Ultimate Blogging Championship

Tag: Quality Improvement Plans

  • QI in Action eBulletin #124: Celebrating the Resilience of Teams in 2022, QIPs 2023-2024

    In this Issue:

    • Thank You to our Wonderful Teams
    • Celebrating Teams: Collaborating to Improve Palliative Care
    • Celebrating Teams: Filling Gaps in the Community
    • Healthcare Excellence Canada: Partnering on Appropriate Virtual Care
    • Physician Consultations on PHIPA Changes
    • Support Tools for Clinically Appropriate Use of Virtual Care Guidance in Primary Care
    • Quality Improvement Plans (QIPS) 2023/24
    • Farewell and Thank You from Raveen Bahniwal
    • Upcoming Events

     

    Thank You to our Wonderful Teams
    2022 has been a difficult year for primary care and we want to thank our teams for their resilience and capacity to adapt to the constant challenges that came their way. You have all continued to support not only your patients but non-rostered patients in your communities, collaborated with partners to advance your programs and continued to advocate for the ongoing expansion of team-based care. We aren’t able to highlight all the wonderful work for teams in 2022 in this short newsletter, but we encourage you all to read our Annual Report and explore our Bright Lights Nominees and Award Winners.

    Celebrating Teams: Collaborating to Improve Palliative Care

    Care for Palliative End of Life Patients with Bancroft FHT

    Content developed by Bancroft FHT
    In April 2022 the Bancroft Community Family Health Team formed a partnership and collaboration with North Hastings Hospice in Bancroft Ontario to provide an alternative level of care to their palliative end of life patients and residents of the community.

    Through the System Navigation Program, patients can be referred directly from physicians, nurse practitioners, Home and Community Care Services, Hospitals, and other community support agencies. The Palliative System Navigator RN will complete the initial intake process by meeting with the patient to discuss their end-of-life care and wishes. The nurse will then make the appropriate arrangements for the patient, coordinating in home services or admission to Hospice House in collaboration with one of the BCFHT FHO physicians.

    The goal is to provide effective, quality, compassionate, and coordinated care to palliative end of life patients and community residents in an appropriate setting while at the same time reducing hospital admissions. For any questions, please email mkelly@bancroftfht.com.

    Couchiching FHT Streamlines Access to Palliative Care Resources

    Couchiching FHT has provided leadership and resources to the Couchiching Palliative Care Working Group for several years. With the creation of the Couchiching Ontario Health Team (COHT), this working group was able to leverage the strong collaboration within the COHT to make incredible strides towards accomplishing their goals.

    This group of service providers and system users has created a central referral system which went live in February 2022. There is one referral form to access all palliative care services in the sub-region and a list of primary care practitioners who will accept non-rostered palliative patients, so no palliative patient in Couchiching is going without primary care. In addition, they have streamlined and coordinated resources to reduce duplication and make it easier for patients and their caregivers to find the right resources at the right time. For more information, please email a.munday@cfht.ca.

    Celebrating Teams: Filling Gaps in the Community

    Community Newborn Program at the Belleville NPLC

    Content provided by Belleville NPLC
    The purpose of the Community Newborn program is to provide follow up care to newborns who do not have a primary care provider in the community. Infants are seen by the program staff within 72 hours of discharge from the hospital. The Community Newborn Program consists of a Nurse Practitioner-Paediatrics, a Registered Nurse, and an Admin Support who each work 20 hours per week to support patients in this program. The NP and RN provide routine follow up care and non-emergent assessments for the infants up until 6 months of age. They also provide routine vaccinations for siblings of their infant patients who also do not have a primary care provider. For any inquiries about this program, please email admin@bnplc.ca.

    Prenatal and Well Baby Program at Barrie and Community FHT

    The Prenatal and Well Baby (PNWB) Program provides prenatal and well-baby care for women and children (up to the age of 6) without a family physician in the Barrie and surrounding area. The program has nurses, nurse practitioners, physicians and lactation consultants that provide care, education and referrals into community supports. The program also performs tongue tie releases and has a paediatrician available for consultation.

    Throughout the pandemic, the PNWB Program and Breastfeeding Services continued to see patients daily for essential care. During the pandemic, the Barrie area has seen an influx of new residents. Many of these new community members do not have a family doctor close to home, and the PNWB clinic is a place they can receive this essential service in the community they live. For more information, please click here and for any questions, please email jthomas@bcfht.ca.

    Healthcare Excellence Canada Opportunity: Partnering on Appropriate Virtual Care
    The Partnering on Appropriate Virtual Care collaborative will support primary care practices, organizations, and multidisciplinary teams from across Canada to determine when and how virtual care should be used in their respective healthcare settings. Participants will receive up to $20,000 in seed funding to develop a framework that supports shared decision-making with patients, ensuring choices around virtual care are based on patient needs and capabilities, their care requirements and clinician capacity. This program runs between January and November 2023 and involves a range of online learning and design activities. Learn more about the program and how to apply here.

    Physician Consultations on PHIPA Changes
    The Ministry of Health is seeking physicians interested in participating in a focus group to talk about their experiences with the Personal Health Information Protection Act, 2004 (PHIPA). This work is part of the Ministry’s Dialogue on Data engagement strategy. Your knowledge and experience will inform the development of a data strategy report to the Ontario Health Data Council that will be seen by the Minister of Health, the Information and Privacy Commissioner of Ontario, and many other important stakeholders. Click here to learn more. Focus groups will take place January 17 to 19, from 12-1 pm and we are looking for 20 physician volunteers spread over the three days. If you are interested in participating, please email info@afhto.ca.

    Support Tools for Clinically Appropriate Use of Virtual Care Guidance in Primary Care
    The two patient-facing support tools for the Clinically Appropriate Use of Virtual Care Guidance in Primary Care are now live on the Ontario Health website. The patient-facing tools, ‘Learning about Virtual Care Options’ and ‘Checklist for Use of Virtual Care’, are currently available in English and French. There is work underway to translate the patient-facing tools into additional languages. This will be made available on the Ontario Health website when ready. For feedback/questions, email PCP.Gudance@ontariohealth.ca.

    Quality Improvement Plans (QIPs) 2023/24
    Ontario Health announced the start of the Quality Improvement (QIP) program cycle for 2023/24. This year’s QIPs will continue to focus on a small number of quality issues that are important to the health care system, such as issues that have been particularly impacted by COVID-19 and need our attention to help support health system recovery.

    Priority indicators have been developed in consultation with the Ministry of Health, Ministry of Long-Term Care, and other teams across Ontario Health; however, organizations may also choose to focus on local issues that are important to their communities. Ontario Health encourages organizations to work on improving equity and supporting cultural safety and responsiveness. Organizations can choose to add custom indicators aimed at improving equitable access to care and/or share goals in the Narrative section.

    QIP Navigator, the online QIP development and submission platform, has been updated for this year’s submission and is now open for 2023/24 QIP submissions. Organizations can download pre-populated templates and current performance will be pre-populated with administrative data in January where available. Ontario Health will be hosting drop-in sessions on Zoom which are optional and will provide you with an opportunity to ask questions about the QIP program, QIP Navigator and learn about available quality improvement resources. QIPs must be submitted by March 31, 2023. Please email QIP@ontariohealth.ca if you have any questions or concerns.

