Tag: Workplace Health and Safety

  • Supporting Stress Management in the Health Care Workplace

    Content below WAS developed by Nhi Luu, Canadian Mental Health Association 

    Stress and stress management in the workplace have long been topics of interest for both employers and employees. We often hear that stress is unavoidable and expected when it comes to employment, but for health care professionals the degree of chronic stress endured throughout the COVID-19 pandemic is an issue that deserves concentrated attention and thoughtful response. 

    Health Care Workers face unique occupational stressors consistent with experiences of grief and loss related to exposure to human suffering and death, moral conflict and distress, health, and safety risks from hazardous exposures, long and inflexible work hours, job role ambiguity with redeployment practices and staffing shortages, as well as overall demanding work often without sufficient resources. All these and other compounding factors have escalated since the onset of the pandemic and exacerbated stress levels resulting in poor mental health for Health Care Workers.

    Employers are seeking mental health support for Health Care Workers to better manage symptoms of burnout, occupational stress injury, trauma, compassion fatigue, depression, and anxiety. When such symptoms are left unmanaged, it can result in illness, higher job turnover, absenteeism or presenteeism, and other stress related manifestations that can severely impact mental and physical health. Sometimes when individuals experience this level of prolonged stress, they may be depleted of their awareness or capacity for self-help. Furthermore, individuals who are struggling with mental health challenges may not seek support because of stigmas and negative associations. Therefore, more upstream interventions are encouraged. 

    At the organizational level, employers can positively influence the mental health culture in the workplace by allowing for more flexible and accommodating shifts so Health Care Workers can seek mental health support during times that might otherwise interfere with scheduled shifts. Another intervention could include actively promoting employee and family assistance plan (EFAP) benefits, as well as community mental health resources to staff members. Many employers are acknowledging that staff mental health and well-being via psychological health and safety needs to be embraced as a priority in the workplace to support staff on the journey toward recovery from the pandemic. One of the many resources available for workplace mental health support is Your Health Space (YHS), a free workplace mental health program developed by the Canadian Mental Health Association (CMHA), Ontario. This program is exclusively available to health care organizations throughout Ontario. 

    As a Health Care Worker – what can I do to support my own mental health?

    Individuals who have the energy and mental capacity for self-help can try to exercise various tools or strategies to help them gain back control and better manage stress in the workplace. The goal here is to refocus the stamina and energy that is remaining and prevent that from being further depleted by choosing where one can invest existing energy to help them recharge. Sleep, rest and relaxation, exercise, good nutritional intake, supportive social networks, and relevant skill-building training are a few things that can help to reenergize oneself to positively cope with stress. 

    Another effective strategy to manage stress on the spot is to first recognize and acknowledge stress. It is beneficial to recognize what one’s stress response might look or feel like, and subsequently identify the stressor or trigger that is causing the stress response. This level of self-awareness will enable individuals to recognize stressors and utilize coping mechanisms in future exposures. For example, a nurse shows up to work to find out that their workstation had been used by someone else and is now in complete disarray and missing equipment. This environmental stressor may trigger a physical response of sweating and blushing. Emotionally, this nurse could start feeling overwhelmed, confused, and disoriented. It can also trigger thoughts such as “this is a mess and I don’t know where to even begin” or “I am going to run behind schedule, my whole morning is ruined”. Instead of dwelling and sinking into an emotionally driven cycle of discouragement, with practice, the nurse could immediately recognize that they are experiencing stress and identify their trigger (in this case it is the disorganized workstation). Now the nurse can focus on troubleshooting and removing the trigger. 

    By acknowledging the stress experience, individuals can switch from the reactive part of their brain to the conscious logical part of the brain. This makes it easier to calm down and problem solve. Reframing, reorganizing, and using positive psychology are other tools to help manage stressful situations at work. By effectively taking care of one’s mental health at work, individuals can build better resilience and adaptability, increase mental well-being, and respond better to future stressors.  

