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
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.