    Planning Resources:

    Farewell and Thank You
    To end this ebulletin with some bittersweet news, I will be leaving AFHTO at the end of December to begin medical school in January. Thank you to all our members and partners for sharing your stories and initiatives with me. It was a pleasure for me to bring you these monthly ebulletins and KTE webinars. I will truly miss this community but hope our paths cross again someday. Stay tuned to the next ebulletin in January and have a wonderful holiday season. –Raveen Bahniwal, Quality Improvement and Knowledge Translation Specialist

    Upcoming Events

    HSPN: IFIC Canada and Health System Performance Network Virtual Community

    Tuesday, December 20, 2022, 12-1:30 pm
    Integration is the lever to enable population health and well-being. A key component of integration is the role of partnering with the volunteer sector to improve outcomes for our patients, caregivers, and our population. In this session, we will take a deep dive to learn firsthand about the role of engaging the volunteer sector from the perspectives of policymakers, researchers, and a person with lived experience. This session will discuss the available evidence, the volunteer sector’s role in policy, and share approaches and practical examples of local work that engages with the volunteer sector. Register here.

    ADVANCE Special Topic Series- Balancing Task and Process in Leading Integrated Care Systems
    Monday, January 9, 2023, 12-1 pm
    Developing integrated care systems often requires newly constituted intersectoral teams to form and rapidly engage in mutually reinforcing activities of integration, while attending, in parallel, with the processes by which these new teams engage in collaborative leadership, decision-making and/or system improvement. Professor Robin Miller, based at the University of Birmingham, will discuss the promise and pitfalls of collaborative leadership within integrated care systems and how attending to process can support inter-sectoral teams to achieve the aim of collaborative governance. To register, click here.

     

    In Case You Missed It: Check out eBulletin #123 or other back issues here!
    Questions? Comments? Contact us at improve@afhto.ca.

  • Bits & Pieces: memo to primary care from OH and more

    Bits & Pieces: memo to primary care from OH and more

    Your Weekly News & Updates

    In This Issue  
    • Memos to primary care, on operational direction and more
    • Health ministers’ meeting in Vancouver
    • Reminder- Supporting Caregivers Supports Patients- The Critical Role of Primary Care in Preventing Caregiver Burnout, Nov. 24
    • Virtual concussion occupational therapy services for teams
    • Moving towards an integrated health data ecosystem & QIP update
    • OLTCA convention call for content
    • Nominate high performing early career family physicians
    • IPHCC & PHAC seeking participants for short videos
    • Upcoming events including Evaluating program planning using an equity framework and more

     

    Memos to primary care, on operational direction and more

    Recent updates include:

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

    Novel Coronavirus (COVID-19) Updates– the original page, with news and updates. You can find links to related pages here as well.

    Health ministers’ meeting in Vancouver

    screenshot of AFHTO news release

    “Mr. Duclos … added the federal government is also prepared to make bilateral agreements with provinces and territories on issues of shared priorities, such as increased access to family health teams and mental-health services.” Full article here.

    As the provincial and territorial health ministers gather in Vancouver to meet with the federal Minister of Health, the Hon. Jean-Yves Duclos, AFHTO remains hopeful that all parties share his priority of increasing access to primary care teams and that we will see much needed funding flow to the province through the Canada Health Transfer.

    Please read AFHTO’s statement here. 

    OCO webinar flyer

     

     

    Reminder – Supporting Caregivers Supports Patients- The Critical Role of Primary Care in Preventing Caregiver Burnout, Nov. 24

    Primary care providers can play a key role in preventing burnout and enhancing caregiver well-being by initiating early interventions and connecting caregivers to support.

    Co-hosted by The Ontario Caregiver Organization and the Primary Care Collaborative, this webinar will include insights from a caregiver with lived experience, as well as examples of primary care initiatives across Ontario that are connecting caregivers to support. Register here.

     

     

    Virtual concussion occupational therapy services for teams

    The Neurology Centre of Toronto (NCT) has developed a concussion rehabilitation program that has been implemented and proven successful with an existing FHT in Ontario. The program provides patients with access to virtual concussion occupational therapy services and has been running successfully since March 2022.

    The patients in this program wouldn’t have access to this care otherwise, and the program has generated very positive feedback and results. Specifically, when surveyed after completing this program:

    • 33% of patients demonstrated an improvement in daily activity tolerance
    • 67% of patients demonstrated an improvement in their symptom scores, and
    • 83% reported satisfaction with the program.

    NCT would like to extend this service to other teams (including NPLCs and CHCs) in need of concussion rehabilitation services to support their patients. Please contact Jenni Diamond, Occupational Therapist and Program Director, to discuss the details and how it may fit within your team: jenni.diamond@numinus.com.

    Moving towards an integrated health data ecosystem & QIP update

    OLTCA convention call for content

    Taking place March 27-29, the Ontario Long Term Care Association (OLTCA) in partnership with the Ontario Retirement Communities Association (ORCA) are hosting the Together We Care 2023 Convention in person. The TWC Call for Content is now accepting abstracts. For a full list of program streams and to submit an abstract, please visit their site. Deadline November 21, 2022, at 4:00 pm EST.

    Nominate high performing early career family physicians

    Dr. Monica Aggarwal at the University of Toronto is conducting a study that will identify the key capabilities and competencies of high-performing family medicine graduates. This will help inform how learning, teaching and assessment can be improved in family medicine residency programs in Canada.

    She’s looking for nominations for high-performing early-career family physicians (based on the criteria identified here). If you have a nominee, please contact monica.aggarwal@utoronto.ca.

    IPHCC & PHAC seeking participants for short videos

    The Indigenous Primary Health Care Council is looking for both health care staff as well as general population participants for the creation of short videos.

    Created in collaboration with the Public Health Agency of Canada, the videos aim to increase knowledge about the importance of vaccination, build vaccine confidence, and address barriers to accessing vaccination services. An honorarium will be provided. Please see the flyer for more information.

    ONCA A Year Later: the 100 Most Asked Questions, Nov. 10, 2022
    Hosted by Community Legal Education Ontario, who have compiled the most frequently asked questions into a database and want to share what they have learned. Register here.

    Infection Prevention & Control in Primary Care, Nov. 23, 2022
    Hosted by Hamilton FHT and Public Health Ontario. Find out more here.

    Evaluating program planning using an equity framework, Nov. 23, 2022
    To plan for an expansion of healthcare services in newly developed neighbourhoods, a planning initiative was conducted to better understand the needs of the population. Ensuring equity of care was identified as a priority for this initiative.

    CCHL Forum webinar featuring speakers from Ontario Health, North York FHT and Queen Square FHT. Register here.

    Highlights and implications of the Ontario Science Table’s brief on primary care, Nov. 30

    On October 3, 2022, the Ontario COVID-19 Science Advisory Table (OST) released its final brief, a 3-part exploration of how primary care responded to and was affected by the pandemic, and implications for ongoing health system planning and policy. In this webinar, you will hear from a panel of primary healthcare experts who contributed to that brief, as they share some of the most significant findings and implications. Register here.

    Climate Conscious Inhaler Prescribing, Dec. 8

    Metered dose inhalers produce significant carbon emissions. Ironically, these contribute to changes to the climate that can exacerbate respiratory conditions. Simple practice changes can help disrupt this cycle and lessen the health sector’s contributions to climate change.

    Register here.

