Calling all primary care providers: we are excited to announce that the eHealth Centre of Excellence’s QBIC (Quality Based Improvements in Care) team is now offering a new osteoporosis tool that can be integrated directly into your electronic medical record (EMR)!*
This custom form supports clinicians with early identification and management of patients with osteoporosis.
Clinical content adapted from 2010 Clinical Practice Guidelines for the Diagnosis and Management of Osteoporosis in Canada and the 2015 Clinical Practice Guidelines for the Frail Elderly.
Assess a patient’s risk for fracture using
Canadian Association of Radiologists and Osteoporosis Canada (CAROC)
Fracture Risk Assessment Tool (FRAX)
Coupled with a falls assessment tool
Use the risk factor analysis to
Guide management both non-pharmacologic and pharmacologic
Access educational handouts
For more information on how to access this tool, please contact Rob Gordon, QBIC Change Management Specialist at Rob.Gordon@ehealthCE.ca.
* Please note that the osteoporosis tool is currently only available for TELUS Practice Solutions EMRs.
Webinar now available online: “Mental Health Tools and Resources for the EMR”
Tuesday, January 30, 2018
Featuring guest speaker Dr. Joan Chan, the eHealth Centre of Excellence’s QBIC (Quality Based Improvements in Care) team recently hosted a webinar highlighting mental health tools and resources for the electronic medical record (EMR). Dr. Chan, a family physician with the Guelph Family Health Team (FHT), shares her firsthand experience with using these tools and explains how she’s adapted them into her clinical workflow.
Features of the mental health toolkit are highlighted below:
EMR tool for Mental Health visits
The eHealth Centre of Excellence has developed an EMR tool to assist with your mental health encounters that:
Standardizes documentation with an easy to use Encounter Assistant
Is based off of the new HQO Quality Guidelines for Major Depression Disorder
Directly links to screening tools (PHQ-9, GAD-7), resources and referrals
Includes a new Patient handout feature, which enables you to:
Create an individualized treatment plan and educational handout for your patients
Reinforce your in-visit health teaching
Create a medication plan and new medication education
Customize self-care activities and referrals
Added features for tablets
Enhance your practice by using our “QBIC Depression” tablet eForm
eForm links directly with our mental health visit Encounter Assistant (described above) to help auto-populate information in the EMR
Be able to review your patient’s subjective information before you enter the exam room
If you are interested in more information, please contact Change Managment Specialist Tara Lonergan at: Tara.Lonergan@ehealthCE.ca.
Watch the webinar below:
“I have been using the progress note Encounter Assistant tool in combination with the OCEAN patient questionnaire for the past several months with my patients, and have found it very valuable to guide my patient encounters, and it has certainly cut down on my charting time for these visits.”
QBIC (Quality Based Improvements in Care) is a program hosted by the eHealth Centre of Excellence (eCE) that works to provide primary care providers within Waterloo Wellington with support to incorporate telehealthcare services, such as eConsult, into their practice workflow.
Improved access to psychiatric care is now available in the Waterloo Wellington Local Health Integration Network (WWLHIN) via eConsult. Using the Ontario Telemedicine Network (OTN), primary care physicians and nurse practitioners can ask participating psychiatrists a question about current symptoms, medication issues or other treatment options and receive an answer in 3-5 days. With eConsult, many in-person visits can be avoided and patients will receive faster treatment without having to travel long distances to receive care.
Over 30 psychiatrists are now available on eConsult. In collaboration OTN and OntarioMD, the eHealth Centre of Excellence is actively recruiting psychiatrists in our region to join their colleagues in this exciting initiative.
The following psychiatrists from our LHIN are currently available to receive eConsults:
Dr. Susan Senior – General Adult Psychiatry
Specializes in general adult psychiatry but can also consult on those adolescents 16 years +
Special interests: collaborative care; workplace and mental health; mood and anxiety disorders; chronic disease management; sleep disorders; offering clinical management advice along with medication reviews/suggestions
“I value my role with helping the doctors in our area region as well as remote areas of the province where I have been fortunate to have been able to consult on the practitioners in northern communities.”
