve patient experience, outcomes, and costs. Slides and video now available.

     

     


    ONE Mail retirement

    Ontario Health (OH) is retiring its ONE® Mail Direct provider to provider secure email service in 2021. The service was underutilized by community clinicians and uptake by physicians was not widespread. Ontario Health will be providing clinicians/users with formal notice in phases starting in early April 2021. Clinicians/users will have 90 days after they receive formal notice to transition to a new secure email service. TeraMach is the selected vendor and you can learn more about them here. Further information can be found in the OH & OMD FAQs documents.

    Please note: ONE Mail Direct retirement does not affect the status of your ONE ID credentials. You will be able to continue accessing other Ontario Health services that you are currently enrolled in.


    Patients at low risk of amoxicillin allergy can undergo oral provocation challenge: study
    This study involving chart review of North Perth FHT patients concluded oral provocation challenge presents a safe and accessible opportunity for primary care providers to address erroneous allergy labels to penicillin and related drugs within the primary care office setting. Authors include Jessie Rumble, Ingersoll NPLC. Read here.


    Co-developing a culturally appropriate question prompt tool about CVD risk after hypertensive pregnancy

    Researchers at University Health Network and University of Calgary are recruiting clinicians that care for women who had hypertensive disorders of pregnancy (HDP), referring to a spectrum of conditions from gestational hypertension to severe preeclampsia. HDP increases risk of premature cardiovascular disease (CVD), but can be prevented through physical activity, diet, and medication.

    Participation involves a one-time 20-minute telephone interview to discuss how a pre-formed list of questions might help clinicians counsel women about CVD prevention. If you are a midwife, nurse practitioner, family physician, obstetrician, cardiologist, or cardiac rehabilitation professional, please contact jessica.ramlakhan@uhnresearch.ca to ask questions or express interest.


    Building a Resilient Non-Profit Organization through Proactive Risk Management, April 22, 2021

    See how you can navigate uncertainty and prepare for the unexpected as they cover risk management strategy elements in this webinar.
    Find out more here.


    COVID-19 CoP: Vaccination in primary care, evolving vaccine evidence, and more, April 23, 2021
    The OCFP & University of Toronto DFCM will be discussing evolving vaccine evidence and experience delivering vaccines as part of primary care pilots.
    Learn more here.


    Primary Care Vaccine QI Support Group Webinar Series, April 22- May 13, 2021

    Join Ontario Health to learn valuable lessons from pilot sites, gain access to resources, information and quality improvement tips to assist you in moving forward with your vaccine plans.

    Register here


     EMR/EHR auditing obligations, May 7, 2021

    Join Kate Dewhirst Law to better understand the obligations to audit EMR and EHRs. Learn more here.


    A Deep Dive into Co-Designing Care Models for your Priority Populations, May 6, 2021
    The RISE OHT webcasts will show how your OHT can re-design care for patients in your priority populations, and help every patient in those populations experience coordinated transitions between providers.
    Learn more here.

  • Q&A Refresher with Maria McDonald, vaccination roll-out CoPs and input for the next OHT webinar

    Inside

    • Managing and Supporting Staff throughout COVID-19: Q&A Refresher with Maria McDonald
    • COVID@Home
    • Primary Care Vaccination Quality Improvement Community of Practice (Ontario Health) – Next Meeting is April 22!
    • OCFP community of practice
    • Next webinar on OHT learnings!
    • Reminder: Webinar on EMR auditing obligations
    • COVID-19 and patient responsibility

    Hello Executive Directors and Administrative Leads,

    We’d like to provide some updates on a new webinar, COVID@Home and communities of practice (CoP) for vaccine roll-out. There is also a request in this email for your input regarding another OHT webinar this spring, and a reminder about an upcoming webinar on auditing. Thank you in advance for your comments towards an OHT webinar – it will help us arrange one that will be of most use to you!

    Here are some updates:

    Managing and Supporting Staff throughout COVID-19: Q&A Refresher with Maria McDonald

    Over the past year, teams have pivoted to respond to the demands of COVID-19, and staff have shifted how and where they work. We recognize staff are working outside normal clinic hours and being tasked with additional duties as this crisis increases and Ontario remains under a stay-at-home order. How do teams continue to support staff through these transitions, 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 “refresher” webcast with Maria McDonald of McDonald HR Law on Tuesday, April 27, from 12 PM to 1 PM.

