Tag: Past Conference Materials

2020 AFHTO Conference: Day 1 Session Recordings & Slides

Thank you to all of our concurrent session presenters who came to the AFHTO 2020 Conference. Please see below for the uploaded session recordings and slides. Our sessions were organized by 5 themes, broken down below.

Day 1 Recordings and Materials – Themes 2, 3 and 4

Panel Sessions

Theme	Panel Session title (Click for description)	Recording	Slides
2. Integrating digital health and virtual care	A2- Integrating Virtual Care: Provincial, Practice & Patient Level Enablers	A2 recording
3. Integrated care and community responses	A3- Seizing the opportunity to co design with patients and caregivers….it is the answer to building primary care in a new world	A3 recording
4. Public health and primary care	A4- More than medication: the importance of integrating health care and social supports	A4 recording	A4 Slide deck

On-Demand Sessions

Theme	Concurrent Session title (Click for description)	Recording	Slides
N.A	Q & A with Matt Anderson	Recording available here
2. Integrating digital health and virtual care	Pandemic Patch up: Using Zoom(TM) to Create a Virtual Teaching or Interprofessional Clinic	No recording available
2. Integrating digital health and virtual care	The Development of a Youth Advisory Council in Primary Care Settings: Meeting the Needs of Youth Patients Through Virtual Care	Recording available here	Slide deck
2. Integrating digital health and virtual care	Reaching patients at risk of complication from COVID-19: Digital Health Tools to Support Identification and Planned Proactive Visits	Recording available here	Slide deck

Concurrent Sessions

Theme	Concurrent Session title (Click for description)	Recording	Slides
3. Integrated care and community responses	B3-a – The ICANBEWELL app improves community health	B3-a recording	B3-a slide deck
3. Integrated care and community responses	B3-b – Ontario Health Teams: What Every FHT Should Watch For	B3-b recording	B3-b slide deck
4. Public health and primary care	B4 – Crisis Response for Covid-19 Outbreak in Migrant Worker Congregate Settings	B4 recording	B4 slide deck
2. Integrating digital health and virtual care	C2 – To protect patient health information, a human defence is the best defence!	C2 recording	C2 slide deck
3. Integrated care and community responses	C3 – Expanding Team-Based Care to Community Physicians through a Unique Integrated Primary Care Model	C3 recording	C3 slide deck
4. Public health and primary care	C4 – Why there’s no “I” in COVID-19: A collaboration between healthcare students, primary care providers and the community to improve PPE stewardship and distribution	C4 recording	C4 slide deck
3. Integrated care and community responses	D3-a – Leveraging Social Media during the Pandemic	D3-a recording	D3-a slide deck
3. Integrated care and community responses	D3-b – Supporting Older Adults with a Virtual Community Based Model of Care During COVID-19 and BEYOND!	D3-b recording	D3-b slide deck
3. Integrated care and community responses	D3-c – Co-design as a Tectonic Shift in Primary Care Collaboration	D3-c recording	D3-c slide deck

Concurrent Session Selection

Concurrent session presentations were chosen by working groups consisting of AFHTO members across Ontario, representing the full breadth of professions within collaborative primary care. Submissions were chosen for reflecting the conference theme, usefulness/applicability to interprofessional primary care teams, innovativeness, evidence of impact, and clear learning objectives.

October 30, 2020

2019 Concurrent Sessions Slides & Materials

Thank you to all of our concurrent session presenters who came to the AFHTO 2019 conference. Please see below for the uploaded concurrent session slides. Our concurrent session presentations are organized into 45-minute timeslots and six themes. We have arranged the sessions by timeslot and theme in the table below.

