Theme Description: The whole is greater than the sum of its parts – this is the goal of interprofessional teams. Interprofessional collaboration is the process of communication and decision making that enables the separate and shared knowledge and skills of care providers – and the patient – to create synergy in patient care. It involves the concepts of mutual respect, maximum use of collective resources, and awareness of individual accountabilities, and competence and capabilities within respective scopes of practice. Presentations in this stream will focus on innovative methods to develop evolving, dynamic teams focused on the value of collaboration and inclusiveness. A7-A – Unhealthy FHOs Equals an Underperforming FHT: Common Problems in FHO’s and How they can be Corrected to Improve FHT Performance A major factor in the success of every Family Health Team is how well the Family Health Organization (FHO) is performing. Cirrus Consulting Group has learned the common problems that exist between FHOs and FHTs and best practices to improve both, the relationship between the two parties and overall FHT performance. A7-B – A focus of health care reform: managing physical disabilities/complex patients in primary care The Centre for Family Medicine in Kitchener has operated an inter-professional clinic for the past 3 years that has broken down the barriers to improve access and quality of care to persons with disabilities. This presentation will review the set up and organization of the clinic and strengths and challenges encountered. A7-C – Collaborating With Physicians Into Mental Health Treatment This presentation will be aimed at demonstrating examples whereby family physicians and their Interdisciplinary Health professionals have collaborated mental health practice. The overview provides ideas on how to motivate physicians to participate in individual or group sessions including viewpoints by a psychometrist/mental health program lead and two physicians to ensure a collaborative approach. B7 – The Obesity Story: Using the Obesity Services Planning Framework to Improve Team Practice This session aims to familiarize participants with the key features and possible uses of a flexible population-based planning framework for managing obesity in team-based primary care. C7 – Nurturing Collaboration in a Large, Geographically Dispersed FHT Strategies look to respect and respond to local differences, while also capitalizing on the advantages of a larger organization to develop FHT-wide policies and programs. This presentation will share some of those strategies and note the successes and challenges. D7 – The System Navigator – the new role in the McMaster Family Health Team At McMaster FHT, the Case Manager/System Navigator was developed in recognition of the many issues, medical and non-medical, a patient faces that affect their health and well-being. This presentation will introduce this new position in the health care team, explore strategies for describing and applying for this role within the inter-professional family health team setting and discuss case scenarios /patient experiences. E7 – A Unique Interprofessional Approach to Delivering Ongoing Care to Patients with Celiac Disease in a Primary Care Setting : A Dietitian, Physician and Chaplain Collaboration A unique team including a dietitian, family physician and chaplain began to look closer at how to better identify and accommodate a vulnerable population with celiac disease, often lost to care in family practice, with the intention to enhance knowledge translation and earlier intervention by clinicians. F7 – Developing Resilience in our FHT’s through Innovative Program in Mindfulness Training Mindfulness based programs have been shown to enhance provider resilience, team functioning and quality of care. This workshop with begin with a definition of mindfulness and review some of the burgeoning evidence of the effectiveness of mindfulness programs for health care providers and teams.
Tag: Past Conference Materials
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AFHTO 2013 Conference – Advances in Health Promotions and Chronic Disease Management
Theme Description: Family Health Teams have been focused on health promotion, disease prevention and chronic disease management since the first teams were announced in 2005. What advances have we made? What is the new knowledge that’s emerging? What is the evidence for what works to keep people as healthy as they can be? A5 – Pulmonary Rehabilitation in the Barrie Community Family Health Team – in Primary Care A presentation of patient flow in the BCFHT will demonstrate how a PR program normally hosted in a tertiary care center; can be as effective in the primary care setting, utilizing a team approach. B5 – STOP with FHTs: Building Capacity to deliver Smoking Cessation Programming in Family Health Teams Highlighting FHTs as they integrate smoking cessation interventions into individual and organizational practices, this presentation will show how multi-stakeholder partnerships collaborate to create comprehensive smoking cessation programming in the primary care setting in Ontario. C5 – The “One Stop Shop” Diabetes program: Engaging, Aligning, and Integrating interdisciplinary team to create a patient-focused program This workshop will be divided into two components; a presentation outlining DCG’s program, followed by group discussion related to current challenges and possible solutions at DCG and other similar programs within your FHT in an effort to continue to provide exceptional interdisciplinary care to the diabetes population. D5 – Outcome Measurement: Developing a culture of Measurement, Optimization and Impact at Diabetes Care Guelph The successes and challenges related to tracking patient data in a diabetes education center are presented so other practices may benefit from the experience shared with the goal of reducing the likelihood of repeating similar time-intensive challenges and increasing process efficiency. E5 – Sustainability versus Feasibility: lessons learned from a pilot health coaching project This project titled: ‘Health Coaching in Primary care: a feasibility model” piloted health coaching for patients with diabetes in two Family Health Teams and a Community Health Centre. F5 – Exercise; The missing ingredient in the FHT recipe We will present some background data on the role of exercise therapy for chronic disease management, as well as the successes and challenges with including this type of program in a FHT, as well as a summary of outcome data and future program plans
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AFHTO 2013 Conference – Integration: Building the team beyond the FHT
