Dialogue Volume 14 Issue 4 2018 - Page 35

PRACTICE PARTNER “From a quality improvement approach, we don’t know the right amount of people who should be on an opioid. But if you’re vastly different, you should probably think whether your prescribing is clinically appropriate,” said Dr. David Kaplan, a Toronto family doctor and Chief of Clinical Quality for HQO, in an interview with Dialogue in 2017. OntarioMD For the last year, OntarioMD has been hosting interactive On the Road with OntarioMD seminars. To date, the On the Road seminars have been focused on safe opioid prescribing, beginning with a presentation that highlights the Canadian guideline and describes useful resources available to clinicians. The second part of each evening gathering is devoted to EMR-focused learning with Peer Leaders. These Peer Leaders – physi- cians who are advanced EMR users – sit with small groups of other clinicians to demonstrate how EMR data can be used to identify patients who may be at risk of opioid abuse, prescribe opioids safely and monitor these patients. These sessions have the added benefit of allowing physicians a forum to share and compare experiences with peers who also want to derive the most benefit from their EMRs. On the Road with OntarioMD seminars are complimentary, and are accredited by the Ontario College of Family Physicians for two hours of Mainpro+ credits. Physi- cians can get additional support after the seminars by requesting a meeting with a Peer Leader at a mutually convenient time or doing a deeper dive of their EMR data with OntarioMD staff through the EMR Practice Enhancement Program (EPEP). OntarioMD is also currently working – in partnership with EMR vendors TELUS Health Solutions and OSCAR EMR – to develop an EMR-connected dashboard that will provide clinicians with real-time visual access to their patient data. The EMR Quality Dashboard initiative will allow clinicians to easily see their patient data measured against a range of recognized clinical indicators for chronic conditions, cancer and other health issues. A series of opioid-related indicators are also in development. In addition to providing a view of indicator data across a physician’s entire patient population, the dashboard will give physicians the ability to drill down to patient level data, enabling them to take immediate proactive steps by accessing lists of patients associated with each indi- cator. Also of significant clinical value to physicians will be the ability to opt in to trend and compare their aggregate indica- tor results over time with other dashboard users who’ve chosen to opt in to this fea- ture. This feature would allow physicians to see, for example, whether they have a higher percentage of patients on high dose opioids than their peers at any given time. Having that information available may lead a physician to consider whether they need to make changes to the pain manage- ment care of their patients. Planning is currently underway for a pro- vincial rollout. For More Information For more information about the Digital Health Drug Repository please visit this link: https://www.ehealthontario.on.ca/en/for- healthcare-professionals/digital-health-drug- repository. To find out more about OntarioMD Peer Leaders, EPEP or the On the Road with On- tarioMD seminars, visit ontariomd.ca. Ontario doctors can sign up for MyPractice at hqontario.ca. The reports go only to the e- mail address you provide upon registration, to help you understand your patients and how to support them. MD ISSUE 4, 2018 DIALOGUE 35