Transcript Asthma Care Map for Primary Care Providers

PRIMARY CARE ASTHMA PROGRAM
PCAP
Dr. Itamar E. Tamari, MD CCFP FCFP
Chair , PCAP Advisory
Friday, March 1, 2013
Asthma Advisory Committee Meeting
PCAP 2012 -YEAR IN REVIEW
 2012-2013 Provincial Summary of Activities
 Strategic Work Plan 2012-2017
 Key Strategic Areas
 Collaboration with Key Stakeholders
 Moving Forward
2012-2013
Provincial Summary of Activities
Date
Jan –
Oct
APA and other
groups /
Conferences
Activities
PCAP Site Visits 19 site visits ( incl 6 new sites) : for support and
implementation by Provincial Coordinator:
•Environmental & Readiness Assessment:
•Conducted Needs Assessment HCP Learning and
Resource needs
•Site/Coordinator and Educator orientation to
PCAP and Program Standards/Tools
PCAP CCPP Intervention Model
PCAP CCPP
Site A
Need Identified:
Spirometry Training
Education/ Interpretation
Ongoing Programs
Spirometry Programs
Mentorship/
Preceptorship
Mentor Selection
Includes:
• Spirometry Manual
• Coordinator training
Workshops/OTN
CD–Rom
Available Online
Training includes:
 Pre-learning: Online CME
 Full day workshop
 Post-learning: Review of
Quality of Tests for 3 mnths
 $450
PCAP Spirometry
Orientation
PEP Spirometry
Interpretation
Workshop – 3hrs
Allied Health Mentors
• OCFP mentorship
training
• Mentor Orientation
o Spirometry Policy &
Procedures Review
Physician Mentors
• OCFP mentorship
training
• Mentor Orientation
o Spirometry Policy &
Procedures Review
‘Spirometry In Primary
Care’ - 60min
SpiroTrec - Technical
Training
Access to Mentors:
- e-mail
- telephone
- OTN
- fax
- in-person meetings
Date
Jan –
Oct
2012
APA and other
groups /
Conferences
PEP – CCPP
Activities
Executive Meetings – once a month
All Mentors/Pilot Sites/PODs contacted- Jan
Mentorship Training for all the Mentors by OCFP (Jan)
Initiate communication (Jan –Feb)
Mentee recruitment (Jan- Feb)
EMR discussions on data collections (Jan – May)
Pre assessment completed (March)
AH Mentor Training- on Standardized protocol for
spirometry technique and quality assurance (April)
 Intervention initiated (April-June)
 Pre –intervention Data Collection on spirometry for
Allied Health mentees (May – July)
 CCPP e-Newsletter (July -Oct )
 Video Vignette initiated (July -Oct)
 Cases presented online
Date
APA and
other groups
/
Conferences
PEP – CCPP
_______
Current
Status
Activities
 OTN presentations
__________________________________________
 Intervention complete
 administering questionnaires
 analysis of data
 lessons learned
 decisions on: wrap up, continuing machealth portal,
continuing mentor support
Date
APA and other groups
/ Conferences
Activities
March
PCAP/ OLA/ KOTM –
Sioux Lookout FN
communities
Asthma Education sessions initiated via
OTN/KOTM to FN communities for the
CHR and community
April – May
PCAP Advisory
Finalizing Strategic Plan
June
AOHC
PCAP / RHF promotion of PCAP
July September
PCAP-OLA Partnership
PCAP Communication
Group
Environmental Scan, and LHIN
Communication Strategy (includes
Communication Package:
•letter, PCAP Brochure, PCAP Presentation
Date
APA and other groups
/ Conferences
Activities
August
World Asthma
Congress
presentation on PCAP
September 2012
– January 2013
OLA/AFHTO/AOHC/
HQO
RHF planning initiated
October
AFHTO
Presentation on ACM/ COPD Care
Maps
POSTER presentation on IDAT
RTSO
POSTER presentation on PCAP
November
PCAP Advisory
Completion of PCAP Strategic Plan
for 2012-2017
January 2013
OLA/AFHTO/AOHC/
HQO
RHF: 90 FHTs/CHCs/ Hospitals
100 participants each day for 1.5
days
Other Activities
Date
Feb 2012 – Sept 2012
APA and other groups /
Conferences
PCAP Exec and Working
Groups
Activities
e-Newsletters x 2
PCAP Website
OTN presentation by Dr
To on the API – April 11
Hosted PHSAP
presentation to PCAP
sites via OTN at the OLA
April 30
OLA
Asthma Care Map
COPD Algorithm
PCAP RESOURCE MANUAL
CONTENT
April 2012
 PCAP Background/Overview
 Getting Started•Implementation Process
•Orientation Manual
•Educator Folder
•Spirometry Manual
•Roles/Responsibilities
Communication- PCAP Info Package
Partnerships
Resources
•CTS / GINA Guidelines
•CPSO Infection Control Guidelines
•ATS Guidelines
•Related web links