  • Bits & Pieces: member stories, farewell to Sandeep and more

    Bits & Pieces: member stories, farewell to Sandeep and more

    Your Weekly News & Updates

    In This Issue  
    • Member stories
    • Farewell to Sandeep Gill
    • Seeking Director of Policy and Stakeholder Relations- deadline Mar. 25
    • Reminder – Ontario Health and Primary Care, MHA CoE, and HCNS, April 1
    • Reminder- Your Voice is Important: Election Campaign Training with Enterprise Canada, Apr. 6, 2022
    • The second anniversary and more
    • Ontario government seeking input on Anti-Racism Strategic Plan
    • Launch of QIP Navigator for 2022/23- drop-in sessions available
    • Upcoming events regarding COVID Recovery and more

    Member stories

    City of Lakes FHT– has developed a new Strategic Plan for 2022-25- EN and FR

    Lakehead NPLC– Lakehead Nurse Practitioner-led Clinic plans to take on 1,600 more patients

    Haldimand FHT– Haldimand FHT receives over $900k from province. Press release here.

    These last two are part of the Ontario government investment of $6.2 million across 32 primary care teams. Further details are coming, but if you are one of these teams, please send us any press releases, articles, etc. so we can spread the good news.

    Sandeep perches on edge of desk with her hands in her lap wearing a suit

     

    Farewell to Sandeep Gill

    It is with genuinely mixed feelings we announce that Sandeep Gill will be leaving AFHTO for a new role in the acute sector.

    Sandeep has been with AFHTO for nearly three years, most recently as Manager, Quality and Knowledge Translation.  So many have you had the pleasure of working with her or attended the webinars she has organized over the last few years. She has also helped AFHTO grow its research portfolio by securing several research opportunities which have also led to a few publications.

    We’re going to miss Sandeep but know she will bring so much to her new team. Please join us in giving her our sincerest best wishes. Her last day with AFHTO will be Friday, April 8th – any questions related to her work can be directed to info@afhto.ca.

    If anyone is interested in joining our team in a similar role, you can find details here. Deadline April 1, 2022.

     

     

    Seeking Director of Policy and Stakeholder Relations- deadline Mar. 25

    We’re growing! The Director of Policy and Stakeholder Relations will monitor and respond to relevant government activity, analyze government legislation and regulations that impacts primary care, health system restructuring and team-based care ensuring that AFHTO and its member voices are considered in the development and implementation of policy and advocacy by aligning with AFHTO’s strategic directions and delivering messaging that is consistent with AFHTO and the primary care sector’s public policy agenda, by positioning comprehensive team-based primary care as the foundation of the health care system.

    Learn more and apply by Mar. 25, 2022, for this two year position.

    Reminder – Ontario Health and Primary Care, MHA CoE, and HCNS, April 1

    AFHTO has arranged for an update and conversation with Ontario Health on its role in supporting primary care, the work being led through the Mental Health and Addictions Centre of Excellence (MHA CoE), and the vision for OH’s Healthcare Navigation Service (HCNS). Register here to hear from senior decision makers at OH talk about how they are planning to support primary care through the pandemic recovery.

    Reminder- Your Voice is Important: Election Campaign Training with Enterprise Canada, Apr. 6, 2022

    AFHTO Executive Committee members and CEO meet with NDP MPP France Gélinas

    The provincial election is just over three months away. Now is the time for local candidates to hear from you!

    If you have any questions or need support, please email advocacy@afhto.ca.

    The second anniversary and more

    Recent updates include:

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

    Ontario government seeking input on Anti-Racism Strategic Plan

    The Ontario government is seeking input as it launches a review of the province’s Anti-Racism Strategic Plan. You can find more details and submit feedback here (FR). Deadline May 4, 2022.

    Launch of QIP Navigator for 2022/23- drop-in sessions available

    The Quality Improvement Plan (QIP) online submission platform, QIP Navigator, has opened for 2022/23 QIP submissions. It will remain open until June 30, 2022. To support the process, Ontario Health will be hosting drop-in sessions on Zoom. Register here.

    If you have any questions, please contact QIP@ontariohealth.ca.

    COVID Recovery, Mar. 25, 2022

    41st in the series ‘Changing the way we work’ for OCFP’s COVID-19 CoP for Family Physicians. Register here.

    COVID-19 and indoor air quality – how community spaces can reduce transmission using ventilation, filtration, and ultra-violet disinfection

    Hosted by the Alliance and IPHCC, this April 5 webinar features two experts in indoor air quality from the University of Toronto. Want to get started now? Dr. Siegel and Dr. Li have shared five great things you can do to improve air quality and reduce airborne transmission of COVID-19.

    Diabetes Care: Tools and Resources to Support Mental Health Needs, Apr. 8, 2022
    Hosted by Ontario Health and moderated by Dr. David Kaplan. Find out more here.

    Cannabis and Older Adults
    Free, asynchronous, accredited eLearning modules by Canadian Coalition for Seniors’ Mental Health (CCSMH) (English version) are now available. The French modules will be available Spring 2022. Find out more here.

    QI Innovations: Better Data, Better Decisions, Better Outcomes, Apr. 12, 2022
    Free conference hosted by Excellence through Quality Improvement Project (E-QIP). Learn more here.

  • QI in Action eBulletin #116: Role of Primary Care in Vaccine Distribution, QIPs 2022-2023

    In this Issue:

    • Understanding the Role of Primary Care in Vaccine Distribution
    • Quality Improvement Plans 2022/23
    • COVID-19 and Respiratory Virus Test Requisition Form
    • Did You Agree to Be Listed On Online Appointment Booking Platform Bleen?
    • Quality Standard on Transitions from Youth to Adult Health Care Services
    • Recognizing World Delirium Awareness Day
    • Developing A Practice Tool for Prescribing Cascades in Primary Care
    • Upcoming Webinars

     

    The Role of Primary Care in Vaccine Distribution – Currently recruiting MDs and IHPs!

    AFHTO has partnered with Dr. Rachelle Ashcroft on a study focused on understanding how and in what ways primary care contributes to vaccine distribution, challenges experienced by primary care in the transition of vaccine distribution, as well as generating recommendations about primary care’s ongoing and future roles in vaccine distribution, including COVID-19 boosters.

    This study will be in the format of focus groups with EDs, MDs, NPs, nurses, QIDSS and IHPs.

    • We are actively recruiting MDs. If you are a physician interested in participating, please complete this poll.
    • We are also currently recruiting IHPs. If you are an IHP interested in participating, please complete this poll.

    For any questions, please connect with Sandeep Gill: sandeep.gill@afhto.ca.

    Quality Improvement Plans (QIPs) 2022/23
    Content below developed by Ontario Health (Health Quality Ontario)

    For the past two years, Quality Improvement Plan (QIP) submissions have been on pause while organizations did the necessary work to manage the COVID-19 pandemic in their communities and regions. It has been a difficult time. While we know focused commitment to quality is vital, we also know that our system is facing unprecedented health human resource challenges and instability related to the COVID-19 pandemic. As such, we want to clearly convey to you our expectations regarding your Quality Improvement Plans (QIPs) for 2022/23: This year submission of your QIP to Ontario Health will be considered voluntary.  Please e-mail QIP@OntarioHealth.ca if you have any questions.  As always, the team is here to support you.

    This year’s QIPs will focus on a small number of quality issues that are important to the health care system—issues that have been particularly impacted by COVID-19 and need our attention to help support health system recovery. The small number of priority indicators in this year’s QIPs have been developed in consultation with the Ministry of Health, the Ministry of Long-Term Care, other teams across Ontario Health, and organizational leaders like yourselves. Organizations may also choose to integrate other local issues that are of importance to their communities.  

    Priority indicators by sector are provided in the Appendix below. Supporting documents, including a QIP guidance document, technical specifications for the indicators, and a snapshot of quality priorities in brief for 2022/23, are also available. QIP Navigator, our online QIP development and submission platform, has been updated in preparation for voluntary submission. As usual, organizations can download pre-populated templates from QIP Navigator to support their QIP development process.  