    This webcast invitation is going to EDs and admin leads only. However, we leave it at your discretion to extend the invitation to others on your team, as you consider appropriate.
     
    More information and registration is here!

    COVID@Home
    Teams received an email from the ministry on April 9, requesting support for home monitoring of COVID-19 positive patients with mild to moderate symptoms. This is to help relieve the strain on hospitals.

    Since that email, and due to the accelerating pressure on hospitals, particularly in 34 hot spot areas, teams have been hearing from both AFHTO and officials to identify capacity and, where needed, connect teams with the appropriate person in the hospital.

    AFHTO is scheduling a call with officials to answer questions about compensation, overtime, deployment of staff, and other operational matters. Please stay tuned for more details.
     
    For today, the following are available:

    Teams can contact their ministry representative if there are extraordinary costs associated with delivering COVID@Home or other COVID home monitoring programs. To enable participation in COVID home monitoring efforts, teams may pause or adjust their programs and services, except those that are deemed critical (e.g., acute care, mental health and addictions).

    COVID@Home is not intended to replace a home monitoring program you may already be using. If you already have a program, it would be helpful if you could email Beth MacKinnon so we know the work teams are doing and can ensure the ministry is informed.

    Primary Care Vaccination Quality Improvement Community of Practice (Ontario Health) – Next Meeting is April 22!
    A community of practice (CoP) came together in March under the leadership of Dr. David Kaplan from Ontario Health (COVID-19 Primary Care Lead, Toronto Region). This was for groups to share learnings, tools, and strategies across the six pilot regions during the Primary Care Vaccination Pilot in March/April.

    The group supported the pilot vaccine clinic sites and primary care partners in delivering vaccines; shared learnings, tools, resources, and strategies; and enabled collaboration to identify solutions to challenges.

    This pilot is now complete. As primary care vaccination expands, all members are invited to join what is now called the Ontario Health Primary Care Vaccination Quality Improvement CoP.

    You can join the CoP’s Quorum group for access to weekly webinars, tools/resources, and optional coaching support.

    These documents provide more information:

    Here are summaries of key learnings to date, as well as OMA guidance documents:

    This CoP’s webinar series will resume this Thursday, April 22. There will be one webinar a week for four weeks. They are from 8 AM to 9 AM. Registration is here.

    OCFP community of practice
    There is another community of practice, which is hosted by the OCFP to support physicians: “COVID-19 Community of Practice for Ontario Family Physicians.”

    The next call is this week on Friday, April 23, from 8 AM to 9 AM: “The COVID-19 vaccine: Vaccination in primary care, evolving vaccine evidence, and more” with panelists Dr. Allison McGeer and Dr. Rosemarie Lall.  You can register here.

    OCFP’s COVID-19 CoP session recordings, resources, and Q&As are here: https://www.dfcm.utoronto.ca/covid-19-community-practice

    COVID-19 information and resources:
    OCFP:         https://www.ontariofamilyphysicians.ca/
    U of T, DFCM:     https://www.dfcm.utoronto.ca/covid-19-community-practice

    Next webinar on OHT learnings!
    On February 26, members heard from four teams about OHT development in their regions. In a poll during the webinar, most members said that another one in the spring would be useful.

    To help us arrange speakers, we would like your feedback on what would be most helpful! What would you like to know about other OHTs? What questions do you have regarding their approach to population health? Governance? Primary care leadership? Patient engagement? Data and digital solutions? Performance and evaluation metrics?

    Please complete this survey by this Friday, April 23. Based on the feedback, we will arrange speakers for a 90-minute webinar later in the spring.

    Reminder: Webinar on EMR auditing obligations
    Teams are invited to join Kate Dewhirst from Kate Dewhirst Health Law on Friday, May 7, from 12 PM to 1:30 PM to better understand obligations to audit electronic medical records (EMR).