Title	Theme	Materials
A1 – Meeting Seniors needs in rural Ontario – Living outside the box	1. Access to care: improving access to team-based care	Presentation Slides
A3-a Optimizing resilience despite pain: An interdisciplinary team approach for a strength-building chronic pain management program	3. Comprehensive team-based care	Presentation Slides
A3-b – The skinny on self-acceptance and the weight of shame: healthier eating through self-compassion, a group approach	3. Comprehensive team-based care	Presentation Slides
A4 What the Fax? Improving Patient Care with Ocean eReferral	4. Patient and family-centred care	Presentation Slides
A6-a Digital Coalition – How a coalition of the willing is changing the face of primary care	6. Enabling high -performing primary health care	Presentation Slides new
A6-b Safer Opioid Prescribing through a Clinic-wide Urine Drug Testing System – the HARMS Program	6. Enabling high -performing primary health care	Presentation Slides new
B1 Enabling the Adoption of Patient E-Communication	1. Access to care: improving access to team-based care
B2 What matters to patients in the transition from hospital to home	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
B3 The Creation of the Timmins Integrated Palliative Care Team – Working Together to make a Difference	3. Comprehensive team-based care	Presentation Slides
B4-a Jargon? What medical jargon? : Health literacy as a determinant of health	4. Patient and family-centred care
B4-b TECC-Y: Using technology to provide a “one-stop shop” of holistic care for youth at their fingertips!	4. Patient and family-centred care	Presentation Slides
B6 Evidence-Based Patient Care: The Impact of Translating Knowledge to Practice in Primary Care	6. Enabling high -performing primary health care	Presentation Slides
AB2 Reducing Silos and Improving Health Care Experience: Integrated Care for Seniors with Complex Needs	2. Continuous care: ensuring seamless transitions for patients across the continuum of care	Presentation Slides
AB5 How to Embed Health Equity and Integrate Social Justice Advocacy into Your Team	5. Community and social accountability	Presentation Slides
C1 Eat.Move.Repeat: A cross cultural, action based approach to lifestyle and wellness programs.	1. Access to care: improving access to team-based care	Presentation Slides
C3-a Sedative-Hypnotics Deprescribing – Beyond the Basics	3. Comprehensive team-based care	Presentation Slides
C3-b A multi-disciplinary CBT group for depression and anxiety with psychiatry supports	3. Comprehensive team-based care	Presentation Slides
C3-c – Comprehensive Team Based COPD Care for Vulnerable Patients	3. Comprehensive team-based care
C4 Interprofessional Therapeutic Yoga Programs: Supporting Healthy Lifestyles for Older Adults and People with Dementia	4. Patient and family-centred care	Presentation Slides
C5 Creative Expansion of Social Work Services	5. Community and social accountability
CD2 The digital health toolbox: Enabling high-performance teams in the delivery of integrated, patient-centred care	2. Continuous care: ensuring seamless transitions for patients across the continuum of care	Presentation Slides
CD6 Working towards one practice report for Ontario’s primary care clinicians	6. Enabling high -performing primary health care
D1 Go Big or Go Home! Launching a novel, large-scale, community program beyond the roster.	1. Access to care: improving access to team-based care	Presentation Slides
D3-a Evaluation of Midwifery-led Group Perinatal Care in an Academic Family Health Team	3. Comprehensive team-based care
D3-b Hit the Road Jack…Mobile Integrated Health Care. Beginning a new journey to support patients with Mental Health & Addictions in your community.	3. Comprehensive team-based care
D4 Beyond Patient Advisory Councils: Meaningful Engagement with Specific Populations (Youth) in Primary Care Settings	4. Patient and family-centred care
D5-a Oh my! I forgot about the Social Determinants of Health in my Patient’s Health! A program model that doesn’t forget!	5. Community and social accountability	Presentation Slides
D5-b – Bridges to Housing –a Powerful Example of Comprehensive Team Based Care	5. Community and social accountability	Presentation Slides
E1-a Pharmacist Medication Reviews via Videoconference: A Prospective Cohort Pilot Study in Remote and Rural Underserviced Communities	1. Access to care: improving access to team-based care	Presentation Slides
E1-b Challenges in implementing collaborative mental health care: the case study of PARTNERs -Primary Care Assessment and Research of a Telephone Intervention for Neuropsychiatric Conditions with Education and Resources	1. Access to care: improving access to team-based care
E2 PREVENT – Improving the transition from hospital to home for patients with CHF/COPD (Preventing Readmissions and ER Visits in Elgin through Novel Transitions)	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
E4 Your Healthcare Journey with Us – A Patient and Clinic partnership to better understand and manage our relationships with one another	4. Patient and family-centred care	Presentation Slides
E5-a Improving Community Prosperity by Addressing Social Determinants of Health	5. Community and social accountability	Presentation Slides
E5-b Out of the Closet and Into the Light: How one FHT secured annualized funding to provide transgender-specific health care to their region.	5. Community and social accountability	Presentation Slides
E6 Becoming Ontario Health Teams: The Journey So Far	6. Enabling high -performing primary health care	Presentation Slides
F1-a The TEAM is in: Adding More Players to Solo Practitioners’ Teams	1. Access to care: improving access to team-based care
F1-b An integrated model of comprehensive primary care for unattached patients	1. Access to care: improving access to team-based care	Presentation Slides
F2-B – Keeping “A Breast”; Building Collaborative Care And Transitions To Optimize Breastfeeding Success Across The City Of Hamilton Through Primary Care	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
F3 Cardiac Rehabilitation Within a Family Health Team- Improving Access For Our Community	3. Comprehensive team-based care	Presentation Slides
F4 Increasing Rural Patient-Centered Care Through Multi-Digital Solutions	4. Patient and family-centred care
F5 Interactive Art Therapy: A Tool to Reduce Social Isolation Among seniors in a Primary Care Setting	5. Community and social accountability	Presentation Slides
EF6 Improving quality care through an EMR-enabled clinician dashboard	6. Enabling high -performing primary health care
F2-a Providing a seamless transition of care (shared care model) for colorectal cancer survivors within an urban family health team	2. Continuous care: ensuring seamless transitions for patients across the continuum of care	Presentation Slides

Concurrent Session Selection

September 24, 2019

2019 Poster Gallery

Thank you to all of our poster presenters who came to the AFHTO 2019 conference! Posters were submitted by interprofessional health teams across the province. Like the concurrent session presentations, they represent the full breadth of professions within collaborative primary care and showcase evidence-based, impactful innovations that will be useful to other teams.