Theme description: While Health Links are focused on high users of health services, all Ontarians stand to benefit – as patients and citizens – from greater collaboration among healthcare providers, other agencies, community stakeholders and governments. Presentations in this stream will focus on building collaborative relationships and working with community partners towards providing the right care, at the right time, in the right place. This includes improving the patient’s experience during their journey through the health care system, and identifying and addressing gaps in the quality of care and service delivery for individuals with complex chronic illnesses and other needs that compromise health. A4 – CVFHT Lung League – Our journey to decreasing ER visits by 50% This team presentation will describe both internal and external process improvement and outcomes through a variety of measurements and patient/stakeholder case studies including process improvements made to CDM, prevention and business case. B4-A – PATH – Partners Advancing Transitions In Healthcare PATH – “Partners Advancing Transitions in Healthcare” is a community-based partnership between patients, caregivers and providers working together to understand people’s experiences at key transitions between healthcare settings and services. The PATH Partners will work together in teams, using experience based co-design, to re-design transition processes and measure the impact of the improved processes. B4-B – Strategies to address the social determinants of health and health equity in clinical practice The presentation will begin with a brief overview of the impact of the social determinants of health on overall population health followed by an overview of the study design and methodology. C4 – “Mind the Gap” – Addressing Phlebotomy in Rural Ontario: A Case Study in Partnership, Community Engagement and Grass Roots Initiative-Taking During this presentation, first hand experiences of mobilizing local community stakeholders, advocating with the Ministry of Health, collaborating with partner health service providers, and engaging the private sector will be shared. D4 – Adopting a Network Approach – promoting skills and preventing duplication in multi-provider areas via networks that work (presentation to follow) Participants will see concrete examples of a network approach to successful stakeholder partnerships and its impact on access to care as well as benefits for providers. Successes, challenges and lessons learned will be shared, as will specific information on best practices in smoking cessation and falls prevention program delivery. E4 – Integrated Hospice Palliative Care: Bringing Family Physicians Back into the Team Recognizing the critical role played by Family Physicians in caring for patients at the end-of-life, local stakeholders collaborated to re-integrate primary care in the provision of HPC care in Guelph. This integrated approach being implemented in Guelph respects patients’ end-of-life care wishes while supporting families into bereavement all while maintaining the trusted patient – family physician relationship. F4 – Innovative Partnerships to improve patient care and address social determinants of health This presentation discussed two key points: to help reduce ER visits and support complex patients; and to support patients with social determinants of health barriers.
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AFHTO 2013 Conference – Leadership and Governance for Quality
Theme Description: The primary care sector is at the centre of transformational change in Ontario. FHTs are faced with an increased need to be accountable to patients and the ministry for providing excellent quality care to their communities. Presentations in this category will focus on how FHT leaders are developing the skills, structures, processes, relationships and culture to govern effectively and advance quality in all its dimensions. This includes the board’s role in developing, implementing and monitoring quality improvement plans and overall performance. A1 – Reflections on Board Development Thames Valley Family Health Team having had more than 6 years of experience in evolution of its Board from a steering committee working on a proposal, to a policy Board fully engaged in their Governance role. This presentation will describe this journey, with particular focus being on the sharing of the tools and templates that we have found and/or developed to support a high level of functioning as a Board. B1 – Effective Governance for Quality and Patient Safety in Primary Care in Ontario This study examines and identifies the governance structures and processes, which enable quality and safety of care in effectively governed primary care organizations in Ontario. C1 – Integrating a Critical Incident Reporting Framework into your FHT This presentation will outline our academic family health team’s on-going journey to develop a critical incident reporting framework and how it fits into our broader quality improvement and patient safety framework. D1 – Identifying opportunities for QI Planning in Primary Care Identifying Opportunities for QI Planning in Primary Care – This session is designed to support primary care teams in the process of identifying and prioritizing quality improvement opportunities. E1 – Strengthening the Leadership Triad: The critical partnership of Board Chair, Lead Physician and Executive Director A survey of FHT specific challenges around effective governance and a discussion of strategies to meet those challenges. F1 – Effective Governance in Primary Care and F1 – Quality Improvement Plans Year 1: A Giant Step Forward Share key observations from QIPs submitted by primary care organizations in year 1 (HQO). Illustrate how QIPs can be used to support shorter and longer term improvement planning (HQO). Discuss leadership and governance role in supporting the development of QIPs and driving improvement (CPSI)
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Leading For Change
AFHTO 2011 Conference Presentation Steven Lewis, well-respected Canadian health policy consultant, opened the Leadership Program with his thoughts on the future of family health teams in Ontario. To access his presentation slides, please click here. Steven Lewis’ knowledge and analysis of health integration issues across Canada make him a valuable resource for Ontario’s Change Foundation and the province. Based in Saskatoon, Steven was recently a Visiting Scholar at Vancouver’s Simon Fraser University, where he also works as an adjunct professor. He has headed a health research granting agency and spent seven years as CEO of the Health Services Utilization and Research Commission in Saskatchewan. He has served on various boards and committees, including the Governing Council of the Canadian Institutes of Health Research, the Saskatchewan Health Quality Council, the Health Council of Canada, and the editorial boards of several journals, including the newly launched Open Medicine. His published work covers topics such as reforming and strengthening medicare, improving health-care quality, primary health care, regionalization and integration, and the management of wait times. Click here to view presentation.
