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A1 - Privacy in Health Care or why you need to be even more careful in 2016 This session will present some of the big changes in the privacy landscape in Ontario, especially the gamechanging Bill 119 that will amend Ontario’s Personal Health Information Protection Act (PHIPA) which will make a significant difference in the healthcare sector. Emphasis will be put on steps Health Information Custodians can take to avoid privacy and security breaches, and useful tips on how to maintain and improve legislative privacy compliance. Presented by: Simeon Kanev, Privacy Business Analyst, Association of Ontario Health Centres |
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The Healthy People, Healthy Communities project was developed as an academic-community partnership between the University of Ottawa, the Ottawa Good Food Box and the Wabano Centre of Aboriginal Health to explore questions related to food security, health and community food programs within the context of a doctoral thesis. Since 2008, the collaborators developed a project that could provide a platform for community members to identify and discuss the factors that challenge and facilitate food security and access to adequate amounts of high quality, nutritious and affordable fruits and vegetables in urban Ottawa. From multiple perspectives, the project captured information on emerging issues and identified strengths of the Good Food Box Program and opportunities for improvement along with community-driven solutions to increase program access and its relevance as a food security strategy. Recommendations to promote more equitable program participation for First Nations, Inuit, Métis and non-Aboriginal households and families will be discussed. Presented by: Emily M. Lecompte, Doctoral researcher, University of Ottawa; and Natasha Beaudin, Ottawa Good Food Box Coordinator and Health Promoter, Centretown Community Health Centre |
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A7 - Outreach to Diverse Populations: Travelling Beyond the Walls Three nurse practitioners will present three outreach programs run by Port Hope Community Health Centre (PHCHC). These programs include Aboriginal Health at Alderville First Nation, Residents of Greenwood Towers Hotel, and Migrant Workers. Outreach is becoming increasingly difficult in small communities due to decreased internal resources and limited locations where services can be provided. The common thread of achieving health equity and reducing emergency visits will be highlighted across the discussions. Presented by: Janet Marchand, RN(EC), MSCN, NP-PHC, Nurse Practitioner, Port Hope Community Health Centre; Jane Spencer, RN(EC), BScN, NP-PHC, Nurse Practitioner, Port Hope Community Health Centre; and Lydia Rybenko, BSc. BScN/NP, Nurse Practitioner, Port Hope Community Health Centre |
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A10 - SPOTLIGHT SESSIONS A10.1 - Nurse Practitioner Activities in Primary Care: A Mixed Methods Study The nurse practitioner (NP) role in primary care continues to evolve in response to the needs of patients, families, groups and communities. Despite recurrent questions from funders, administrators, and health human resource planners, no studies have directly measured NP activities in primary healthcare settings. In this study, we used a self-administered questionnaire to collect data from patients regarding their demographics and health condition(s). We then observed and recorded all NP activities during a typical work week, including direct observation of patient visits. Data was collected at eight sites consisting of two practices within each of four heterogeneous models of care: Aboriginal Health Access Centres, Community Health Centres, NP-Led Clinics, and Family Health Teams. Sites were compared to explore the relationship between patient factors and how NPs spend their time in patient care and in their wider role activities (e.g., education and leadership). Presented by: Faith Donald, Associate Professor, Ryerson University, Daphne Cockwell School of NursingAudience: All audiences This presentation will provide a high-level overview of questionnaire findings from an applied health research study focused on identifying NPs’ perspectives of patient, NP, and organizational factors that may influence the number of patients in an NP panel. Findings can help inform human resource decisions regarding the number of NPs needed in Ontario to care for patients and may be used to improve NP workloads. Recommendations for the best use of nurse practitioner time and activities will be discussed. The findings may also improve inter-professional team functioning and contribute to efficient and timely access to high quality patient care. Presented by: Nicole Bennewies, master of nursing student, Ryerson University, Daphne Cockwell School of Nursing |
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B1 - Chronic Disease in Vulnerable Immigrant Populations: A Growing Concern Health research with refugee populations and clinical practice guidelines have primarily been focused on communicable diseases with little attention on chronic conditions. The recent influx of Syrian refugees to Canada highlights the need for attention to chronic disease. The Chronic Care Model (CCM) adopted by Ontario, and many other jurisdictions, is a validated framework for managing chronic disease. This growing evidence underscores the need to develop best practices on chronic disease management (CDM) for refugees. This session will review current evidence in the context of data and experiences of refugees living with chronic diseases to stimulate strategic discussion on how the CCM can be applied to refugees. Presented by: Dr. Nicole Nitti, Family Doctor, Access Alliance Multicultural Health and Community Services; and Dr. Akm Alamgir, Manager, Quality and Accountability Systems, Access Alliance Multicultural Health and Community Services |