    YHS offers psychoeducation opportunities to professionals working in health care organizations. From Leaders to Health Care Workers, as well as Support Staff, YHS’ evidence-based program seeks to provide participants with practical tools that they can start using to support well-being in the workplace. Trainers who lead YHS’ interactive workshops each have a background in health care and are skilled at delivering training workshops in person, virtually or via eLearning modules. Through creating safe spaces for learning, practical application, and connection, YHS is here to support you and your organization with challenges such as workplace stress. Health care organizations can find out more information and register on the Your Health Space website.

    Nhi Luu is a Trainer with the Canadian Mental Health Association (CMHA), Ontario’s Your Health Space program. Her background is in nursing, and she has worked in various healthcare settings including hospitals, primary care, and public health. Nhi uses her clinical background to reinforce her mental health training with employees across healthcare organizations in Ontario.

    References
    Ackerman, CE. (2018). Flourishing in Positive Psychology: Definition + 8 Practical Tips. Retrieved from: Flourishing in Positive Psychology: Definition + 8 Practical Tips (PDF) 
    CDC: The National Institute for Occupational Safety and Health (NIOSH). Healthcare Workers: Work Stress & Mental Health. Retrieved from: Healthcare Workers: Work Stress & Mental Health | NIOSH | CDC
    Cornerstone OnDemand Foundation. Stress Management and Mental Health for Everyone. Retrieved from online course: Curriculum Training Details – Realize Your Potential: Ready Learning Portal (csod.com)
    Dankwa, K. (2017). Work-Related Stress. Statistics Canada. https://www150.statcan.gc.ca/n1/pub/11-627-m/contest/finalists-finalistes_2-eng.htm   
    Government of Ontario. COVID-19: Support for people. Retrieved from: https://www.ontario.ca/page/covid-19-support-people#support-health-care-worker 
    Mayo Clinic. Healthy Lifestyle: Stress Management. Retrieved from: Stress management Stress relief – Mayo Clinic
    Mental Health Commission of Canada. Workplace Mental Health. Retrieved from: Workplace Mental Health – Mental Health Commission of Canada 
    Nowrouzi, B., Lightfoot, N., Larivière, M., Carter, L., Rukholm, E., Schinke, R., & Belanger-Gardner, D. (2015). Occupational Stress Management and Burnout Interventions in Nursing and Their Implications for Healthy Work Environments: A Literature Review. Workplace Health & Safety, 63(7), 308–315. https://doi.org/10.1177/2165079915576931 
    Wellness Together Canada. Wellness for Healthcare Workers: Overview. Retrieved from: Wellness Together Canada | Wellness for Healthcare Workers
    Your Health Space. Program. Retrieved from: https://yourhealthspace.ca/programs/ 
     

  • Bits & Pieces: funding for online appointment booking 2022/23 and more

    Bits & Pieces: funding for online appointment booking 2022/23 and more

    Your Weekly News & Updates


    In This Issue  
    • Online appointment booking funding webinar Apr. 28
    • AFHTO 2022 Conference: create YOUR hybrid conference. Sign up by May 3
    • IPAC strategies webinar materials available
    • Member stories
    • Memo on optimizing care and more
    • Upcoming events including improving transitions from youth to adult health care and more

    Online appointment booking funding webinar Apr. 28

    The Ministry of Health has approved funding for Ontario Health Teams (OHT) in development teams and other health care organizations to enable more patients to schedule an online appointment with their primary care provider or other community care provider.

    This funding is intended to support transforming how care is delivered and assisting OHTs and the broader health sector to build their digital health maturity.

    To learn more about this opportunity, register for our webinar on Thursday, April 28 from 12:00 to 12:30pm.


    Reconnect and Reimagine: moving forward together Oct. 12, 2022 #AFHTO2022

    AFHTO 2022 Conference: create YOUR hybrid conference. Sign up by May 3

    Come behind the scenes of our first hybrid conference and be the first to learn about new developments in the field, influence conference programming and discover the latest innovators in areas directly relevant to your work. Working group members also receive a discount off their registration fee. Deadline May 3.

