Click here to access the list of tests and treatments commonly used that are not supported by evidence, and/or could expose patients to unnecessary harm, as developed by Canadian national societies representing a broad spectrum of clinicians.
Success in getting patients on board with evidence based investigations and treatments, and avoiding unnecessary over prescribing and tests begins with a good conversation. These video links can help you get started.
Click here to access a toolkit for primary care providers on Implementing Health Checks for Adults with Developmental Disabilities.
Click here to access the referral form: Health Links Conmon Referral Form (Fillable)
Poverty: A Clinical Tool for Primary Care
Poverty requires intervention like other major health risks: The evidence shows poverty to be a risk to health equivalent to hypertension, high cholesterol, and smoking. We devote significant energy and resources to treating these health issues. Should we treat poverty like any equivalent health condition? Of course. Learn more about ways to address poverty in primary care here: Poverty - A Clinical Tool for Primary Care
Health Line – A Directory of Social Supports and Resources in the Mississauga Halton Region
Medical Office Staff Resources - Mississauga Halton Health Line
The MAID Tool, available from the Centre for Effective Practice, is intended to provide additional guidance to clinicians on MAID provision and process. The tool may be directly accessed through the following link: https://thewellhealth.ca/maid/
Dr. Bill Wong's presentation to the Primary Care Network, April 18, 2017: MAID_PCN2017
Mental Health Collaborative
This mental health collaborative resource has a plethora of resources for child and adolescent mental health issues such as screening questionnaires and treatment guidelines.
One-Link is a single point of access for referrals to 10 Addiction and Mental Health Service Providers funded by the Mississauga Halton Local Health Integration Network.
One-Link enables coordinated, equal access to make it possible for clients and families to receive the right care, at the right time and in the right place. By eliminating the guesswork and confusion about where one should go, the one-Link referral process will make it easier for people to get to the right service provider and allow for supports when there is a wait time.
Referrals can be faxed to 905-338-2878 from any primary care physician whose practice or client resides within the Mississauga Halton LHIN boundaries.
For more information or to register, please call: 1-844-216-7411 (toll free)
Psychiatry in primary care
Psychiatry in Primary Care is intended to meet some of those needs in a practical and actionable way. It minimizes dry information about etiology and pathogenesis to focus on what primary care health professionals can ask, do, and recommend. Click here to access the resource.
Managing CV Risk While On Anti-Psychotics
From the Early Psychosis Intervention Ontario Network (EPION)
List of metabolic tools/resources for professionals: http://help4psychosis.ca/tools-and-resources/metabolic-monitoring-tool/
Specific Antipsychotics and Cardio metabolic-Risk-Management Tool
Ottawa Depression Algorithm
The Mississauga Halton LHIN Home and Community Care provides a variety of home and community-based services to help patients with acute or chronic conditions.
The team of professionals includes nurses, occupational therapists, physiotherapists, dietitians, speech language pathologists, social workers and personal support workers. Care may be provided in the home, in a clinic setting or at an alternative community service
How do I refer a patient to Home and Community Care?
- Call 310-2222 (no area code required)
- Complete and fax referral form below to 905-855-8989 or 1-877-298-8989
To find out more about how the Mississauga Halton LHIN Home and Community Care can help your patients and physician OHIP billing codes, click here.
A new resource available for Primary Care Providers has just been released regarding patients with medically-refractory epilepsy by Critical Care Services Ontario. The document provides an approach to the management of patients with medically-refractory epilepsy in whom surgical treatment is not an option, including evidence-based treatment such as pharmacotherapy, ketogenic diet and neurostimulations.
Click here to view the document: Provincial Guidelines for Management of MRE in Adults and Children who are not candidates for Surgery
To view epilepsy quick facts and the surgery patient pathway, click here: Epilepsy Snapshot-Provincial Guidelines for Management of MRE in Adults and Children who are not candidates for Surgery
The Osteoarthritis (OA) Tool has been developed for primary care providers who are managing patients with new or recurrent joint pain consistent with OA in the hip, knee or hand. This tool will help clinicians identify symptoms and provide evidence-based, goal-oriented non-pharmacological and pharmacological management while identifying triggers for investigations or referrals.Click Here to Access the Tool
Palliative Care Toolbox
The Palliative Care Services Referral Form combines the referral of adult patients to palliative care services and nurse practitioner referral.