    Topics discussed will include the following:

    • Why do you have to audit?
      • What’s new in the 2020 changes to PHIPA about audits of electronic systems.
      • Contractual obligations when signed onto Connecting Ontario platforms or sharing systems with OHT partners or other agencies in your geographic region.
    • How often should you audit?
    • What do you have to audit?
    • How do you audit?
    • What tools to use to document your auditing practices.

    There will be time for questions. Register today!

    COVID-19 and patient responsibility
    Several teams have asked about communication for patients on COVID fatigue and the outcome of individuals’ actions in not following public health measures. Regions are seeing different interpretations of the urgency in following these measures and would like to communicate this clearly to patients.

    If any teams have developed messaging or handouts to help people understand the impact their behavior can have on others and on the health care system, we would welcome this to share with all members.

    We hope everyone is staying safe and healthy during this very challenging time. If you have any questions, please reach out to us anytime at info@afhto.ca

    Yours in good health,
    Your AFHTO team

  • Bits & Pieces: respiratory care during COVID-19, Stay-at-Home order and more

    Bits & Pieces: respiratory care during COVID-19, Stay-at-Home order and more

    Your Weekly News & Updates


    In This Issue  
    • Member stories
    • Reminder – Your role in improving the population health of people at risk or living with diabetic foot complications
    • Register now! A webinar on EMR/EHR auditing obligations
    • Revised Phase 2 vaccination plan, identifying vaccine-eligible patients and more
    • Data governance framework for health data collected from Black communities in Ontario
    • Resources for injectable opioid agonist treatment
    • Team-based primary care improved health behaviors among patients with multimorbidity
    • Insulin therapy and managing At-Risk Drinking and Alcohol Use Disorder (AUD) during COVID-19
    • Upcoming events including respiratory care during COVID-19and more

     

     

    Member stories
    Bancroft Community FHTBancroft Community FHT physician raises awareness about COVID-19

    Temagami FHTTemagami FHT hosts successful COVID-19 vaccine clinic

    Haliburton Highlands FHTvaccination clinic provides relief to elders

    You can share your own vaccination stories with our member initiative webform. If you have any questions, please email us at info@afhto.ca.


    Reminder – Your role in improving the population health of people at risk or living with diabetic foot complications, April 15, 2021

    Co-hosted with Wounds Canada, this interactive webinar on Thursday, April 15 will provide an overview of your role to improve the population health of people at risk or living with diabetic foot complications across the full continuum of care settings to improve patient experience, outcomes and costs. Register here.


    Register now! A webinar on EMR/EHR auditing obligations

    Teams are invited to join AFHTO and Kate Dewhirst (Kate Dewhirst Health Law) on Friday, May 7, from 12 PM to 1:30 PM to better understand obligations to audit electronic medical records (EMR) and electronic health records (EHR). Topics discussed will include why you have an audit, how often you should audit, and how to audit. More information and registration are here.


    Revised Phase 2 vaccination plan, identifying vaccine-eligible patients and more

    Recent updates include:

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


    Framework with black women- one in wheelchair and anotheer holding a black girl in her arms

     

    Data governance framework for health data collected from Black communities in Ontario

    The Black Health Equity Working Group has released the latest version of the Engagement, Governance, Access and Protection Framework (E-GAP), which is designed to guide the implementation of race and socio-demographic data collection strategies at the local and provincial levels in Ontario.

    • Download the report in English or French
    • Download the Consultation Summary Report in English or French

    You can contact the working group at info@blackhealthequity.ca

     

     


    Resources for injectable opioid agonist treatment
    Addictions and Mental Health Ontario (AMHO) has new resources to support increased access to injectable opioid agonist treatment (iOAT). iOAT is an evidence based and cost-effective medical intervention that is recommended for people with severe opioid dependence who have not responded to oral opioid agonist treatment or for whom oral opioid agonist treatment is not appropriate. More information and resources are here.


    Team-based primary care improved health behaviors among patients with multimorbidity
    Recently published in The Annals of Family Medicine, this research highlighted results when health care professionals (nurses, nutritionists, kinesiologists) were trained to deliver patient-centered intervention based on a motivational approach and self-management support. Read more here.