    Individual organizations who choose to submit their QIPs to Ontario Health are encouraged to do so by April 1, 2022. However, in consideration of the current pressures on the health care system, there will be flexibility with timing of submissions and QIP Navigator will be kept open until June 30, 2022.  

    This is the first year that organizations that are part of an OHT will work to submit their organizational-level QIP while also contributing to their OHT’s cQIP. For that reason, and because organizations are continuing to respond to COVID-19, we have limited the number of focus areas for both the cQIP and the organizational-level QIP. Organizations that wish to reflect their cQIP work in their QIP may also include the cQIP indicators in their organizational QIP.

    Annual Planning Materials:

    Please see below for further clarifications by the Ministry of Health, on behalf of Fernando Tavares, A/ Program Manager Primary Health Care Branch

    In follow up to the enclosed distribution from Ontario Health regarding the submission of this year’s Quality Improvement Plans.  We wanted to confirm that the Ministry is supportive of Ontario Health’s plan to make this year’s submission voluntary and confirm that teams are not contractually required to submit this report for 2022-23.

    We continue to encourage all organizations who choose to complete this work to develop and post your 2022/23 QIP on your website and share it with your administrative staff, clinicians, and patients/residents and their family members.

    Further Supports:

    COVID-19 and Respiratory Virus Test Requisition Form
    Please find the Public Health Ontario COVID-19 and Respiratory Form Virus Test Requisition Form adapted to Telus PSS and OSCAR EMRs here.

    If your team has this form implemented within Accuro, please reach out to Sandeep Gill: Sandeep.gill@afhto.ca.

    Did You Agree to Be Listed on Online Appointment Booking Platform Bleen?
    Recently it has come to our attention that many AFHTO member organizations are listed as clinics for patients to book an appointment online on the Bleen platform. We strongly advise you to review the list of clinics here to see if your team is on the list, as this solution is not aligned to the service standard.

    For any associated privacy concerns, please reach out to the Information and Privacy Commissioner (IPC). If your team did not agree to be listed on this website and would like to be removed, please directly reach out to Bleen via phone: 1-866-943-9480 and via an online form here. We have brought this issue to Ontario Health’s attention, and they are working with OntarioMD and the Ministry to bring a resolution to the issue.

    We also encourage you to take this opportunity for patient education if you receive any appointment requests through this platform and advise patients on approved appointment booking practices for your team. If you are interested in exploring funding opportunities for online booking, please click here. For any questions, please connect with Sandeep Gill: sandeep.gill@afhto.ca.

    Content below developed by Ontario Health (Health Quality Ontario)

    New! Quality Standard on Transitions From Youth to Adult Health Care Services
    In February 2022, Ontario Health released the Transitions From Youth to Adult Health Care Services quality standard, developed in partnership with the Provincial Council for Maternal and Child Health.
    When young people transition from youth to adult health care, they are at increased risk for negative health outcomes as they adapt to new services, people, and processes.

    The quality standard is an evidence-based resource that outlines what high-quality care looks like during this critical time. It can be used to help young people, families, and caregivers know what to ask for in their care; to help health care professionals know what care they should be offering; and to help health care organizations measure, assess, and improve their performance in caring for patients.   

    Please share this quality standard within your network and stay tuned for information on an upcoming webinar on this topic. For more information, contact qualitystandards@ontariohealth.ca.

    Recognizing World Delirium Awareness Day
    Delirium is often a complication of respiratory illnesses, such as pneumonia, in older adults. It is a sudden change in how someone thinks, acts, or understands what’s happening to them. See the quality standard addressing what quality care looks like for delirium and accompanied patient guide, from Ontario Health and Provincial Geriatrics Leadership Ontario and more resources here.

    Developing A Practice Tool for Prescribing Cascades in Primary Care

    Are you an Ontario physician, nurse practitioner or pharmacist who provides primary care as part of an interprofessional team?

    Are you interested in reducing medication-related harm?

    A University of Toronto research team wants to learn from clinicians working in interprofessional teams about your experiences and thoughts on interventions that may help to address prescribing cascades.

    What is a prescribing cascade?
    Prescribing cascades occur when a new medication is prescribed to treat the side effects of another medication. These often arise when prescribers attribute patients’ new signs or symptoms to a medical condition rather than a medication side effect. Prescribing cascades are important sources of potentially unnecessary medication use.

    What is being asked of me?
    –    Complete a brief questionnaire (< 10 minutes) and then participate in a up to 1.5-hour discussion group or interview to share your perspectives. You will be invited to participate in a second discussion group or interview (also up to 1.5-hours) if interested.
    –    A $100 gift card will be provided for each discussion group or interview that is attended.

    Do you have questions or want to get involved?
    Please email the team at rx.cascades@utoronto.ca or contact them at (416) 978-4838. This study has been reviewed by the University of Toronto Research Ethics Board (#42135).

    Upcoming Webinars

    Stories from the Ivory Tower, Mar 22, 2022, 12:00 PM – 1:30 PM
    Register here

    In March 2022, HSPN is presenting stories from the ivory tower of university-based evaluation of Ontario Health Teams (OHTs). Evaluators from the HSPN have spent the better part of the past year observing the development of OHTs with an aim to understand:

    1. What factors contribute to the successful implementation and sustainability of OHTs?
    2. What adaptations are OHTs making to improve function/performance/outcomes?
    3. What are the barriers to OHTs’ successful implementation?

    MyPractice: Primary Care Report: Using Data for Improvement – a focus on using the cancer screening indicators to drive improvements in patient care, Thursday March 31st, 2022, 12–1 p.m.

    Ontario Health is hosting a webinar for primary care providers on using the cancer screening indicators in the MyPractice: Primary Care report to drive improvements in patient care. This is the third of an ongoing accredited series that will focus on using data from the MyPractice: Primary Care report for quality improvement. This 1-credit-per-hour Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 1.0 Mainpro+Ⓡ credits. The program is part of a series that has been certified for up to 4 Mainpro+ credits.
    Register here

    AFHTO Webinar – Ontario Health And Primary Care, MHA CoE And HCNS
    Friday, April 1, from 11 AM to 12:30 PM
    Register here

    AFHTO has arranged a members’ update and conversation on primary care with Ontario Health, the Mental Health and Addictions Centre of Excellence (MHA CoE), and Healthcare Navigation Service (HCNS). Five speakers will be joining us on Friday, April 1, from 11 AM to 12:30 PM.

    We will be joined by the following speakers:

    • Sacha Bhatia, Population Health and Value Based Health Systems Executive, Ontario Health
    • Zahra Ismail, Senior Director, Primary Care and Social Determinants, Ontario Health
    • Danyal Martin, Director, Clinical Programs, Mental Health & Addictions Centre of Excellence, Ontario Health
    • Graham Woodward, VP, Mental Health and Addictions Centre of Excellence, Ontario Health
    • Mala Shastri, Lead, Co-Design, Patient Populations and Discovery, Ontario Health

    Members are encouraged to join the webinar and are welcome to submit questions by March 21. However, the floor will also be open for Q&As with all speakers, and any we do not get to during the webinar will be followed up on.

    This webinar is open to all members.

    Diabetes Care: Tools and Resources to Support Mental Health Needs, Friday April 8, 2022, 12:30–1:30 p.m.
    Ontario Health is hosting a webinar for endocrinologists, primary care providers, and diabetes educators on screening for mental health needs among people with diabetes, and new, provincially-funded resources available to support them. This is the first of an ongoing series that will highlight Ontario Health’s three diabetes quality standards. Register here.

