A3 Teaming Project: Attributes of High Functioning Primary Care Teams in Canada
Theme 3. Strengthening collaboration within the interprofessional team Presentation Details Date: 10/17/2016 Concurrent Session A Time: 2:30pm – 3:15pm Room: Harbour B Style: Presentation (information provided to audience, with opportunity for audience to ask question) Focus: Research/Policy (e.g. Presentation of research findings, analysis of policy issues and options) Target Audience: Leadership (ED, clinical lead, board […]
A2 A System Overhaul: How We Reduced Our Mental Health Wait Times from 12 Months to 2 Months
Theme 2. Optimizing access to interprofessional teams Presentation Details Date: 10/17/2016 Concurrent Session A Time: 2:30pm – 3:15pm Room: Pier 2 & 3 Style: Presentation (information provided to audience, with opportunity for audience to ask question) Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment) Target Audience: Leadership […]
A1-b Lifestyle Change – Big Impact but How Do You Make It Happen?
Theme 1. Planning programs and fostering partnerships for healthier communities Presentation Details Date: 10/17/2016 Concurrent Session A Time: 2:30pm – 3:15pm Room: Harbour C Style: Presentation (information provided to audience, with opportunity for audience to ask question) Focus: Balance between both (e.g. Presentation of a best-practice guideline that combines research evidence, policy issues and […]
A1-a Public Health and Community Primary Care Working Together to Address Population Health
Theme 1. Planning programs and fostering partnerships for healthier communities Presentation Details Date: 10/17/2016 Concurrent Session A Time: 2:30pm – 3:15pm Room: Pier 4 Style: Presentation (information provided to audience, with opportunity for audience to ask question) Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment) Target Audience: Leadership […]
F7 – The MedREACH Pilot Project – Integrating Primary and Tertiary Care to Support Medically Complex Patients
7. Clinical innovations keeping people at home and out of the hospital Presentation Materials (members only) Presentation Slides: MedREACH Learning Objectives At the end of the session, participants will be able to: Describe the health care needs and barriers of medically complex patients (MCP) being addressed by the MedREACH […]
F3 – The Vitality Interprofessional Team Approach to Food, Mood and Fitness
Theme 3. Transforming patients’ and caregivers’ experience and health Presentation Materials (members only) The Vitality Interprofessional Team Approach to Food, Mood and Fitness Learning Objectives Participants will: Become familiar with a interactive lifestyle program for overweight or obese (BMI 26-40) patients facilitated by an interprofessional team including a RD, OT and SW with a focus […]
F2 – Integrated care planning for complex patients
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (members only) Presentation Slides: Telemedicine Impact Plus (I) Telemedicine IMPACT PLUS (TIP): Bringing Inter-Disciplinary Team Resources to the Community Learning Objectives Demonstrate how Telemedicine complex care clinic can provide high-quality comprehensive care for medically complex patients and support community primary care Model how to leverage […]
F1-b – Presenting an Improved Tool for Meaningful Program Planning and Reporting
Theme 1. Population-based primary health care: planning and integration for the community Presentation Materials (members only) An Improved Tool for Meaningful Program Planning Summary Both FHT/NPLC Executive Directors and staff in MOHLTC’s Primary Health Care Branch have identified the need to improve the ministry’s template for reporting on program plans (known as “Schedule A” in […]
F1-a – Strategic Approaches to Population Health Planning
Theme 1. Population-based primary health care: planning and integration for the community Presentation Materials (members only) Strategic Approaches to Population Health Planning Learning Objectives This presentation will demonstrate a strategic, population-health approach to program planning and QI initiatives. Participants will gain an increased knowledge of how to develop an evidenced- based, patient-informed, comprehensive health promotion […]
EF6 – Navigating by the stars? Try GPS. How two FHT Leaders used Brain Research to Increase Team Collaboration and Physician Engagement
Theme 6. Leadership and governance for accountable care Presentation Materials (members only) Navigating by the stars? Try GPS. How two FHT Leaders used Brain Research to Increase Team Collaboration and Physician Engagement Summary An essential challenge of leaders within Family Health Teams is to create the conditions for high functioning individuals to reorganize into higher […]
EF5 – Dragon’s Den: Pitching Real-Life innovations in EMR Queries
Theme 5. Advancing manageable meaningful measurement Presentation Materials (members only) Leveraging convergence of healthcare delivery, business dynamics and technology advancements to advance collection and utilization of meaningful COPD patient data Beyond an electronic paper file – Optimizing your EMR for population-based measurement Data Tracking: Creating Your Own Path How do you make the most of […]
EF4 – Project ECHO (Extension for Community Healthcare Outcomes) – Managing Complex Chronic Conditions without Sweating Bullets
Theme 4. Building the rural health care team: making the most of available resources Presentation Materials (members only) Project ECHO – Managing Complex Chronic Conditions without Sweating Bullets Learning Objectives Understand the basic ECHO principles: Leveraging telemedicine to move knowledge, not people and create a community of practice for continuing professional development Multiplying specialist expertise […]
E7 – Integrated LTC: An Innovative Initiative to Reduce Potentially Avoidable Hospitalizations for Seniors Living in East Toronto Long-Term Care Homes
Theme 7. Clinical innovations keeping people at home and out of the hospital Presentation Materials (members only) Integrated LTC: An Innovative Initiative to Reduce Potentially Avoidable Hospitalizations for Seniors Learning Objectives The objectives are to share lessons learnt from the pilot project including: Establishing shared milestones/goals with stakeholders in acquiring real-time data to inform rapid-cycle […]
E2 – Collaborative Practice – Messy, Time Consuming and Worth It!