     


    Screenshot of slide titled IPAC risk assessment

     

    IPAC strategies webinar materials available

    On Apr. 14, in partnership with the members of the Primary Care Collaborative, Public Health Ontario (PHO) provided infection prevention and control (IPAC) information to those working in clinical office settings. Materials are now available.

     


    Member stories
    Huron Shores FHT- “For the younger doctors, I think having a health team is very attractive compared to what we have here now, a model of the old-fashioned doc who works on his own, runs his office, runs his staff, works all night at the hospital, works the next day at the clinic.”

    “NSHN … will support a joint business case between the East Algoma Primary Care Work Team and the Huron Shores Family Health Team to incorporate Thessalon, Bruce Mines and Richards Landing into the current Huron Shores Family Health Team.”

    Read the full article here.


    Memo on optimizing care and more

    Recent updates include:

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


    IPAC Central West: IPAC Primary Care CoP, Apr. 20, 2022
    Hosted by Public Health Ontario, IPAC Implementation and Support Team. Register here.


    ECHO Occupational and Environmental Medicine, Apr. 22- Jul. 15, 2022
    A free pilot telementoring program for primary health-care providers. Find out more here.


    Quadruple Aim Measures for Ontario Health Teams, Apr. 26, 2022
    HSPN’s next OHT webinar. Register here. Past webinar materials here.


    Changing the Story: Improving Transitions from Youth to Adult Health Care, Apr. 27, 2022
    Ontario Health webinar in partnership with the Provincial Council for Maternal and Child Health. Register here.

  • Bits & Pieces: Apr. 14 IPAC webinar and more

    Bits & Pieces: Apr. 14 IPAC webinar and more

    Your Weekly News & Updates


    In This Issue  
    • Reminder – IPAC strategies to ensure a safe environment in primary care clinics Apr. 14
    • Election advocacy webinar slides and video available
    • Ontario expanding access to COVID-19 antivirals & PCR testing and more
    • Study to investigate barriers in the diagnosis and management of dementia in primary care – recruiting family physicians
    • NPAO Patient Choice Award
    • Harm Reduction Fundamentals: A Toolkit
    • Wellness Together Canada- mental health and substance use resources
    • Upcoming events including curbing unnecessary CT scans for concussions and more

     

     

    Reminder- IPAC strategies to ensure a safe environment in primary care clinics Apr. 14

    In partnership with the members of the Primary Care Collaborative, Public Health Ontario (PHO) will provide infection prevention and control (IPAC) information to those working in clinical office settings.

    In this webinar, practical IPAC strategies for ensuring a safe environment for patients, clinicians, and staff will be reviewed and evidence-based resources will be introduced to support the ongoing development of a complete IPAC program for this practice setting.

    The information presented in this webinar will be of interest to clinicians as well as those designated to lead IPAC activities in the clinical office setting.

    Register here.


    apr 2022 advocacy webinar screenshot titled 'why advocacy matters'

    Election advocacy webinar slides and video available

    It’s exciting to be speaking with teams about their current advocacy and the work being planned for the coming two months as we head towards the June 2 provincial election! The election is expected to start on May 4. As you all know, though, parties are in full election mode now.

    AFHTO held an advocacy webinar with our government relations firm, Enterprise Canada, last week to discuss advocacy and the tools we’ve developed to support you. Read more here.

    Remember to also keep us in loop about your advocacy activities and if you need any support contact us at advocacy@afhto.ca.


    Ontario expanding access to COVID-19 antivirals & PCR testing and more

    Recent updates include:

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


    Study to investigate barriers in the diagnosis and management of dementia in primary care – recruiting family physicians

    The purpose of this online study is to improve our understanding of diagnostic and therapeutic practices in the management of patients with cognitive impairment and Alzheimer Disease (AD) by primary care physicians. The study is conducted by NeuroEconSolutions, a company that designs online studies to better understand patients’ and doctors’ preferences regarding specific diagnostic tests, procedures, and treatments. Dr. Marie-Chantal Ménard is the Principal Investigator of this study.

