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Cristina Cicco
South East LHIN Health Links Approach to Care CoP

Cristina Ciccojoined the group South East LHIN Health Links Approach to Care CoP

This is a closed group to support the Health Links Approach to Care in South East LHIN.

2 weeks ago

Cristina Cicco
Mood Disorders Association of Ontario

Cristina Ciccojoined the group Mood Disorders Association of Ontario

E-QIP Project

3 weeks ago

Cristina Cicco
Regeneration

Cristina Ciccojoined the group Regeneration

Regeneration Community Services E-QIP project.

1 month ago

Cristina Cicco
Student Ambassadors

Cristina Ciccojoined the group Student Ambassadors

This group brings together nursing and medical students from across the province with a shared commitment to quality. The student ambassadors have been selected through a competitive process to represent their institutions and attend the Quality Improvement and Patient Safety Forum and Health Quality Transformation. They are also ambassadors for Change Day Ontario.

1 month ago

Cristina Cicco

Cristina Ciccocreated the topic: How do you improve patients’ understanding of their medication? Spotlight on Holland Bloorview

Last year, Holland Bloorview Kids Rehabilitation Hospital launched a brochure called "Understanding your role in safety: Clients and families." There are three versions, one for inpatients , one for clients in the outpatient child development program , …

1 month ago

  • Danyal MartinThank you for sharing this example! I love the way it empowers family members to help manage their child's health. What was the feedback from staff? Did they find that it helped with their discussions with families and did they find it easy to use?2 weeks ago
Cristina Cicco

Cristina Ciccocreated the topic: Quorum Digest: Issue 2 now available

Quorum Digest is a quarterly update that showcases curated content from Quorum’s Posts, Q and As and Lessons Learned. Get Quorum Digest right in your inbox by subscribing here . Read the second issue of Quorum Digest today! In this issue: …

1 month ago

Cristina Cicco

Cristina Ciccocreated the topic: Improving ALC through strategic leadership: Spotlight on Mississauga Halton LHIN

Mississauga Halton LHIN is using a strategic, multi-pronged approach to address the Alternate Level of Care (ALC) issue in their region. High ALC rates are a symptom of a system-wide problem, where patients who no longer require acute care are unable …

2 months ago

  • NewestOldestView All Comments4 comment(s)
  • Danyal MartinHi there - thank you for sharing this story! It sounds like there is a lot of great work happening and I really appreciated the structures that you put in place (e.g. steering committee). I suspect that will help with sustainability as well.

    One question - at the end you made reference to doing more upstream work as part of your next steps. Could you speak at all to the role of primary care in your work? Were they engaged in the work described above? 1 month ago
  • Carmela Costiniuk@Stephanie Hylmar Thank you for your comments Stephanie.
    Carmela1 month ago
  • Carmela Costiniuk@Danyal Martin Hi there, yes we engaged our Primary Care Leads and our Integrated Care Directors who also participate in sub region planning. With respect to working more upstream, I am referring to more robust practices in the emergency departments prior to consult to medicine. Hope that answers your questions. Thanks for the comments.Carmela1 month ago
Cristina Cicco

Cristina Ciccoanswered the question Looking for post-palliative care interview guide.

Hi Lara, Thanks for your question! There is an IDEAS group on Quorum for members who are working on palliative care quality improvement. I have now made you a member. Please feel free to access the group here: IDEAS Cohort 15 . If you pose your …

2 months ago

Cristina Cicco

Cristina Ciccoanswered the question Skin Prep Solution for Ortho and Vascular surgeries

Hi Cristina, Thanks for your question! Quorum has an Ontario Surgical Network Community of Practice on Quorum. I have added you as a member. Please feel free to pose your question within this group space to connect with other members interested in …

2 months ago

Cristina Cicco

Cristina Ciccocreated the topic: How can long-term care address ALC? Spotlight on Millennium Trail Manor

Alternate Level of Care (ALC) is a designation to identify patients in-hospital who no longer require acute care but are unable to transition to a more appropriate setting due to capacity issues, complex health and social needs and various other reasons. …

3 months ago

Cristina Cicco
Niagara Network

Cristina Ciccojoined the group Niagara Network

E-QIP Project: Improving the use of Access Line by redirecting CMHA referrals.

