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cSWO April 2019 Update

 

 

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SCA Waterloo Wellington eReferral Destinations: April 2019

 

 

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Closing the circle of patient care

By Dr. Mohamed Alarakhia

 

Physicians, nurse practitioners, pharmacists and other clinicians all play an important role in patient care. In the current landscape of the health care system, providers far too often operate in silos. Despite this recognition, we still haven’t fully figured out how to break down barriers and address patient care seamlessly.

 

A starting point for better integration may be implementing digital technologies in the way we work. In my practice, we’ve begun offering digital tools, services and communication such as electronic referral and virtual visits. This has improved the way we interact with our patient community, which we’re seeing translate into better health outcomes. The question is, what other tools can help reduce gaps across the entire health sector and support the circle of patient care?

 

I’m also an early adopter of PrescribeIT - an e-prescription service that was built to eliminate the need for paper prescriptions and enable secure communication between prescriber and pharmacist. Since implementing it into my practice, I have seen significant improvements in the level of care I’m able to provide my patients, directly and indirectly.

 

First, I’m able to more easily and efficiently monitor prescriptions electronically. We know that approximately one in three prescriptions for health conditions are never filled, and about half are not taken as prescribed. PrescribeIT allows me to monitor prescriptions and identify potential issues. For example, an elderly patient with emerging memory issues visited my office to address an infection. The following day, I opened my electronic medical record and saw that there was no dispense notification, which told me the prescription had not been picked up. Because of this, I was able to follow-up with the pharmacist. The pharmacist connected with the patient and it was clear the patient had forgotten to pick up her prescription. The pharmacist arranged to have the prescription delivered directly to the patient. This prevented a potential acute worsening of the patient’s memory issues and resulting hospitalization. The ability to understand if a patient has picked up a medication also opens the door for further dialogue with the patient, which can yield great insights into how patients want to treat their medical condition.

 

A second important benefit of PrescribeIT is the improved and seamless communication between prescriber and pharmacist. Instead of using fax and phone to communicate about important patient information, I electronically connect with pharmacists and respond to patient inquiries quickly. Recently, I issued a request for a patient’s refill to his pharmacist through PrescribeIT for a medication previously prescribed by another provider. I was immediately alerted that the patient was also being prescribed methadone by a clinic. PrescribeIT allowed us to identify this deadly combination and avoid a catastrophic patient event.

 

While clinicians will adopt technology at different paces, it’s important to be open to the ways that digital health solutions can improve our practices, and more importantly, the care of our patients. By embracing digital health tools, we can close the circle of care and improve communication between health care providers, patients and the community.

 

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Low Back Pain Tool is Now Available for PS users!

The goal of this tool is to reduce the number of unnecessary diagnostic tests, improve wait times and enhance patient care. 

 

Clinical content has been adapted from guidelines such as;

  • Centre for Effective Practice – Clinically Organize Relevant Exam (CORE) Back Tool
  • Aligns with the HQO Quality Standards for Low Back Pain

 

Key features:

  • Integration of identification of the mechanical patterns for low back pain into patient history questions.
  • Revised psychosocial yellow flags section, which includes questions and hints for providers to help identify patients who are at higher risk for developing chronicity.
  • Patient key messages integrated throughout the tool.
  • Management Matrix with suggestions for initial management based on the pain patterns of low back pain.

 

Interested in learning more?

 

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cSWO March 2019 Update

 

 

Please click here to download the PDF.

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SCA Waterloo Wellington eReferral update! February and March 2019

 

 

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SCA Waterloo Wellington eReferral Destinations: March 2019

 

 

Please click here to download the PDF.

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The Ontario eConsult Program is growing!

Across the province, the use of eConsult – the service that helps physicians and nurse practitioners get answers about their patients’ care quickly – is growing! The response from healthcare providers and patients is overwhelmingly positive. The College of Family Physicians of Canada and the Royal College of Physicians and Surgeons of Canada support eConsult as a standard of practice.

 

The Ontario eConsult Program was created to enable timely and equitable access to specialist advice for all patients in Ontario. Physicians and nurse practitioners receive a response within days, often eliminating the need for an in-person specialist visit. 

 

There are 81 specialty groups now available to answer your questions about your patients care and many local specialists are now available on the system.

 

If you are not yet on the system, please try it: you will find it easy, efficient and effective. If you are signed-up but not regularly using the service, please try it again.

 

For more information about how to make eConsult a regular part of your practice, or for a refresher please contact Wendy Lang wendy.lang@ehealthce.ca

 

We also offer MainPro credits!

 

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cSWO February 2019 Update

 

 

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New eReferral Functionality for Diagnostic Imaging - Automated Wait Time Calculation

 

Calculated wait times are now available in Ocean and will display by modality in the Ocean HealthMap for Diagnostic Imaging listings.

 

To access wait times, primary care providers can search the Ocean Health Map by modality at the point of care and view  up-to-date calculated wait times. Additional information on the wait time is available by clicking directly on the wait time link.

 

This information is to be used support evidence-based decisions, informed care, support patient choice.

 

For more information, please visit ocean.tips/wait-times-available. For detailed information about how wait times are calculated and displayed, please visit ocean.tips/wait-time-calculations.

 

If you have questions about this new functionality, please email eReferral@ehealthce.ca.  

 

 

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April 23, 2019
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