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Waterloo Wellington eConsult BASE Groups coming soon!

 

On Nov. 1st, the Ontario Telemedicine Network (OTN) will be providing an upgrade to the eConsult platform that will allow clinicians to access their local specialty groups more efficiently.  We are pleased to let you know that new Waterloo Wellington Regional Groups will now be available!

 

In order to use this functionality, you will be prompted to set your priority groups. This is a one-time setting. Selecting this priority feature will ensure that all eConsults will go to local specialists followed by your next priority selection.

 

For example:

The system will attempt to send your question to the first selected group. If no specialists exist in that group, it will look for the next group on the list, and so on, until it defaults to the Provincial group.

 

 

 

 

Watch for more information from the Ontario eConsult Centre of Excellence regarding this exciting new upgrade coming soon!

 

 

For more information, please email Wendy Lang or Andrea Mathieu.

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eConsult spotlight: Rheumatology and Osteoporosis

eConsult is a secure email messaging system that uses the Ontario Telemedicine Network (OTN) to connect primary care providers with specialists, giving them timely access to experience-based specialist knowledge. The team here at the eHealth Centre of Excellence is providing support to both primary care providers and specialists looking to adopt eConsult into their practice workflow.

 

Through eConsult, primary care providers can reach out to specialists such as Dr. Catherine Alderdice (pictured below), who specializes in Rheumatology and Osteoporosis.

 

Dr. Alderdice completed Medical School at Memorial University of Newfoundland in 1976 and went on to do her Family Practice Residency in Saskatoon, Saskatchewan. She then did her Rheumatology fellowship at University of Toronto and was Associate Professor at Faculty of Medicine, Memorial University of Newfoundland and Head of Rheumatic Disease Unit from 1982-2003.

 

Dr. Alderdice made the move to Guelph ON in 2003, where she opened a private practice in Rheumatology and Osteoporosis. She counts herself lucky for being one of the few clinicians allowed to report BMDs, outside of Radiologists.

 

Dr. Alderdice is excited to be joining the eConsult service providing her expertise in Rheumatology and Osteoporosis.

 

 

 

Are you a family doctor or specialist interested in using eConsult in your practice? Connect with us today to get started!

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eConsult spotlight: Pediatric Respirology

eConsult is a secure email messaging system that uses the Ontario Telemedicine Network (OTN) to connect primary care providers with specialists, giving them timely access to experience-based specialist knowledge. The team here at the eHealth Centre of Excellence is providing support to both primary care providers and specialists looking to adopt eConsult into their practice workflow.

 

Through eConsult, primary care providers can reach out to specialists such as Dr. Brian Lyttle, who specializes in Pediatric Respirology.

 

Dr. Brian Lyttle photo

Dr. Lyttle completed his Medical Degree at the University of Western Ontario and subsequently has been Board Certified in: Family Practice (University of Calgary), Pediatrics (UWO and Dallas Children’s Hospital), Pediatric Pulmonology (Harvard School of Public Health and The Boston’s Children’s Hospital).

 

Dr. Lyttle’s primary clinic is located in London ON, where more than 5000 children and young adults are followed regularly for their asthma, some for as long as 25 years. He also is active in the the London Pediatric Sleep Clinic.

 

Dr. Lyttle has participated in over 50 clinical trials, largely in asthma and Cystic Fibrosis. The studies demonstrated the efficacy and defined the ‘side effects’ for inhaled steroids, montelukast and combination products. He is currently involved in studies with newer biologic asthma medications.

 

Dr. Lyttle is excited to join the eConsult service providing expertise in Pediatric Respirology for our area and beyond.

 

Are you a family doctor or specialist interested in using eConsult in your practice? Connect with us today to get started!

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eConsults have reached 6,000 and continue to increase!

More and more primary care physicians are using eConsult to obtain advice from specialists to improve timely access to patient care.  In our region alone, over 6,000 eConsults have been sent.  We have had many of our local specialists join this program over the last few months. Click here for an updated list of specialists from our region.

 

Dermatology is one of the highest requested eConsults…. after all, a picture says a thousand words. 

 

Would you like learn more about improving the quality of pictures for dermatology consults?  Click here for tips and tricks on how to take great clinical images.

 

If you are interested in learning more about eConsults or would like a refresher, please contact Wendy. Lang@ehealthce.ca.

 

 

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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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eConsult notice: Increased access to specialists through eConsult

 

 

Please click here to download the PDF.

 

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eConsult spotlight: Psychiatry

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.

 

Also available on eConsult:
  • Dr. Mohammad Saleem
  • Dr. Sophiya Benjamin
  • Dr. Dinesh Benjamin
  • Dr. Natasha Snelgrove
  • Dr. Anjali Sharma
  • Dr. Alexandre Tavares
  • Dr. Rasyidah Halim
  • Dr. Shahzad Shahmalak
  • Dr. Robyn Fallen

 

To view our other eConsult spotlights, please click here!

 

NEW: Benefits Realization case study highlights the benefits of eConsult - click here to take a look!

 

 

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QBIC 2017 highlights

The QBIC (Quality Based Improvements in Care) team has enjoyed a busy and very exciting 2017!

 

 

?Stay tuned: two informative webinars coming up in early 2018. For more information, click here.

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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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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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