eHealth Centre of Excellence

Digital Health Supports for COVID-19



Our team at the eHealth Centre of Excellence is committed to supporting healthcare providers and organizations in their battle against COVID-19 through the provision of digital health tools. The following tools are available now and can be used to safely and effectively screen patients and facilitate monitoring and treatment of this disease. 


Please note that many of these tools have been developed by others and are provided “as is” – additionally, some of these tools may not be relevant to your area of the province.





Virtual visits

Virtual Visits


Virtual care platforms can reduce the spread of COVID-19 by keeping people home and out of waiting rooms, while also enabling providers to screen symptoms and offer medical advice with no risk of exposure. 


The Ministry has released billing codes for telephone calls and virtual visits.


The Ontario Telemedicine Network (OTN) offers “eVisit” – a Virtual Visit platform that is currently available to be used across the province. Direct-to-Patient Video Visits are also available through OTNinvite.


OTN eVisit Resources:


OTN logo


VirtualCare (developed in partnership with OTN and Think Research) is another technology available to registered users that allows clinicians to connect with patients via video, phone and secure messaging.


Think Research logo


Click here for an overview of the differences between OTN eVisit and Think Research's VirtualCare platform.


If you have questions or require further support with setting up Virtual Visits and you are located in the Ontario Health West Region (formerly ESCLHIN, SWLHIN, WWLHIN, and HNHBLHIN), please contact VirtualVisits@ehealthce.ca.


For information on using other platforms to conduct a virtual visit, such as Skype and FaceTime, please refer to the OntarioMD website link posted below.




COVID-19 Navigator

InputHealth COVID-19 Population Health Navigator 


The Navigator is a web-based population health tool that enables quick and efficient screening and assessment for COVID-19, reducing pressure on primary care.


How it works:


Patients are able to take a COVID-19 self-assessment online at www.covid19checkup.ca. The assessment is the same one created by the Ministry of Health, but is linked to the Navigator platform. If a patient should require a medical follow-up after taking the self-assessment, the Navigator has the capability to virtually connect patients with a primary care provider. 


Please note: if a patient is seen by someone on-call, their primary care provider will still receive the outcome summary/encounter note to add to their chart.


Learn more about the tool here!


Questions can be directed to info@ehealthce.ca.




EMR support

Screening Tools for Electronic Medical Records (EMRs)


COVID-19 screening tools for TELUS PS Suite, OSCAR, and QHR Accuro EMRs enable efficient documentation of potential symptoms, with results indicating recommended precautions and next steps. 




Screening tool for TELUS PS Suite:

DOWNLOAD HERE


Screening tool for TELUS PS Suite,

with toolbar:

DOWNLOAD HERE

(Developed in collaboration with City of Lakes FHT)


COVID-19 Toolbar




Screening tool for OSCAR: 

DOWNLOAD HERE



Form has been published to

Accuro’s database:

search for "Coronavirus COVID-19

Screening June112020"


We are happy to provide additional support with the installation and integration of these screening measures into your clinical workflow. Please contact Stephanie Chin for further assistance.



* Detailed instructions on how to import and install custom forms for TELUS and for OSCAR

* Detailed instructions on how to import and export reminders for TELUS

* Detailed instructions on how to download a published form in Accuro



Additional Resources:


 



eReferral

Electronic Referral (eReferral)


The following COVID-19 Respiratory Assessment Centres established in the Waterloo Wellington region are accepting eReferrals via the Ocean eReferral Network:

 

  • Cambridge COVID-19 Respiratory Assessment Centre (Cambridge)
  • KW4 COVID-19 Respiratory Assessment Centre (Waterloo)

Click here to read about the positive impacts of using eReferral to refer patients to COVID-19 Assessment and Testing Centres










* Updated May 21, 2020


Referrals are being accepted for patients with MODERATE RESPIRATORY SYMPTOMS who need to be physically assessed.




Tablets

Tablets 


We support the use of CognisantMD's Ocean Tablets, which can assist your clinic in early screening of patients as they arrive to your office. CognisantMD has created a series of patient screening tools for COVID-19, including a kiosk or tablet screener, email screener, triaging form, eReferral form, self-symptom checker, and a virtual care consent form. Please visit their website to view all of these items: OCEAN COVID-19 SCREENING TOOLS 


As a tablet user, you can screen patients for COVID-19 in the following ways:


  • On a kiosk (if applicable) during the check-in process
  • On hand-held tablets as patients’ check-in with reception or complete other forms


Depending upon the answers provided by the patient during completion of the screener, they can be prompted to take further action if necessary (i.e., put on a mask and see the receptionist). COVID-19 screening answers will be automatically imported and documented in your EMR.


Here are some steps you can take to protect your staff and patients, and ensure your devices stay clean and sanitized:

  1. Post signage or ask patients to use hand sanitizer before using the tablet/kiosk
  2. Use alcohol-based disinfecting wipes to wipe down screen/cases and kiosk stands between each use
 ............Many clinics have discontinued the use of tablets and kiosks during COVID-19 due to:


  • Difficulty maintaining infection control
  • No longer seeing patients in the clinic


If your clinic is no longer using tablets, you can take steps to temporarily suspend your tablet subscription for Ocean services during this time.


What does this mean? Currently, even though the tablet may not be in use, it is still registered with Ocean; while it is registered, the purchased credits in your Ocean site will continue to be consumed daily to pay for the Ocean subscription. By deregistering your tablet, your clinic can preserve your remaining credits for a future date, when your tablet is in use once again.


Click here for steps on how to deregister your tablet(s). If you experience any issues following these steps, we would be more than happy to walk you through the process over the phone. 


We would happy to support your clinic in using these screening tools or temporarily deregistering your tablet during COVID-19. Please reach out to Melissa Lambing.




ePrescribing

ePrescribing


ePrescribing enables primary care providers to send electronic prescriptions directly from their EMRs to the pharmacy of their patient’s choice. This means that patients don’t need to collect a paper prescription from their doctor’s office, and don’t need to bring it in to the pharmacy. If the pharmacy has a delivery service, the patient never needs to leave the house.  


The eHealth Centre of Excellence has partnered with Canada Health Infoway to deploy PrescribeIT® across the Waterloo Wellington region, supporting primary care providers with sign-up and integration of the service into their practice.


Contact ePrescribing@ehealthce.ca to get started. 





Other online resources & tools:





  • The eConsult Centre of Excellence has created a COVID-19 BASE™ managed eConsult specialty group: this group enables physicians and nurse practitioners to ask clinical questions to infectious disease specialist electronically and receive a response within days



  • Two new position statements were developed by the Canadian Thoracic Society (CTS) Asthma and COPD Steering Committees addressing therapeutic questions to help Canadian physicians optimize  management for their patients during the COVID-19 pandemic.


  • Canadian Mental Health and Addictions Waterloo Wellington (CMHA WW) is supporting two mental health initiatives related to COVID-19:
    • Here4Help is a new online repository of useful tools and techniques to manage the stresses of dealing with COVID-19.  In a world with information overload, the Here4Help site is a library of curated, best practice based resources that are refreshed regularly. 
    • Here4HealthCare is a new program that supports the mental health of our front line health care workers in hospitals, primary care and Long-Term Care/retirement homes and first responders.  


We will continue to update this page as more resources are made available.




If you have questions about any of the digital health tools mentioned here, please know that we are here to support you.


Don’t hesitate to reach out at any time to info@ehealthce.ca.

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