Development of protocols and educational modules to support teams in the delivery of optimal patient care in targeted clinical spheres. |
CEP managed the University of Toronto’s Department of Family and Community Medicine's project to develop clinical protocols and educational modules to support 14 Academic Family Health Teams (FHT) in the delivery of optimal patient care in depression, diabetes, complex diabetes, childhood obesity, well baby/18-month visit and end of life care.
As part of this project, 10 additional FHTs (from across Ontario) received an educational session to assist the team to integrate the protocol of their choice into practice.
If your team is interested in receiving the protocols and/or educational modules please Contact Us.
Partners
| • | Department of Family and Community Medicine, Faculty of Medicine, University of Toronto dfcm.utoronto.ca |
| • | Guidelines Advisory Committee www.gacguidelines.ca |
| • | Institute for Clinical and Evaluative Sciences www.ices.on.ca |
| • | Li Ka Shing Knowledge Institute www.stmichaelshospital.com/knowledgeinstitute |
| • | Ontario College of Family Physicians www.ocfp.on.ca |
| • | Wilson Centre, University Health Network cre.med.utoronto.ca |
Client/Funder
| • | Ontario Ministry of Health and Long-Term Care, HealthForceOntario www.healthforceontario.ca |
This project involved fourteen Family Health Practices (12 FHTs, 1 Family Health Organization (FHO), and St. Michael’s Hospital family practice group) and consisted of three deliverables. The first deliverable was to develop and pilot test interprofessional practice approaches, tools, and information resources to support teams in the delivery of optimal care in six specific areas: depression, diabetes, complex diabetes, end of life care, childhood obesity and the well baby/18-month visit. The second deliverable was to establish capacity to develop, implement and evaluate targeted patient care programs that were team based and address patient and community needs. The third deliverable was to share the interprofessional protocols and learning about how to advance implementation with FHTs who were not part of the original development group.
The protocols and tools were developed by interprofessional and inter-organizational task groups. Some task groups also had representatives from community service providers, most notably Public Health, Community Health Centres (CHC) and Community Care Access Centres (CCAC). The evidence, approaches and tools, along with the individual champions for collaborative care, have been the key products of this work.
Elements of this program included:
- Partnerships with Guidelines Advisory Committee, Institute for Clinical and Evaluative Sciences, Wilson Centre, Li Ka Shing Knowledge Institute and Ontario College of Family Physicians.
- CEP led in developing both a methodology for doing interprofessional care planning as well as producing and disseminating (on behalf of the project) the evidence, the approaches and tools to other FHTs outside the original group of 14 members.
- CEP played a leadership role in promoting a system approach to FHT planning – bringing public health, CCACs, CHCs and tertiary care experts to the table.
- CEP worked with individual FHTs to implement appropriate care by aligning role descriptions, workflow patterns, and EMRs for sustainable change and improved outcomes.
Tools
To view select material from the Interprofessional Practice Modules, please click on the clinical areas listed below
Learn More About this Project
