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SCA Newsletter for October & November 2018



Please click here to download the PDF.


Visit the System Coordinated Access site by clicking here.

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eHealth Centre of Excellence celebrates Digital Health Week!

Digital Health Week is right around the corner! This year, Digital Health Week will be held from November 12th – November 16th.


The focus of Digital Health Week is to increase awareness and provide further education on the ways digital health is transforming health care. Increasing awareness about digital health provides further opportunities for collaboration and continued discussion about how our health care system can be more connected through digital tools and services.


To celebrate Digital Health Week, members of our eCE team will be hosting daily webinars.

Interested in signing up?  


Take a look at our webinar schedule and secure your spot today!


Webinar Schedule


Tuesday, November 13th


Title: Virtual care in WWLHIN: exploring innovative methods for healthcare delivery to support patient care


Description: Virtual care allows patients to securely connect with their health care providers online. In this presentation, the QBIC program will provide an overview of various online solutions, including Virtual Visits, PCVC, and Big White Wall, and how they can support both patients and providers in the region.


Date & Time: Tuesday, November 13th  2018 at 12:30pm-1:30pm

Registration: Please email



Wednesday, November 14th


Title: SCA Program and eReferral - Leveraging Digital Health Tools and Partnerships to Enhance Patient Care


Description: Effective use of digital health tools is key to ongoing process efficiency within the healthcare sector. The SCA program, in collaboration with our system and vendor partners, is increasing efficiency and improving access to care through the implementation of an innovative eReferral solution.


Date & Time: Wednesday, November 14th 2018 at 12:30pm-1:30pm

Registration: Please email



Thursday, November 15th


Title: Clinical Value of Standardized Primary Care Information Through the Use of EMR Tools


Description: Looking to demo an EMR tool that support clinicians with data quality clean up and then explain the clinical value for primary care providers and their patients.


Date & Time: Thursday, November 15th 2018 at 12:30pm-1:30pm

Registration: Please email


Can’t make any of the scheduled webinars? We will be posting all webinar content on our blog following Digital Health Week!


We look forward to you joining us! If you have any questions, please email



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cSWO October 2018 Update



Please click here to download the PDF.

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Resources for Opioid and Pain Management

The eHealth Centre of Excellence (eCE) and Centre for Effective Practice (CEP) are partnering to support family physicians in the Waterloo Wellington LHIN. Through this partnership, family physicians are being offered both academic detailing (clinical education) visits and EMR Coaching visits on caring for their patients with chronic non-cancer pain (CNCP) and managing the use of opioids. 


Academic detailing


The academic detailing visits are customized educational visits with a CEP academic detailer (clinical pharmacist). An academic detailer will meet with the family physician in-person to discuss:

  • Initiating patient conversations regarding treatment expectations
  • Transitioning patients from acute to chronic pain management
  • Mechanics of tapering and rotating opioid medications
  • Accessing local non-pharmacological management options
  • Preparing an exit strategy for opioid therapy trials

Visits are 30 minutes long and are arranged at a time and place that is convenient for the family physician.


This service is Mainpro+ accredited, voluntary, free-of-charge and free of commercial interest.


To find out more, visit


To sign up for an academic detailing visit, contact:


Anu Thind, PharmD, Academic Detailer


P 647-980-8147


EMR Coaching


The eCE is supporting the use of EMR tools that assist with CNCP and Opioid Management. A Change Management Specialist will meet with the clinician in-person or remotely to provide general EMR support, tool installation and customization, and training.


Coaching sessions are custom tailored to the clinician and organizational needs; group or individual sessions are provided based on clinic preference. To find out more, visit


To sign up for a Coaching visit, contact:


Stephanie Chin, Change Management & Health Systems IT Specialist - CDPM Stream Lead


P 519-722-2996

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Expansion LHINs Go Live with eReferral

It’s official! The System Coordinated Access eReferral Program has expanded beyond Waterloo Wellington with soft launches in both the North East and Erie St. Clair LHINs. As of September 2018, North East successfully launched eReferral to Central Intake as well as their assessment centres, locally referred to as North East Assessment Centres (NEJACs). The deployment team plans to continue to expand the eReferral roll-out to include primary care and specialists in the near future.


But that’s not all! The Erie St. Clair deployment team has also been hard at work. Their soft launch not only included Central Intake but they also officially onboarded two Orthopedic surgeons who are already successfully receiving eReferrals from Ocean into their TELUS EMR.


Additional go-lives in Champlain and SE LHINs as well as continued roll-outs to primary care in all expansion LHINs, are planned for the coming months. The SCA Program team is committed to supporting the teams as we all continue to expand eReferral and celebrate successes. Together, we are making eReferral history!

