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Renée Desjardins

Renée Desjardinscreated the topic: North Simcoe Muskoka Works Together to Integrate Trans Health Care into Primary Health Care

Canadian evidence suggests transgender (trans) individuals are underserved in both primary and specialty care settings. In Ontario, an estimated one in three trans individuals experienced an unmet health care need that would not be expected were they …

3 months ago

Renée Desjardins

Renée Desjardinscreated the topic: Virtual care from the frontline: Dr. Ilana Halperin on integrating virtual visits into practice

Patients want greater access to digital health services. Yet, according to a recent Canadian Medical Association survey , only about 1% of Canadians report using virtual care or online patient portals. Another 2019 survey by the Commonwealth Fund …

3 months ago

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  • Ivan YuenThanks for sharing your experience Ilana! It is wonderful to hear how you and your patients have benefited from virtual visits. A great example of achieving the quadruple aim.3 months ago
  • Richard HendersonThis is an inspiring and motivating post Ilana!
    I know that virtual care will improve patient outcomes by improving access, and will become an integral part of future primary care. You are clearly making it work efficiently!
    During a relatively brief experience in my elderly practice, I found videoconferencing using the virtual care platform MEDEO helpful for urgent care of homebound, palliative care, spinal cord injured and persons with myopathy (replacing housecalls, potentially reducing hospital visits).
    I published a blogpost in 2014 listing the opportunities that I visualized for virtual care in my practice... If you are interested, please use this link --
    Unfortunately when I was using MEDEO, health authority nurses were forbidden to participate (MEDEO was a private, albeit canadian company). The fee schedule did not cover additional time I spent with these complex patients or the resources required to set up, trouble shoot, and support seamless videoconferencing with them. I subsequently was transferring my paper based charts to an EMR, and MEDEO discontinued all online patient support. To my great regret, I was unable to sustain the after hours virtual clinic.
    All primary care physicians who are tech-savy and/or supported, should train, trial, and then incorporate EMR centered virtual care if they can safely, financially, and efficiently replicate your example. 
    2 months ago
Renée Desjardins
E-QIP Advanced QI and Measurement CoP

Renée Desjardinsjoined the group E-QIP Advanced QI and Measurement CoP

The purpose of this on-line space is to bring together QI leaders from across the mental health and addictions sector to: <br/><br/>• Establish a community of provider agencies focused on measuring and reporting on quality; <br/>• Begin to utilize a consistent QIP framework across the sector; <br/>• Use OPOC data elements to develop and pilot-test quality indicators; <br/>• Report back to the MOH on issues and experiences related to measurement and indicator use; <br/>• Create a repository of ‘change ideas’ that can help make improvements in key areas of quality; <br/>• Leverage the strength and experience of leading agencies to support the sector to measure and report quality indicators and imbed QI practices throughout. <br/><br/>We look forward to working together with you to advance QI within the MH&A sector! <br/>

4 months ago

Renée Desjardins

Renée Desjardinscreated the topic: Optimizing Digital Tools for Primary Care through a Digital Coalition in the South West LHIN

Over the last decade, electronic medical records (EMRs) have become ubiquitous throughout primary care in Canada. Unfortunately, the transition from a paper world to an electronic one has had varying levels of support from clinic to clinic. As a result, …

10 months ago

Renée Desjardins

Renée Desjardinscreated the topic: Data Standardization in Primary Care: Optimizing EMR data to improve patient care

To promote quality patient care, healthcare information should deliver meaningful statistics for determining the health status of the community, as well as measuring quality from a patient and provider perspective. The transition to Electronic Medical …

12 months ago

  • Deborah MacCabeHello Reneewould you be able to share your documentation tool for the EMR.ThanksDebbiemaccabed@tbh.net6 months ago
Renée Desjardins

Renée Desjardinscreated the topic: New Social Prescribing Pilot Comes to Ontario

Imagine going to your doctor’s office and leaving with a prescription – and support – for dance lessons or community gardening. The idea, called social prescribing, provides a structured way of referring people who access primary care to a range of local …

1 year ago

Renée Desjardins

Renée Desjardinscreated the topic: Learn about the recent changes to Quorum

We launched the Quorum community just over two years ago to support people working to improve health care quality in Ontario. Today, with over 4500 members representing all sectors and regions across Ontario and beyond, we remain steadfast in our goal …

1 year ago

Renée Desjardins
South West CQIC

Renée Desjardinsjoined the group South West CQIC

The South West Continuous Quality Improvement Collaborative (SW CQIC) is a partnership of stakeholders using client feedback from the Ontario Perception of Care Tool (OPOC) to guide improvements to mental health and addiction services across the SW LHIN. Partners will use this space to share resources, experiences, and knowledge related to implementation of the OPOC and related quality improvement interventions.

1 year ago

Renée Desjardins

Renée Desjardinscreated the topic: Dr. Tara Kiran on using data for quality improvement in primary care

On Thursday, December 6th 2018, Quality Rounds Ontario welcomes Dr. Tara Kiran to host a presentation on using data for quality improvement. I recently had the chance to catch up with Dr. Kiran, a family physician and clinician investigator at St. …

1 year ago

Renée Desjardins

Renée Desjardinscreated the topic: How do you address acute risk in the community? Spotlight on the CSDG Situation Table

The city of Cornwall and the united counties of Stormont,Dundas and Glengarry officially launched the Cornwall Stormont Dundas Glengarry (CSDG) Situation Table in May 2017. Thepurpose of the Situation Table is to bring front-line, acute-care, andhuman …

1 year ago

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  • Elyse Lauzon-AlguireHi Ivan, thank you for your inquiry!

