VIRTUAL CARE IS HERE TO STAY

OntarioMD and the Ontario Medical Association are committed to helping raise awareness to physicians and their practices about tools that they might consider in supporting their patient community during the COVID-19 pandemic. While OntarioMD has not evaluated these tools and does not endorse one tool over another, we believe there is value in curating a list of tools to which OntarioMD has visibility based on our relationships and/or engagements with various provincial and national stakeholders. We encourage all practices to contact vendors directly for product-specific questions.

VIRTUAL CARE IS JUST CARE

During this time of COVID-19, you will likely need to think about three things using virtual tools:

  • 1. Screening of patients who are worried or ill
  • 2. Caring for patients with suspected COVID-19
  • 3. Caring for other patients in your practice with the intent of decreasing exposure to those who may be ill

WHAT CAN I DO?

Screening:

  • Use EMR-enabled tools to
    •        Assess illness (templated forms)
    •        Triage for care or screening (questionnaires)
    •        Clinical notes to record virtual visits
    •        Direct patients quickly to
      •             • Self care
      •             • In-office visit
      •             • Screening/testing facilities
      •             • Acute care facility (ER) when required

Care for patients with suspected COVID-19:

  • Use virtual means to keep contact with patients who have symptoms and who you are monitoring
  • Reassess patients virtually if worsening

Care for regular patients:

  • Use virtual care tools to avoid unnecessary trips to the office
  • Manage chronic disease
  • Managing other acute illness that may not require a physical exam

There are many virtual tools that can be used to help you provide the best care in a rapidly changing outbreak environment.

Any direct-to-patient telephone, telemedicine and video calling platforms can now be used as the work is remunerated with the new fee codes, rather than the platform you choose. This allows rapid and wide scaling of care that works best in your area.  When choosing, consider how easy the technology is for you to use, how easy it is for patients to use, how the technology can help you keep patient information private and secure, and that you must record the work in your medical record. Additional technical guidance may be provided by the Ministry to inform technology selection and this page will be updated to point to the information. Consider the right type of contact, for the right patient, at the right time, for the right problem. Video conferencing and phone calls are payable under the fee codes above, but email and texts to patients may also be useful for care, even if not discretely funded.

Unless you are using virtual care technologies where consent from the patient is handled at sign-up, you should ask patients for their consent.

Information vetted by OMA and OntarioMD legal teams and the CMPA has been created to make this easier. OMA Legal has prepared a short paragraph statement and information to provide to patients to initiate a Virtual Care patient encounter which has also been vetted by the CMPA. Click the blue button immediately below to view the statement.

Statement to Initiate a Virtual Care Patient Encounter

Virtual Care has some inherent privacy and security risks that your health information may be intercepted or unintentionally disclosed. We want to make sure you understand this before we proceed. In order to improve privacy and confidentiality, you should also take steps to participate in Virtual Care in a private setting, use an encrypted email service if available, and you should not use an employer’s or someone else’s computer/device as they may be able to access your information.

If you want more information, please check the [website/confirmation email/etc.]. If it is determined you require a physical exam you may still need to be assessed in person. You should also understand that virtual care is not a substitute for attending the Emergency Department if urgent care is needed. If you continue, you consent to the use of electronic communication to provide you with care, are you ok to continue?

Patients need only consent once for ongoing Virtual Care. This consent can be obtained by administrative staff in advance of the encounter.

Note: If Prescriptions are to be Sent by Email

CPSO, CNO, and OCP have made an exception to allow the use unencrypted email for the purpose of sending prescriptions to a pharmacist during the declared emergency. If you wish to use unencrypted email to send prescriptions to a pharmacist, then you must obtain the consent of the patient for this purpose that explains unencrypted email may not be secure.

You might ask:

“Do you consent, understanding that unencrypted email carries an inherent risk of disclosure to third parties, to the use of such email for the purpose of communicating your prescription with a pharmacist?”

You must also add a sentence to the record of consent in the EMR (below) indicating:

The patient’s consent was obtained to use unencrypted email for the purpose of communicating their prescription with a pharmacist.

More information to help support the consent process is available on the OMA’s virtual care page. We also suggest posting the following information to your website, in your office, or making it available to patients and adapting it for when you explain it to them. Click the blue button immediately below to view this information:

Detailed Information to Make Available to Patients

The more detailed information below is included for your use and must be made available to patients:

COVID-19 is placing stress on Canada’s public health system. Our clinic is starting to offer virtual care to make sure that we can continue to care for our patients safely and effectively. This means that we will be using electronic communications for some patient visits rather than asking all patients to come into our office. Some of these technologies are provided by the Province. Others have been provided by vendors such as Google, or Apple to help make discussions with your care provider as easy as possible during these difficult times. Some health concerns can be addressed with virtual care alone, but in some cases your doctor may ask you to visit a hospital or other health-care facility, if necessary, for a physical examination.

We do our best to make sure that any information you give to us during virtual care visits is private and secure, but no electronic communications tools (such as audio, video, email, text) are ever completely secure. There is an increased security risk that your health information may be intercepted or disclosed to third parties when using such electronic communications tools. To help us keep your information safe and secure, you can:

• Understand that electronic communications (such as audio, video, email, text) you receive are not secure in the same way as a private appointment in an exam room.