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B4 - Understanding Health Inequities and Access to Primary Care in the SW LHIN This mixed methods study was a comprehensive examination of primary health care needs and service utilization of the population living in the SW LHIN. We paid particular attention to those facing barriers to accessing health care as well as the changing demographics of the population and the primary care providers in the region. The main objective of this project was to identify, consider and analyze the scope, scale and distribution of populations facing barriers to health, and to document their lived experience in accessing primary health care to inform actionable strategies to address any barriers identified. Presented by: Jennifer Rayner, Research and Evaluation Lead, Association of Ontario Health Centres; and Andy Kroeker, Executive Director, West Elgin Community Health Centre |
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B5 - Client-Centred Care through Creative Collaboration This workshop will highlight how the innovative partnership and collaboration of students with a Community Health Centre in Hamilton has led to a new approach that addresses the needs of complex clients in downtown Hamilton. MacHealth DNA is a studentled clinic, made up of second- and third-year McMaster University medical students, which integrates health promotion into traditional clinic visits within Hamilton Urban Core Community Health Centre. This workshop aims to give insight into how this collaboration was established and the benefits of this partnership to clients in downtown Hamilton. Participants will also learn how they can replicate the model at their own agencies. Lessons learned will also be shared. Presented by: Nhlaloenhle ‘Nala’ Ndawana, Primary Health Care Manager, Hamilton Urban Core Community Health Centre; Dr. Angela Carol, Physician, Hamilton Urban Core Community Health Centre; Jude Nnamchi, Community Health Worker, Hamilton Urban Core Community Health Centre; Gaibrie Stephen, MD Candidate, Class of 2017, McMaster University; KevinSingh, MD Candidate, Class of 2016, McMaster University; Avijeet Sarker, MD Candidate, Class of 2016, McMaster University; and Christine MacCauley, MD Candidate, Class of 2017, McMaster University |
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B10.1 CHC-based Walk-in Clinic Program: Being there when they need us Increasing access to services is a priority in improving quality and consistency in primary care services, particularly within the population we serve, where over 70 percent of our clients have a diagnosis of Severe Mental Illness (SMI). City Centre Health Care is a CHC based out of the Canadian Mental Health Association (CMHA). Our partnership continues to focus on strengthening our ongoing commitment to improve accessibility to primary health care services. With this in mind, the team developed the CHC Walk-in Clinic (WIC) program. Started in July 2015, the program hopes to improve access to primary care services as well as to avoid non-emergent emergency department (ED) and external community walk-in clinic visits. This session will outline the objectives, planning and implementation of this quality improvement program, as well as the outcomes achieved to date. Future plans on how we plan to continue to expand this program will also be discussed. Presented by: Angela Trepanier, Nurse Practitioner, City Centre Health Care, a satellite of the Windsor Essex Community Health Centre, operated by CMHA-WECB |
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C1 - Expanded Utilization of RNs in Ontario Expanded scope of practice for RNs will be implemented in Ontario. Primary care has the opportunity to be the early adopters of an expanded RN scope to improve timely access to care and care co-ordination. Primary health care, in particular, provides a unique opportunity to expand the RN scope within an interprofessional model of care. Attendees will learn about the expanded role and provide input into the implementation of the RN expanded scope in primary health care. Presented by: Tim Lenartowych, Director of Policy, Registered Nurses’ Association of Ontario; and Kim Cook, Vice President Community Health & Chief Professional Practice, Scarborough Centre for Healthy Communities |
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D1 - Comparing screening tools for developmental disorders during early childhood Developmental problems occur in up to 15% of children. Primary care providers regularly see almost all children younger than 5 years and are therefore in a unique position to identify children with suspected developmental delays in a timely manner and refer them to appropriate early intervention services. The Ontario government made a commitment to screen children for developmental problems at their 18-month well-child visit by promoting use of a developmental screening tool. However, little is known about the performance of the Nipissing District Developmental Screen (NDDS), the screening tool currently being used. The 24-item parent-completed Infant Toddler Checklist (ITC) has been shown to effectively identify communication problems and autism spectrum disorders. We plan to compare the ITC versus the NDDS to find out which screening tool is more effective in identifying children with developmental delays and referring children for early intervention. Presented by: Imaan Bayoumi, Physician, Kingston Community Health Centres and Cornelia Borkhoff, Assistant Professor, Clinical Epidemiologist, Dalla Lana School of Public Health, University of Toronto, Division of Pediatric Medicine and Child Health Evaluative Sciences, The Hospital for Sick ChildrenAudience: All audiences |
