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CME Opportunity for Primary Care Providers: Cancer Update 2019

The Champlain Regional Cancer Program is pleased to invite you to Cancer Update 2019.

This annual event takes place on Friday,  December 6, 2019.

For details, please see the Cancer Update 2019 and feel free to share with others in your organization. 

Register online Now!

www.cancerprimarycare.eventbrite.ca

For more information contact Champlain Primary Care at 613-798-5555 x 15811 or cancerprimarycare@toh.on.ca

Post Bariatric Care and Obesity Management

Project ECHO® OBN
Update Your Knowledge on Post Bariatric Care and Obesity Management

The Ontario Bariatric Network (OBN) is launching an exciting new initiative Project ECHO™ OBN that partners primary care providers with a multi-disciplinary team of specialists from the Bariatric Centres of Excellence (BCOE) to share best practices on bariatric care and obesity management.

This series of 6 sessions hosted by The Ottawa Hospital begin on October 2, 2019 and is open to physicians, residents and medical students, nurse practitioners and allied health professionals working in primary care.  There is no cost to attend.

Learn about:

  • Changing practices in the surgical and medical management of patients with obesity
  • BCOE and primary care collaboration to implement the Shared Care Model
  • Obesity-related co-morbidities and treatment options
  • Evidence-based approaches to effectively manage patient complications

Managing the care of post-bariatric surgery patients can be complex.  Register soon to take advantage of this no-cost learning opportunity!

For more information on session dates, curriculum details and to register, please visit https://obn.echoontario.ca

Click to view PDF with details: ECHO Flyer with curriculum Aug 2019

 

 

Health Report Manager & EMR Practice Enhancement Program

Health Report Manager – Health Report Manager (HRM) is a digital health solution that enables clinicians using an OntarioMD-certified EMR to securely receive patient reports electronically from over 250 participating hospitals and specialty clinics, including over 30 in Champlain LHIN.

HRM electronically delivers text-based Medical Record reports, (e.g. Discharge Summary), and transcribed Diagnostic Imaging (excluding image) reports from sending facilities directly into patients’ chart, within your EMR. Once you are connected to HRM, you will also receive eNotifications, a useful digital health tool that lets you know sooner than the arrival of the discharge summaries that your patients were in the hospital.

Learn more about HRM. To sign up, please contact your local OntarioMD Practice Advisor or support@ontariomd.com.

 

EMR Practice Enhancement Program – The EMR Practice Enhancement Program (EPEP) is a complimentary provincial service designed to take an in-depth look at how you use your EMR to help you enhance your EMR skills and efficiency.

EPEP offers a current analysis of your EMR use, practice workflow and data quality to help you move beyond data capture and use information to improve patient care and practice efficiency. It provides hands-on support from Practice Advisors and Peer Leaders, who are expert EMR users, to create an enhancement plan that reflects your unique practice priorities, leading to improved workflow, efficiency and patient care.

 

Get started with EPEP today, or contact support@ontariomd.com to connect with a Practice Advisor.

OntarioMD Peer Leaders and Digital Health Events

OntarioMD Peer Leaders are a network of 60 physicians, nurses and clinic managers across the province who are expert users of OntarioMD-certified EMRs and are available to help you realize more clinical value from your EMR.

Peer Leaders understand the needs and challenges faced by busy community practices. They provide complimentary consulting services that can lead to more efficient EMR use and workflow, improved clinical decision support and much more. Peer Leaders can help you optimize your EMR’s functionality and show you how they use other features, including EMR-integrated provincial digital health tools.

Request a Peer Leader today, or contact support@ontariomd.com.

 

OntarioMD Quality Improvement Events

EMR: Every Step Conference:

    • Get more clinical value from your EMR. Learn how at the OntarioMD EMR: Every Step Conference! EMRs have become indispensable practice tools. Learn how you can take better advantage of your investment in your EMR by learning about more of its features and the latest digital health innovations integrated with it. There is so much more you can do for your patients and your practice. We’ll show you how.  This conference is for physicians, nurse practitioners, allied health professionals and administrative staff. EMR: Every Step Conference should be hyperlinked to https://www.ontariomd.ca/about-us/events/emr-every-step-conference/emr-every-step-conference-toronto-2019
      • Admission: $115.00 + HST (until August 31), $160.00 +HST (after August 31)

 

Project ECHO Ontario Skin and Wound

ECHO stands for Extensions for Community Healthcare Outcomes.

The ECHO model™ links specialist/ resource team (Hub) with primary care community-based partners (Spokes) to form the Hub and Spokesmodel.  It uses a combination of live online sessions and in-person skills training to build health care capacity. The online sessions are live 2 hours weekly and include a short educational lecture, followed by case-based learning from the participants’ own patients.

The resource team (Hub) puts together the content of the ECHO educational lectures. Participants present de-identified cases of their own patients during the live online sessions. Participants also contribute to case discussions and evaluation surveys. They also receive continuing education/ continuous professional development credits (CE/ CPD).

Through the ECHO model™, community providers and specialists learn from each other, acquire knowledge, skills, increase competency and build a strong community of practice. Participants become part of a supportive community of practice and an inter-professional team.

See: Q&A’s – ECHO Ontario Wound and Skin

We’re launching in May. Sign up below if you’re interested in no cost interprofessional skin and wound care learning surveymonkey.com/r/FM6T99B #onhealth #wounds #dermatology

What Is It?

  • FREE case-based learning on: wound bed preparation, pressure injuries (ulcers), diabetic foot ulcers, venous leg ulcers, interprofessional team building and other topics
  • No cost mentorship on skin and wound care best practices
  • Access to physicians, nurses and allied health providers who will offer you guidance on your patients with complex skin and wound care needs.

Who Should Join?

  • Health care providers based in Ontario who have an interest in skin and wound care, including nurses, physicians, and allied health providers.

Benefits for Participants

  • Enhanced care for patients with skin and wound care issues
  • Certificate of Attendance, if a regular participant
  • Continuing Medical Education (CME) Credits awarded by Queen’s University
    • Being part of an interprofessional community of practice

Details

  • Weekly 2-hour sessions: 15-minute didactic lecture, based on International Interprofessional Wound Care Course (IIWCC) curriculum, followed by a discussion of real clinical cases submitted by participants
  • Topics discussed: diabetic foot ulcers, leg ulcers, pressure injuries, wound bed prep, infection, malignant, post-surgical wounds, traumatic injuries, peristomal, lymphedema, acute infection and other wound and skin care issues
  • Hands-on learning at semi-annual boot camp sessions held across Ontario

Interested? Here’s What You’ll Need

  1. Internet connection and webcam-enabled device like a laptop or smartphone
  2. Minimum two hours per week of committed time
  3. Willingness to present your patient cases for group discussion

To Express Interest in Joining

Email:       info@echowoundskin.com

For More Information:

Visit:        https://www.echoontario.ca/Echo-Clinic/Wound.aspx

Follow on Twitter:    @ECHOWound

Integrated Cancer Screening and Prevention Program – events in your area

In the summer of 2018, the Integrated Cancer Screening and Prevention Program (ICS team) partnered with Cancer Care Ontario (CCO) to conduct a mapping exercise based on census data to identify areas where screening rates are low, for the following screening programs in the region:

  • Ontario Breast Screening Program (OBSP)
  • ColonCancerCheck (CCC)
  • Ontario Cervical Screening Program (OCSP)
  • Lung Cancer Screening Pilot for People at High Risk (HR LCSP) pilot

The ICS team also conducted an environmental scan focusing on primary care providers, cancer screening managers, and most importantly, patients, to identify and understand challenges to cancer screening. We are now reaching out to regional stakeholders in order to work together to develop improvement initiatives focused on increasing screening rates and facilitating healthier populations. For this reason, we would like to invite you to a series of information sessions being held in key areas including Hawkesbury, Cornwall, Petawawa, Pembroke and Renfrew.

To learn more about the impact you can have on the screening rates for the four cancer screening programs in the Champlain region, we invite you to register for an event in your area.

 

Area Date Time Location
Pembroke March 4, 2019 17:30 Carefor Health & Community Services: 700 MacKay St.
Renfrew March 18, 2019 17:30 GEM Hall: Groves Park Lodge,127 Raglan St. S
Cornwall March 19, 2019 17:30 The Cornwall Knights of Columbus Hall: 205 Amelia St.
Hawkesbury March 25, 2019 17:30 Stephanie’s Grill and Bar: 1680 Highway 34

To register for an event or for further information regarding the sessions, please call: 613-798-5555 ext. 15811 or email me: jdeloe@toh.ca.

We thank you for your support in working together to improve screening rates and promoting healthier populations in your area.

 

View the bilingual letter with the above information

Important Concussion Resources

In Ontario, over 150,000 people are diagnosed annually with concussion in emergency departments and by primary care physicians. In 2016 there were 15,736 concussions diagnosed in the Champlain LHIN. It remains evident that both healthcare providers and patients feel ill-prepared to effectively navigate the healthcare system with respect to concussion care and management of persistent concussion symptoms.

The Ontario Neurotrauma Foundation,ONF has been working to provide clarity and evidence-informed direction with respect to post-concussion care for healthcare providers and patients by releasing the Standards of Post-Concussion Care and the  3rd Edition Guideline for Concussion/Mild Traumatic Brain Injury & Persistent Symptoms for Adults over 18 Years of Age. Providers can use the resources to learn about up-to-date evidence-informed practices and recommendations. ONF’s goal is to streamline visits with healthcare providers and provide direction to patients and families to increase confidence about how, what and when care should be provided.

The Home First philosophy

The Home First philosophy has been adopted by hospitals across Ontario and the Champlain region over the past several years. At The Ottawa Hospital, we have recently undergone a refresh to ensure that staff and physicians are aware of the benefit this philosophy provides to patients.

Home First is about providing the right care, at the right time, in the right place, for the right cost. The focus is to keep patients (particularly high-risk seniors) safe in the community for as long as possible, with community resources and supports. This means that through providing enhanced personal support upon discharge, seniors can remain at home and make decisions about their future in a more comfortable and familiar environment.

In addition to providing better care, closer to home, the Home First approach is a significant strategy that can help to reduce hospital occupancy, minimize the volume of Alternate Level of Care (ALC) patients and support access to acute care. As a collaborative effort between The Ottawa Hospital and the Champlain LHIN, work is being done to ensure early engagement of the discharge team, which will allow for discussions regarding Long Term Care to occur in the community.

For primary care physicians, an understanding of this approach, as well as the messaging that your patients will experience while in hospital, is key to success and will assist in reassuring them. While patients are in hospital, the discharge planning team, comprised of a Social Worker and LHIN Care Coordinator, will be engaged early on to discuss plans for returning to the community. All efforts are placed by interdisciplinary team members to create safe and timely plans for discharge to a community setting. For patients who require Long Term Care, plans for this transition will be made from home through follow-up from a LHIN Care Coordinator.

A Home First approach avoids patients being identified too early for Long-Term Care and through timely discharge, the risk of deconditioning and exposure to hospital-acquired infections is reduced. Minimizing the need to make decisions in a time of crisis during a hospital admission offers the opportunity for patients to wait in a home environment for a preferred Long Term Care Home choice.

 

__________________________________________________________________________________

Contact:

Carol Murphy, Manager, Subacute Transitions & Post Acute Flow, The Ottawa Hospital

613-798-5555 ext 17502

cmurphy@toh.ca

Breast Imaging Update 2019

The Champlain Regional Cancer Program invites you to attend its’ annual Breast Imaging Update 2019, part of the Continuing Professional Development Series. Please find details below. You can attend in person or by OTN. Please feel free to forward to your colleagues. 

 

Effectiveness of Shockwave Treatment Combined with Eccentric Training for Patellar Tendinopathy

Effectiveness of Shockwave Treatment Combined With Eccentric Training for Patellar Tendinopathy: A Double-Blinded Randomized Study

Karin M. Thijs, Johannes Zwerver, Frank J. G. Backx, Victor Steeneken, Stephan Rayer, Petra Groenenboom, Maarten H. Moen.

Clinical Journal of Sport Medicine, Volume 27, No. 2, May 2017

Patellar tendinopathy is a common overuse injury that affects the origin of the patellar tendon at the inferior pole of the patella. Overload of the mechanism leads to pain and dysfunction, and this condition can become chronic and difficult to treat. While eccentric training has developed a standard role in the rehabilitation for patellar tendinopathy, the role of extracorporeal shockwave therapy (ESWT) is less understood. The goal of this study was to determine the effectiveness of a combined treatment of eccentric training and ESWT compared with eccentric training and sham shockwave (placebo) in participants with patellar tendinopathy over a 24-week follow-up period.

This multicenter randomized and placebo-controlled trial was conducted at sports medicine departments in a university hospital and general hospital in the Netherlands. Fifty-two physically active male and female participants (mean age 28.6 years, range 18-45) with a clinical diagnosis of patellar tendinopathy were randomly allocated to either eccentric exercises with ESWT (ESWT group), or eccentric exercises in combination with sham-shockwave therapy (placebo group). Extracorporeal shockwave therapy and sham shockwave were applied in 3 sessions at 1-week intervals with a piezoelectric device. All participants in the study were instructed to perform eccentric exercises on a decline board at home (3 sets of 15 repetitions, twice per day). To assess outcomes, the Victorian Insitute of Sport Assessment-Patella (VISA-P) scores, pain scores during functional knee loading tests, and Likert scores were registered at baseline, 6, 12, and 24 weeks after initiating the ESWT or sham-shockwave treatment.

 

The results of the study revealed that when comparing the ESWT group to the placebo group, there ware no significant differences found. While VISA-P and pain scores significantly improved over the study period, there was no treatment effect between the groups over time.

Despite being a double-blinded, randomized control trial study, the authors note several limitations in their work. The power analysis prior to the start of the study revealed that 56 patients were needed to detect a clinically significant difference in the VISA-P score of 15 points. Unfortunately, there was a large loss to follow-up (31.8% in the ESWT and 13.3% in the placebo groups respectively). Furthermore, the physical therapists that performed the treatments were unblinded (as they needed to adjust the shockwave device to “true” or “sham” treatment), and this could have influenced the results. With these limitations in mind, this study showed no additional benefit of 3 sessions of ESWT in patients with patellar tendinopathy.

Sean Mindra, MD, CCFP

PGY3 – Sport and Exercise Medicine, University of Ottawa

 

Advisor: Dr. Taryn Taylor BKin, MSc, MD, CCFP (SEM), Dip Sport & Exercise Medicine