October 4, 2021
Patient Care
Managing patient care during the viral season!

If you missed our last Town Hall, the recording is available here. The slides are also available for review.

2021 - 2022 Flu Season Update

The Ministry's 2021-2022 Universal Influenza Immunization Program (UIIP) website is now live with this season's influenza vaccine information. Additional information is available through the Middlesex Health Unit.

Dr. Kathy Kaye, neurology, closing her office

Please see this letter from Dr. Kathy Kay, neurologist, about the closure of her neurology office.

Cancer Screening Digital Toolkit

From Ontario Health: cancer screening resources to help you support your patients to get caught up on cancer screening tests. See their digital cancer screening awareness toolkit.

Ontario Health wants to know what you think of the quality standards (QS) placemats

Ontario Health is looking for clinicians willing to review and use any of the QS Placemats for approximately two weeks, and then complete a short survey to provide feedback on how useful you found them. If you are interested in participating or have any questions, please email Jorge Ginieniewicz.

OMA Town Hall on October 19

The OMA invites you to participate in a virtual OHT townhall on Tuesday, October 19 from 7:30 - 9:00 pm. This townhall will aim to provide:
  • Updates on OMA’s current work and activities on OHTs
  • Overview of OMA’s tools and resources to support meaningful physician engagement and leadership in OHTs
  • Discuss incorporation, OHT governance and physician associations
  • Question & Answer period
Please RSVP by Thursday October 14.

“Healthcare Professionals” virtual Speed Mentoring® en Français event

Réseau franco-santé du Sud de l’Ontario is organizing a “Healthcare Professionals” virtual Speed Mentoring® en Français event on Thursday, October 21st from 3:00 - 5:00 pm. Students and job seekers from college and university health training programs meet one-on-one for 10 minutes with various health and social services professionals and managers. Each interaction gives mentees the opportunity to introduce themselves, ask questions, network, and learn about internship, volunteer or employment opportunities. Mentors will meet between 8 and 14 participants during the session. More information is available in English and French. Register to become a mentor.

Care of unattached patients, especially during COVID
Are you a family doctor or NP in Ontario who accepted patients from Health Care Connect or provided care to unattached patients during COVID? Researchers @WesternuFamMed are interested in talking to you. Please contact leslie.meredith@schulich.uwo.ca to share your experiences.

Mental health resources

  • Mindbeacon - a free (government funded), one-stop private space to access a wide range of mental health supports.
  • AbilitiCBT - the Government of Ontario is providing free access to this resource to all Ontario residents age 16 or older for the anxiety, depression, and anxiety related to a pandemic.
Practice considerations
Virtual Care Services Require Modality Indicators

Effective October 1, 2021, virtual care Fee Schedule Codes KO80A, K081A, K082A and K083A with service dates on or after October 1, 2021 will require a modality indicator tracking code (K300A for video or K301A for phone). This must be submitted with the claim to identify the technology used to deliver the service. Read more in INFOBulletin 210704.
COVID-19 - for patients

Referrals for COVID-19 testing

  • MLHU asks that you let your patients know that referrals for COVID-19 testing are not required.
  • Asymptomatic patients can be advised to get tested at a pharmacy and do not require a referral.
  • Symptomatic patients should be tested at an Assessment Centre; a referral is not required in order to be tested.
  • Individuals who have been notified by public health that they are a close contact of an individual who has tested positive should seek testing at an Assessment Centre and not a pharmacy, whether they have symptoms or not.
COVID-19 - for providers
New/updated COVID resources for providers
Vaccination and your patients:

For you as employers:
  • The Infectious Disease Emergency Leave (“IDEL”) provisions of the Ontario Employment Standards Act, 2000 have been extended to December 31, 2021. They were previously set to expire on September 25, 2021. More information here.
Education Opportunities
Medical Aid in Dying: Update (Grand Rounds in Family Medicine)
October 6, 8:30 to 9:30 am
Presented by: Dr. George Kim, MD, MClSc(FM), CCFP, FCFP; Julie Campbell, Lead, MAID Access, MBA, MN, NP; Sue Miller, LHSC MAID Navigator, HBSc, RN, LNC. Join Zoom Meeting

Are We Using Antibiotics Wisely in Primary Care in the Era of COVID-19? 
October 6, 12:00-1:00 pm. From Choosing Wisely Talks. Find out more.

Wisdom in Wound Care Webinar Series: Pressure injury assessment
October 6, 2021, 12:00-12:45 pm. Find out more.

