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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 . …

1 week ago

Cristina Cicco
Post-Discharge Project for Vulnerable Patients

Cristina Ciccojoined the group Post-Discharge Project for Vulnerable Patients

Experiences and research show inequities/barriers to quality care; there are opportunities to increase language, cultural/social supports for vulnerable patients. ‘The period following discharge is a vulnerable time for patients – medication errors, adverse drug events and hospital readmissions are major concerns.’ Determinants of health after hospital discharge: Vanderbilt Inpatient Cohort Study. <br/><br/>Osler’s cross-sectoral partnerships with community organizations, e.g. A Post-Discharge Partnership Supporting Vulnerable Patients, focus on care across the continuum and Social Determinants of Health, e.g. income, disability, education, social exclusion, gender, employment, race, food, housing, etc.<br/><br/>Results include reduced isolation, faster access to language/culturally appropriate community supports, positive patient experiences/outcomes, reduced readmissions, length of stay for isolated seniors, newcomers, low income and those experiencing language/cultural barriers.

1 month 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 …

1 month ago

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  • 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?1 month 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.1 month 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!1 month 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 …

2 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 …

2 months ago

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  • Danyal MartinWhat a great program! How did you get physicians on board with this work? 2 months ago
  • Cristina CiccoThanks @DanyalMartin for the question! Eric Lui, Pharmacist from North York FHT, provides his response to your question below. Thanks Eric!

    “Thanks for the question, Danyal. I think that having physician buy-in right from the beginning helped us a lot. We are fortunate that we have a physician champion in our FHT, Dr. Kimberly Wintemute, who is also the Primary Care Co-Lead of Choosing Wisely Canada. In addition, our medical director, Dr. Maria Muraca, and our executive director, Susan Griffis, are also very supportive. It was agreed that this is an important issue for our patient population, and it is also a patient safety initiative. In fact, this project has been integrated into our FHT QI plan, which has made it easier for us to put in a concerted effort towards the program, and to have continuing support from the physicians in our FHT. Also, our Social Work team have put in tremendous efforts in putting together the CBT-i program within a short timeframe, and continue to improve it based on patient’s feedback. Both the CBT-i and deprescribing components of this program are evidence-based. The benefits that the patients received from the program and their testimonies have helped to promote it further, and have led to an increase in the trust and confidence of the physicians on this program.” - Eric Lui2 months 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 …

3 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.)2 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.1 month 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!1 month 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 …

3 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."

3 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 …

4 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? 4 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. Lisa4 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!)4 months ago
Cristina Cicco
Maternal and Newborn Health Improvement Network

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.

4 months ago

Cristina Cicco

Cristina Ciccoanswered the question What quality indicators are providers using to measure equity?

Hi Michael, Quorum has added some articles more recently that may help to answer your question. Perhaps these resources below may be of help. Research on the Various Factors that Affect Equity in Health Care - Provides some great research articles and …
Heidi Schaeffer also answered the question Heidi Schaeffer also answered the question

4 months ago

Cristina Cicco
OEQIN Community of Practice

Cristina Ciccojoined the group OEQIN Community of Practice

The Ontario Ethics Quality Improvement Network (OEQIN) brings together individuals working on Ethics Quality Improvement (EQI) Activities throughout the province. Through the minimization of ethics-related errors, Ethics Quality Improvement takes a quality approach towards ethical issues in healthcare systems, with the twin goals of (1) providing care people want and can benefit from and (2) improving system efficiency. Members of the OEQIN form a community of practice dedicated to developing, testing, and sharing ideas for improvement that will improve individual patients’ access to wanted and beneficial care, while also promoting careful stewardship of healthcare resources.

5 months ago

Cristina Cicco
Loop - Fall Prevention Community of Practice

Cristina Ciccocreated the group Loop - Fall Prevention Community of Practice

Loop is a place where fall prevention practitioners can connect, share information, get inspired, find new partners, ask for advice, and learn how others are tackling the issue of falls.

8 months ago