    If you have any questions regarding the research study itself, please feel free to contact Dr. Marie-Chantal Ménard at ADinPCP@gmail.com. Recruitment is rolling and needs to be completed before the end of May 2022. An Amazon gift card of $150 will be provided to all those that complete the study.


    NPAO Patient Choice Award

    Nominations for the Patient Choice Award are submitted by patients, based on their description of their nurse practitioner’s professional qualities, approach to patient care and specific stories of dedication and how the nurse practitioner has made a difference in their lives or the lives of others. Here’s a poster to promote the award in your clinics. Deadline is June 17, 2022.


    Harm Reduction Fundamentals: A Toolkit
    CATIE has launched Harm Reduction Fundamentals: A Toolkit for Service Providers  a bilingual educational resource that includes a collection of interactive multimedia resources on foundational harm reduction knowledge. Here is more information on the Toolkit and an FAQ.


    Wellness Together Canada- mental health and substance use resources

    Wellness Together Canada is Canada’s first and only online platform offering immediate mental health and substance use support for people of all ages, in every province and territory, and in both official languages. Access free educational resources, e-courses and live counselling via phone, text, and video 24/7 and at no cost ever.

    They have developed a custom toolkit for primary care providers. It contains sample social media graphics, two posters with QR codes linking to resources, and an infographic to easily explain resources. Get it here.


    Curbing Unnecessary CT scans for Concussions, Apr. 13, 2022
    Join Choosing Wisely Talks for a discussion on reducing CT scans for concussions. Register here.


    IPAC Central West: IPAC Primary Care CoP, Apr. 20, 2022
    Hosted by Public Health Ontario, IPAC Implementation and Support Team. Register here.


    ECHO Occupational and Environmental Medicine, Apr. 22- Jul. 15, 2022
    A free pilot telementoring program for primary health-care providers. Find out more here.


    Quadruple Aim Measures for Ontario Health Teams, Apr. 26, 2022
    HSPN’s next OHT webinar. Register here. Past webinar materials here.


    Changing the Story: Improving Transitions from Youth to Adult Health Care, Apr. 27, 2022
    Ontario Health webinar in partnership with the Provincial Council for Maternal and Child Health. Register here.

  • Bits & Pieces: IPAC & advocacy webinars and more

    Bits & Pieces: IPAC & advocacy webinars and more

    Your Weekly News & Updates


    In This Issue  
    • IPAC strategies to ensure a safe environment in primary care clinics Apr. 14
    • We need you. Provincial election campaign training with Enterprise Canada, tomorrow, Apr. 6, 2022
    • Welcome to Raveen Bahniwal
    • Member stories
    • Ontario Health and Primary Care, MHA CoE, and HCNS slides and video available
    • Strategies for an equitable recovery and the latest on 4th doses, immunity and more
    • Change to Ontario Cervical Screening Program (OCSP)’s guidelines
    • Upcoming events including diabetes care and more

     

    IPAC strategies to ensure a safe environment in primary care clinics Apr. 14

    In partnership with the members of the Primary Care Collaborative, Public Health Ontario (PHO) will provide infection prevention and control (IPAC) information to those working in clinical office settings.

    In this webinar, practical IPAC strategies for ensuring a safe environment for patients, clinicians, and staff will be reviewed and evidence-based resources will be introduced to support the ongoing development of a complete IPAC program for this practice setting.

    The information presented in this webinar will be of interest to clinicians as well as those designated to lead IPAC activities in the clinical office setting.

    Register here.


    We need you. Provincial election campaign training with Enterprise Canada, tomorrow, Apr. 6, 2022

    AFHTO Executive Committee and CEO meet with Minister Elliott on Zoom mar 2022

    The provincial election is just over two months away. Now is the time for local candidates to hear from you. Anyone on the team can join and we highly encourage you to do so! It’s going to take all of us to make an impact across Ontario.

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


     ravninder bahniwal headshot

     

    Welcome to Raveen Bahniwal
    We’re happy to introduce Raveen Bahniwal, our new Quality and Knowledge Translation Specialist.