    Moderator: Dr. David Kaplan

    Panelists:  

    • Marcia Ross, Lived Experience Advisor
    •  Nina Hoyt, Nurse Practitioner, Health Sciences North
    • Dr. Geetha Mukerji, Endocrinologist, Women’s College Hospital
    • Leslie Johnson, Regional Director Mental Health and Addictions, Ontario Shores Centre for Mental Health Sciences

    The links to the diabetes quality standards can be accessed here: Type 1 Diabetes, Prediabetes and Type 2 Diabetes, and Diabetes in Pregnancy.

     

    In Case You Missed It: Check out eBulletin #115 or other back issues here!
    Questions? Comments? Contact us at improve@afhto.ca.

  • Bits & Pieces: Ontario Health and Primary Care and more

    Bits & Pieces: Ontario Health and Primary Care and more

    Your Weekly News & Updates

    In This Issue  
    • Ontario Health and Primary Care, MHA CoE, and HCNS, April 1
    • Social Work Week
    • Revocation of directive #6 and more
    • 2022/23 Annual Memo – Quality Improvement Plan
    • Ministry and Ontario Health updates, including coverage for continuous glucose monitors
    • Call for expressions of interest for hospital & pediatric models of care working groups
    • Upcoming events including COVID-19 and indoor air quality, and more

     

    Ontario Health and Primary Care, MHA CoE, and HCNS, April 1

    AFHTO has arranged for an update and conversation with Ontario Health on its role in supporting primary care, the work being led through the Mental Health and Addictions Centre of Excellence (MHA CoE), and the vision for OH’s Healthcare Navigation Service (HCNS).

    We will be joined by the following speakers:

    • Sacha Bhatia, Population Health and Value Based Health Systems Executive, Ontario Health
    • Zahra Ismail, Senior Director, Primary Care and Social Determinants, Ontario Health
    • Danyal Martin, Director, Clinical Programs, Mental Health & Addictions Centre of Excellence, Ontario Health
    • Graham Woodward, VP, Mental Health and Addictions Centre of Excellence, Ontario Health
    • Mala Shastri, Lead, Co-Design, Patient Populations and Discovery, Ontario Health

    This session is open to all members of the teams so please share.

    Register here.

    #MoreThanEver We thank our Social Workers in health care. Social Work Week 2022 oasw.org

    Social Work Week

    It’s Social Work Week in Ontario, and we’d like to thank our teams’ social workers, who have worked tirelessly to support their patients and communities through COVID. We’re tired of living through historic times, but we’re glad you’re here to help. You can show your appreciation too, with resources from OASW.

     

    Revocation of directive #6 and more

    Recent updates include:

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

    2022/23 Annual Memo – Quality Improvement Plan

    On behalf of Fernando Tavares, A/ Program Manager Primary Health Care Branch

    In follow up to the distribution from Ontario Health (EN and FR) regarding the submission of this year’s Quality Improvement Plans, the Ministry wrote to teams yesterday to confirm that they are supportive of Ontario Health’s plan to make this year’s submission voluntary and confirm that teams are not contractually required to submit this report for 2022-23.

    The Ministry continues to encourage all organizations who choose to complete this work to develop and post your 2022/23 QIP on your website and share it with your administrative staff, clinicians, and patients/residents and their family members.

    Ministry and Ontario Health updates, including coverage for continuous glucose monitors

    Assistive Devices Program– Starting March 14, 2022, eligible Ontarians with type 1 diabetes can receive Assistive Devices Program funding for a continuous glucose monitor and the related supplies.

    Mental Health and Addictions Centre of Excellence – latest newsletter, Mar. 1, 2022

    Ontario Health’s Technology Advisory Committee– seeking volunteers. Deadline Mar. 14, 2022.

    Call for expressions of interest for hospital & pediatric models of care working groups

    Ontario Palliative Care Network is establishing two working groups to create two distinct models of care:

    Once completed, this work will build upon and complement the framework for Focus Area 1: Adults Receiving Care in Community Settings, completed in 2019.

    Applications are due to info@ontariopalliativecarenetwork.ca by Wednesday, April 6, 2022.

    COVID-19 and indoor air quality – how community spaces can reduce transmission using ventilation, filtration, and ultra-violet disinfection

    Hosted by the Alliance and IPHCC, this April 5 webinar features two experts in indoor air quality from the University of Toronto. Want to get started now? Dr. Siegel and Dr. Li have shared five great things you can do to improve air quality and reduce airborne transmission of COVID-19.

    Your Voice is Important: Election Campaign Training with Enterprise Canada, Apr. 6, 2022

    The provincial election is just over three months away. Now is the time for local candidates to hear from you!

    If you have any questions or need support, please email advocacy@afhto.ca.

    Diabetes Care: Tools and Resources to Support Mental Health Needs, Apr. 8, 2022
    Hosted by Ontario Health and moderated by Dr. David Kaplan. Find out more here.

    QI Innovations: Better Data, Better Decisions, Better Outcomes, Apr. 12, 2022
    Free conference hosted by Excellence through Quality Improvement Project (E-QIP). Learn more here.

  • Bits & Pieces: election advocacy materials ready and more

    Bits & Pieces: election advocacy materials ready and more

    Your Weekly News & Updates

    In This Issue  
    • Provincial Election 2022: advocacy material is now ready
    • CIRA’s Community Investment Program grant application open March 1
    • Vaccine information sheets updated and more
    • Submission of Quality Improvement Plans (QIPs) for 2022/23 voluntary
    • Update on tests now covered by OHIP
    • Seeking input for social connections and living with dementia research study
    • Upcoming events including Five Recommendations for Using Labs Wisely During Global Blood Tube and Other Resource Shortages and more

    Provincial Election 2022: advocacy material is now ready

    When it comes to keeping Ontarians healthy, IT TAKES A TEAM. Above a graphic illustration of four healthcare workers.

    The provincial election is just over three months away! The election period will start in early May, and election day is June 2. However, campaigns are underway now and health care is a priority for all parties.

    AFHTO is arranging meetings with ministers, opposition health critics, and party leaders or central campaign leads. And now is the time for local candidates to hear from you!

    To help make sure parties understand the importance of team-based primary care and how to address the crisis facing the healthcare sector, candidates need to hear about it – and solutions on how to fix it – from local stakeholders and voters.

    If you have any questions or need support, please email advocacy@afhto.ca.

    CIRA’s Community Investment Program grant application open March 1

    AFHTO members and/or their partners may be eligible for Canadian Internet Registration Authority (CIRA) Community Investment Program grants. Grants are available up to $100,000. In addition, one grant is available up to $250,000. You can learn more about eligibility, key dates and priority funding areas for 2022 on their site. You can also register for their information webinar on March 8.

    Vaccine information sheets updated and more

    Recent updates include:

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

    Submission of Quality Improvement Plans (QIPs) for 2022/23 voluntary

    On Feb. 18, Ontario Health sent out a memo regarding annual priorities for the 2022/23 Quality Improvement Plans. For the past two years, QIP submissions have been on pause. This year QIP submission to Ontario Health is voluntary. Please email QIP@OntarioHealth.ca if you have any questions. You can also register for the Feb. 24 webinar QIP 2022/23 Program Launch here.