5 months ago

Cristina Cicco

Cristina Ciccocreated the topic: Get Quorum updates right in your inbox! Welcome to Quorum Digest

To celebrate Quorum’s one-year anniversary, we are pleased to launch Quorum Digest , a quarterly update that showcases curated content fromQuorum’s Posts, Q and As and Lessons Learned. Get Quorum updates right in your inbox by subscribing today . …

6 months ago

Cristina Cicco

Cristina Ciccocreated the topic: Using an interdisciplinary approach to reduce antipsychotic use: Spotlight on John M. Parrot Centre

John M. Parrot Centre met and surpassed their target for reducing potentially inappropriate use of antipsychotics among their long-term care resident population, as outlined in their Quality Improvement Plan progress report from 2017/18. Health Quality …

7 months ago

  • NewestOldest
  • Danyal MartinThank you for sharing this! How do you keep the staff motivated? Do you track this information and share it with the team? Or with your resident or family councils?7 months ago
  • Angela Malcolm@Danyal Martin Once the Montessori program had some success stories under their belt the staff seemed to positively engage in working to identify other opportunities that would help individual residents.  The CQI team that meets on a quarterly basis provides us with a great group of front line staff that we can share a lot of information with and we encourage this group to share this among their peer groups as well.  All of our staff have their own email which enhances our ability to share information with them.  Our Collaborative group that meets monthly really drives the effectiveness and interdepartmental engagement for both staff and families.7 months ago
  • Danyal Martin@Angela Malcolm It sounds like you have a great structure in place! (Regular opportunities to report and celebrate are important.) In fact, I love the idea of using success stories to keep people motivated! Thanks again for sharing!7 months ago
Cristina Cicco

Cristina Ciccoasked the question: Developing a multi-disciplinary insomnia reduction program for seniors

Social workers Emelyn Bartlett and Nick Maraj, and pharmacist Eric Lui from North York FHT recently shared their experiences about developing an insomnia reduction program for seniors aimed at reducing their use of sedative hypnotic medications. You can …

8 months ago

Cristina Cicco

Cristina Ciccocreated the topic: Deprescribing sedative hypnotics among seniors with insomnia using a multidisciplinary approach

North York Family Health Team (FHT) has developed an insomnia reduction program for seniors aimed at reducing their use of sedative hypnotic medications. This program was led by the pharmacy and social work teams with support from the medical director …

8 months ago

  • NewestOldestView All Comments6 comment(s)
  • David KaplanPGY1 Impact Award
    Benzodiazepine Deprescribing In Seniors 65 years of age
    and Older Within an Academic Family Health Team


    DR. STEPHANIE KLEIN AND DR. DANA MAYER
    NORTH YORK GENERAL HOSPITAL FAMILY HEALTH TEAM


    We are nominating Drs. Stephanie Klein and Dana Mayer for the QI
    Impact award based on the work they did regarding their QI project
    “Benzodiazepine Deprescribing In Seniors 65 years of age and Older
    Within an Academic Family Health Team.”

    In designing their project,
    they employed many of the QI tools and maximized the skill sets of their
    team members. The impact they had amongst family doctors at NYGH,
    at the DFCM University of Toronto, rural and community physicians and
    allied health professionals is tremendous.

    They spread their project within
    the DFCM at NYGH by presenting at the NYGH QI presentation day
    in May 2017. They presented at NYGH Teaching and Learning Week
    in June 2017, expanding their reach to include other health professionals.


    They have disseminated their project within the DFCM at the University
    of Toronto, presenting at the DFCM Conference and Walter Rosser Day
    in June 2017. They also reached out to rural family doctors by presenting
    at the Family Medicine Rounds at Alexandra Marine and General
    Hospital in Goderich Ontario in October 2017. They presented at a
    session at FMF in November 2017.

    Lastly they were interviewed by a
    Choosing Wisely representative for a feature article in Canadian Family
    Physician. Through these efforts, they have spread the benefits of BZD
    deprescribing and have significantly impacted quality improvement work.
    We feel they are well deserving of this award.