    Ravninder (Raveen) completed her bachelor’s degree in Kinesiology at McMaster University where she has experience in quantitative research, mainly running randomized controlled trials with the Exercise Metabolism Research Group. She received her master’s in public health from Western University where she worked on a research project within the Department of Family Medicine investigating the connection between artificial intelligence and primary care challenges.

    During the pandemic, Ravninder has been working as a Community Health Ambassador to provide wraparound COVID-19 supports to high-risk neighbourhoods and support community members in getting vaccinated for COVID-19. Welcome to the team!


    Member stories

    Parry Sound FHT– ‘It’s unbelievable’: Parry Sound FHT uses virtual reality to help seniors to explore the world

    Peninsula FHTPhysician buy-in a prescription for high vaccination rates


     Screenshot of Ontario Health and Primary Care webinar april 1

    Ontario Health and Primary Care, MHA CoE, and HCNS slides and video available

    On Friday, April 1 we had 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). Slides and video are now available.


    Strategies for an equitable recovery and the latest on 4th doses, immunity and more

    Recent updates include:

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


    Change to Ontario Cervical Screening Program (OCSP)’s guidelines

    There will be a change to Ontario Cervical Screening Program (OCSP)’s Guidelines, specifically pertaining to recommendations for repeating cytology after an abnormal result. The OCSP now formally recommends that people with the following cervical screening results repeat their cytology test in 12 months instead of in 6 months:

    • A first time low-grade squamous intraepithelial lesion (LSIL) or atypical squamous cells of undetermined significance (ASCUS) result
    • An LSIL or ASCUS result followed by a normal result

    The OCSP originally released these evidence-based recommendations to support the gradual resumption of cervical screening services during COVID-19. Ontario Health is now formalizing the change to their screening recommendations. Please see the fulsome screening recommendation summary that can be found here. For evidence to support this recommendation, please see here.

    Ontario Health is working with Ontario labs that provide cervical screening testing to update the relevant cytology result reports, so they reflect this recommendation change.

    Please reach out to cancerinfo@ontariohealth.ca, if you have any questions.


    The 3R’s – Relief, Recovery & Renewal: A Prescription for Self-Care, Apr. 6, 2022

    Hosted by Instincts at Work.Find out more here.


    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.


    ECHO Care of the Elderly: Long-Term Care, starting Apr. 12, 2022
    Hosted by Baycrest, in collaboration with North East Specialized Geriatric Centre and the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI), this free series runs on Tuesdays from April 12 – July 12, 2022. Apply 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.


    IPAC Central West: IPAC Primary Care CoP, Apr. 20, 2022
    Hosted by Public Health Ontario, IPAC Implementation and Support Team. 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 NPLCLakehead Nurse Practitioner-led Clinic plans to take on 1,600 more patients

    Haldimand FHTHaldimand 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.

  • Bits & Pieces: Happy Nutrition Month and more

    Bits & Pieces: Happy Nutrition Month and more

    Your Weekly News & Updates


    In This Issue  
    • Happy Nutrition Month
    • Where do we go from here? Understanding the impact of preventive screening backlogs video
    • Implications for primary care with the lifting of COVID measures and more
    • Transitions from youth to adult health care services quality standard
    • OCFP Awards – call for nominations extended to Mar. 20
    • Upcoming events including Ontario Health and Primary Care, MHA CoE, and HCNS, and more

    Unlock the potential of food Ingredients fora healthier tomorrow

     

     

    Happy Nutrition Month

    March is Nutrition Month, and today is Dietitian’s Day. We appreciate our teams’ registered dietitians, their ongoing commitment to teamwork and helping patients create a healthier future. #YourFutureIsHealthy

     

     

     


    Where do we go from here? Understanding the impact of preventive screening backlogs video

    On March 9 Choosing Wisely hosted a talk focused on the impact of screening delays in primary care related to the pandemic as part of their monthly conversation series. You can watch the recording with Drs. David Kaplan and Guylène Thériault here.