Advanced Practice Nurses/Nurse Practitioners Care Program
Eligibility Criteria: Patients with palliative care needs regardless of diagnosis and prognosis (Patient can be on community or palliative caseload)
APN/NP can assist the primary care team with:
- Complex or refractory pain and symptom psychosocial management (e.g. pain, nausea, dyspnea, anxiety)
- Complex needs of patients and their family during life transitions
- Address end-of-life planning, hospice, transition and patient focus
Mississauga Halton Hospice Palliative Care
Mississauga Halton and Central West Palliative Care
Residential Hospices in the region
- Bethell Hospice - Bethell House
- Carpenter Hospice
- Darling Home for Kids
- Dorothy Ley Hospice
- Ian Anderson House
Hospice Palliative Care Ontario
The National Pain Centre has put together an approach to Chronic Pain Management to help physicians manage this sometimes challenging area of medicine. Included are guidelines and resources on initiating, monitoring, contracting when using opioids to manage pain.
Patient empowerment in management of their chronic pain and responsible opioid use may benefit from the use of the My Opioid ManagerTM that patients can download on their devices.
For those wishing to expand their internal expertise on chronic pain management through a multi-disciplinary expert panel with case-based learning, project ECHO conducts 12 weeks, CME applicable learning modules several times throughout the year.
- Centre for Effective Practice offers a focused clinical decision making tool for diagnosis, imaging utilization and treatment for back pain founded in evidence based medicine
Public Health provides timely, accurate and relevant public health information (medical advisories, news, and alerts) as well as services to assist physicians.
Public Health Information for Physicians
Physician Update Memos
The Ontario Renal Network’s KidneyWise Clinical Toolkit
The KidneyWise Clinical Toolkit is available for primary care providers to support the care of patients with suspected or chronic kidney disease. Visit kidneywise.ca to access the toolkit and download the mobile app for iPhone and Android. The toolkit includes:
- An evidence-based clinical algorithm that helps identify and manage chronic kidney disease.
- An evidence summary, offering further clinical detail regarding the algorithm content.
- An Outpatient Nephrology Referral Form for PCPs outlining scenarios that would require consultation with a nephrologist.
The app can also be integrated into EMR systems using this link: https://kidneywise.renalnetwork.on.ca.
REACT: Cancer patients who are experiencing complications within 30 days of their treatment now have an alternate to visiting the emergency department at Credit Valley Hospital. In November 2015, Trillium Health Partners opened a new REACT (rapid evaluation and assessment of cancer treatment) clinic in the Chemotherapy Clinic at The Carlo Fidani Regional Cancer Centre at Credit Valley Hospital.
Partner Hospital Programs in the region
The Regional Cancer program has developed easy to access information from screening to treatment and survivorship or palliative care. View this cheat sheet for referral criteria help: DAP Referral Criteria and Cheat Sheet
- Referral Forms
- Prevention Toolbox
- Screening Toolbox
- Diagnostic Toolbox
- Treatment Toolbox
- Survivorship Toolbox
- Palliative Care Toolbox
Osteoporosis Canada has compiled the latest guidelines for osteoporosis diagnosis, prevention and treatment in multiple media formats including videos, slide decks and handouts useful for primary care, as well as a quick office reference guide.
There is also a handy reference guide for your patients around exercise in prevention and after diagnosed with osteoporosis.
- Falls Prevention
This quick algorithm helps you screen and do an initial assessment of patients at risk for falls.
The Mississauga Halton LHIN, in partnership with Acclaim Health and Bayshore Therapy & Rehab provides FREE exercise, falls prevention and osteoporosis programs. Call this self-referral number for more information or to register for a class: 1-877-696-1620.
- Adult Day Programs
Adult Day Programs provide interesting activities in the community for people with physical or cognitive challenges, as well as people with Alzheimer's disease and related dementias. The programs offer care staff relief, social opportunities and the goal of maintaining function.
Call the Mississauga Halton CCAC at 310-2222 (no area code required) to be referred to your choice program.
- Continence Clinic
Learn more about continence clinics through this Continence Clinic Brochure.