    Update on tests now covered by OHIP

    Per communication from LifeLabs, the following tests are now covered by OHIP:

    • NT-proBNP – Measurement of NT-proBNP is a mainstay for the diagnosis of heart failure (HF)

    New Canadian Dyslipidemia guidelines (2021)

    • Apolipoprotein B – A risk measure for the development of cardiovascular disease (CVD)
    • Lipoprotein (a) – Essential risk assessment for Atherosclerotic Cardiovascular Disease (ASVD)

    Seeking input for social connections and living with dementia research study
    Funded by the Retired Teachers of Ontario Foundation, Nipissing University researchers are seeking input for a study exploring social connectedness & loneliness in people living with dementia & their care partners. The outcomes will inform resources for staying socially connected when living with dementia. They are currently seeking participants. Find out more here.

    Five Recommendations for Using Labs Wisely During Global Blood Tube and Other Resource Shortages, Feb. 24, 2022
    COVID-19 has put an extraordinary strain on laboratory medicine in Canada due to critical shortages in blood tubes, devices, and lab staffing. Join Choosing Wisely Talks for a discussion on the need to conserve tubes and other critical lab resources. Register here.

    MyPractice: Primary Care Report: Using Data for Improvement, Feb. 28, 2022
    Hosted by Ontario Health. Register here.

    The Reality of Virtual Care: Learning From the Pandemic, Mar. 1, 2022
    Ontario Health is relaunching Quality and Patient Safety Rounds (formerly Quality Rounds Ontario) to connect the quality community across Ontario. Register here.

    Supporting caregiver well-being within Ontario Health Teams: Building caregiver resilience and reducing the risk of caregiver burnout, Mar. 2, 2022
    Hosted by Ontario Caregiver Organization. Register here

    Primary Care COVID-19 Support CoP, Mar. 9, 2022
    Hosted by Ontario Health, with a special focus on COVID@Home monitoring and Post COVID-19 Clinical Guidance for primary care. Register here.

  • Bits & Pieces: member stories, multiple kids 5 -11 webinars and more

    Bits & Pieces: member stories, multiple kids 5 -11 webinars and more

    Your Weekly News & Updates

    In This Issue  
    • Member stories
    • Introduction to ONCA slides and video available
    • Reminder- information webinar: COVID-19 vaccination for children 5-11 years old, Nov. 29, 2021
    • Reminder- Practical approaches to polypharmacy: the gentle art of deprescribing, Dec. 1, 2021
    • Letter for patients regarding children’s vaccine and more
    • Perkopolis for AFHTO members
    • Update on the 2021/22 and 2022/23 Quality Improvement Plans (QIPs)
    • 2022 Alliance conference- call for learning proposals
    • Call for AMS 2022 Fellows in Compassion and Artificial Intelligence
    • Upcoming events regarding COVID-19 vaccination in children age 5 to 11 years and more

    Member stories

    Belleville NPLC- New programs tackling mental issues

    City of Kawartha Lakes FHT– receives diversity and inclusion award. Examples not mentioned in the article:
    – offered Indigenous culture and 2SLGBTQ+ and training for staff and as part of FHT annual Education Day(s);
    – participated in diversity and education training though the Canadian Centre for Diversity and Inclusion;
    – consulted and created enhanced capacity for transgender health including via Gender Journeys locally and Rainbow Health Ontario; and
    – increased physical accessibility at the Fenelon site.

    North Simcoe FHT – Midland COVID-19 assessment centre moving to new location

    Introduction to ONCA title slide

     

    Introduction to ONCA slides and video available
    On Nov. 17 Benjamin Miller from Community Legal Education Ontario (CLEO) held an education session for members on what is new in the Ontario’s Not-for-Profit Corporations Act (ONCA), and steps nonprofits can take to set themselves up for success in transitioning to the new requirements under the Act. Slides and video are now available.

     

    Reminder- information webinar: COVID-19 vaccination for children 5-11 years old, Nov. 29, 2021

    Dr. Janine McCready, infectious diseases physician at Michael Garron Hospital, will share details of the expected or approved vaccine for children, share insights for how to counsel parents and guardians, and address commonly asked questions and concerns. Register here. (in partnership with the Alliance and NPLCA)

    Reminder- Practical approaches to polypharmacy: the gentle art of deprescribing, Dec. 1, 2021
    Join Dr. Dee Mangin as she speaks to approaches to the issues and problems around polypharmacy and deprescribing in primary care patients; discuss approaches to the integration of patients’ goals and priorities with evidence; and demonstrate the TAPER tool. Register here.

    Letter for patients regarding children’s vaccine and more

    Recent updates include:

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

    Screenshot of Perkopolis newsletter

     

    Perkopolis for AFHTO members

    This is an early reminder AFHTO members are eligible to sign up for free access to over 5000 perks through Perkopolis. Get discounts on shopping, attractions and more. We know you’re probably on top of your holiday shopping, but given potential supply chain ssues this year, another source can’t hurt.

    EDs, if your team doesn’t have access yet, please email info@afhto.ca.

     

     

     

     

     

     

    Update on the 2021/22 and 2022/23 Quality Improvement Plans (QIPs)

    On March 10, 2021, Ontario Health communicated that an adjusted strategy for the 2021/22 QIP would be forthcoming, designed to provide organizations with flexibility to reflect where they are with their QI efforts given the pandemic, local needs, pressures, and goals for the recovery period.
     
    After careful consideration, they have made the decision to not reopen Navigator for the 2021/22 QIP submission. You are not required to submit your 2021/22 QIP to Ontario Health. They do, however, encourage you to develop and post your 2021/22 QIP on your website and to share it with your staff, clinicians, and patients/clients and their family members. Please reach out to the team at QIP@OntarioHealth.ca if you have any questions about this. You can read the full email in English and French here.

    2022 Alliance conference- call for learning proposals

    Action Now! Building Equitable Futures Together will be held June 8-9, 2022. The call for workshop proposals now open. Visit their website to review the conference criteria, priority topics, formats and terms and conditions. Deadline for submissions is January 10, 2022.

    Call for AMS 2022 Fellows in Compassion and Artificial Intelligence
    The call for the AMS 2022 Fellowships in Compassion and AI is open. The program focusses on promoting the integration of digital technology and compassionate care in the delivery of health care services, education of health professionals as well as facilitating the leadership needed to realize the promise of technology. For more information visit their site.

    Employment Standards & Occupational Health and Safety Related to COVID-19, Nov. 24, 2021

    The Ministry of Labour, Training and Skills Development is hosting an online information session to help you understand your employment standards and occupational health and safety rights and obligations as they relate to COVID-19. Register here.

    Starting the Conversation: Perinatal Mental Health, Nov. 24, 2021
    Hosted by the Provincial Council for Maternal and Child Health (PCMCH) to support healthcare providers in their understanding and awareness of the delivery of mental healthcare to pregnant and postpartum people in Ontario. Register here.

    Getting Kids Back to Being Kids: COVID-19 Vaccinations for Children 5-11, Nov. 26, 2021
    Hosted by OCFP, the session will begin with Dr Kieran Moore and Dr Daniel Warshafsky sharing current information regarding the safety and efficacy of the vaccine in children ages 5-11, and the provincial roll-out plans. They will be followed by a panel of professionals who will provide an overview of implementation through a variety of lenses, and answer questions. Register here.

    Virtual Partnership Conference, Dec. 1, 2021
    Hosted by Canada Health Infoway. Register here.

    2022 Legal Issues for Primary Care Team Webinars, Jan. 6- Dec. 1, 2022
    Led by Kate Dewhirst, with early bird pricing until Nov. 30, 2021. Learn more here.