    Insulin therapy and managing At-Risk Drinking and Alcohol Use Disorder (AUD) during COVID-19

    Centre for Effective Practice recently launched new tools:


    Respiratory Care During COVID-19: What Have We Learned One Year Later, April 21, 2021

    Reflect on best practices & considerations for diagnosing and managing lung diseases during the pandemic. Co-hosted with the Lung Health Foundation
    Find out more here.


    Project ECHO (UHN), Starting April 2021
    Join ECHO Ontario (UHN) for their newly released programs starting this spring.
    For more information:

    To register, click here.


    COVID-19 CoP: Vaccination in primary care, evolving vaccine evidence, and more, April 23, 2021
    The OCFP & University of Toronto DFCM will be discussing evolving vaccine evidence and experience delivering vaccines as part of primary care pilots.
    Learn more here.


    Primary Care Vaccine QI Support Group Webinar Series, April 22- May 13, 2021

    Join Ontario Health to learn valuable lessons from pilot sites, gain access to resources, information and quality improvement tips to assist you in moving forward with your vaccine plans.

    Register here


    A Deep Dive into Co-Designing Care Models for your Priority Populations, May 6, 2021
    The RISE OHT webcasts will show how your OHT can re-design care for patients in your priority populations, and help every patient in those populations experience coordinated transitions between providers.
    Learn more here.

  • Ontario stay-at-home order and the Phase 2 COVID-19 vaccine distribution plan

    Dear Executive Directors and Administrative Leads,

    The third province-wide stay-at-home order took effect today at 12:01 AM.

    Under the stay-at-home order, primary care teams are encouraged to continue virtual care wherever possible but do not stop or delay in-person care. It remains at a clinician’s discretion to determine if a patient needs to be seen in person.
    While all teams have continued to deliver virtual care since the pandemic began, a reminder that the following are available as support tools in determining virtual vs. in-person care:

    In yesterday’s announcement, the provincial government did not address some of what we consider important to help control the spread, such as paid sick days. However, the pivot to go into high-risk communities and to vaccinate anyone there aged 18 and older is a step in the right direction.   

    These mobile teams – part of Phase Two in the COVID-19 vaccine distribution plan – are starting in the regions with the highest rates of transmission (ex. Toronto, Peel). This will expand to other hot spot regions based on established patterns of transmission, severe illness, and mortality. The news release can be read here.

    We received this memo today from ADM Patrick Dicerni regarding vaccination. On a related note, we encourage teams to work with public health regarding the mobile teams that will go to high-risk congregate settings, residential buildings, faith-based locations, and locations occupied by large employers in high-risk communities. Vaccinating is something primary care does best, and no one knows their communities better! If your team has the capacity, reach out to your public health unit as primary care can play a key role in getting these shots in arms.

    This is hopefully the final time we’ll see a stay-at-home order issued in Ontario for COVID-19.

    If you have any questions, please contact us at info@afhto.ca.

    Stay well,
    AFHTO

    Relevant Link:

  • Bits & Pieces: respiratory care during COVID-19, Stay-at-Home order and more

    Bits & Pieces: respiratory care during COVID-19, Stay-at-Home order and more

    Your Weekly News & Updates


    In This Issue  
    • Respiratory care during COVID-19: what have we learned one year later, Apr. 21
    • Ontario needs a Stay-at-Home order
    • Member stories
    • Lessons learned from KFLA Moderna community vaccination clinics and more
    • UpToDate discount reminder
    • Evaluation and performance improvement for OHTs CoP and webinar
    • Upcoming events including improving the population health of people at risk or living with diabetic foot complications and more

     

    Respiratory care during COVID-19: what have we learned one year later, Apr. 21

    The COVID-19 pandemic has required healthcare professionals to change the way care is delivered and has allowed for the development of innovative practices and partnerships for the continued provision of quality care.

    On April 21 this webinar, co-hosted with the Lung Health Foundation, will highlight practice changes and considerations for the diagnosis and management of chronic lung diseases such as COPD. This includes highlighting the challenges of respiratory diagnostics such as spirometry testing and policies and changes that were needed to provide a safe testing environment.

    Find out more and register here.