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (members only) Collaborative Practice – Messy, Time-Consuming and Worth It. Learning Objectives To describe our Family Health Team experience developing and implementing a new interprofessional team process for complex medical patients identified through Health Links and older adults within the TAPESTRY study. We will show the […]
E1-b – Moving Gestational Diabetes Care into the Community
Theme 1. Population-based primary health care: planning and integration for the community Presentation Materials (members only) Presentation Slides: Moving Gestational Diabetes Care into the Community. Learning Objectives Participants will learn about the successful and seamless transitioning of the Gestational Diabetes program from a hospital based model of care to primary care. During our presentation, we […]
E1-a – Reaching out to Adolescents in the Community – The Sunnybrook Academic FHT’s Story
Theme 1. Population-based primary health care: planning and integration for the community Presentation Materials (members only) Presentation Slides: Reaching out to Adolescents in the Community. Learning Objectives At the end of this workshop, participants will have the tools to build their own Adolescent Outreach program. Specific learning goals for this workshop include: How to engage […]
DE3 – The Power of the Collective: FHT Experiences with Group Medical Visits
Theme 3. Transforming patients’ and caregivers’ experience and health Presentation Materials (members only) HERSTORY Peer Directed Group Exercise Programs Improving Clinical Outcomes Group medical visits, including peer-led and peer-facilitated exercise groups, and care-based focus groups, are emerging as an efficient and effective way to care for patients with complex needs. Four teams describe how they […]
D7 – Aging at Home: Interprofessional Care to Keep Seniors at Home and out of Hospital
Theme 7. Clinical innovations keeping people at home and out of the hospital Presentation Materials (members only) Aging at Home Indicator Management Learning Objectives Our Aging at Home program’s focus is to provide interdisciplinary home care to seniors and reduce unnecessary emergency department visits. We will share our experience with team building, physician engagement as […]
D6 – Culture Eats Accountability for Breakfast
Theme 6. Leadership and governance for accountable care Presentation Materials (members only) Presentation Slides: Culture Eats Accountability for Breakfast Learning Objectives This workshop will invite participants to rethink the importance of team culture by: Understanding ‘whole-mind’ thinking Leading inter-professional collaboration Shifting the leadership culture of their teams. Summary Team-based primary care in Ontario is driven […]
D5-b Measlesgate: A Case Study in Leveraging Your EMR to Protect Your Patients and Staff
Theme 5. Advancing manageable meaningful measurement Presentation Materials (members only) Presentation Slides: Measlesgate Learning Objectives Review the clinical signs and symptoms associated with Measles and the appropriate tests to confirm the diagnosis. Outline the infection control steps to prevent measles exposure as well as other airborne infections to patients and staff present in the office […]
D5-a – Tools to Enhance and Track Patient Experience
Theme 3. Transforming patients’ and caregivers’ experience and health Presentation Materials (members only) Extending the EMR with Patient Tablets Using an automated patient reminder service and survey to collect information on patients’ experiences Add some SaaS to your patient experience surveys Collecting meaningful data on patient experience can be a time-consuming and challenging, but it […]
D4 – “From Soup to Tomatoes” – An Armchair-Based Exercise Program
Theme 4. Building the rural health care team: making the most of available resources Presentation Materials (members only) Presentation Slides: From Soup to Tomatoes Learning Objectives Learn how to access this free program via OTN and the “how- to’s” for implementing. Learn the rationale and benefits in offering an arm-chair based exercise program to the citizens […]
D2 – Charting a Blueprint for Improved Interprofessional Primary Care Team Effectiveness – The Teaming Project
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (members only) Presentation Slides: Charting a Blueprint for Improved Interprofessional Primary Care Team Effectiveness Learning Objectives The University of Toronto (U of T) Department of Family and Community Medicine (DFMC) Quality Improvement (QI) Program has launched an 18-month “teaming” project. Teaming refers to the collective actions or […]
D1 – Engaging the community and addressing the social determinants of health at St. Michael’s Hospital Academic FHT
Theme 1. Population-based primary health care: planning and integration for the community (I) Going Upstream: Building the Infrastructure to Address Social Determinants at the St. Michael’s Hospital Academic Family Health Team Learning Objectives At the end of the presentation, participants will have: 1. Gained knowledge of initiatives being implemented to intervene on the social determinants […]
C7 – The Evolution of Telehomecare: Targeting More Chronic Conditions and Offering Customized Approaches
Theme 7. Clinical innovations keeping people at home and out of the hospital Learning Objectives Participants will learn about the value, effectiveness and availability of Telehomecare, which connects patients to their healthcare teams in real time for monitoring and coaching. Data will highlight how Telehomecare is helping to shift resources from hospital-based acute and ER […]