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cSWO September 2018 Update



Please click here to download the PDF.

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One Year Live on eReferral!

On August 14, the Waterloo Wellington System Coordinated Access team marked a significant milestone—the one year anniversary of eReferral going live in the Waterloo Wellington region.


The initial launch of the eReferral solution was part of a proof of concept, which allowed providers to refer into Orthopedic Central Intake, Diabetes Central Intake and a number of diabetes education programs across the region. Since the initial launch, the eReferral program has expanded to four additional LHINs (Champlain, ESC, NE and SE) and seen significant expansion in WW with the onboarding of many new eReferral destinations, including all hospitals diagnostic imaging departments across the region, three orthopedic assessment centres and an ever-growing list of specialists and specialty services, which can be accessed at by clicking here.


Since going live in Waterloo Wellington...

  • 7,500 eReferrals have been sent to 90 referral targets! These referrals were sent by over 220 unique referrers in our region
  • The Waterloo Wellington Regional Coordination Centre has processed over 1,500 eReferrals through their Diabetes and Orthopedic Central Intake Service
  • Wait time data shows that the wait 1 for orthopedic referrals has decreased by a mean of 21 days and 59 days for knee and hip, respectively
  • After the introduction of imaging guidelines, the number of pre-consult MRIs ordered (which are not needed for knee osteoarthritis) went from 34% in early 2017 to 21.8% in early 2018, a 12% reduction
  • Users have reported a decrease in the number of incomplete referrals received as well as promising efficiencies in their workflow when using the eReferral system. This has resulted in time savings of up to nine days when compared to the traditional paper-fax referral process.
  • When the referral is complex, the time to send the referral by physicians (including data entry) was reduced using eReferral by almost three minutes (37.5% less)


eReferral Expansion is Underway


In addition to the work happening in Waterloo Wellington, four expansions LHINs (Champlain, ESC, NE and SE) have made significant steps towards implementing eReferral to support their respective MSK pathways. The NE LHIN was the first to go live with a limited release of the eReferral solution on August 14, 2018 with plans to gradually increase adoption over the next several months. The other three LHINs (Champlain, SE and ESC) are scheduled to go live in the coming months. The teams have been hard at work engaging their stakeholders and finalizing processes in preparation for launch. In addition to MSK, all four expansion LHINs, with the support of the SCA Program, have initiated discovery work to inform the early stages of planning for diagnostic imaging (DI) eReferral, which will build off the DI deployment underway in WW.


What a year! Congratulations to the entire System Coordinated Access team and our partners for the impressive accomplishments to date!



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Virtual Visits: providing new ways to connect with patients

Since its launch in March 2018, a total of 40 primary care physicians have been registered for the virtual visits platform, VirtualCare!


The innovative solution offers new ways for providers to securely communicate with patients via chat messaging, phone or video call. Close to 1600 patients in Waterloo Wellington have been registered so far and over 1100 visits have been completed. Using the website or mobile app, patients can send a message or request a virtual appointment with their primary care provider to renew a prescription, discuss chronic condition(s) or new health issue/symptoms, and for health education among other reasons.


What does usage look like to date?



of virtual visits were initiated by primary care providers to follow-up on previous in-person appointments, discuss lab results and medication. 



of all virtual visits completed were conducted via chat messaging or phone call.



The year-long Proof of Concept, in partnership with the Ontario Telemedicine Network (OTN), will be rolled out to additional physicians and nurse practitioners across the Waterloo Wellington LHIN by the eHealth Centre of Excellence (eCE), with the hopes of increasing capacity in primary care practices and improving the patient and provider experience.


Physicians participating in VirtualCare describe it as a user-friendly platform that allows them to easily answer questions and "see" patients for appropriate concerns, without them having to come into the clinic,  saving them both time and resources.


Some of the latest VirtualCare features:

  • Patient self-registration
  • Patient and Provider mobile app
  • New role for NP’s and Delegates


If you are interested in signing up for virtual visits or looking for more information, please contact Meghan Brenner-Burgoyne ( 


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cSWO August 2018 Update



Please click here to download the PDF.

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Upcoming webinar for osteoporosis EMR tool

Coming up on Tuesday, August 28 from 11:30 AM - 12:30 PM, the QBIC (Quality Based Improvements in Care) team will be hosting a webinar with guest speakers Dr. Upe Mehan & Kate Harvey on how to use QBIC's new osteoporosis tool for primary care electronic medical records (EMRs).


For more on this tool, click here!



Registration link:


Webinar details: Tuesday, August 28th 11:30 – 12:30



                 1-855-392-2520      -     Access Code: 9319738


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Stephanie Dance
November 14, 2018
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Hannele Kivinen
July 31, 2018
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April 4, 2017
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