Poster Board #	Title	Theme
#1	Flu Shots +…… Integrating Cancer Screening into flu shot clinics	1. Access to care: improving access to team-based care
#2	Examining differences in mental health support and symptom reduction across rural, urban, and suburban sites in the CAMH PARTNERs Integrated Care Project	1. Access to care: improving access to team-based care
#3	Antidepressant Utilization in the CAMH PARTNERs Project	1. Access to care: improving access to team-based care
#4	The Triumphs and Trials of Collaborative Mental Health Care: Our Journey	1. Access to care: improving access to team-based care
#5	Access to care: A primary care nurse practitioner led home visiting program for homebound individuals	1. Access to care: improving access to team-based care
#6	Physical Disabilities in Ontario: How the Mobility Clinic is Levelling the Playing Field	1. Access to care: improving access to team-based care
#7	Getting the Discussion Going – Advance Care Planning for the Community	1. Access to care: improving access to team-based care
#8	Bronchiectasis: Self-Management Education starts in Primary Care	1. Access to care: improving access to team-based care
#9	Improving access to specialist advice: incorporating eConsult into Family Health Teams	1. Access to care: improving access to team-based care
#10	Sleep: We all need it. Starting an Interdisciplinary Sleep CBT-I Group in Primary Care – Worth The Effort	1. Access to care: improving access to team-based care
#11	thehealthline.ca: System Navigation Made Easy	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
#12	A Best Practice Guideline on Supporting Adults who Anticipate or Live with an Ostomy – Recommendations for Interprofessional Evidence-based Practice.	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
#13	NP-Led Adult ADHD Program within the FHT – Identifying and managing adults with ADHD and Transitioning Adolescents with ADHD back to primary care from pediatricians	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
#14	How to create an Ontario Health Teams Integrated Hub	2. Continuous care: ensuring seamless transitions for patients across the continuum of care
#15	Optimizing Care for Individuals with Schizophrenia in an Urban Academic Family Health Team	3. Comprehensive team-based care
#16	“Specialized Senior’s Clinic”: An Interprofessional Assessment Clinic to Improve Coordinated Care for Frail Older Adults	3. Comprehensive team-based care
#17	Helping Seniors Age Well	3. Comprehensive team-based care
#18	The Benefits of a Nordic Pole Walking Program for Type 2 Diabetics in a Family Health Team	3. Comprehensive team-based care
#19	Integrating Depression Treatment into Smoking Cessation Programming: A Virtual Approach to Encourage Practice Change among Ontario Family Health Teams	3. Comprehensive team-based care
#20	Why Weight: Recognizing and Integrating Weight Management in a Chronic Disease Model	3. Comprehensive team-based care
#21	Put your best foot forward: An interprofessional approach to implementing innovative diabetes care tools through adaptation of a validated foot assessment	3. Comprehensive team-based care
#22	Getting Fit with the FHT – Exercise Programs in Primary Care	3. Comprehensive team-based care
#23	Dissemination and Evaluation of the “Direct Oral Anticoagulant (DOAC) Monitoring Tool” in Family Health Team Pharmacy Practice	3. Comprehensive team-based care
#24	It takes a Village: Allied Health Team’s comprehensive approach for individuals with Chronic Pain	3. Comprehensive team-based care
#25	Team based approach to Opioid management: a case for physiotherapy	3. Comprehensive team-based care
#26	Obesity as a Chronic Disease Program: A Physician-Supervised, Centralized Inter Professional Model	3. Comprehensive team-based care
#27	A collaborative team-based approach to diet and exercise in primary care: Experiences from primary care teams and patients in the CHANGE Program	3. Comprehensive team-based care
#28	Medication Reconciliation in a Rural Family Health Team	3. Comprehensive team-based care
#29	Enabling Active Patient Self-Management of Stress through Group Workshops	3. Comprehensive team-based care
#30	Community Care Health and Care Network Telepsychiatry Program: AN INTEGRATED CARE MODEL	3. Comprehensive team-based care
#31	Narrowing Gaps in Health Services Through Collaboration: Introduction of a Social Worker Specializing in Children, Youth and Families in a Family Health Team.	4. Patient and family-centred care
#32	The role of the Kinesiologist in the Family Health Team: A collaborative approach to patient care	4. Patient and family-centred care
#33	Integrating patient voices into primary care: co-creation of the Guelph FHT Patient & Family Advisory Committee	4. Patient and family-centred care
#34	Aurora-Newmarket Family Health Team Preventative Screening Blitzes	4. Patient and family-centred care
#35	Strengthening Collaborative Mental Health Care: Integrating the Perspectives of People with Lived Experience of Mental Health Challenges	4. Patient and family-centred care
#36	Cannabis, Marijuana or Weed? – Developing health education for community needs	5. Community and social accountability
#37	A journey of a thousand miles begins with a single step: A collaborative approach to knowing our community and filling the gaps	5. Community and social accountability
#38	Fitness- Not just for falls prevention	5. Community and social accountability
#39	Toward Trans Affirming Primary Care: An Interdisciplinary Toolkit to Improve Access to Services for Transgender People	5. Community and social accountability
#40	Improving equity of access through electronic consultation: a case study of an eConsult service	5. Community and social accountability
#41	Primary Care Clinician Adherence to Specialist Advice in Electronic Consultation	6. Enabling high -performing primary health care
#42	A targeted approach to mitigating opioid risks for high—risk patients experiencing chronic non-cancer pain	6. Enabling high -performing primary health care
#43	Practice Lead-The launch of a new role to enhance IHP practice	6. Enabling high -performing primary health care
#44	Performance data as a driver of quality improvement: Implementation and key learnings in a large, multi-site primary care organization	6. Enabling high -performing primary health care
#45	Demystifying EMR Technology Agreements: Reducing the burden of privacy due diligence	6. Enabling high -performing primary health care
#46	Tips & Tricks for Being a Preceptor for Health Care Professional students	6. Enabling high -performing primary health care
#47	Tackling the Opioid Crisis through Academic Detailing	6. Enabling high -performing primary health care
#48	Quality Improvement and Information Management Specialists in Ontario Nurse Practitioner-Led Clinics – Demonstrating excellent outcomes and patient-centred care in a team-based model	6. Enabling high -performing primary health care
#49	The Electronic Asthma Management System (eAMS) Improves Primary Care Asthma Management	6. Enabling high -performing primary health care

September 10, 2019

Annual AFHTO Leadership Session Reports
Every year, leaders from AFHTO member teams (board members, EDs/Admin Leads, and lead MDs/NPs) meet in advance of the annual conference. Below are links to past leadership session reports, along with the leadership themes from each year’s conference.