C6 – Solutions for Managing Patient Privacy across Clinics and Community Partners
Theme 6. Leadership and governance for accountable care Presentation Materials (members only) Presentation Slides: Solutions for Managing Patient Privacy across Clinics and Community Partners (I) A Stewardship Privacy Model for a FHT and its Clinics Learning Objectives As the province’s third largest FHT, the Guelph FHT has 76 doctors and is operationally broken down into 17 […]
C5 – Boiling Multiple Measures Down to a Single Indicator: The Queen Square FHT and Patients Canada Experiences
Theme 5. Advancing manageable meaningful measurement Presentation Materials (members only) Presentation Slides: Measuring what really matters to patients (I) Indicator Management: Weighted Indicator Selection Matrix (QSFHT Experience) Summary The presentation showcases the Weighted Indicator Selection Matrix a complementary tool to the Accountability Management System (AMS) (“QIDSS Innovation Fund”). Since indicators are key part systemic system […]
C4 – Organizing the Community around the Patient – Rural and Remote Regions of Ontario
Theme 4. Building the rural health care team: making the most of available resources Presentation Materials (members only) Presentation Slides: Rural Health Hubs Framework for Ontario Summary Rural communities face unique challenges in delivering high-quality care due to lack of critical mass and economies of scale. Some communities have worked hard to overcome these challenges […]
C3-b – Measuring the Patient Experience: How to Select a Delivery Method for Best Results and Minimal Effort
Theme 3. Transforming patients’ and caregivers’ experience and health Presentation Materials (Members only) Presentation Slides: Measuring the Patient Experience Learning Objectives Observe the benefit of centralizing the development, implementation, collating, and reporting of a standardized patient experience survey that would require limited resources from FHTs. Compare response rates, responses, and respondent demographics from different survey […]
C3-a – Well-Baby Visits in Primary Care
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (Members only) Well Baby Group Baby Friendly Initiative (BFI) (I) Well-Baby/Well-Child Care Groups: The Bridgepoint FHT Report Five Years Later Learning Objectives The Bridgepoint FHT has been providing well baby care in a group model since 2010. Well baby groups optimize the scope of nursing practice, […]
C2 – Sustaining Change: A FHT Structure that Works
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (Members only) Presentation Slides: Sustaining Change Learning Objectives In an effort to be patient-centred, the Guelph FHT since inception adopted the decentralized model/approach in allocating IHPs across all 22 practices where every practice gets its share from FHT funded IHPs depending on # of physicians, population […]
BC1 – The BODY of Health Equity: Head, Heart and Feet!
Theme 1. Population-based primary health care: planning and integration for the community Learning Objectives Participants will leave with a broader sense of what we mean by Health Equity. Full spectrum training in and operationalisation of Health Equity must include all parts of the BODY of Health Equity. Participants will learn the elements of each – […]
B7 – Community Paramedicine Models for Primary Care
Theme 7. Clinical innovations keeping people at home and out of the hospital Presentation Materials (Members only) Presentation Slides: Community Paramedicine Models for Primary Care (I) Community Paramedicine – Review of a Dedicated Model in Primary Care (FHT) Learning Objectives At the end of this presentation, attendees should be abIe to identify the types of patients […]
B6 – Creating and Implementing the Markham Family Health Team Lead Physician Performance Review: An Exercise in Accountability and Transparency
Theme 6. Leadership and governance for accountable care Presentation Materials (members only) Presentation Slides: Creating and Implementing the Markham Family Health Team Lead Physician Performance Review Supporting Materials (members only) Markham FHT Lead Physician Review cover letter Markham FHT Lead MD 360 Review Markham FHT Individual Development Plan Markham FHT Accountability Framework – Performance Appraisal Markham […]
B4 – Innovative Service Provision in a Rural Underserviced Community: The Virtual Visit, Shared Innovations, Patient Centered Service Delivery
Theme 4. Building the rural health care team: making the most of available resources Presentation Materials (Members only) Presentation Slides: Building the rural health care team Learning Objectives Participants will learn: How a Northern FHT maximizes service delivery to expand available technology and minimize travel through OTN for shared care where there are no obstetrical services. […]
B3 – Tips for Capturing and Understanding Patient experience
Theme 3. Transforming patients’ and caregivers’ experience and health Presentation Materials (Members only) Tips and Tools to capture the patient’s experience in primary care. What are they thinking? Approaches, ideas, and tools to measure patient experience in your practice. (I) Tips and Tools to Capture the Patient’s Experience in Primary Care using the NHS’s Experience-Based […]
B2 – “Welcome to your new reality – you have diabetes this week!”
