on which we are hos ting this meeting include the traditional territories of many nations .

We recognize that the many injus tices experienced by the Indigenous Peoples of what we now call Canada continue to affect their health and well-being. Even today, as we meet in this virtual s pace, many Indigenous communities face barriers of acces s to the internet and the opportunities it brings .

We res pect that Indigenous people have rich cultural and traditional practices that have been known to improve health outcomes .

I invite a ll of us to s tay mindful and reflect on this from the territories where you s it or s tand today, as we commit ours elves to gaining knowledge, forging a new, culturally s afe relations hip, and contributing to reconcilia tion.

We acknowledge that the lands

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Dr. Jane Charters will speak about receiving her CPSO QI letter and her subsequent experience…

With Dr. Darren Larsen as our moderator. We’ll have lots of time for dis cus s ion, s o pleas e as k your ques tions !

Today’s Session:

Dr. Anthony Train will share how data from his MyPractice Report grounded his improvement efforts…

Dr. Abhishek Raut will speak about CWC resources he was able to access to make his day to day practice easier…

How to Participate

Us e the Q&A window to as k ques tions to the panelis ts ; s ome ques tions will be ans wered verbally and s ome ans wers will be written directly in the Q&A window.

Q&A

Click “thumbs up” to up-vote ques tions you s ee on the lis t, to make s ure they’re ans wered

Us e the chat to s hare reflections or res ources .Chat

Please introduce yourself in the chat!

Your name,Your community,Your twitter handle

@OntarioCollege@ChoosingWiselyCanada

Panelist & Moderator Disclosures

Relationships with financial sponsors: • TELUS Health Care Centres - Chief Medical Director • Choosing Wisely Canada – stipend• Grants/Research Support: N/A• Speakers Bureau/Honoraria: N/A• Other: N/A

Dr. Darren Larsen (Toronto)Relationships with financial sponsors: • Ontario College of Family Physicians – panelist honorarium• Grants/Research Support: N/A• Speakers Bureau/Honoraria: N/A• Other: Canadian Taskforce on Preventive Health Care – Fellow

(2020-2022)

Dr. Anthony Train (Kingston)

Relationships with financial sponsors: • Ontario College of Family Physicians – panelist honorarium• Grants/Research Support: N/A• Speakers Bureau/Honoraria: N/A• Other: Appletree Medical Group (Medical Director)

Dr. Abhishek Raut (Toronto)Relationships with financial sponsors: • Ontario College of Family Physicians – panelist honorarium• Grants/Research Support: N/A• Speakers Bureau/Honoraria: N/A• Other: N/A

Dr. Jane Charters (Oakville)

This 1-credit-per-hour Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 1.0 Mainpro+® credits.The program is part of a series that has been certified for up to 4 Mainpro+ credits.

Mitigating Potential Bias

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• The Scientific Planning Committee (SPC) has control over the choice of topics and speakers.

• Content has been developed according to the standards and expectations of the Mainpro+ certification program.

• The program content was reviewed by the SPC.

Disclosure of Financial Support

Potential for conflict(s) of interest:N/A

This program not received any financial support.

This 1-credit-per-hour Group Learning program has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 1.0 Mainpro+® credits.The program is part of a series that has been certified for up to 4 Mainpro+ credits.

Learning Objectives

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• Upon completion of the Choosing Wisely in Primary Care Series, participants will be able to:• Describe how Choosing Wisely Canada recommendations and

resources can be used to meet CPSO QI Program requirements.• Identify resources available to support implementation of Choosing

Wisely Canada recommendations, including sources of data, change ideas relevant to primary care, and educational programs available to support implementation.

• Plan their next steps to get started with incorporating Choosing Wisely recommendations into their practice.

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QA vs QI

Ap p roa ch to Qua lity

Care provided in past Care yet to be provided

Audit Self-guided process of learning, measuring, and improving

Assessor Self, with coaching and support as needed

‘Ensure & verify’ ‘Trust & improve’

When

What

Who

CPSO

Evaluating performance Ongoing practice improvementGoal

Proactive Quality ImprovementReactive Quality Assurance

Ove ra ll Be ne fit s of the QI Ap p roa ch

Re fle c tive Prac tice Goal-se tting CPD cre d its

More fre que nt contac t with physic ians

Broade r im pact on quality of care

= PUBLIC SAFETY

Choosing Wisely Canada Recommendation

Don’t use antibiotics for upper respiratory infections that are likely viral in origin, such as influenza-like illness, or self-limiting, such as sinus infections of less than seven days of duration.

13https://choosingwiselycanada.org/campaign/antibiotics-primary-care/

Understanding your practice

10/05/2022

Understanding your practice

Quality Improvement Ideasfrom MyPractice Report 5/10/2022

https://choosingwiselycanada.org/toolkit/the-cold-standard/

19https://choosingwiselycanada.org/toolkit/the-cold-standard/

Learn more through your EMR

10/05/2022

Other Resources

10/05/2022

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Dr. Jane Charters With Dr. Darren Larsen as moderator

Discussion:

Dr. Anthony Train Dr. Abhishek Raut

For your reference

Tools & Resources

Links to res ources s hared today will be s ent to participants following the s es s ion.

Resources (to be shared after with links)Resource Type

Practice Resources • The Cold Standard | A Practical Approach to Managing Respiratory Tract Infections in the Era of COVID-19 and Virtual Care: How Can We Continue to Use Antibiotics Wisely in Primary Care?

Education • BC eCoach – module on antibiotic prescribing and the Cold Standard (3 credits per hour for a maximum of 8 hours – up to 24 credits)

• CFPC has developed a new 4-part module to help family doctors educate patients about what’s appropriate and inappropriate for managing a viral infection during the fall and winter in the time of COVID-19. Access the modules at CFPCLearn: https://cfpclearn.ca/. You can earn 1 Mainpro+ credit for each completed module (4 credits total). • Module 1: Influenza-like Illness, Bronchitis, and the Common Cold• Module 2: Acute Otitis Media• Module 3: Pharyngitis• Module 4: Sinusitis

• i4c brochure.pdf (ontariomd.ca)• Video overview of Dashboard: https://vimeo.com/494459724 or https://vimeo.com/494483217• OCFP – Practising Wisely (Practising Wisely: Reducing Unnecessary Testing and Treatment

(ontariofamilyphysicians.ca)• OCFP – Clinical Tools and Resources (Clinical Tools & Resources - OCFP (ontariofamilyphysicians.ca))

Practice Data • MyPractice Report: Data on your own performance and accompanying evidence informed change ideas to guide you to make improvement. Sign up HERE.• Antibiotic prescribing: Number of antibiotic treatments initiated per 1,000 encounters• Duration indicator: Proportion of antibiotic treatments that are longer than 7 days

With thanks to the Primary Care Working Group (a subgroup of the Choosing Wisely Ontario Steering Committee)

Choosing Wisely Canada

Dr. Darren Larsen Dr. Wendy LevinsonJoanna Wong

Ontario Health Stacey Bar-ZivKarine Baser

CPSO Mary BaylissDr. Ted EversonDr. Mary Manno

OMA Nathalie AssouadNicole Oentoro

OCFP Susan TaylorMina Viscardi-Johnson

Ontario MD Dr. Reza Talebi

AFHTO Bryn Hamilton

Direct Credit Entry

Pleas e help us make thes e s es s ions better by filling out the evaluation you’ll receive by email s hortly.

Do you want the OCFP to s ubmit your earned Mainpro+ credit directly into your Mainpro+ account?

Please email ocfpcme@ocfp.on.ca with your 6-digit CFPC number (Hint: Your CFPC # begins with a “6”).

Thank You!