  • Bits & Pieces: youth grants, updated primary care guidance, back to school and more

    Bits & Pieces: youth grants, updated primary care guidance, back to school and more

    Your Weekly News & Updates

    In This Issue  
    • Youth Opportunities Fund- applications open
    • LAST DAY to submit a poster abstract!
    • Updated primary care guidance, back to school and more
    • Call for interest- BORN’s Health Equity Advisory Group
    • Free furniture donation – Ottawa
    • Upcoming events regarding collaborative Quality Improvement Plans and more

     

    Youth Opportunities Fund- applications open

    AFHTO members and their partners may be eligible to apply for the Systems Innovation Stream of Ontario Trillium Foundation’s (OTF) Youth Opportunities Fund, a grant worth up to $250,000 per year for  2 to 6 years.

    • The System Innovations Stream supports collaboratives that are strengthening the quality and responsiveness of systems so they work better for youth facing systemic barriers.
    • Organization Registration Deadline: September 1, 2021
    • Grant Application Deadline: September 29, 2021
    • Information Sessions: August 12 and 17, 2021

    Shocked emoji- top of head exploding

     

     

    LAST DAY to submit a poster abstract!

    Today is the deadline! Submit your poster abstract by 5:00 pm!

    Email info@afhto.ca or call 647-234-8605 x1200 if you have any questions. We’re here to help.

     

     

     

    Updated primary care guidance, back to school and more

    Recent updates include:

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

    Call for interest- BORN’s Health Equity Advisory Group

    Better Outcomes Registry & Network (BORN) Ontario is looking for members of equity-seeking groups with lived experience to join their Health Equity Advisory Group (HEAG). “Equity-seeking groups are communities that face significant collective challenges in participating in society. This marginalization can be created by attitudinal, historic, social, institutional, and environmental barriers based on age, ethnicity, disability, economic status, gender, nationality, race, religion, sexual orientation, and transgender status, etc.”
     
    The group will provide guidance and recommendations to BORN with a lens on equity. If you have questions about HEAG or this application process, please email Meron Berhe, Health Equity Advisory Group Chair at equity@bornontario.ca. Deadline August 18, 2021.

    Free furniture donation – Ottawa

    Any teams in the Ottawa area looking for free furniture and equipment donations from corporations to improve your office and working spaces? You can join Green Standards’ Charitable Network to receive notifications when furniture and equipment becomes available near you.

    How to Speak with Loved Ones About Getting Vaccinated, Aug. 4, 2021

    Join Dr. Danyaal Raza, Rexdale Vaccine Ambassador Terrence Rodriguez, and Behavioural Neuroscientist Olga Rodríguez-Sierra on having conversations with vaccine hesitant community members. Sign up here.

    OHT Virtual Engagement Series: collaborative Quality Improvement Plans, Aug. 11, 2021

    Hosted by the Ministry and Ontario health, this Information Session will be focused on the development and planning of collaborative Quality Improvement Plans (cQIPs). Find out more.

    Applying the Ontario Health Asthma Quality Standards for Children and Adolescents in your practice, August 12, 2021
    Hosted by Ontario Health and the Lung Health Foundation. Find out more here.

    Pandemic Recovery and Chronic Disease Management: Primary Care for Adults with Asthma, August 19, 2021
    Hosted by Ontario Health and the Lung Health Foundation. Find out more here.

    NPAO 2021 Virtual Annual Conference, Sep. 23-24, 2021
    This years’ Conference theme is Nurse Practitioner: Innovative Influencers of Health and Wellness. Find out more.

    OMD Digital Health and Virtual Care Day, Sep. 30, 2021
    This virtual day will focus on leveraging digital health and virtual care tools to complement the in-person delivery of patient care. Find out more here.

  • QI in Action eBulletin # 105: Ontario Health Submission March 2021

    QI in Action eBulletin # 105: Ontario Health Submission March 2021

    In this Issue:

    • A new tool for primary care providers: Quality Standard Placemats
    • Quality Improvement Plans – Update
    • A Peoples’ Panel on how race and ethnicity data should be used for health data research in Ontario
    • Upcoming Webinars

    Content below developed by Ontario Health

    A new tool for primary care providers: Quality Standard Placemats

    Quality standards outline what high-quality care looks like for conditions or processes where there are large variations in how care is delivered in Ontario. They are based on the best evidence and designed to help you know what to do to reduce gaps and variations in care – there are over 25 quality standards developed by Ontario Health, in collaboration with health care professionals, patients, and caregivers across Ontario.

    Ontario Health is pleased to share a newly developed tool called the Quality Standard (QS) Placemat that is a resource for primary care practitioners. The placemat highlights key elements of care for a condition and:

    • is an evidence-based, quick-reference tool that concisely summarizes key information from the quality standard
    • includes links to helpful resources and tools
    • can be used to facilitate patient-centered discussions

    Three quality standard placemats have been developed to date:

    Illustration of someone touching their lower back with pain radiating from it

    Low Back Pain QS Placemat – summarizes content from the Low Back Pain Quality Standard, focusing on care for people 16 years of age and older with persistent or recurrent episodes of acute lower back pain. French version.

     

    3 pics of parts of the skeleton- knee, hip, hand- with pain radiating

     

    Osteoarthritis QS Placemat – summarizes content from the Osteoarthritis Quality Standard, focusing on care for adults with osteoarthritis of the knee, hip, or hand (i.e., thumb or fingers). French version.

     

    Acute low back pain and osteoarthritis represent two of the most common clinical conditions encountered on a daily basis in the primary care setting. We have received feedback from primary care providers that concise, evidence-based materials help to not only support dialogue between patients and providers, but also support clinical decision-making regarding patients presenting with acute low back pain and osteoarthritis.
     

    • Dr Colin Wilson, Primary Care Clinical Lead, Ontario Health

    Hear more from Colin here

    2 men seated facing each other, one with hand raised with pen and notepad in the other hand

     

    Anxiety Disorders Quality Standard (QS) Placemat – summarizes the Anxiety Disorders Quality Standard, highlighting the key elements of diagnosis, assessment, and treatment, as well as includes links to helpful resources and tools. French version.

     

     

     

     

    The placemats can also be uploaded and used within EMRs for easy access. Resources to support adding these tools into your EMR system will be added on Quorum soon, so please stay tuned for more information!

    In the context of the ongoing COVID-19 pandemic, we are observing an increasing unease among individuals in the communities and families. As health care providers, it is critical for us to appropriately diagnose anxiety disorders and differentiate them from other conditions that may arise in these uncertain times.

    • Dr. David Kaplan, Chief, Clinical Quality, Ontario Health

    Hear more from David here

    Access the quality standard and related resources at the links below:

    We would like to hear from you about how we can support you and if there are other topics you would find helpful for future QS placemats. Please email qualitystandards@ontariohealth.ca  

    Upcoming Events: Webinar
    As part of the release and dissemination of the quality standard, Ontario Health and Provincial Geriatrics Leadership Ontario will be co-hosting a webinar for health care providers about delirium, in alignment with World Delirium Awareness Day on March 17, 2021.

    Webinar | Delirium – A New Quality Standard for an Important Health Concern| Wednesday March 17, 12–1 p.m.  
    Provincial Geriatrics Leadership Ontario and Ontario Health co-host a webinar with clinical experts to share information and resources to support patients who are at risk for delirium or who are experiencing symptoms of delirium. The session will review delirium and its significance to COVID-19 infection, introduce key statements from the quality standard, and showcase related resources available to support people who are at risk for delirium or who are experiencing symptoms of delirium. Please register here to join the session.