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (Members only) Presentation Slides: “Welcome to your new reality – you have diabetes this week!” Learning Objectives By the end of the session, participants will be able to: Describe an innovative educational process to understand the patient experience of living with a chronic condition. Reflect on their […]
AB5 – Optimizing EMR and Use of External Data Sources to Measure and Improve Quality of Care
Theme 5. Advancing manageable meaningful measurement Presentation Materials (Members only) Optimizing EMR Use: Merging Data, Managing Patients and More Cancer Screening Learning Objectives Learn how to access Cancer Care Ontario’s Screening Activity Report (CCO SAR) for all family health team (FHT) physicians and merge it with EMR data. Describe how to use postal code to […]
AB2 – Bettering Mental Health Outcomes through Optimized Team Care
Theme 2. Optimizing capacity of interprofessional teams Presentation Materials (Members only) Optimizing Capacity of the Mental Health team. Triaging the patient: who is the right provider? Responding to the Needs of Patients with Anxiety-Developing a Comprehensive Group Program at a FHT (I) Integrated Care for Better Outcomes: Supporting Primary Care Patients with Mental Health and […]
A7 – Reducing the Revolving-Door Syndrome
Theme 7. Clinical innovations keeping people at home and out of the hospital Presentation Materials (Members only) Presentation Slides: Reducing the Revolving-Door Syndrome: Hospital and Primary Care Working Together to Reduce 30 day Re-admission Rates for COPD and CHF Patients Learning Objectives Attendees will: Understand the benefits from hospital and primary care perspectives of working together […]
A6 – Quality Improvement Leadership Team (QuILT): Hearing Everyone’s Voice
Theme 6. Leadership and governance for accountable care Presentation Materials (Members only) Presentation Slides: Quality Improvement Leadership Team (QuILT): Hearing Everyone’s Voice Learning Objectives Participants will gain the knowledge of the benefits of bringing together a passionate group of individuals whose main objective is to improve the quality of care for patients of the TVFHT. Other […]
A4 – Community Quilt – The Story of How Our FHT has been Woven into the Fabric of the Community
Theme 4. Building the rural health care team: making the most of available resources Presentation Materials (Members only) Presentation Slides: Community Quilt – The Story of How Our FHT has been Woven into the Fabric of the Community Learning Objectives Feeling overwhelmed by your rural residents’ needs for accessible, team-based programs? Is it practical to creatively […]
A3 – Patient Councils: Experiences within the GTA
Theme 3. Transforming patients’ and caregivers’ experience and health Presentation Materials (members only) Presentation Slides: Patient Councils: Experiences within the GTA (I) Community Engagement – Mississauga Halton Share CCAC Share Care Council Learning Objectives Define the key elements of a Patient and Caregiver Bill of Rights Identify benefit of forming a Share Care Council and how […]
A2 -Developing Principles for Family Practice: Sharing a Common Approach to Care
Theme 2. Optimizing capacity of interprofessional teams Learning Objectives By the end of the presentation, participants will: Reflect upon the four principles of family medicine and its relevance within Ontario’s FHT’s. Consider the meaning of Shared Accountability and its impact on team-based care. Re-evaluate personal perspectives on willingness to provide collaborative patient-centred care. Presenters Dr. […]
A1-b Nutrition Education at Your Local Coffee Shop
Theme 1. Population-based primary health care: planning and integration for the community Presentation Materials (members only) Presentation Slides: Nutrition Education at your Local Coffee Shop Learning Objectives Participants will: Understand the barriers preventing connection with marginalized individuals who lack food security. Learn how to connect with and equip individuals to use food bank items together […]
A1-a Taking Collaboration to the Next Level…Dealing with the Social Determinants of Health
Theme 1. Population-based primary health care: planning and integration for the community Presentation Materials (Members only) Presentation Slides: Taking Collaboration to the Next Level…Dealing with the Social Determinants of Health Learning Objectives The purpose of this presentation is to share the knowledge we have gained through our Medically Complex Patient Pilot Program and the changes […]