Primary Care Update on COVID-19
April 10, 2020
If you received this from a colleague and wish to receive updates directly
COVID-19 Symptom Management/Input Health

  • 14 Elgin MD/NPs have registered for Input Health so far - if you haven't, please email  joincovid19@llfho.com and indicate you are from Elgin with your email address and cell phone number. If you have already signed up but want some more support to get started, email info@partneringforquality.ca. This will reduce call volumes to your office and will ensure you are using the most up to date screening questions and advice.
  • The public launch will be on Tuesday April 14. Ideally all primary care providers will be signed up by then.
  • A very brief 5 minute overview of the MD/NP end of the tool is here https://vimeo.com/404720827
  • If you have patients or health care workers inquiring about possible COVID-19 symptoms that need to be swabbed, please direct them to this tool: covid19checkup.ca
  • Until an assessment centre is set up (possibly later this week) if you have a patient or health care worker you believe needs to be swabbed as per the current testing guidelines and you do not have swabs or adequate PPE to do this, call ER Charge Nurse at 519-637- 3266 x3247 to send the patient over.
  • Patients can look up their own COVID-19 results here: https://covid19results.ehealthontario.ca: 4443/agree. However, you still need to follow these up with the patient, as per any test result. Allowing them to look up their own result may reduce calls to your office asking if results are back yet.
  • If you are looking for COVID-19 results on a patient and haven't been copied, you can find them in clinical connect:

Announcement
Find COVID-19 resources for SW Ontario primary care providers at this new website -- bookmark this link and check back often!
If you are a physician and are interested in lending a helping hand to other institutions or care sectors during the crisis (while continuing to meet your local community needs of course), consider signing up to BookJane. The app is underwritten by the OMA (thus no cost to you) and allows you to mark availability and match to shifts in the area that you are interested in picking up.
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Clinical Information


  • Prescription Renewals: All pharmacists are currently directed to fill 30 day supply only. Here's a message you could use with your patients to help explain this: "I renewed your usual 3 months of medication but your pharmacist is only allowed to give you 30 days right now to ensure there is enough for everyone. The refills will be there when you need them and they will give you more when they are able to." 



  • Sanitizing/Cleaning Your Office Space: The American Chemistry Council's Center for Biocide Chemistries has compiled a list of suitable cleaning products that can be used during the COVID-19 pandemic.

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Personal Protective Equipment

See the separate email I sent regarding PPE reporting and ordering yesterday.

PPE Training - Virtual Town Hall
A virtual PPE Town Hall was held on Tuesday, March 31, 2020 to discuss when PPE is needed, how to use it (proper masking, gloving, gowning), and proper disposal. Q&A with Dr. Mario Elia. Cick here for the link to watch the session and view the Power Point Presentation .

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Message from STEGH re: Immunizations

In order to offer our mutual patients the best possible protection from respiratory disease during these challenging times, St. Thomas Elgin General Hospital has been reviewing currently admitted patients on a case-by-case basis with the aim of administering both pneumococcal and
influenza vaccinations where appropriate. To limit duplicate vaccinations, we will be requesting information via a faxable form. Please have your staff fill in vaccination dates and fax back. They will in turn send you back notification that your patient was immunized when in hospital so you can keep your records updated.

If you wish to reach a specialist for a phone consult or advice, call 519-637-3236, press 0 for switchboard and ask for the specialty on call. Remember you and the specialist can bill for telephone consults (even before COVID-19!)
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Self-Care for Physicians and Other Providers

For Physicians
  • OMA PHP has some initiatives -- check details in a recent OMA email
  • You can call PHP and be connected with your own individual health care provider
  • Call OMA PHP for confidential support at 1-800-851-6606 (Monday to Friday 8:45am-5:00pm) 
  • Email: php@oma.org
  • Several Toronto psychiatrists are offering mindfulness sessions for physicians every Monday, Tuesday, Wednesday and Thursday at 8:00 pm. "Drop in and learn short mindfulness practices to help find calm in the midst of challenge. Relax, recharge and learn how to incorporate moments of mindfulness into your day.  Optional discussion to follow. From us and for us: No OHIP numbers are required. This is not treatment or therapy."
  • Mondays 8-830 with Dr Diane Meschino starting March 30th  Email: Diane.Meschino@wchospital.ca for more information or simply join the Zoom session Join Zoom Meeting: https://zoom.us/j/6132246869    Meeting ID: 613 224 6869 
  • Tuesdays 8-830pm with Dr Jennifer Hirsch starting March 24th Email: Jennifer.hirsch@sinaihealth.ca for more information or simply join the Zoom session Join Zoom Meeting:  https://zoom.us/j/148527614    Meeting ID: 148 527 614 
  • Wednesdays 8-830pm with Dr Mary Elliott starting March 25th Email Mary.Elliott@uhn.ca for more information simply join the Zoom session Join Zoom Meeting:  https://zoom.us/j/9482159624    Meeting ID: 948 215 9624 
  • Thursdays 8-830pm with Dr Orit Zamir starting March 26th Email Orit.Zamir@sinaihealth.ca for more information or simply join the Zoom session Join Zoom Meeting: https://zoom.us/j/302330041   Meeting ID: 302 330 041 
  • For individual support, or to suggest an additional time for mindfulness in the week, please contact Dr Diane Meschino at: diane.meschino@wchospital.ca

For Any Health Care Providers:
  • From the Psychologist's Association. “If a front line health service provider would like to contact a psychologist, they can go to English: https://cpa.ca/corona-virus/psychservices/ or French: https://cpa.ca/fr/corona-virus/psychservices/ where they will find a listing of psychologists who have volunteered to provide psychological services to them at no charge. The listing of psychologists is organized into province and territory. It is important that the provider chooses a psychologist who is on the list in the province or territory in which the provider is located. The psychologists on the listing have agreed to return calls for requests for service within 24 hours of their receipt.” 

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Signage For Your Office

If there are non-hospital COVID-19 related issues/solutions in your region, please escalate them to your
Regional Pandemic Clinical Lead
(tasked by Ontario Health West to facilitate, coordinate, and engage with stakeholders for the pandemic response within the SW LHIN area RE: primary care/vulnerable populations)...structure HERE .
Dr. Kellie Scott
Elgin