    Situation Tables follow the, "Guidance on Information Sharing in Multi-sectoral Risk Intervention Models" document which was developed by the Ministry of Community Safety and Correctional Services, policing and community partners and the Office of the Information and Privacy Commissioner of Ontario. This document provides a roadmap for information sharing at Situation Tables using a privacy-protective version of the four-filter approach that has the support of the IPC.

    We also use the "Situation Table Guidance Manual" which was produced by Dr. Hugh Russell with a grant from the Ministry and guidance from the OPP’s Community Safety Services.

     As for your question regarding whether there are core elements from our implementation that others should keep in mind as potential success factors: Strong governance is necessary to ensure that all participants understand their responsibilities and are able to participate in the Situation Table in a privacy-protective manner. Ensuring that policies, procedures and memorandums of understanding are developed and implemented (and frequently reviewed) is also essential to ensure continued adherence to privacy legislation. Policies and procedures would address the referral process, confidentiality, record keeping, training requirements, etc. In addition, ensuring that the Situation Table has the appropriate representatives at the Table who have the authority to make decisions for their organizations that fall within the scope of the Table’s roles and authorities, and ensuring that a diverse cross-section of community sectors (e.g. health, children’s services, education), languages and cultural perspectives are represented among the Situation Table team.1 year ago
  • Elyse Lauzon-AlguireView the Guidance on Information Sharing in Multi-Sectorial Risk Intervention Models here:

    Also, you can find the Situation Table Guidance Manual here: year ago
  • Ivan Yuen@Elyse Lauzon-Alguire Thank you for replying and sharing the additional resources above. Congratulations on your work thus far, and to all the members of the Situation Table for making a difference in your community!1 year ago
Renée Desjardins

Renée Desjardinscreated the topic: How do you use technology to increase MedRec completions? Spotlight on Joseph Brant Hospital

Joseph Brant Hospital (JBH) is using technology to significantly increase the number of medication reconciliations (MedRecs) being completed at their hospital. Health Quality Ontario had a chance to catch up with Jessy Samuel, Director of Clinical …

1 year ago

Renée Desjardins

Renée Desjardinscreated the topic: Strategies to reduce antipsychotic use: Spotlight on Parkview Home

Parkview Home met and surpassed their target for reducing potentially inappropriate use of antipsychotics among their resident population, as outlined in their Quality Improvement Plan progress report from 2017/18. Health Quality Ontario was impressed …

2 years ago

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  • Danyal MartinThanks for sharing! I love your advice for other homes - a thorough root cause analysis and involvement of the team are great examples of quality improvement at work!

    One question - how do you celebrate your successes or share your progress with your staff and clinicians?2 years ago
  • Renée DesjardinsHi @DanyalMartin!  Kris Savage, Director of Program and Support Services and Chair of the Resident Safety, Quality and Risk Committee, shares a response to your question below:

    Sharing information is done through a designated Quality Board which our QIP is posted and internal quality report is posted so all staff have access to our quality achievements. Information is also shared at a Board level through the Resident Safety and Quality and Risk committee of the Board which monitors all quality indicators and major accomplishments are shared at general staff meetings, department meetings and the quality report is discussed at the quarterly Professional Advisory Committee.

    Celebrating is an area we need to pay more attention to, as there is always work to be done and improvements to be made.  2 years ago
  • Cristina CiccoGreat work!1 year ago
Renée Desjardins

Renée Desjardinscreated the topic: How can integrated case management benefit frequent users of the healthcare system?

Thamesview, Tilbury District and Chatham-Kent Family Health Teams, working together with the local Health Link, adopted an integrated case management (ICM) model that improved the healthcare experience for frequent users of the healthcare system, …

2 years ago

  • NewestOldestView All Comments5 comment(s)
  • Denise Waddick@Margaret Millward Yes, we are a part of Chatham-Kent Health Links. Currently one Family Health Team receives some LHIN support for case management, the other teams use existing staff (RNs). At one time we had MedGPS, that would flag our patients re: number of admissions and ED visits but that was discontinued by the hospital so we then created a process/system in the EMR with the help of our QIDSS.2 years ago
  • Denise Waddick@Danyal Martin This approach to care started many years ago when our HL was actually lead by our local hospital, with hospital based staff heading up the implementation. But we soon realized that a major challenge was primary care/provider engagement with the model. Over time the leadership of HL transitioned to be primary care based, but we are still very closely linked with acute care (and our local community paramedic program) due to the many partnerships created.

    As part of the WIN research, patients were surveyed. The process has changed and evolved over the years based on the input and feedback by the patients, their caregivers, case managers as well as physicians. Each case and how it's managed is as unique as the patient.

    Let me know if you would like to chat more off line - I'd be happy to connect. 2 years ago
  • Danyal Martin@Denise Waddick Hi Denise - this is great! Did you do anything other than surveys? (For example, focus groups?) And thank you for the update on the shift from hospital to primary care for the Health Link - I love that the partnerships stayed strong, even after the shift.2 years ago