2018 – Addressing Mental Health and Addictions Needs in Primary Care
- In this year we partnered with the Canadian Mental Health Association, Ontario, and co-designed a session to focus on mental health and primary care integration. Leaders from the CMHA chapters across the province joined us – leaders in primary care – to discuss how both sectors can work more closely together to ensure patients receive timely access to care. The session was kicked off by our CEO, Kavita Mehta, and Camille Quenneville, CEO of the CMHA, Ontario. There were group discussions, followed by break-outs by region. We addressed the question “How do we ensure that we provide seamless care for our patients and create a well integrated system of care.” From this discussion, we took away action items to help teams be leaders in local change, as well as a set of recommendations to provide policy makers. Ministry officials also joined the discussion.
  - Read the full report here.
2017- The Way Forward: Care Coordination Being Led by Primary Care
- This year’s focus for the Leadership Triad Session was on care coordination and building primary care as the foundation of the health care system, such that more Ontarians have access to comprehensive primary care and coordination of care through primary care teams. Given the Minister’s LHIN mandate letter from May 1 2017 “to develop and implement a plan with input from primary care providers, patients, caregivers and partners that embeds care coordinators and system navigators in primary care to ensure smooth transitions of care between home and community care and other health and social services as required”, we believe care coordination to be a relevant and timely topic for both LHIN and AFHTO leaders.
  - Read the full report here. [PDF]
  - See the Ministry’s slides here. [PDF]
2016: Tackling the big issues: relationship and accountability questions in Ministry contracts
- The objective of this leadership session was to find common ground and guide AFHTO’s position on particularly challenging issues related to the FHT contract, as informed by membership consultation over the preceding summer. Major themes were: standardizing FHT contracts; fostering teamwork and defining the”team”; defining the “population” for which governors are accountable, defining minimum standards of governance/addressing conflict of interest; and accountability and dispute resolution.
  - Read the full report and next steps for AFHTO here. [PDF]
2015: Leading Primary Care through the Next Stage
- This Leadership Session was designed to identify issues and shape the direction to be taken by this sector, supported by the advocacy, networking and knowledge-sharing made possible through AFHTO. This year, the session focused on the question of a population-based approach to primary care.
  - Read the full report here. [PDF]
2014: Toward the Next Ministry Contract
- This Leadership Session was part of a comprehensive process of working with AFHTO membership to identify the key principles to guide the journey toward more mature relationships, including contracts that support high-quality comprehensive interprofessional primary care. The report summarizes the outcomes of the entire process, including the leadership session.
  - Explore the 2014 leadership theme: Accountability and governance for patient-centred care.
2013: Leadership in Health Care for Ontarians
- Summarizes the key messages and insights into primary care leadership gleaned from the AFHTO 2013 Conference – including the Leadership Session, concurrent sessions within the leadership theme, and plenary sessions.
  - Read the full report here. [PDF]
  - Explore the 2013 leadership theme: Leadership and Governance for Quality [PDF]
2012: Priorities, Goals, and Actions
- Leaders delved into the question of “How do we continue to build a stronger primary care foundation and work in a more integrated manner within the LHIN to ensure coordinated and seamless care for our patients?” The resulting Priorities, Goals and Actions report lists the priorities and cross-cutting themes that emerged across all LHIN groups and documents the priorities, goals and short-term actions identified by the leaders from each LHIN.
  - Read the full report here. [PDF]
  - Explore the 2012 leadership theme: Strengthening FHT Leadership and Governance.
November 30, 2018

2017 Poster Gallery

Thank you to all of our poster presenters who came to the AFHTO 2017 conference. Posters were submitted by interprofessional health teams across the province. Like the concurrent session presentations, they represent the full breadth of professions within collaborative primary care and showcase evidence-based, impactful innovations that will be useful to other teams.

Poster descriptions listed by theme [PDF]
Theme descriptions [PDF]

2017 Posters Displays

Poster #	Theme	Title
1	1. Effective leadership and governance for system transformation	A Centralized Approach to Standardize Electronic Medical Record Tools and Templates in a Multi-Site Family Health Team: Formation of a Data Standardization Committee
2	1. Effective leadership and governance for system transformation	Workplace Violence Prevention in Primary Care: Reflections from the 2017-2018 Quality Improvement Plans
3	2. Planning programs for equitable access to care	Acceptability of Telephone-Based Mental Health Support for Patients in Primary Care
4	2. Planning programs for equitable access to care	Creating a Health Equity Curriculum
5	2. Planning programs for equitable access to care	Collaboration with Community Partners for Equitable Access for Low Back Care and Services
6	2. Planning programs for equitable access to care	Feasibility of Group CBT-Insomnia
7	2. Planning programs for equitable access to care	From Prenatal to Postpartum and Beyond: How to Maximize your Capacity to Comprehensive Care for Mothers and Babies
8	2. Planning programs for equitable access to care	Mind Over Mood: A CBT Approach to Anxiety and Depression
9	2. Planning programs for equitable access to care	A Transition in Primary Healthcare : An Interdisciplinary Model of Providing Transgender Care
10	3. Employing and empowering the patient and caregiver perspective	Feedback on a Self-Management Booklet from Individuals Who Have Been Prescribed Osteoporosis Medication
11	3. Employing and empowering the patient and caregiver perspective	Partnering with Patients to Improve After-Hours Primary Care
12	3. Employing and empowering the patient and caregiver perspective	Healthy Lifestyle Journeys: Highlighting Patient Success Stories Using Experience Based Design
13	3. Employing and empowering the patient and caregiver perspective	Barriers and Facilitators in Primary Care Follow-Up Upon Hospital Discharge: Patients and Caregivers Perspectives
14	3. Employing and empowering the patient and caregiver perspective	Advance Care Planning: Before Its Too Late
15	3. Employing and empowering the patient and caregiver perspective	Walk Your Way To Better Health : Enhancing the Patient Experience One Step at a Time
16	4. Strengthening partnerships	Strengthening Partnerships: What Our Running Group Taught Us
17	4. Strengthening partnerships	Coordinating Complex Paediatric Nutrition in the Medical Home Model
18	4. Strengthening partnerships	Challenges in Collaborative Mental Health Care Research: Understanding Primary Care Providers Participation in the PARTNERs Study
19	4. Strengthening partnerships	Days of Taste: A FHT-Community Partnership for Promoting Nutrition Education in a Local School
20	4. Strengthening partnerships	Be Well Community Collective: Healthy Kids for a Healthier Tomorrow
21	4. Strengthening partnerships	A Pilot Program to Determine the Feasibility of Organizing a Walking/Healthy Lifestyle Program for Seniors in a Rural Community
22	4. Strengthening partnerships	Partnerships to Promote Diet and Exercise: The CHANGE Program
23	4. Strengthening partnerships	Maximizing Collaboration in an Interprofessional Outreach Team: Contributions of Implementation Science, Relational Coordination, and Interprofessional Competencies
24	4. Strengthening partnerships	Together in Movement and Exercise – TIME: Community Exercise for People with Balance and Mobility Challenges
25	4. Strengthening partnerships	Home Based Primary Care Program; Quality Improvement in Palliative Care
26	4. Strengthening partnerships	Switching to FIT: Strengthening Partnerships and Relationships to Improve a Population Based Screening Program in Ontario
27	4. Strengthening partnerships	“Getting it Right” A Model for a Center of Excellence in the Delivery of Hospice, Palliative Care in the Development of a 10-Bed Hospice in Stratford, Ontario
28	4. Strengthening partnerships	Partnering in the Community to Help Eliminate Opioid Overdoses
29	4. Strengthening partnerships	Taking HealtheStepsâ„¢ to Reducing Chronic Disease Risk through Partnerships with Family Health Teams
30	4. Strengthening partnerships	Effective Diet and Exercise Programs in Primary Care? Lessons from The CHANGE Study
31	4. Strengthening partnerships	Partnering with the Baby-Friendly Initiative Strategy for Ontario: A Getting Started Story
32	5. Optimizing use of resources	Pharmacist-Led Medication Reconciliation to Improve Transition of Care from Hospital to Home
33	5. Optimizing use of resources	A Web Based Conference Series on COPD for Healthcare Providers in Ontario
34	5. Optimizing use of resources	Improving the Quality of Care for Depression and Anxiety in Ontario Family Health Teams: Incentives and Disincentives Influencing Access within the Interprofessional Context
35	5. Optimizing use of resources	Integration of Social Workers in Primary Health Care: Findings from a Provincial Survey with Social Workers in Family Health Teams in Ontario
36	5. Optimizing use of resources	Sharing is Caring: Our Model for Dividing FHT Patients Among Diabetes Services in Barrie
37	6. Using data to demonstrate value and improve quality of care	Improving Telephone Traffic Control: The Transition from a Decentralized Phone Management System to a Centralized Phone Centre
38	6. Using data to demonstrate value and improve quality of care	Using Screening Activity Report (SAR) Data to Increase Cancer Screening Rates
39	6. Using data to demonstrate value and improve quality of care	Taking Stock: Cleaning One of Ontario’s Largest Primary Care Databases
40	6. Using data to demonstrate value and improve quality of care	Improving Patient Outcome One FHT Pharmacist at a Time
41	6. Using data to demonstrate value and improve quality of care	Measuring Collaboration: Performance Indicators for Interprofessional Primary Care Teams
42	6. Using data to demonstrate value and improve quality of care	An EMR Advance Care Planning (ACP) Tool for Talking with Patients About End of Life
43	6. Using data to demonstrate value and improve quality of care	Reconnecting Health Link Patients from Hospital to Primary Care
44	6. Using data to demonstrate value and improve quality of care	Translating Knowledge into Action: Integrating Best Practices for CHF and COPD Management into EMR Decision Support Tools for Primary Care Providers
45	6. Using data to demonstrate value and improve quality of care	Pregnancy Risks and Womens Future Cardiovascular Health: A Missed Opportunity
46	6. Using data to demonstrate value and improve quality of care	Moving Beyond Performance: Supporting Primary Care Improvement Efforts through Vascular Health Quality Improvement Toolkits
47	6. Using data to demonstrate value and improve quality of care	Channeling Positive Deviance: A New Approach for Improving Timely Access for Patients in Primary Care
48	6. Using data to demonstrate value and improve quality of care	One-Stop Shop Charting Approach to Interdisciplinary Diabetes Management Using Standardized Template Embedded with Advanced Features
49	6. Using data to demonstrate value and improve quality of care	Power in Numbers: Unlocking the Potential of the Diagnostic Data in Your EMR
50	6. Using data to demonstrate value and improve quality of care	Examining Growth Monitoring Practices in Primary Care
51	6. Using data to demonstrate value and improve quality of care	Improving Population Health by Aligning EMR Optimization with Clinical Workflow Design
52	7. Clinical innovations for specific populations	Determining Prevalence of Malnutrition in North York Family Health Team Geriatric Population at High Risk
53	7. Clinical innovations for specific populations	Introduction of a Multidisciplinary Program to Deprescribe Sedative Hypnotics (SH) in Patients >65 Years of Age in a Large Multi-Site Family Health Team (FHT).
54	7. Clinical innovations for specific populations	How Equine Facilitated Wellness Enhances Mental Health Social Work Programs
55	7. Clinical innovations for specific populations	Preventing Chronic Disease in a Vulnerable Population Through Implementation of a Community Kitchen
56	7. Clinical innovations for specific populations	Breathe Easy: An Interdisciplinary Approach to COPD Care in Vulnerable Populations
57	7. Clinical innovations for specific populations	Enhancing Preventative Care Visit through a Shared-Care Model
58	7. Clinical innovations for specific populations	An Innovative Smoking Cessation Program for Cancer Survivors Within the Primary Care Setting
59	7. Clinical innovations for specific populations	Caring for Vulnerable Patients Leaving Hospital : Transition to Home
60	7. Clinical innovations for specific populations	Beyond Resettlement: Nurse Practitioner Practice Model: Addressing Social Determinants of Health for Karen Refugees
61	7. Clinical innovations for specific populations	Family Physician- Based Care of Patients with Serious Mental Illness: Using a Case-Managed Approach
62	7. Clinical innovations for specific populations	Income Rx: A Look into Income Security Work in a Primary Care Setting
63	7. Clinical innovations for specific populations	OPTIMUM: Optimizing Outcomes of Treatment-Resistant Depression in Older Adults
64	7. Clinical innovations for specific populations	ROAR: Outcomes of a Two Year Journey for Literacy
65	7. Clinical innovations for specific populations	Treating Opioid Use Disorder in Primary Care
66	7. Clinical innovations for specific populations	Frailty Five Checklist: Use of a “cheeky checklist” to teach care of frail elderly in the home
67	7. Clinical innovations for specific populations	Treponema Be Gone: An Interprofessional Approach to Increasing Serologic Testing After Syphilis Treatment
68	7. Clinical innovations for specific populations	Cervical Cancer Screening in Trans and Gender Non Binary Persons : Perspectives on Barriers to Screening and Strategies for Improvement
69	7. Clinical innovations for specific populations	HERstory: Lessons Learned from a Womens Trauma Therapy Group
70	7. Clinical innovations for specific populations	Optimizing Smoking Cessation Efforts Within the St. Michaels Hospital Academic Family Health Team
71	7. Clinical innovations for specific populations	Making the Coordinated Care Plan (CCP) Work: Chronic Disease Management that Matters
72	7. Clinical innovations for specific populations	Collaboration to Address the Opioid Crisis

October 31, 2017

2017 Concurrent Sessions Slides & Materials

Thank you to all of our concurrent session presenters who came to the AFHTO 2017 conference. Please see below for the uploaded concurrent session slides. Our concurrent session presentations are organized into six 45-minute timeslots (3 per day) and seven themes. We have arranged the sessions by timeslot and theme in the table below.