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D6 - Filling in the Gaps: Effective practice in LGBTQ+ newcomer mental health promotion In a focus group Access Alliance conducted in 2010, LGBTQ+ newcomer clients identified non-stigmatizing mental health support as a pressing need. In response, we developed an innovative, peer-based, arts-informed mental health promotion program to overcome social isolation, increase systems navigation and self-care strategies among LGBTQ+ newcomers. By training LGBTQ+ newcomers in meaningful ways as mental health peer leaders, we will help increase their selfconfidence through skill building, training, and making connections. The peer leaders will help improve the mental health outcomes of all program participants through peer-led psycho-educational sessions enablingtheir peers to better cope with the risks that make LGBTQ+ newcomers vulnerable, such as discrimination, violence, poverty and social exclusion. As ongoing work to build better support for LGBTQ+ newcomers, the session will share details about this innovative program using case stories, lessons learned to date, and possible effective practice recommendations. Presented by: Tanya Neumeyer, Interim Program Manager, Youth and LGBTQ+ Programs, Access Alliance Multicultural Health and Community Services |
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D10.1 - Share and Care: Cultural Safety and Community Engagement This workshop will increase knowledge about how to address cardiovascular risk factors from an Indigenous perspective in a community-based BP screening project. Utilizing the concept of neighbours taking care of neighbours or aunties and uncles taking care of extended family, Indigenous and non-Indigenous community volunteers provided screening to neighbours for hypertension and irregular heart rates using an automated device with follow up by a community health nurse. We will present some descriptive and clinical outcome data regarding the BP screening program we collect as part of the QI process. We will also provide an overview of our outcomes to date. Presented by: Maureen Buchanan, Indigenous Nurse Practitioner, Kingston Community Health Centres; and Kate Brant, Indigenous Community Development Worker, Kingston Community Health Centres |
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This workshop will focus on Primary Care Outreach (PCO); an innovative initiative, its partnerships and the impact strong collaborative relationships have when working with complex, vulnerable populations. Recognizing a gap in services particularly around transitions, PCO worked to develop the Vulnerable Seniors Partnership (VSP) Table where organizations in Ottawa, covering the continuum of services including primary care, home andcommunity support services, community mental health, public health and acute care hospitals are committed to working together to enhance the coordination of services for vulnerable seniors with complex needs. Comprised of a partnership between the South East Ottawa CHC, seven other Community Health Centre sites and two Community Resource Centres, PCO strengthens health service capacity by enabling seniors to access appropriate care in their own homes, at Community Health Centres and through the community support network. Strong collaboration between partners has allowed for better coordination among all providers and systems, and effectively reduced duplication of assessments and services. Presented by: Deborah Andrews, Health Services Director, South East Ottawa Community Health Centre; and Stephanie Dickinson, Acting Primary Care Outreach Coordinator, South East Ottawa Community Health Centre |
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The concept of integrated care — care that meets a wide spectrum of needs for complex clients in a coordinated, person-centred way — is a driving vision in the mental health, addiction and primary care sectors today. Yet many of us struggle with the practicalities of implementing the vision. Join us for this networking session to discuss what an integrated approach to mental health, addictions and primary care services could look like. To get the conversation started we will highlight some concrete examples of initiatives that offer highly integrated care in the field. We’ll then explore the barriers, success factors and the different degrees of integration of mental health, addictions and primary care. Together, we will address the question of how to bring our work to the next level, moving further toward the vision of successful integrated care. Case examples: “From hospital to community: Working towards seamless transitional planning for complex clients with mental health and addictions in Niagara region”, “CMHA Durham - providing communitybased mental health care alongside NPLC primary care services”, and “CMHA Windsor Essex creating an integrated care continuum.” Facilitated by: Jason Altenberg, Director of Programs and Services, South Riverdale Community Health Centre; and Robin McAndrew, Director of Addictions and Mental Health Services, Sandy Hill Community Health Centre Presenters: Jenny Stranges, Program Director, Quest Community Health Centre; Despina Tzemis, Program Manager, Quest Community Health Centre; Claudia den Boer Grima, CEO, CMHA Windsor Essex; Stephanie Skopyk, Lead Nurse Practitioner, CMHA Durham |
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