Dr. Senior is a Royal College Fellowship Trained Psychiatrist (2003) and McMaster Psychiatry Program Graduate.
Dr. David Sherman – Geriatric Psychiatry
“I am happy to eConsult on cases of patients over the age of 65 with mental health and cognitive concerns or patients younger than 65 with cognitive concerns.
I am recognized as a Fellow of the Royal College of Physicians and Surgeons of Canada as a board certified Geriatric Psychiatry Sub-Specialist in addition to being certified in Psychiatry. I completed my Geriatric Psychiatry Sub-Specialty training and Psychiatry training at the University of British Columbia in 2016. I am an Assistant Clinical Professor (Adjunct) in the Department of Psychiatry & Behavioural Sciences at McMaster University. I graduated from medical school at the University of Toronto in 2010. Prior to that I received my Masters of Science in Neuroscience and Neuroanatomy from Dalhousie University and Bachelors of Science, with Honours in Psychology from Acadia University.
I am currently practicing outpatient and community outreach Geriatric Psychiatry at the Guelph Family Health Team and Consultation Liaison Geriatric Psychiatry at the Freeport Site of Grand River Hospital in Kitchener.”
Dr Vivian Polak – Perinatal/Reproductive Psychiatry
Specializes in patients experiencing psychiatric symptoms in the following situations: during pregnancy or in first year following delivery (women and men); fertility difficulties; miscarriage, stillbirth, termination, or death of baby or young child; pre-pregnancy assessments (i.e., for advice on the safety of psychiatric medications during pregnancy/lactation). Psychiatric symptoms or diagnoses include mood disorders (unipolar depressive disorders or bipolar disorders), generalised anxiety disorder, panic disorder, social phobia, post-traumatic stress disorder, obsessive-compulsive disorder, psychotic disorders, comorbid substance use disorders, eating disorders, etc.
In partnership with the Canadian Mental Health Association Waterloo Wellington (CMHA WW), we supported primary care providers in the screening and management of mental health concerns through the use of interactive tablets.
In November, we made news when funding was announced for an EMR tool to be developed by our team that will support primary care providers to make well-informed decisions about opioid prescriptions.
Digital Health Week 2017: Virtual visits means better, more equitable access to healthcare
Friday, November 17, 2017
Dr. Mohamed Alarakhia
As part of Digital Health Week 2017, the eHealth Centre of Excellence will feature posts from guests discussing why digital health is important to them. eCE Director Dr. Mohamed Alarakhia is back to deliver this week’s final post.
I wanted to update you on the exciting news which we announced here last week: that virtual visits are coming to Waterloo Wellington!
Virtual visits will allow primary care providers to ‘see’ their patients via secure messaging, audio, and clinical video-conferencing.
We have been working with primary care providers to make sure the virtual visit model fits within their workflow. Thank you to all the providers who have given us feedback and signed up to participate!
The roll-out of virtual visits will be great news for all 775,000 residents in our region, but particularly for those who may struggle with mobility, live in a rural area far from their physician, cannot take time off of work, and/or lack transportation or other resources required to make an in-person appointment.
Digital health tools are making the healthcare system more equitable for everyone, and that’s just one more reason that digital health is important to me.
The eCE, in collaboration with the Ontario Telemedicine Network (OTN), was recently one of six successful applicants for the second round of the REACH (Resources for Evaluating, Adopting and Capitalizing on Innovative Healthcare Technology). Funding from REACH is supporting us to work with providers and patients to develop a more streamlined technology for delivering virtual visits.
Follow us on twitter (@eHealthCE) and join the Digital Health Week conversation using #thinkdigitalhealth!
And even though Digital Health Week is coming to a close, we'll be back on the blog next week with a great new eConsult spotlight, so keep watching this space!
Digital Health Week 2017: Interactive tablets can enhance patient experience
Wednesday, November 15, 2017
As part of Digital Health Week 2017, the eHealth Centre of Excellence (eCE) blog will feature posts from guests discussing why digital health is important to them. Today’s post is from QBIC (Quality Based Improvements in Care) Program Manager Danika Walden.
In collaboration with the Canadian Mental Health Association of Waterloo Wellington (CMHA WW), the eHealth Centre of Excellence is supporting primary care providers in the screening and management of mental health concerns through the use of tablets.
How it works: Patients use the tablet while they are sitting in the waiting room prior to their appointment to complete
mental health screening and other assessments. A secure transmission automatically updates the patient’s chart in the electronic medical record (EMR) with the information that the patient has entered into the tablet, prior to the patient’s appointment.
Not only does this significantly decrease administrative tasks, but it also allows the primary care provider to review the information prior to seeing the patient, thereby enabling them to focus on areas that need more attention.
And most importantly, what we’ve found is that the tablet screening actually enhanced some patients’ ability to communicate.
Sensitive health issues, particularly related to mental health, can be hard to talk about. Of the patients surveyed who used a tablet to complete an assessment, 34.7% indicated that using the tablet helped them provide more honest answers, and 22.4% said they would not have liked to answer the questions during a face-to-face chat with their doctor.
We’ve become a society were using technology to communicate has become the norm – and in some cases, it’s even preferable to other methods!
Digital health is important to me because it helps patients to feel more comfortable answering tough questions – which in turn gives doctors the information they need to enhance the quality of care.
If you are a primary care provider who is interested in participating in our tablet program, please contact QBIC Change Management Specialist Meghan Brenner-Burgoyne today!
Follow us on twitter (@eHealthCE) and join the Digital Health Week conversation using #thinkdigitalhealth!
Endorsed by the Regional Cardiac Council and Cardiac Care Network and built in a SOAP note format, this custom form offered by the eHealth Centre of Excellence's QBIC (Quality Based Improvements in Care) program is designed to provide clinical decision support for management of heart failure directly in the clinician’s electronic medical record (EMR) with the New York Heart Association Classification used to determine the best practices for treatment of heart failure.
Based on the assessment, the template will help with determining which plan is most appropriate for your patient, with a plan section that includes triple therapy medication options and recommendations.
Recent updates to the tool include:
Updated medications to show the addition of Ivabradine (for management of stable heart related chest pain and heart failure not fully managed by beta blockers), and LCZ696 (Entresto) a combination of sacubitril and valsartan to replace ACEi or ARB in some cases
Included a notice to wait 36 hours before starting LCZ696 (Entresto)
Added link to eConsult (https://otnhub.ca/) at the bottom of form
Added forms for local referrals
To learn more about these updates or to get set up with the CHF tool, please contact QBIC Change Management Specialist Rob Gordon at Rob.Gordon@ehealthCE.ca.
Depression and Anxiety Encounter Assistant now available
Monday, August 28, 2017
The Depression and Anxiety Encounter Assistant (EA) tool is a point-and-click template that supports clinicians using electronic medical records (EMRs) in the screening and management of mental health.
The tool focuses primarily on depression and anxiety, and incorporates guidelines and recommendations from:
The EA tool links to resources for prescribing and switching different medications, and helps with recording and tracking relevant metrics such as the PHQ-9, GAD-7, SDS and LEAPS. It is compatible with the Ocean platform, and portions of the tool can be automatically populated with information provided by the patient on the tablet.
The tool was built by the eHealth Centre of Excellence’s QBIC (Quality Based Improvements in Care) team, in collaboration with clinicians and members of the Guelph Family Health Team (FHT). Dr. Joan Chan was very involved in the development of the tool, and has this to say about it:
For more information on the Depression and Anxiety EA tool, please contact QBIC Change Management Specialist Stephanie Chin at Stephanie.Chin@ehealthCE.ca.