    Implications for primary care with the lifting of COVID measures and more

    Recent updates include:

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


    Transitions from youth to adult health care services quality standard

    Ontario Health (Quality) has released the Transitions From Youth to Adult Health Care Services Quality Standard, developed in partnership with the Provincial Council for Maternal and Child Health (PCMCH). If you have any questions, please contact qualitystandards@ontariohealth.ca.


    OCFP Awards – call for nominations extended to Mar. 20
    Nominate your colleagues for an OCFP award. Multiple categories ae open, including regional Family Physician of the Year. New for 2022 – Ontario family physicians can self nominate in any OCFP Award category. Deadline now Mar. 20, 2022.


    Vaccine Hesitancy for People who are Pregnant, Lactating or Planning to Become Pregnant, Mar. 17, 2022

    Public Health Agency of Canada (PHAC) is collaborating with the Canadian Vaccination Evidence Resource and Exchange Centre (CANVax) for this webinar. Register here.


    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.


    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.


    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.

  • 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 ProgramStarting 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 Excellencelatest newsletter, Mar. 1, 2022

    Ontario Health’s Technology Advisory Committeeseeking 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.

  • 2020 Conference Themes

    2020 Conference Themes

    Tectonic shifts: rebuilding primary care in a new world
    (more…)

  • Follow-up to ED calls, May 12 and 13 – PPE, virtual care, and HR updates

    This email was sent to EDs/Administrative Leads, Board Chairs and Lead Clinicians of AFHTO member organizations.

    Thank you to all the executive directors who joined our third round of regional ED calls last week.

    This email is a follow-up to provide the information promised during the calls, as well as other updates and supports, including a link to last week’s webinar with Maria McDonald, which you’ll find in the HR section below.

    PPE

    Question: What are the recommendations related to use of PPE with asymptomatic patients?

    • The Chief Medical Officer of Health recommends that asymptomatic patients should first be screened over the phone prior to visiting the clinic. For non-COVID-19 related visits that are unavoidable, the patient should again be asked the COVID-19 screening questions upon arrival. If the patient screens negative to all questions and exhibits no signs or symptoms of COVID-19, the following is being recommended:   
      • At reception, if able to maintain spatial distance of at least 2 m or separation by physical barrier then no personal protective equipment (PPE) required by reception staff.  
      • Primary care providers should consider wearing procedural masks if within 2 m of a patient.  
      • Proceed with the patient as per Routine Practices, including hand hygiene and apply PPE as required based on the intervention. It’s suggested that a point-of-care risk assessment (PCRA) be performed by every health care worker before every patient interaction and additional PPE precautions be taken based on risk assessment.
    • Check out the OH West PPE site for “Point of Care Risk Assessment – PPE Selection Guide” for guidance on precautions to take based on risk assessment.
    • A one-page summary on the recommendations for asymptomatic patients and the “Point of Care Risk Assessment – PPE Selection Guide” is here.

    Question: How can I access PPE?

    • The ministry recommends the following pathway for accessing PPE:
      • Contact your regular supplier. They are your first point-of-contact and many suppliers have now increased stock.
      • If you’re unable to acquire PPE from your regular supplier, contact your OH regional table.
      • As a last resort, and if you have less than a 5-day supply, contact the Ministry Emergency Operations Centre (MEOC) at eocoperations.moh@ontario.ca
    • The OMA SGFP has secured an arrangement for bulk purchasing of PPE with Surgo Surgical Supply – please connect with your affiliated physician group to get access to this information.
    • The government’s Workplace PPE Supplier Directory also provides information on companies that sell PPE.
    • With our primary care partners, AFHTO continues to advocate for a provincial approach to PPE bulk purchasing and centralized distribution.
    • Guidance for PPE reprocessing is expected shortly. We will share this as soon as it is public.

