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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 300 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 epep@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: OntarioMD is taking its CME-accredited EMR: Every Step Conference back to Ottawa in 2019. View the agenda of the full day of physician-led content and register today!

Admission: $85.00 + HST (until May 13), $100.00 +HST (after May 13)

On the Road with OntarioMD: These interactive evening seminars near you give you a chance to learn how to use your Electronic Medical Record (EMR) and digital health tools to address timely issues such as safe opioid prescribing. You will meet with Physician Peer Leaders who use the same EMR as you and they will share their EMR expertise and advice with you in small groups. You will learn additional tips for realizing immediate clinical value from your EMR while networking with other physicians to share and compare your experiences with digital health. The seminars are accredited for two Mainpro+ credits.

Admission:

Complimentary for physicians and their staff.

Dinner is included.

 

Find out where the next On the Road seminars are and register.

 

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

Champlain Lung Health Intake and Referral

The Champlain Lung Health – Intake and Referral program is your access point to community lung health education and support in Champlain if you are living with COPD.

For healthcare providers, this program offers one referral form that allows your adult clients living with COPD access to effective community lung health services in Champlain.

The lung health programs provide an evidence-based approach that improves the health and quality of life of people living with COPD.

http://champlainlunghealth.ca/

“Since joining your program my breathing and general overall health has been greatly improved …Your program is a hidden gem and should have more exposure so others may experience what I have been given”

– Lung Health Program Participant

“When I started 4 years ago, I was barely able to walk due to my shortness of breath; today I am able to walk for over a half an hour. I love this program for what is has helped me accomplish.”

– Lung Health Program Participant

Cancer Update 2018

The Champlain Regional Primary Care Cancer Program presents: CANCER UPDATE 2018

Friday, December 7, 2018, from 08:00-16:30
Ottawa Conference and Event Centre
200 Coventry Road, Ottawa, ON K1K 4S3 Cost: $125.00 (Until December 6, 2018)
$150.00 (After December 6, 2018)

Register online NOW!
www.cancerprimarycare.eventbrite.ca
For more information contact cancerprimarycare@toh.ca or 613-798-5555 x 15811

View details and agenda – print and share! Cancer Update 2018 – details and agenda

Meet regional experts & learn more about :

  • Cardiovascular Health and Cardiotoxicity
  • Pancreatic Cancer
  • Preserving Fertility After Cancer
  • Indigenous Health and Cancer  Genetics and Cancer
  • New Prostate Guidelines and Treatment
  • Advanced Care Planning
  • Pain Management
  • Population Health
  • Cancer Related Risk Factors
  • and more!