Title	Theme	Presentation Materials
A2 – Making the Impossible Possible: Providing Service to Marginalized and Vulnerable HIV+ Adults Through Effective Multi-Sectoral Collaboration	2. Planning programs for equitable access to care	Presentation Materials
A3 – Optimizing the Health of Older Adults with Multiple Chronic Conditions: The Development of KeepWell	3. Employing and empowering the patient and caregiver perspective	N/A
A4 – Act As One Service: Integrating Addictions and Mental Health into Primary Care in Guelph	4. Strengthening partnerships	Presentation Materials
A6 – Data to Deployment: Closing the Loop on Preventive Care	6. Using data to demonstrate value and improve quality of care	Presentation Materials
A7 – Exercise is Medicine: Prescribing Confidence with Unlimited Refills	7. Clinical innovations for specific populations	Presentation Materials
AB1 – Leadership in the Age of Privacy Breaches: Cyber Risk and Lessons Learned	1. Effective leadership and governance for system transformation	Presentation Materials
AB1 – Leadership in the Age of Privacy Breaches: Cyber Risk and Lessons Learned	1. Effective leadership and governance for system transformation	Presentation Materials
AB1 – Leadership in the Age of Privacy Breaches: Cyber Risk and Lessons Learned	1. Effective leadership and governance for system transformation	Presentation Materials
AB2 – Patient Medical Neighbourhoods in Primary Care: Expanding Access to Patient Medical Homes Across Ontario	2. Planning programs for equitable access to care	Presentation Materials
AB5 – Choosing Wisely Canada: Embedding its Principles Within Your Family Health Team	5. Optimizing use of resources	Presentation Materials
B1 – An Update on Patients First	1. Effective leadership and governance for system transformation	Presentation Materials
B3 – Indigenous-Specific Cultural Safety Training Programs: Exploring the Evidence… to Achieve Better Outcomes	3. Employing and empowering the patient and caregiver perspective	N/A
B4 – An Opportunity to Collectively Lead – A Rural Collaborative of Primary Care Leaders	4. Strengthening partnerships	Presentation Materials
B5 – BETTER WISE: An Innovative, Evidence-Based Program for Cancer and Chronic Disease Prevention and Screening	5. Optimizing use of resources	Presentation Materials
B7 – Improving on “Best Practices”: Lessons from an FHT-Based Client-Centered e-Mental Health Project	7. Clinical innovations for specific populations	Presentation Materials
C2-a – Aging Well & At Home: Two Approaches for Primary Care Teams	2. Planning programs for equitable access to care	Presentation Materials
C2-b – Aging Well & At Home: Two Approaches for Primary Care Teams	2. Planning programs for equitable access to care	Presentation Materials
C3 – Planting the Seed – Introducing Advance Care Planning Conversations in “5 Minutes or Less”	3. Employing and empowering the patient and caregiver perspective	Presentation Materials
C4-a – Partnerships to Improve Post Hospital Discharge Follow Up	4. Strengthening partnerships	Presentation Materials
C4-b – The Couchiching FHT and County of Simcoe EPIC Program	4. Strengthening partnerships	Presentation Materials
C6 – Multiple Teams + Multiple EMRs = One Dashboard. Is That Even Possible?	6. Using data to demonstrate value and improve quality of care	Presentation Materials
D1 – Demonstrating Resilience and Leadership Through Times of Change: Tools for Physician Leaders	1. Effective leadership and governance for system transformation	Presentation Materials
CD5 – Mind the Gap: Creating a Successful Mindfulness Program	5. Optimizing use of resources	Presentation Materials
CD5 – Mind the Gap: Creating a Successful Mindfulness Program	5. Optimizing use of resources	Presentation Materials
CD7 – Gender Affirming Surgical Assessments & Referrals in an Interprofessional Primary Care Context	7. Clinical innovations for specific populations	Presentation Materials
CD7 – Gender Affirming Surgical Assessments & Referrals in an Interprofessional Primary Care Context	7. Clinical innovations for specific populations	Presentation Materials
D2 – Moving UPP – Improving Access for Unattached Patients	2. Planning programs for equitable access to care	Presentation Materials
D3 – Nothing About Us Without Us: A Patient-Informed, Interprofessional Health Check Model for Adults with Intellectual and Developmental Disabilities	3. Employing and empowering the patient and caregiver perspective	Presentation Materials
D4 – Community Palliative Care Rounds – Strengthening Our Expertise	4. Strengthening partnerships	Presentation Materials
D5 – Not Doing Everything All the Time: Streamlining Front Desk Staff Roles for More Effective Clinic Administration	5. Optimizing use of resources	Presentation Materials
D6 – EMR-ization of Standardized Malnutrition Screening and Assessment in Primary Care Across Ontario	6. Using data to demonstrate value and improve quality of care	Presentation Materials
E1 – Governance and System Thinking	1. Effective leadership and governance for system transformation	Presentation Materials
E2 – Lions Fitness and Food Club (A Program Named by the Students of Victor Lauriston Public School)	2. Planning programs for equitable access to care	Presentation Materials
E4 – The Primary Care and Public Health Partnership in the NE LHIN: Integration to Improve Population Health	4. Strengthening partnerships	Presentation Materials
E5 – FHT Diabetes Care 2.0: Group Medical Appointments	5. Optimizing use of resources	Presentation Materials
EF2 – Who Wants to be Tolerated: Improving Indigenous Specific Patient Experiences and Equity	2. Planning programs for equitable access to care	N/A
EF3 – Patient Oriented Discharge Summaries (PODS): Potential for Impact on Primary Care Follow Up	3. Employing and empowering the patient and caregiver perspective	Presentation Materials
EF7 – Mind Your MEQ’s: Best Practices for Safe Opioid Management in Primary Care	7. Clinical innovations for specific populations	Presentation Materials
F1 – Merging Two Family Health Teams: Lessons Learned	1. Effective leadership and governance for system transformation	Presentation Materials
F2 – Hospital for Sick Children Collaborative Integrated Care Initiative For Youth with Medically Unexplained Symptoms and Co-occurring Medical and Mental Health Disorders	2. Planning programs for equitable access to care	Presentation Materials
F4 – Finding a Better You – A Model for an Opioid Use Disorder Clinic in a Community Pharmacy	4. Strengthening partnerships	Presentation Materials
F5 – Limited Optimized Resources Lead to Unlimited Positive Patient Impact	5. Optimizing use of resources	Presentation Materials
F6 -The DAVINCI Project – Using Patient Tablets to Support a Data-Driven, Sustainable Shared Care Group Approach to Mental Health	6. Using data to demonstrate value and improve quality of care	Presentation Materials

Concurrent Session Selection

October 31, 2017

Program Planning Workshop
Beyond Schedule A: Evidence-Based Program Planning for Community Needs
- Date: Tuesday, October 24
- Time: 5:00 PM to 8:30 PM
- Location: Marine Room – Convention Centre South, 1st floor
Materials:
How can we use the principles of evidence-based medicine to develop programs that better serve our communities? Join us on Tuesday, October 24^th from 5:00-8:30pm as we explore the program-planning process from situational/needs assessment to determining your program elements. Along the way, we’ll pay special attention to the process of setting appropriate, realistic goals and objectives. We’ll also get practical, looking at how to apply these principles when completing the Schedule A template. You’ll come out of this interactive workshop with the tools and confidence you need to make program planning easier for you, more meaningful for your team, and more effective for your patients. Developed and led by Allison Meserve, Health Promotion Consultant, Planning and Evaluation at Public Health Ontario, it builds on AFHTO’s Program Planning and Evaluation Framework. To ensure attendees get the most out of it, everyone who registers by September 15 will receive a needs assessment to complete about a month before the conference

**Please note: As space is limited, and because it is an interactive workshop, we ask teams to limit themselves to one delegate at this event.**
June 20, 2017
2016 Poster Gallery
Thank you to all of our poster presenters who came to the AFHTO 2016 conference. Posters were submitted by interprofessional health teams across the province. Like the concurrent session presentations, they represent the full breadth of professions within collaborative primary care and showcase evidence-based, impactful innovations that will be useful to other teams.
- Poster descriptions listed by theme [PDF]
- Theme descriptions [PDF]
2016 Posters Displays

[table id=62 /]
October 19, 2016
Leading Primary Care through the Next Stage: Leadership Session summary of proceedings (Oct. 28)
The results of the AFHTO Leadership Session held on October 28, 2015, immediately before the AFHTO conference, are presented for your review. This report summarizes what we heard from these members – approximately 200 Executive Directors, Lead MDs/NPs, and Board chairs/members – and ties in related comments and observations from members throughout the conference. The Leadership Session was designed to identify issues and shape the direction to be taken by this sector, supported by the advocacy, networking and knowledge-sharing made possible through AFHTO. This year, the session focused on the question of a “population based approach to primary care”. What came out from our members is a clear readiness to tackle the challenges that await us and there is significant caution about how change is implemented. Most importantly members want:
- To be heard. Members are ‘skeptically optimistic’ regarding closer LHIN alignment; they want thoughtful consideration and adequate consultation with FHTs/NPLCs.
- To be valued. Primary care is the foundation of a sustainable health system; policy, planning and resourcing need to strengthen this foundation.
- To be supported to succeed. Above all else, sufficient funding is needed to stabilize the workforce and ensure sufficient capacity to deliver quality care. IT infrastructure and EMR connectivity are also in need of further development.
This report will be used to guide AFHTO’s advocacy and member services – with increasing focus on advocacy with LHINs in addition to the Ministry – to ensure our members get the support and resources they need to navigate the changes ahead. AFHTO members are welcome to send further comments and ask questions at any time:
- Regarding advocacy work, to CEO Angie Heydon.
- Regarding the governance and leadership of FHTs/NPLCs, to the Provincial Lead for the Governance and Leadership Program, Bryn Hamilton.
- Regarding AFHTO’s work to advance measurement capacity, to the Provincial Lead for the Quality Improvement Decision Support Program, Carol Mulder.
November 16, 2015

2015 Concurrent Sessions slides & materials

Thank you to all of our concurrent session presenters who came to the AFHTO 2015 conference. We will be uploading the concurrent session slides we’ve received within the next two weeks. Our concurrent session presentations are organized into six 45-minute timeslots (3 per day) and seven themes. To help you plan your conference schedule, we have arranged the sessions by timeslot and theme in the table below.

Theme descriptions [PDF]
Concurrent Sessions at a Glance [PDF]
Sessions descriptions listed by theme [PDF]
Session descriptions listed by timeslot [PDF]