ENT Refresher Webinar series
(Department of Otolaryngology - Head and Neck Surgery, Schulich School of Medicine and Dentistry). Each webinar is 45 minutes in length, followed by a 25 minute question and answer period:

  • Week 4 - October 6 @ 12:15-13:30 Hrs (EST) - Oral Lesions: When to Refer
  • Week 5 - October 13 @ 12:15-13:30 Hrs (EST) - A Practical Approach to Vertigo

Mental Health First Aid - submit application of interest by October 7
October 20 & 27 OR November 16 & 24
Partnering for Quality and CMHA are offering Mental Health First Aid training, a 2 half-day virtual training course to better equip staff when working with patients living with mental health challenges. Find out more about this training.

What's New in Best Practices Webinar: Promoting 2SLGBTQI+ Health Equity Best Practice Guideline
October 7
Introduction to RNAO's new BPG, Promoting 2SLGBTQI+ Health Equity. Participants will learn about the scope of the guideline, the guideline development process as well as some of the BPG's recommendations and its practical implications. Find out more

National Safer Supply-Community of Practice: Inaugural Speaker Series (English | French)

Practical Approaches to Managing Problematic Alcohol Use and Alcohol Use Disorder in a Primary Care Setting
October 14, 12:00 - 1:00 pm
Focus on screening and initiating medication. Taking a case-based approach to applying statements from the Problematic Alcohol Use and Alcohol Use Disorder quality standard. Register here.

Trillium Primary Health Care Research Day
October 15
  • Martin Bass Lecture by Dr. Gina Agarwal: Community Paramedicine, Primary Care, and the Pandemic.
  • Panel discussion with Dr. Bridget Ryan, Dr. Tara Kiran, and Dr. Rachel Ashcroft: Equity and Access to Virtual Care during the Pandemic.
  • Save-the-date flyer here. Registration opening soon.

Fetal Alcohol Spectrum Disorder Conference: Science, Knowledge and Experience - A Shared Journey
October 27, 8:30 am-4:30 pm
Keynotes: Building healthy brains - the way forward; the evolution of the science behind prenatal alcohol exposure; cannabinoids and FASD. Find out more and register here.

AFHTO 2021 Conference: Post-Pandemic Primary Care: Respond, Recover, Rebuild.
October 27-28
Explore themes related to health equity, the opioid crisis, artificial intelligence in primary care, and building resilience within healthcare teams. Early bird registration until October 20. Discounts available for students and patients for whom registration fees would be a barrier to participation. Register here.

Providing Excellent Care for Older Persons During the Pandemic and Beyond
November 5, 8:30 am - 3:30 pm (Mainpro+ credits).
For more information, please visit their website or see the agenda.

Ongoing Education Opportunities:

SPIDER Learning Collaborative: De-prescribing dangerous medications
12-month learning collaborative, starting this fall. EMR queries will be provided to help participating Alliance members identify clients who would benefit. Contact Jennifer Rayner for more information.

Free online CPD course - safer, more inclusive STBBI care
Online course, 4 hours
From the Canadian Public Health Association Provide safer, more inclusive care for sexually transmitted and blood-borne infections – a free online CPD course for family physicians and other clinical care providers. Explores the stigma and discrimination often encountered by patients seeking treatment for sexual health, substance use or STBBIs.
Western OHT news
Congratulations to ...

Improving Care for People living with CHF and COPD: Co-design workshop

WHO: People living with COPD and/or CHF
           Care partners for people living with COPD and/or CHF
           Healthcare providers who work with people with COPD and/or CHF
WHERE: By Zoom (link to be sent after registration)
WHEN: Pick one of these two sessions you can attend:
For patients:
  • COMPENSATION: In alignment with the Western OHT's commitment to equity, if patients would like to join us but are unable due to a loss of income, they can contact Alexander Smith at alexander.smith@lhsc.on.ca, to discuss possible reimbursement/compensation for time.
  • If this is their first time participating in a workshop like this, or if they want some extra support, patients will be invited to an optional prep session held on Wednesday October 13 from 3:00-4:00 pm. This session will be hosted by the Care Partnership Office at St Joseph's Health Care London to tell them more, and answer their questions.
Care Pathways Survey

In addition to co-design events, the Western OHT is trying to gain consensus around the core activities that should be included in a standard care pathway for COPD and/or CHF.

They invite all providers and administrators to complete the following survey which seeks to validate these events in order to a) explain to patients and care partners what they can expect on a COPD/CHF pathway, and b) determine what resources are needed to provide these necessary elements of care for everyone who needs them. The survey should take 10-15 minutes to complete: https://uwo.eu.qualtrics.com/jfe/form/SV_9KzPCUDpDFz2uCq
If you have any questions or comments, please email info@westernoht.ca

Email us at:

Check our website: www.lmprimarycare.ca

Follow us on Twitter! @lmprimarycare