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Dilshad Moosa www.olapep.ca

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2012 – 2013 Work Plan Highlights

Expanded workshop offerings: Pre-School Asthma ; Asthma Action Plan Revised and Accredited Programs and integrated the turning point technologies – Updated the online Asthma modules Held 19 PEP workshops across the province of Ontario In development: e-learning modules on Asthma Action Plan, Spirometry Promoted PEP programs and materials through partnership building and various marketing initiatives, including professional conference exhibits, publications and the web-based initiatives.

PCAP CCPP – Managed the program implementation and evaluation process. Video Vignettes; Mentor/Mentee training sessions; workshops (OTN) PEP Strategic 5 year plan – Focus Group and Stakeholder Meeting 2

Workshop Type Spirometry Interpretation (12 – 6 OTN) ASTHMA: 6 (3 OTN) Adult Asthma Asthma Action Plans Location

Toronto - OTN

Date

June 21, 2012 Little Current, Manitoulin Island Oct. 2, 2012 Toronto Owen Sound Respiratory Health Forum Oct. 11, 2012 Nov. 14, 2012 Jan. 30, 2013 Feb. 12, 2013 Merrickville

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Kingston, ON - OTN Nov. 22, 2012 Sudbury - ORCS Oct. 3, 2012 Toronto – AFHTO Conference Oct. 16, 2012 Markham – ORCS x 2 Nov. 1, 2012

Pre-school Asthma COPD vs. Asthma 2 (1 OTN)

Manitoulin Island Sudbury - ORCS Sioux Lookout + OTN Oct. 2, 2012 Oct. 3, 2012 Nov. 7, 2012 Toronto – Family Med Forum Nov. 16, 2012 Hospital for Sick Children

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Niagara-on –the-Lake London – NPAO Conference March 12, 2013 Sept. 13 Nov. 1, 2012 Etobicoke - Stonegate/Unison Dec. 7, 2012

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Chatham (COPD) Feb. 21, 2013

Speaker

Dr. Itamar Tamari Dr. Allan Coates Dr. Maleki-Yazdi Dr. Marc Newton Dr. Tamari Dr. Mark Smith Dr. D. Lougheed Ana & Kathie Jennifer O- Clow S Murphy/ D Chan Dr. Allan Coates Dr. Allan Coates Dr. Tom Kovesi Dr. Dell Dr. Gary Smith Dr Bertley/Tamari Dr. C. Lisckai Dr. Tamari Dr. C. Licskai

#

21 (+2) 20 11 32 36 25

145

54/23 sites 81 22 35/18

210

14 81 20 / 7 65

187

28 35 19 3 82 65

n =146

Future Topics

COPD vs Asthma and Spirometry Workshops

COPD 10% Other topics* 11% Asthma action plans 9% Adult Asthma 15% Spirometry interpretation Occupational Asthma 18% 11% Pediatric Asthma 26% Asthma action plans Spirometry interpretation Occupational Asthma Pediatric Asthma Adult Asthma Other topics mentioned: asthma action plan; Follow-up sessions on difficult cases 4

Strategic Planning Meeting Focus group results:

What is the central purpose of PEP?

To provide a high quality, evidence based, unbiased and standardized education program in lung health that is relevant to Ontario and Canadian health care providers

Strategic Focus Areas:

• • • • Members of the PEP Steering Committee identified four strategic areas and proposed outcomes to focus the efforts of PEP over the next 3 to 5 year period.

Knowledge Translation

– We have expanded our knowledge translation efforts and provide program content in formats that are meaningful to care providers

Marketing

– We have increased the reach and scope of the Provider Education Program

Quality Improvement

– Our knowledge translation methods (how we organize, formalize, review, implement and evaluate our programs) have been fully integrated into a well established quality improvement program

Evaluation

We have developed and implemented a strategy for evaluating our programs and materials. 6

KNOWLEDGE TRANSLATION

We have expanded our knowledge translation efforts and provide program content in formats that are meaningful to care providers • Develop/ Update PEP curriculum and resource materials workshops, OTN sessions, e-modules, align outcome indicators • PEP is reaching health sciences future learners with embedded programs – Family Medicine Resident programs, NP, RRT etc • Link with communities of practice – HQO; PCAP CCPP; Other 7

Knowledge Translation Question?

• Does the committee have any suggestions, leads that could support the PEP Knowledge Translation goals?

– – Short Term Long Term 8

MARKETING

• • • We have increased the reach and scope of the Provider Education Program We have promoted and increased the number of education products that we offer.

We have enhanced our online and webcasting opportunities PEP Brand; Target Professional Colleges (Future Users, External Partnerships) 9

Marketing Question?

•

How can PEP align with other APA marketing initiatives?

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•

QUALITY IMPROVEMENT

Our knowledge translation methods (how we organize, formalize, review, implement and evaluate our programs) have been fully integrated into a well established quality improvement program • Adapt PEP workshops to different models of care – (CHC/FHT/NPLC) • Amongst primary care providers, we have increased awareness of the use and benefits of COPD and asthma indicators in their practice 11

Quality Improvement Question?

• How, if at all can PEP support Quality Improvement Measures into clinical practice?

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•

EVALUATION

We have developed and implemented a strategy for evaluating our programs and materials • Our programs are evaluated on a regular basis and program changes are made based on the results of evaluations • We have an evaluation framework and infrastructure to support overall program and project-specific evaluation that is quality improvement focused.

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Evaluation Question?

PEP Research Sub-Committee Should Dr Teresa To be invited to join the PEP research Sub Committee?

  YES YES 14

PCAP Collaborative Care Pilot Project

Hypothesis:

A multi-faceted mentorship intervention will increase primary health care practitioner use of spirometry in patients with suspected and diagnosed asthma over 1 year, compared to routine care in the year prior.

PCAP CCPP Evaluation

Pilot Site

New Vision – Kitchener Centre for Family Medicine Mount Forest – Mount Forest North Hamilton CHC – Hamilton Hamilton FHT – Hamilton Dryden – Dryden Fort Francis – Gizhewaadiziwin Health Access Centre

EMR PRE Data Abstractions EMR POST Spiro metry PRE Spiro metry POST TPB PRE TPB POST Questionnaires Know ledge PRE Know -ledge POST Men tor PRE Men tor POST

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• • • •

APA Committee Questions?

KT

: Does the committee have any suggestions, leads that could support the PEP Knowledge Translation goals? – – Short Term Long Term

Marketing:

How can PEP align with other APA marketing initiatives?

QI:

How, if at all can PEP support Quality Improvement measures into clinical practice?

Evaluation:

Should Dr Teresa To be invited to join the PEP research Sub-Committee?

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• • • • • • • • • • • •

P

rovider

E

ducation

P

rogram Committee Acknowledgement

Dr. Chris Licskai - Co-chair Dr. Sharon Dell - Co-chair Dr. Itamar Tamari Lawrence Jackson Dr. Tony D’Urzo Jennifer Olajos-Clow Dr. Gary Smith Anne Bartlett Dr. Anthony Levinson Dr. Samir Gupta Dr. Dhenuka Radhakrishnan Dr Richard Tan • • Dr. Diane Lougheed( Adhoc) Dr. Harold Kim (Adhoc) • • • • • •

OLA Members

Dilshad Moosa - Manager Kathie Dickie Valarie George Jennifer Thelwell Carole Madeley Andrea Stevens-Lavigne 18