Title	Concurrent Theme
A1-a Taking Collaboration to the Next Level – Dealing with the Social Determinants of Health	1. Population-based primary health care: planning and integration for the community
A1-b Nutrition Education at Your Local Coffee Shop	1. Population-based primary health care: planning and integration for the community
A2 Developing Principles for Family Practice: Sharing a Common Approach to Care	2. Optimizing capacity of interprofessional teams
A3 Patient Councils: Experiences within the GTA	3. Transforming patients’ and caregivers’ experience and health
A4 Community Quilt: The Story of How Our FHT has been Woven into the Fabric of the Community	4. Building the rural health care team: making the most of available resources
A6 Quality Improvement Leadership Team (QuILT): Hearing Everyone’s Voice	6. Leadership and governance for accountable care
A7 Reducing the Revolving-Door Syndrome: Hospital and Primary Care Working Together to Reduce 30 day Re-admission Rates for COPD and CHF Patients	7. Clinical innovations keeping people at home and out of the hospital
AB2 Bettering Mental Health Outcomes through Optimized Team Care Slides 1 \| Slides 2	2. Optimizing capacity of interprofessional teams
AB5 Optimizing EMR and Use of External Data Sources to Measure and Improve Quality of Care Slides 1 \| Slides 2	5. Advancing manageable meaningful measurement
B2 “Welcome to your new reality – You have diabetes this week!	2. Optimizing capacity of interprofessional teams
B3 Tips for Capturing and Understanding Patient Experience Slides 1 \| Slides 2	3. Transforming patients’ and caregivers’ experience and health
B4 Innovative Service Provision in a Rural Underserviced Community: The Virtual Visit, Shared Innovations, Patient Centered Service Delivery	4. Building the rural health care team: making the most of available resources
B6 Creating and Implementing the Markham Family Health Team Lead Physician Performance Review: An Exercise in Accountability and Transparency	6. Leadership and governance for accountable care
B7 Community Paramedicine Models for Primary Care	7. Clinical innovations keeping people at home and out of the hospital
BC1 The BODY of Health Equity: Head, Heart and Feet!	1. Population-based primary health care: planning and integration for the community
C2 Sustaining Change. A FHT Structure that Works	2. Optimizing capacity of interprofessional teams
C3-a Well-Baby Visits in Primary Care Slides 1 \| Slides 2	2. Optimizing capacity of interprofessional teams
C3-b Measuring the Patient Experience: How to Select a Delivery Method for Best Results and Minimal Effort	3. Transforming patients’ and caregivers’ experience and health
C4 Organizing the Community Around the Patient — Rural and Remote Regions of Ontario	4. Building the rural health care team: making the most of available resources
C5 Boiling Multiple Meastures down to a Single Indicator: The Queen Square FHT and Patients Canada Experience	5. Advancing manageable meaningful measurement
C6 Solutions for Managing Patient Privacy across Clinics and Community Partners	6. Leadership and governance for accountable care
C7 The Evolution of Telehomecare: Targeting More Chronic Conditions and Offering Customized Approaches	7. Clinical innovations keeping people at home and out of the hospital
D1 Engaging the Community and Addressing the Social Determinants of Health at St. Michael’s Hospital Academic FHT	1. Population-based primary health care: planning and integration for the community
D2 Charting a Blueprint for Improved Interprofessional Primary Care Team Effectiveness : The Teaming Project	2. Optimizing capacity of interprofessional teams
D4 From Soup to Tomatoes: An Armchair-Based Exercise Program	4. Building the rural health care team: making the most of available resources
D5-a Tools to Enhance and Track Patient Experience Slides 1 \| Slides 2 \| Slides 3	3. Transforming patients’ and caregivers’ experience and health
D5-b Measlesgate: A Case Study in Leveraging Your EMR to Protect Your Patients and Staff	5. Advancing manageable meaningful measurement
D6 Culture Eats Accountability for Breakfast	6. Leadership and governance for accountable care
D7 Aging at Home: Interprofessional care to keep seniors at home and out of hospital Slides 1 \| Slides 2	7. Clinical innovations keeping people at home and out of the hospital
DE3 The Power of the Collective: FHT Experiences with Group Medical Visits	3. Transforming patients’ and caregivers’ experience and health
E1-a Reaching out to Adolescents in the Community: The Sunnybrook Academic Family Health Team’s Story	1. Population-based primary health care:Â planning and integration for the community
E1-b Moving Gestational Diabetes Care into the Community	1. Population-based primary health care:Â planning and integration for the community
E2 Collaborative Practice: Messy, Time Consuming and Worth It!	2. Optimizing capacity of interprofessional teams
E7 Integrated LTC: An Innovative Initiative to Reduce Potentially Avoidable Hospitalizations for Seniors Living in East Toronto Long-term Care Homes	7. Clinical innovations keeping people at home and out of the hospital
EF4 Project ECHO (Extension for Community Healthcare Outcomes): Managing Complex Chronic Conditions Without Sweating Bullets	4. Building the rural health care team: making the most of available resources
EF5 Dragon’s Den: Pitching Real-Life Innovations in EMR Queries Slides 1 \| Slides 2 \| Slides 3	5. Advancing manageable meaningful measurement
EF6 Navigating by the stars? Try GPS. How Two FHT Leaders Used Brain Research To Increase Team Collaboration And Physician Engagement	6. Leadership and governance for accountable care
F1-a Strategic Approaches to Population Health Planning	1. Population-based primary health care:Â planning and integration for the community
F1-b Presenting An Improved Tool for Meaningful Program Planning and Reporting	1. Population-based primary health care:Â planning and integration for the community
F2 Integrated Care Planning for Complex Patients	2. Optimizing capacity of interprofessional teams
F3 The Vitality Interprofessional Team Approach to Food, Mood and Fitness	3. Transforming patients’ and caregivers’ experience and health
F7 The MedREACH Pilot Project: Integrating Primary and Tertiary Care to Support Medically Complex Patients	7. Clinical innovations keeping people at home and out of the hospital

Concurrent Session Selection

October 30, 2015

Tag: Past Conference Materials

2020 AFHTO Conference: Day 1 Session Recordings & Slides

Day 1 Recordings and Materials – Themes 2, 3 and 4

Panel Sessions

On-Demand Sessions

Concurrent Sessions

Concurrent Session Selection

2019 Concurrent Sessions Slides & Materials

Concurrent Session Selection

2019 Poster Gallery

Annual AFHTO Leadership Session Reports

2018 – Addressing Mental Health and Addictions Needs in Primary Care

2017- The Way Forward: Care Coordination Being Led by Primary Care

2016: Tackling the big issues: relationship and accountability questions in Ministry contracts

2015: Leading Primary Care through the Next Stage

2014: Toward the Next Ministry Contract

2013: Leadership in Health Care for Ontarians

2012: Priorities, Goals, and Actions

2017 Poster Gallery

2017 Posters Displays

2017 Concurrent Sessions Slides & Materials

Concurrent Session Selection

Program Planning Workshop

Beyond Schedule A: Evidence-Based Program Planning for Community Needs

2016 Poster Gallery

2016 Posters Displays

Leading Primary Care through the Next Stage: Leadership Session summary of proceedings (Oct. 28)

2015 Concurrent Sessions slides & materials

Concurrent Session Selection