    Virtual care

    • Kate Dewhirst of Kate Dewhirst Health Law has developed a number of virtual care policies that can be found on her website. The most recent policies and documents can be found on the bottom of her webpage.
    • There have been some concerns about patients recording their appointments. AFHTO is discussing this with the OMA and CMPA and will provide feedback on how to mitigate this risk.
    • We are hearing increasing concerns about analog lines and rural accessibility to virtual care, including the challenge that not all patients have access to the internet or digital tools like computers and phones. We will continue to bring this to the attention of the ministry.
    • Primary care teams have adapted to virtual care almost overnight and are leading patient-centric innovations in their community. Take a moment and learn more about what teams across the province are doing, and please share your initiatives with us at improve@afhto.ca.
    • Teams are also starting to think about what aspects of virtual care they want to become standard in the new normal.
      • We encourage EDs to consider getting input from staff and patients about what recent changes they’d like to maintain. For example, North York FHT has recently done a Virtual Care Provider Experience Survey.
      • AFHTO is working with our primary care partners to roll out a provincial primary care patient survey and provider survey to measure the virtual care experience during the pandemic – stay tuned for more information on that!

    Human Resources

    Canadian Family Physician (CFP), the journal of the College of Family Physicians of Canada, posted a blog by Dr. Kimberly Wintemute and Dr. Guylène Thériault on the “Post-COVID primary care reboot” that you may find of interest.

    To capture the primary care experience, we will be reaching out soon to schedule interviews with executive directors, which we hope to start in early June. We ask you do your best to schedule one with us or to delegate to someone on the team who would be willing to be interviewed. We will hopefully be working with students at the University of Toronto to conduct these interviews, which will provide us with the narrative of how essential the role of team-based primary care was during the pandemic.

    A reminder to keep checking out our COVID-19 section that we regularly update with news, tools, and resources, including the daily situation reports and regular memos from the ministry’s command table.

    We’ll continue to keep you updated, and we’ll arrange another round of check-in calls to happen in about 2-3 weeks’ time.

    Please contact us any time. We’re here to support you.

    Sincerely,

    Your AFHTO Team

  • Update on COVID-19 and Moving Towards More Virtual Care

    This email was sent to EDs/Administrative Leads, Board Chairs and Lead Clinicians of AFHTO member organizations.

    These are challenging times and we really appreciate the phenomenal care that is being provided by everyone working in team-based primary care and in health care. As the foundation of the health care system, your relationships with your patients and families are based on trust and they are looking to you now more than ever to be there for them during these very uncertain times. But through it all, taking care of yourself and your team to ensure there is a healthy workforce is paramount and important for your own health and well-being.

    However, things are ramping up and there is a real need to start capacity planning should there be a need to redeploy health human resources to the ongoing fight against COVID-19. In the next few days you’ll receive a survey from the Ministry who are looking at capacity in the system – we’ll send that as soon as we get it, and would request that you prioritize filling that in as soon as you receive it.

    Planning for More Virtual Care
    Today Ontario’s Chief Medical Officer of Health issued a memo Re: Managing Health Worker Illness and Return to Work COVID-19. In the document he makes recommendations related to travel and return to work for health care providers. He also notes:

    While other services are decreasing their operations, in health care you are being called upon to care for patients and to be ready for surge. I am asking, where there may be an opportunity, for all health system employers to facilitate work arrangements that enable appropriate employees to work from home or to work virtually, if not re-deployable.

    Health system employers should also consider a review of their services and practices to identify how they can provide services to patient groups virtually or remotely.

    These are uncertain times, but the recommendation is to try to accommodate care for patients virtually as much as possible. If your providers, including IHPs and admin staff, do need to come into the clinics please ensure they are well protected. We are very aware of the PPE challenges in primary care and continue to press the Ministry and Ontario Health for updates on the supply issues and hope to have some information on that when provided.  

    We are currently working on business continuity plans and collecting policies related to accommodating staff to work from home and hope to share that with you soon – a reminder that we are posting materials on our site daily including the Ministry’s COVID-19 Situation Reports. If you have anything you can share, please send to info@afhto.ca and we will make sure to share it with the teams.

    Many teams have already started virtual care or employing some activities to support patients and families during this period of self isolation and social distancing. Here are some tools you may want o implement with your teams: