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eConsult spotlight: Spinal Cord Injury

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.

 

Dr. James Milligan is a local primary care provider with specialized training in spinal cord injury (SCI) in primary care. Dr. Milligan accepts eConsults for patients of any age for preventative care around SCI, bowel, bladder, spasticity, pain, and respiratory. He has experience as a family physician working in an interprofessional primary care Mobility Clinic.

 

As a result of the Mobility Clinic’s unique model, it has received the following awards: 

  • Association of Family Health Teams of Ontario (AFHTO) Bright Lights Award 2014 for creating a flexible clinic for mobility problems 
  • Ontario College of Family Physicians 2014 Award of Excellence for the exceptional service the Mobility Clinic provides to the community 
  • College of Family Physicians of Canada Bruce Halliday Award for Care of the Disabled
“People with mobility challenges are a marginalized population that we need to take better care of because they face complex medical needs and may use more health care resources and require more hospitalizations.” - Dr. Milligan

 

On November 13, 2014, Dr. Milligan was named the recipient of the Bruce Halliday Award for Care of the Disabled because of his contribution to the welfare of disabled patients at the Mobility Clinic. The award, which is supported by the Research and Education Foundation of the College of Family Physicians of Canada, is named in the memory of Dr. Bruce Halliday, a past president of CFPC and OCFP, a federal member of parliament for 20 years and a champion of the disabled in Canada. 

 

The Mobility Clinic is continuing to work with the Ontario Neurotrauma Foundation and UW-Schlegel Research Institute for Aging in research activities.  In addtion, the Mobility Clinic will be expanding, opening a second clinic at the Andrew Street Medical Centre in the fall. We will be accepting referrals from across the LHIN for helping individuals with significant physical disabilities (i.e. spinal cord injury, MS, stroke, cerebral palsy, arthritis) or secondary complications (neurogenic bowel, bladder; spasticity) related to physical disabilities.

 

Their contact number for information is (519) 904-0656.

 

To view the other eConsults we've profiled, please click here!

 

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Get involved in virtual visits

The eCE is currently recruiting clinicians and administrative staff to be involved in an innovative procurement process to help us decide on a virtual visits solution for Waterloo Wellington.

 

Virtual visits in primary care is becoming mainstream in other jurisdictions, where up to 50% of appointments are delivered virtually. Locally, we are experiencing an increase in the number of services and providers offering virtual health care to residents of Waterloo Wellington.

 

Virtual visits will allow clinicians to ‘see’ their patients via secure messaging,  clinical video-conferencing, email and phone. These bill-able encounters will contribute to a reduction in outside use and avoidable in-person visits, as well as enhanced practice efficiencies.

 

For more information about this exciting opportunity, please contact QBIC Change Management Specialist Meghan Brenner-Burgoyne at: 
meghan.brenner-burgoyne@ehealthce.ca

 

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eConsult spotlight: GeriMedRisk

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.

 

We will be using our blog to highlight providers in our region who are receiving eConsult services – and this month, we would like to put the spotlight on GeriMedRisk.

 


 

Medications are an important part of managing health and well-being for many older adults. Often a number of medications are needed to support those with multiple chronic conditions.

 

However, as the number of medications increase, so does the risk and currently, thousands of older adults experience an adverse drug event (ADE) or a negative reaction as a result of medications. Previous research has shown that decreating the number of medications can lower the risk and improve older adults’ quality of life, but it requires careful consideration.

 

An innovative new program called GeriMedRisk aims to tackle this issue, and a pilot project is kicking off at the Centre of Excellence for Innovation in Aging. GeriMedRisk was developed by Dr. Joanne Ho (Schlegel Clinical Scientist at McMaster University) to provide care teams with specialized geriatric support when addressing multiple medications in older adults. 

 

Clinicians can access GeriMedRisk’s specialized team of nurses, pharmacists, and physicians by telephone or through telemedicine, so it offers reliable support and advice much more quickly than referring to a specialist.

 

By supporting clinicians in optimizing medications for older adults, there is potential to reduce adverse events and their consequences, for example, drug-related cognitive impairment, falls, and hospital visits. The hope is that by piloting GeriMedRisk, we can show it is not only timely and cost-effective but enhances quality of life for older adults who are reliant on multiple medications.

 

For more information or to request an eConsult via the Ontario Telemedicine Hub (OTNHub), please visit www.gerimedrisk.ca

 

GeriMedRisk is generously supported by a strong partnership of organizations including the Research Institute for Aging, Canadian Mental Health Association of Waterloo Wellington, McMaster University, St. Joseph's Health Centre Guelph, Ontario Telemedicine Network, Grand River Hospital and the Ontario Poison Centre.

 

 

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eConsult spotlight: Addictions

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.

 

We will be using our blog to highlight providers in our region who are receiving eConsults – and this month, we would like to put the spotlight on Dr. Yelena Chorny.

 


 

Dr. Chorny is a local primary care provider with specialized training in addictions, and she accepts eConsults for patients of any age with suspected or known substance use disorders (including alcohol, illicit substances and prescribed medications). She has experience in outpatient community-based programs, inpatient/medical detox and residential treatment settings. 

 

Dr. Chorny has completed a fellowship in Addiction Medicine at CAMH in 2013 and was certified by the American Board of Addiction Medicine in 2014.

 

 

 

 

 

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