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We’ve had another busy and productive year here at the eHealth Centre of Excellence, and we’re proud of what our team and partners across the community have achieved. We’d like to share a few of our highlights from 2019.

 

We were delighted when our Managing Director, Dr. Mohamed Alarakhia, was recognized as this year’s recipient of the Canadian Health Informatics Award (CHIA) Digital Health Executive of the Year. Well deserved!

 

Our team was out spreading the word on the benefits of digital health adoption. We presented at several events and conferences, including but not limited to:

  • eHealth Canada 2019
  • AFHTO (Association of Family Health Teams of Ontario) – where we received top marks for best group presentation for our talk on our digital health toolbox!  Presentation pictured right.
  • And most recently, we participated in the eConsult Centre of Excellence forum

eCE team at AFHTO

 

Our digital health tools also hit some big milestones! Read more below:

 

Virtual Visits

 

There have been over 18,000 virtual visits (as of December 15, 2019) in the Waterloo Wellington region since our program launched in March 2018 – the most in any region in the province!

 

We were featured in the Waterloo Record and on 570 News!

 

In May, the virtual visits team received the Patient Care Innovation Team Award at the 2019 Canadian Health Informatics Awards (CHIA) Gala and in November, received a jury-selected ITAC Ingenious Award for our work. Thank you to the Ontario Telemedicine Network (OTN) and Think Research for being great partners.

 

                            Virtual visits award

 

eConsult

 

In the Waterloo Wellington region alone, nearly 12,000 eConsults have been sent since we launched the program locally in October 2016, with the eConsult Centre of Excellence providing great leadership. 

 

Click here for an updated list of specialists from our region who are currently accepting eConsults. 

 

The OTN eConsult platform underwent a big upgrade in November, enabling clinicians to access their local specialty groups more efficiently.

 

Tablets

 

We expanded the forms available in tablets to include not only mental health assessments but other questionnaires as well. Patients are now available to update their personal information in the tablet. All information entered into a tablet is uploaded directly to the provider’s EMR.

 

All Community Health Centres (CHCs) in Waterloo Wellington are now using tablets!

 

EMR Tools & Coaching

 

Our Community Portal launched! You can now download our EMR supports directly from the portal, and make use of the community forum to ask questions and provide feedback.

 

We made some great new updates for two of our EMR tools: the palliative care toolkit and our lower back pain tool.

 

EHR Tools

 

For 2019 latest about the Electronic Health Record, take a look at the latest connecting South West Ontario (cSWO) newsletter!

 

 

eReferral

 

As of December 15, 2019, over 93,000 eReferrals have been sent through the Ocean eReferral Network, the solution supported by our System Coordinated Access (SCA) program since we launched in August 2017! We would like to thank Think Research, CognisantMD, and the Centre for Effective Practice for the great collaborative effort.

 

In a recent survey (with more than 1500 participants), 96% of patients agreed that eReferral is an easy process and that eReferral notifications improve the patient experience.

 

                              Patient testimonial

 

We're looking forward to seeing what 2020 will bring! One thing is for sure: the future of healthcare is here.

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The QBIC team is pleased to announce that an updated Low Back Pain EMR tool is now available for use in TELUS PS Suite EMRs!

 

The goal of this tool is support clinicians with targeted back pain assessment and management. This custom form will guide family physicians and/or nurse practitioners to recognize common mechanical back pain syndromes and screen for other conditions for which management may include investigations, referrals and specific medications.

 

Key features:​

Low Back Pain EMR tool icon
  • 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.

 

Clinical content for this tool has been adapted to align with guidelines such as the HQO Quality Standards for Low Back Pain and the Centre for Effective Practice – Clinically Organize Relevant Exam (CORE) Back Tool.

 

Interested in adopting this tool into your practice? Please contact Jeremy Howcroft at Jeremy.Howcroft@ehealthce.ca today!

 

To view a list of all available EMR tools and services, click here for the QBIC catalogue.

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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?