RESPIRATORY HEALTH FORUM:
JANUARY 2013- EVENT REACH
 Forum was hosted by the OLA in partnership with
PCAP, HQO, AOHC and AFHTO
 100 Primary Health Care Providers: (FP, NP,
Pharmacists, RN, RT, others)
 90 FHTs/CHCs
 Follow up
 Ongoing support for the participants provided in
terms of
• Program implementation
• Resources
• PEP Workshops: on Asthma & Spirometry
Interpretation
• Navigating the ACM/ COPD Care Maps
PCAP CENTRAL PURPOSE
Now :
 Provision of leadership and expertise to advance
strategic initiatives to enhance asthma & lung
health care in the primary care setting
 Provision of tools, education, best practices and
evidence based standards of care for the delivery
of a comprehensive asthma management
program in collaboration with other programs
 Identification of gaps in delivery of asthma
primary care
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PCAP STRATEGY FRAMEWORK
VISION
“Aligned with Ontario’s Chronic Disease and Management Framework, the Primary Care Asthma Program will provide
asthma care to the people of Ontario, in collaboration with other providers that is inter-disciplinary, evidence based, patient
centered, accountable and sustainable. It supports health care system changes from one that is designed for episodic, acute
illness to one that will support the prevention and management of chronic disease.”
KEY STRATEGIC AREAS
#1
FINANCIAL
SUSTAINABILITY
AND GROWTH
#2
PROGRAM
ENHANCEMENT &
DEVELOPMENT
#3
PERFORMANCE
MANAGEMENT
#4
SUSTAIN &
GROW –
IMPROVE
REACH
#5
HUMAN
RESOURCES &
DEVELOPMENT
IMMEDIATE PRIORITIES
INDICATORS OF SUCCESS
#1
Increase # of
Lung Health
Programs in
Ontario
#2
Full adoption
of ACM and
COPD Care
Map
#3
Development
of CQI
measurements
#4
Program
Reach- PCAP
Implemented
#5
Objectives
includes:
Succession
Plan
KEY RESULT AREA # 1:
FINANCIAL SUSTAINABILITY AND GROWTH
The Primary Care Asthma program is delivered
based on available resources needs assessment
for respiratory care across the LHINS and
economic impact analysis in collaboration with
key local and provincial stakeholders.
14
KEY RESULT AREA # 2:
PROGRAM ENHANCEMENT & DEVELOPMENT
Facilitate the adoption of PCAP electronic tools
in primary care
15
KEY RESULT AREA # 3:
PERFORMANCE MANAGEMENT
PCAP will design and implement a performance
management framework that incorporates
Patient-specific health outcomes and PCAP
program-specific outcomes for Quality
Improvement.
16
KEY RESULT AREA # 4:
SUSTAIN & GROW – IMPROVE REACH
PCAP will have continued to support services at
existing sites and will have supported
expansion of PCAP to other primary care sites
to support a lung health model for all children
and adults in Ontario including vulnerable
populations, under-serviced areas and First
Nations communities.
17
KEY RESULT AREA # 5:
HUMAN RESOURCES & DEVELOPMENT
We have a human resource development and
succession plan in place that facilitates and
supports knowledge translation for primary
care practitioners, promotes the role of CRE’s
as part of an inter-professional team that
fosters enhanced integration of skills and
experience and values the contributions of each
individual.
18
OPPORTUNITIES FOR 2012 – 2017
COLLABORATION WITH KEY
STAKEHOLDERS
 To continue to collaborate with appropriate stakeholders
including APA programs (PEP/PHSAP/EMR) to coordinate
resources and avoid duplication valuable effort
 Focus on the vulnerable population, underserviced areas
and FN communities
 120 Community-governed primary health care
organizations includes: CHC, AHAC and other FN
community health centers
 To promote implementation of PCAP and standardized
program in other health agency not mentioned above:
FHTs, FHO, FHG, CCAC, NP-Led Clinics
MOVING FORWARD…
 Align with MOHLTC Strategic Direction, Policies and Processes
 Health Links announced last December 2012 –
 Development of a Lung Health Strategy in collaboration with OLAapproved by the MOH to include COPD education at the PCAP Sites
 PCAP will work with LHINs to integrate Lung Health programming
 PCAP/OLA / LHIN Communication Strategy
 Re -evaluation of the PCAP TOR
 Consider the inclusion of COPD Program Standards
 Revision of Asthma Algorithm
 New Provincial Coordinator