    Ontario needs a Stay-at-Home order

    Ontario needs a Stay-at-Home order, community vaccination plans, and paid sick leave for ALL workers to stop spread of COVID-19 variants, reduce the burden on health care.

    Today the Primary Care Collaborative (PCC) issued a statement urging the government to do more to suppress the transmission of COVID-19, including these 5 vital actions:

    1. Move the province from a shutdown to a stay-at-home order
    2. Ensure vaccines are reaching those who are most at risk for infection and who need them the most
    3. Prioritize vaccination of teachers, educators and school staff
    4. Create a broad education and communications campaign to address vaccine hesitancy
    5. Implement paid sick leave for all essential workers now.

    Read the full statement here.


    Member stories

    Dr. Allan Grill on CTV

    Markham FHTour president and chair Dr. Allan Grill on CTV on protecting schools from outbreaks and more

    Multiple members- our Twitter thread highlighting members’ vaccine efforts. One tweet already has nearly 20,000 views!


    Lessons learned from KFLA Moderna community vaccination clinics and more

    Recent updates include:

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


    UpToDate discount reminder

    Thanks to our partnership with Wolters Kluwer, AFHTO members have access to special benefits on UpToDate®. Physicians, residents, NPs, pharmacists, and PAs are all eligible.  For more details, please contact your ED or Admin Lead.

    EDs and Admin Leads, if you have any questions, please email us at info@afhto.ca.


    Evaluation and performance improvement for OHTs CoP and webinar

    HSPN is hosting a new community for those working on evaluation and performance improvement in OHTs. You can join here.

    The next OHT Evaluation Webinar will be OHT Improvement Measures for Focus Populations on April 27. Register here


    Your role in improving the population health of people at risk or living with diabetic foot complications, April 15, 2021
    Co-hosted with Wounds Canada, this interactive webinar will provide an overview of your role to improve the population health of people at risk or living with diabetic foot complications across the full continuum of care settings to improve patient experience, outcomes and costs. Register here.


    Together We Care Virtual Conference, April 20-22, 2021
    Join the OLTCA & ORCA as they connect the LTC and retirement community sector to help shape the future of senior’s care.
    Find out more here.


    Building vaccine confidence in the Black community, evolving guidance, and more, Apr. 9, 2021

    The OCFP’s COVID-19 COP will focus on building vaccine confidence in the Black community.
    Find out more here.


    A Deep Dive into Co-Designing Care Models for your Priority Populations, May 6, 2021
    The RISE OHT webcasts will show how your OHT can re-design care for patients in your priority populations, and help every patient in those populations experience coordinated transitions between providers.
    Learn more here.

  • Bits & Pieces: oxygen saturation monitors for COVID@Home, Primary Care Collaborative and more

    Bits & Pieces: oxygen saturation monitors for COVID@Home, Primary Care Collaborative and more

    Your Weekly News & Updates


    In This Issue  
    • Oxygen saturation of COVID home monitoring
    • Announcing the Primary Care Collaborative
    • Your role in improving the population health of people at risk or living with diabetic foot complications
    • Member stories
    • Joint letter on vaccine dose intervals for indigenous populations
    • Patient-facing document updates, Gen. Hillier memo and more
    • Supporting older persons at home slides and video
    • Canada’s Volunteer Awards National Advisory Committee
    • AMS Healthcare research fellowships: provider mental health and wellbeing
    • Upcoming events including Building a Resilient Nonprofit Organization through Proactive Risk Management and more

    Oxygen saturation of COVID home monitoring

    COVID-19 pandemic has led to unexpected surges in demand on the provincial healthcare system, and healthcare settings across the province face patient capacity constraints, potentially affecting care for all patients. To help ease these constraints, Ontario Health is providing tools and resources for COVID@Home to help primary care providers who wish to remotely monitor people who have mild to moderate COVID-19 in the community.

    Oxygen saturation monitors are now available to be ordered by primary care physician offices and interprofessional primary care team offices through the provincial pandemic stockpile. Find out more about the initiative and how to order here.


    Announcing the Primary Care Collaborative

    COVID-19 shows the vital roles primary care providers play every day for community health and wellbeing and health system cooperation in Ontario.