 

Click here

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Webinar Details

 

Date: Wednesday, January 23rd

 

Time: 12:00pm – 1:00pm

 

Location: Please join my meeting from your computer, tablet or smartphone: https://global.gotomeeting.com/join/507059549

 

OR in-person at 419 Phillip St. South Waterloo, Algonquin Room

 

Details

 

The Palliative webinar, hosted by the eHealth Centre of Excellence’s QBIC team along with guest speaker Dr. Rachael Halligan, highlights the recently released Palliative Tool that aims to help assist PCPs in the early identification of patients that would benefit from a palliative approach to care.

 

Additionally, many local and provincial resources are also included in the tool along with the ability to easily document and bill palliative visits. Dr. Halligan, the Regional Primary Care Cancer Lead will demonstrate how the tool can be used with a detailed case study.

 

Registration

 

To register, please click here or contact Lynn.Donaldson@ehealthce.ca

 

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Following the Waterloo Wellington Integrated Hospice Palliative Care Regional Program Early Identification & Prognostic Indicator Guide, adapted from the Gold Standards Framework (GSF), the Palliative EMR toolkit was developed to assist primary care providers (PCP) in earlier identification of patients nearing the end of life, who could benefit from a palliative approach to care.

 

wendy.lang@ehealthce.ca

 

Prompted by the Surprise Question, based on general and specific indicators detailed in the GSF (i.e. “Would you be surprised if the patient were to die within the next year?”), the PCP is provided decision support in assessing the palliative needs of the patient and is then provided with the appropriate Waterloo Wellington resources, relative to the patient’s current Palliative Performance Scale (PPS) phase.

 

 

Highlights of the tool include that it:

  • Is designed to assist PCPs in the early identification of patients nearing the end of life and/or who could benefit from a palliative care approach
  • Follows the Waterloo Wellington Integrated Hospice Palliative Care Regional Program Early Identification & Prognostic Indicator Guide (“Would you be surprised if the patient were to die within the next year?”)
  • Provides easy billing for a palliative visit (K023) and details additional bonuses
  • Provides local resources that are appropriate for the current Palliative Performance Scale (PPS) phase of the patient
  • Available for Telus PS Suite EMR

Examples of resources available within the Palliative Care Tool:

  • Patient goal planning
  • Local referrals to hospice services
  • LHIN resources
  • Substitute Decision Maker (SDM)
  • Conversation guides
  • Community supports

Palliative EMR tool image

 

In cases where the patient’s current needs would not be fulfilled through the palliative approach to care, the PCP is provided with Advance Care Planning tools that allow them to customize a reassessment date where the Surprise Question can be asked again.

 

 

Billing

The Palliative Visit Form (Image on the right) provides a framework for PCPs to properly document and bill palliative visits in a variety of scenarios. Billing can be as simple as documenting a K023 for an office palliative visit greater than 20 minutes. More complex visits, such as house visits with added special visit premiums, can also be documented.

 

Additional incentives, such as the Special Premium Bonus for having 4 or more patients with a billed K023, are also detailed within the tool.

 

 

The Palliative Care Toolkit is available in Telus Practice Solutions in two ways: As a button, added to an existing toolbar or as a stand-alone toolbar.

 

For more information on how to obtain the Palliative Care Toolkit please contact Justin Wolting.

 

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Did you miss our webinar on Standardizing Primary Care Information through the use of EMR tools? We've includeded the presentation deck below for you to review!

 

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.

 

 

 

Download the PDF version of the presentation here.

 

Have a question? Please email: disha.desai@ehealthce.ca

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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 https://thewellhealth.ca/academicdetailing/.

 

To sign up for an academic detailing visit, contact:

 

Anu Thind, PharmD, Academic Detailer

E anu.thind@effectivepractice.org

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 http://www.ehealthce.ca/EMR-support.htm.

 

To sign up for a Coaching visit, contact:

 

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

E stephanie.chin@ehealthce.ca

P 519-722-2996

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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: https://goo.gl/forms/rLmOtBp12SbtOKho2

 

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

 

Where:  https://global.gotomeeting.com/join/762210997

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

 

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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.

 

Interested in more information on QBIC's services? Click here for the full catalogue.
 

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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.”

 

                                                           – Family Physician

 

 

 

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