    Quality Improvement Plans – Update from OH(Q)
    Last April, QIP submissions for 2020/21 were paused to allow organizations to focus on supporting their staff, health care providers, and communities during the COVID-19 pandemic. The QIP Navigator remained open so that organizations that had the capacity to continue working on their submissions were able to do so. We will be closing the 2020/21 cycle in Navigator on March 24, 2021.

    As we look ahead to the 2021/22 QIPs, we understand that organizations continue to be under unprecedented pressure related to the COVID-19 pandemic and that this will likely continue for the next several months. As such, we are making adjustments to the 2021/22 QIP to help ensure that organizations are able to focus their efforts on responding to urgent needs related to COVID-19. While quality improvement is of critical importance in our collective response to COVID-19, for now, the pause on the program will continue.

    We will monitor the situation and will share a revised approach in the coming months, ensuring that it is responsive to circumstances in the health system and that you have sufficient time to prepare. The approach to 2021/22 will be designed to provide organizations with flexibility to reflect where they are with their quality improvement efforts given the pandemic, local needs, pressures, and goals for the recovery period. We encourage organizations to continue with their local quality improvement initiatives and we will be in touch soon.  

    As always, please do not hesitate to contact us at QIP@OntarioHealth.ca if you have any questions.

    A Peoples’ Panel on how race and ethnicity data should be used for health data research in Ontario
    ICES is working together with the Tamarack Institute and Digital Justice Lab to lead a Peoples’ Panel on how race and ethnicity data should be used for health data research in Ontario. Through this Peoples’ Panel, ICES seeks to recognize the ways that science has perpetuated racism and understand the complexities in the use of race, ethnicity, and immigration data.

    The Peoples’ Panel will involve 30-60 diverse and representative individuals who will meet weekly for 5 weeks starting on March 17, 2021. ICES is seeking regular people—no experience in health, science or policy needed. If you live in Ontario and have an interest in how race data is used, and especially if you identify as racialized individual, they invite you to express your interest in being part of the Peoples’ Panel. Participants will be compensated.

    Learn more and apply

    Upcoming Webinars:
    OHT Improvement Measures from Health Administrative Data: Where are OHTs Starting From?
    March 23, 2021 (12:00 – 1:30 pm EST)
    Click here for more information and to register.

    Supporting Older Persons At Home – Learning And Collaboration During The COVID-19 Pandemic And Beyond
    March 25, 2021 (12-1 pm EST)
    COVID-19 highlighted numerous barriers and challenges to providing integrated care for older persons living in the community. Join Provincial Geriatrics Leadership Ontario in a discussion on how to better support older persons in the community using lessons learned during the first year of the COVID-19 pandemic. We will discuss needs in primary care – focusing on the role of interprofessional teams – and offer some resources and tools to better support team-based care for older persons. We will also discuss how specialized geriatric service programs in your area can provide support to primary care clinicians. Click here to learn more and register.

    Interested in sharing your teams’ initiatives in a future webinar? Email Sandeep Gill – Sandeep.gill@afhto.ca to learn more about the AFHTO KTE Webinar Schedule!

    In Case You Missed It: Check out eBulletin #104 or other back issues here!
    Questions? Comments? Contact us at improve@afhto.ca.

  • Year-End Ministry of Health Updates

    Dear Executive Directors and Administrative Leads,

     

    We had a year-end call with ministry officials last week and would like to provide an update on multiple operational topics that were discussed.

    AOP submission

    There will be a pause on AOPs for 2021/22. They will resume for an April 2022 submission. While there will be no AOP this year, teams can still submit unsolicited funding requests as needed.

    The ministry is also analyzing quarterly reports and forecasting data to examine increases to overhead, rent, hydro, IT, professional services, etc. Through this process, they hope to get a sense of overall budgetary trends, limitations, and constraints across teams. We will share more on this work as we learn it, but we encourage teams to be timely with quarterly reports and audited financial statements to help inform this work.

    FHT contract

    The FHT contract is due to expire in 2022. However, the ministry has indicated that they will be extending the contract for one year, which they will communicate to teams directly when the decision is made. We have signalled that we would like to modernize the FHT contract to better reflect the current environment, so there will be discussion and consultation on possible contract changes and improvements. We do not yet have a timeline for these consultations, but we will begin internal discussions with members soon.

    Quality Improvement Plans (QIPs)

    Last April, OH(Q) paused QIP submissions for 2020/21 due the COVID-19 pandemic. The QIP Navigator remained open so that organizations that had the capacity to continue working on submissions were able to do so. They will be closing the 2020/21 cycle in Navigator on March 24, 2021.

    Regarding 2021/22 QIPs, OH(Q) understands that organizations continue to be under unprecedented pressure related to the pandemic and that this will likely continue for the next several months. As such, they are adjusting the 2021/22 QIP to help ensure that organizations can focus their efforts on responding to urgent needs related to COVID-19.

    While QI is of critical importance in the collective response to COVID-19, the pause on the program will continue for now. They will monitor the situation and share a revised approach in the coming months.

    The approach to 2021/22 will be designed to provide organizations with flexibility to reflect where they are with their QI efforts given the pandemic, local needs, pressures, and goals for the recovery period. They encourage organizations to continue with their local QI initiatives and will be in touch soon.    

    If your team has not submitted the 2020/21 QIP, which was due last April, it would be good to close it out. OH(Q) has created a video to help with that process. For any questions, please contact OH(Q) at qip@ontariohealth.ca.

    Mental health and addiction funding

    All teams should have received their one-time federal funding allocation to support the increase in MH&A supports needed as a result of COVID-19. Unfortunately, our request to allow these funds to be carried over due to the timing of the funding receipt and the exceptional circumstances of COVID-19 was denied. Funding must be spent by March 31, 2021. However, there is considerable flexibility in how teams can utilize this funding if it can be tied to providing MH&A relief (e.g., training, equipment, IT).

    Please note there is very specific and very limited criteria for which the government allows funds to be carried over into the next fiscal year and the MH&A funding does not meet the criteria. (For example, OHT funding meets the requirements of “project funding for implementation and start up,” so there is allowance for carry over of OHT funds.)

    Funding for vaccine clinics

    There is no direct funding from the ministry for teams that are working in or running COVID-19 vaccine clinics. Any inquiries about this funding need to be directed to your local public health unit as they are managing the budgets related to roll-out of the vaccine clinics.

    Also, a reminder that physicians on your team can review a Ministry INFOBulletin regarding newly negotiated compensation for vaccinations and vaccine outreach.

    Governance review

    The ministry recently conducted an assessment of the Governance & Attestation documents submitted by teams as part of their annual submission requirements. This assessment identified two areas that need improvement for many boards: 1) board monitoring of organizational performance; and 2) board self-performance monitoring.

    Over the next few months, we will be developing practical tools and templates to support team boards in these two areas. As a result of the review, some teams may also receive a specific action plan from the ministry identifying opportunities for further improvement in governance practices.

    Call-out to EDs to join a short-term working group!

    One of the first tools AFHTO will be developing to assist with governance, as noted in the previous section, is a toolkit for “Governance Oversight of Organizational Performance.” This will be done in collaboration with the Centre for Organizational Effectiveness. AFHTO is looking for guidance and input from EDs to inform this work.

    We’re hoping three or four EDs may be available in April and May to provide insight and feedback! We expect this would be two or three 1-hour virtual meetings over the course of the two months, and a few occasional questions via email regarding the document as it is developed. If you are able and interested, please email Bryn Hamilton.

    We hope you are all keeping well! If you have any questions, please contact us any time at info@afhto.ca.

    Sincerely,

    Your AFHTO Team