    On March 29 we announced the launch of the Primary Care Collaborative with five other partners, including Alliance for Healthier Communities, IPHCC, NPLCA, OCFP and SGFP. Visit our site for the full release.

    Working more collaboratively together, we hope a unified primary care sector can help advance the important role that primary care will play towards recovery from this pandemic.


    Your role in improving the population health of people at risk or living with diabetic foot complications

    Co-hosted with Wounds Canada, this interactive webinar on April 15 will provide an overview of your role to improve the population health of people at risk or living with diabetic foot complications across the full continuum of care settings to improve patient experience, outcomes and costs.

    By the end of the webinar participants will:

    • Discuss prevention and management approaches based on risk stratification of people at risk or living with diabetic foot complications
    • Explore ways to leverage telehealth / virtual care assessments to support patients at risk or living with diabetic foot complications
    • Leverage Wounds Canada resources to optimize your practice

    Register here.


    Member stories
    Bancroft FHTBancroft FHT vaccinates over 1000 people from COVID-19

    Central Lambton and Rapids FHTsFamily doctors join vaccine rollout in Sarnia-Lambton

    Georgian Bay FHTvideo tour of the Collingwood and Wasaga drive-thru vaccine clinics

    Queen Square FHTOntario family physicians seek clarity on when they can administer COVID-19 vaccines in office


    Joint letter on vaccine dose intervals for indigenous populations
    On March 26 we sent a joint letter to Premier Ford and Minister Elliott on changes to the vaccine dosing schedule for Indigenous populations.

    “We are standing in solidarity with the Indigenous Primary Health Care Council and asking that, at bare minimum, those Indigenous people living in urban areas who’ve already received their first doses of vaccines be grandfathered in, and permitted to receive their second doses within 21-28 days. This allows for continuity of care, and confidence in this process and the vaccine itself.”

    Read the full letter on our site.


    Patient-facing document updates, Gen. Hillier memo and more

    Recent updates include:

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


    Supporting older persons at home title screenshot

    Supporting older persons at home slides and video

    On Mar. 25 Provincial Geriatrics Leadership Ontario discussed how to better support older persons in the community using lessons learned during the first year of the COVID-19 pandemic. Slides and video are now available.

     

     


    Canada’s Volunteer Awards National Advisory Committee
    Canada’s Volunteer Awards (CVA) will be accepting applications for the CVA National Advisory Committee (NAC) until April 8. Members of the National Advisory Committee play a leading role in the selection of Canada’s Volunteer Awards recipients by reviewing nominations and making recommendations to the Minister of Families, Children and Social Development. They will also support the promotion of the program throughout their term. To apply visit their site.


    AMS Healthcare research fellowships: provider mental health and wellbeing

    AMS Healthcare is offering one-year fellowships of up to $75,000 to early and mid-career academic researchers and scholars and academically trained regulated health care professionals to study and develop expertise/competence in the impact of digital technology/artificial intelligence on compassionate care. Some projects will have an additional focus on the wellbeing and mental health of healthcare providers, patients and caregivers to address the challenges of living and working through the COVID-19 pandemic. Letter of intent due Apr. 7. Visit their site for details.


    Foundations to QI (IDEAS) Program e-Learning Course, Mar. 31 & Apr. 1, 2021
    E-QIP is holding this comprehensive introductory QI course designed for the community mental health sector. You’ll be well versed in a common language and approach to QI with the aim of improving client care, experience and outcomes after this course.
    Find out more here.


    ECHO Managing COVID-19 in Primary Care, Starting Apr. 13, 2021
    UHN’s ECHO series is back- now with 12 parts. Join other primary care providers in this interactive online program.
    Find out more here.


    Building a Resilient Nonprofit Organization through Proactive Risk Management, Apr. 22, 2021
    Charity Village webinar with Risk Management Consultants Lilli Chiu and Isaac Monson from HUB International and insights on how to navigate uncertainty and prepare for the unexpected. Register here.


    Excellence through Quality Improvement (E-QIP) Conference, Apr. 13, 2021
    Hosted by CMHA Ontario, this one-day virtual conference is being offered for FREE.
    Visit their site.