This post links to a brief article about virtual care, specifically about supporting Canadian physicians and other clinicians as we shift rapidly towards a "virtual first" model of care, in the midst of the COVID19 pandemic.
We will attempt to keep the links below up to date, and welcome submissions/additions of really practical resources to help docs get up and running with virtual care tools.
Also please consider joining the Facebook group noted below, a Peer to Peer Virtual Care support group for physicians, recently started by family physician Dr. Cassie Millar and colleagues in Calgary
Please see the rapidly evolving list, below. We're still seeking to fill in content from multiple regions.
Dr. R. Bhyat
Facebook Virtual Care Peer 2 Peer Network
Discussion/Peer Support group on Virtual Care implementation for Canadian Physicians. Helpful peer network sharing tips/tricks from the trenches.
BMJ Article - Covid-19: a remote assessment in primary care
** A brilliant how-to overview of managing suspected COVID19 cases using Virtual Care. Includes an excellent step by step visual guide.
JMIR - Home Virtual Visits for Outpatient Follow-Up Stroke Care: Cross-Sectional Study
This article by Appireddy et al, at Queen's University, describes a successful model for Specialist physicians delivering post-acute follow up care via virtual visit. Includes a very handy, adaptable virtual visit workflow diagram. Dr. Appireddy's work is part of a CIHR research initiative.
Alberta Medical Association
Great overview from the AMA with tips and reference to the super practical DTO toolkit.
Doctors of BC
The Doctors Technology Office branch of Doctors of BC has some very practical resources to get a clinic up and running with Virtual Care, fast. Their two documents, listed below and attached, lead the clinic through the process in a practical, step by step approach to implementation.
Quick Start Guide
*** DTO Virtual Care Toolkit <— very Practical
Doctors of Manitoba
The Virtual Care resources page contains many practical resources on how to get started with Virtual Care in your practice.
Info page on Virtual Care during the COVID 19 crisis: https://doctorsmanitoba.ca/2020/03/covid-19-coronavirus-updates/
This page makes reference to the Provincial document “COVID 19 Guidance on Outpatient Care Delivery:
Includes info on MB-specific physician billing codes for virtual care and notes that in the Short Term, digital video conferencing solutions like Skype or Zoom are ok.
The OMA is playing a critical leadership role, working with the Ministry of Health and OntarioMD to rapidly expand virtual care provision options for Ontario physicians.
Amazing virtual care resource page here, newly redesigned: OntarioMD.news
The resource include a step by step overview of virtual care, and then links to the Ontario Health Quality document. Very useful.
Here is a direct link to very recent webinar recordings featuring primary care and specialist docs implementing virtual care:
This link provides a nice poster with messaging for patients / public relating to Virtual care/telemedicine:
These links to their very useful resource and training pages includes practical examples and workflows that clinics could adapt, using any platform (not just OTN invite).
Useful document on virtual care for physicians during this pandemic, from CMQ, Téléconsultation en situation de pandémie:
McGill University Department of Family Medicine, Herzl Family Practice Centre
The Herzl Telemedicine Essentials Guide - a very practical, step by step guide covering the basics of video visits.
Government of SK
Basic info on Virtual Care for Providers
The Yukon is providing Virtual Care to its citizens using the Doxy.me platform. Physicians should consult the Yukon Medical Association (www.yukondoctors.ca) while citizens can learn more at https://yukon.ca/covid-19 and here: https://yukon.ca/en/news/new-virtual-care-options-yukoners
National Specialist body - RCPSC
A very helpful page from the Royal College, presented by Province and Territory with links:
Telemedicine and virtual care guidelines (and other clinical resources for COVID-19)
National regulatory - FMRAC
Their relatively recent telemedicine policy provides high level reassurance that telemedicine is ok. Each provincial/territorial college has their own variations on this policy. ON, AB, and BC are good examples.
National Medical Protective advice - CMPA
Similarly, providing reassurance re: virtual care, as long as due diligence is maintained in professional practice.
National Family Medicine body - CFPC
CFPC-Infoway EMR Best Advice Guide - Advanced and Meaningful Use of EMRs
Modules 2 and 6 both cover most aspects of Virtual Care in a simple, quick read format for family docs. This is not an implementation guide, however.
National Medical Association - CMA
Working together with the CFPC and RCPSC, the CMA recently released the excellent Virtual Care Task Force report. An interesting read providing a good current state overview, but not applicable for rapid implementation of virtual care in a crisis.
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