    1 week ago
  • Emelyn BartlettI absolutely agree! This extensive work on their QI project has been very impactful! 1 week ago
  • Suzanne SinghA number of FHTs have embarked on deprescribing QI initiatives such as this one. As a pharmacist in one such FHT, I would humbly suggest that the collaborative aspect with regulated health professionals such as pharmacists and social workers is a key ingredient to success...in fact, I will admit that it wasn’t obvious to me in the NYFHT model how a dietitian could be helpful for this initiative, but perhaps that speaks to unconscious biases that limit the scope of fellow professionals unfairly. That is a lesson for me. 

    All Ontarians deserve access to team-based primary care, and while it is important to celebrate these successes, it weighs heavily on my mind how these sort of initiatives can be scaled up. Fellow pharmacists working in collaborative primary care practices across Ontario have recently launched a website that we hope can help further conversations about how to advance interprofessional evidence-based practice to ensure Ontarians are receiving medications that are necessary, safe and effective. I invite you to explore our website and feel free to connect with our group! 
    http://www.ontarioprimarycareteampharmacists.ca

    1 week ago
Cristina Cicco

Cristina Ciccocreated the topic: Improving equitable access to low back pain care through inter-professional collaboration

Belleville Nurse Practitioner-Led Clinic (NPLC) is one of the seven sites implementing Ontario’s Primary Care Low Back Pain Pilot Program , which is supporting inter-professional primary care teams deliver better care to patients experiencing low back …

9 months ago

  • NewestOldestView All Comments7 comment(s)
  • Danyal Martin@Bruce Flynn Thanks, Bruce! Did you work with a common chart? Or was it more referral based? (I'm really interested in how providers keep communication flowing between them when there are multiple people caring for a patient.)9 months ago
  • Bruce FlynnSorry to have taken so long to reply! (I was away on holiday). To answer your question; at the BNPLC we work from on EMR (Pss Suite) which all practitioners have access to and so the answer is yes. However we also expanded to service the BQWCHC(Belleville Quinte West Community Health Centre) and this was on a referral basis. To be truthful I wish we were interconnected with that site as well (they have a different EMR) so that it would be easier to work together and keep up to date. The end result is that the info flows much freer at our clinic and we are much more up to date with the patient's over all health.7 months ago
  • Danyal Martin@Bruce Flynn Yes, it's definitely easier when you all have the same EMR! (Though it sounds like you've found a way to make it work.) Thanks again for sharing!7 months ago
Cristina Cicco

Cristina Ciccocreated the topic: Working together to use a community engagement approach to identify community needs

Each year, staff at Health Quality Ontario read the Quality Improvement Plans (QIPs) submitted by Ontario hospitals, primary care organizations, long-term care homes, and local health integration networks (which administer home care). We identified some …

9 months ago

Cristina Cicco

Cristina Ciccoanswered the question How many patient relations staff should organizations have?

From the world of social media, we received some great insights from HQO's twitter followers: "All staff are patient relations staff." "The face of patient relations should reflect that of the community served."

9 months ago

Cristina Cicco

Cristina Ciccocreated the topic: Changing the culture around advance care planning

Leamington and Area Family Health Team (LAFHT) is committed to changing the culture around advance care planning (ACP). In recognition of this work, LAFHT was the recent recipient of the Association of Family Health Teams of Ontario’s (AFHTO) Bright …

10 months ago

  • NewestOldestView All Comments5 comment(s)
  • Danyal MartinHow did you engage your providers in building up their comfort level in this area? Did you do a survey or some sort of focus group? 10 months ago
  • Lisa Durocher@Danyal Martin - Hi Danyal - the first thing we did was form a focus group with a lead MD. We had clerical, social work, RPN and RN staff envolvement. We did not have all the resources that exist today but started to look at what already existed. We connected with the EOL network in our LHIN and then were connected with Judith Wahl for education of our whole team. It was a one day learning session. From there we created in house champions.
    I hope that gives you a a starting point - Speak up has great education material. Lisa10 months ago
  • Danyal Martin@Lisa Durocher Thanks, Lisa - this is great. I love that you included a broad team, including someone from the clerical team. (I think they can contribute a lot to patient experience and coordination, so glad to see them at the table!)10 months ago
Cristina Cicco
Maternal Newborn Health Improvement for Networks

Cristina Ciccojoined the group Maternal and Newborn Health Improvement Network

To share ideas and resources that communities, planners, hospitals and care providers can use to implement improved maternal and newborn care in Ontario.

10 months ago