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Using IT to Solve Process Problems
2011 AFHTO conference presentation PRESENTER (S): Dave Sellers, Director of Operations; Dr. Mark Fraser, Lead Physician FHT/ORG: West Carleton FHT ABSTRACT: This presentation will describe how innovative approaches within the FHT IT infrastructure have been used to solve process issues and improve efficiencies and data quality. The quality of the data in your EMR has a direct impact on quality of care and your ability to identify care issues, promote self care and identify population care needs. The presenter will demonstrate approaches that have been used and the impact that they have made in the FHT using tools that you may already have and did not know it. This is a highly technical presentation; therefore you should have a good understanding of your current Information Technology Infrastructure and processes to glean the most from this presentation. This presentation is not specific to single vendors EMR. Click here to view presentation.
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Using Spirometry in Clinical Practice
2011 AFHTO conference presentation PRESENTER (S): Angie Shaw, RRT,CRE Respiratory Educator; Amy Massie, RRT, CRE Respiratory Educator FHT/ORG: New Vision FHT ABSTRACT: This workshop will assist Family Health Team members in utilizing spirometry as a valuable tool in various clinical settings. Case studies will be presented, worked and reviewed. There will be a brief review of spirometry interpretation principles. Participants will then have the opportunity to practice interpretations, and consider recommendations based on the case presentations. Upon completion of the workshop participants will be better able to use spirometry results as a valuable tool in diagnosis and treatment of obstructive/restrictive lung conditions, and have an improved understanding of what recommendations to make based on results from spirometry testing. Click here to view presentation.
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Self Management for Chronic Pain Patients
2011 AFHTO conference presentation PRESENTER (S): Shellie Buckley, RN FHT/ORG: Stratford FHT ABSTRACT: Self management is a fairly new, vogue term used in healthcare but does it really work for patients with chronic pain? The data collected at the Stratford Family Health Team over the past two years shows chronic pain patients will attend six week group sessions and will benefit not only at the time but continue to demonstrate positive effects weeks and months later. Following the standardized model of the Stanford Chronic Pain Self Management Program patients are supported and guided through a six week structured program. Each week patients learn and develop skills or tools to help them be competent and successful self managers. A collection of real patient case studies will be reviewed to demonstrate the benefit of self management for the patient with chronic pain. Click here to view presentation.
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FHTs in the Intelligent Community
2011 AFHTO conference presentation PRESENTER (S): Tim Iredale, Stratford Family Health Team; Paul West, Rhyzome Networks FHT/ORG: Stratford FHT ABSTRACT: The Stratford FHT is located in a city that is one of the Top 7 Intelligent Communities of 2011. The Stratford FHT has partnered with Rhyzome Networks to improve its IT infrastructure which has resulted in better access to our EMR and improved FHT collaboration. Rhyzome Networks offers 60 kms of fiber optics which supports a city wide mesh WiFi. This improved IT infrastructure has provided consistent and redundant connectivity and capacity for IP based voice and data communications between offices. The Stratford FHT receives results electronically into our EMR within minutes of them being posted at our local Hospital as a result of this intrastructure. Physicians can access our EMR securely from a WiFi enabled device anywhere within the City of Stratford. The next step is a patient portal made available through the city wide WiFi to any Stratford FHT patient regardless of economics. Click here to view presentation.
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Coaching Health Self-Management
2011 AFHTO conference presentation PRESENTER (S): Durhane Wong-Rieger, PhD FHT/ORG: Institute for Optimizing Health Outcomes ABSTRACT: This workshop provides an introduction to Health Coaching for Patient Self-Management. Case studies and brief demonstrations/role plays will be used. After participating in this program, participants will be able to:
- Define the role of self-management in promoting treatment adherence and health behaviour change
- Identify the knowledge and skills patients learn as self-managers
- Know five-stage model of health coaching and concepts that support self-management
- Know principles of motivational interviewing and stages of change
- Identify the roles of healthcare professionals in facilitating patient self- management
Click here to view presentation.