• Use a private computer/device (i.e., not an employer’s or third party’s computer/device), secure accounts, and a secure internet connection. For example, using a personal and encrypted email account is more secure than an unencrypted email account, and your access to the Internet on your home network will generally be more secure than an open guest Wi-Fi connection.

You should also understand that virtual care is not a substitute for in-person communication or clinical examinations, where appropriate, or for going to an Emergency Department when needed (including for any urgent care that may be required).

If you are concerned about using electronic communications for virtual care, you can ask our office to attempt to arrange a potential alternative. However, please note that visiting a health care provider in person comes with a higher risk of coming into contact with COVID-19 and the possibility of spreading the virus.

By providing your information, you agree to let us collect, use, or disclose your personal health information through video, audio, email, or text communications (while following applicable privacy laws) to provide you with care. In particular, the following means of electronic communication may be used [(identify all that apply): audio, video (including Skype, Facetime, etc.), email, text, etc.].

You should also record that verbal express consent was obtained when using a product that does not have explicit health care consent.

Paragraph to Make a Note in Your EMR

The following paragraph was constructed for inserting into an EMR during (or in advance) of a virtual care encounter:

Informed consent was obtained from this patient to communicate and provide care using virtual care electronic communications tools. [(If you are using email for prescriptions) The patient’s consent was obtained to use unencrypted email for the purpose of communicating their prescription with a pharmacist.] This patient has been explained the risks related to unauthorized disclosure or interception of personal health information and steps they can take to help protect their information. We have discussed that care provided through electronic communication cannot replace the need for physical examination or an in person visit for some disorders or urgent problems and patient understands the need to seek urgent care in an Emergency Department as necessary.

HOW CAN I DO THIS?


OHIP has issued two recent InfoBulletins pertaining to virtual care. InfoBulletin 4745 details changes to the Schedule of Benefits for Physician Services (Schedule) in response to COVID-19 influenza pandemic effective March 14, 2020. InfoBulletin 4746 covers billing for virtual physician services and technical guidance.


Ontario Health (Digital Services) has created instructions for physicians on how to get ONE ID credentials to use provincial digital health systems such as the OTN virtual care tools. Physicians can visit the CPSO website to get ONE ID credentials or check to see if you already have them.


Ontario Health (Quality) has created a guidebook with OTN on best practices for bringing virtual care into your clinic. You might find it helpful. It can be found here.

VIDEO VISIT PLATFORMS CREATED FOR MEDICAL CARE:

Unless you are using virtual care technologies where consent from the patient is handled at sign-up, you should ask patients for their consent.


OTN Direct-to-Patient Video Visits (eVisits) (through OTNinvite)  

Connect securely with patients via video, to a local health care centre near the patient, or direct to the patient’s device.

Quick Reference Guide: Distinguishing between ‘Direct-to-Patient Video Visits’ and ‘eVisit Primary Care’

OTN offers clinical and technical resources and updates to support COVID-19 and the use of virtual care as well as virtual visit solution guidance.

OTN also offers remote Monitoring and Virtual Palliative Care.

The OMA has consolidated OTN information for physicians on how to register for OTN virtual care tools and billing changes that come into effect on April 1, 2020 as outlined in the Ministry of Health’s Virtual Care Billing Information Manual.


Think Research VirtualCare – OTN Vendor of Record (EAPC)

A secure platform that allows healthcare providers to host virtual visits with patients over secure video, audio or chat.


iTelemed Canada Telemedicine Group (CTG)

A full solution Software, Hardware, Tech Support and training provider, connecting Patients with Physicians, Care givers & Providers remotely. We fully enable Doctors to remotely care for patients, whether from our physical locations or home offices.


Adracare

Transition or expand your practice through secure, online video visits.


Cloud DX

A platform that includes secure privacy-compliant 2-way video chat, powered by Zoom. The Cloud DX mobile app includes the video component, ready to go, while the clinical dashboard includes access to the HIPAA-compliant Zoom plugin, for a complete solution. 


Doxy.me

Features high quality HD video and audio to ensure you and your patient have the best experience possible. No downloads, no plugins, nothing to install. Doxy.me automatically works in most popular browsers and is mobile-friendly. Automatically keeps track of the date, time, and duration of every session so you don’t have to.


InputHealth Collaborative Care Record

Secure web and mobile based virtual care solution offering: online booking, customizable intake/follow-up assessments (Qnaires), HD video visits, built-in patient portal with secure messaging, integrated charting + billing + scheduling, as well as configurable patient workflow and outcomes tracking tools. 


Insig (integrated with EMR Advantage)

A virtual care solution that directly integrates with EMR Advantage and allows a medical practice to offer phone, video and messaging appointment to patients.


Livecare (CloudMD)

Part of the CloudMD suite, an EMR-agnostic telehealth solution developed by Canadian physicians to give patients access to quality, real-time healthcare regardless of location; EMR integration is not required. A scheduler/clinic workflow dashboard and end to end encryption are built in. The platform enables a virtual clinic that patients can access for free, allowing them to see a physician in real-time from their smartphone or desktop device without the need for an app. For physicians, a free 30-day trial is available.


LIVI Connect

Meet patients by video instead with Livi Connect – a new tool which is safe, secure and free forever. Allowing healthcare professionals to treat their patients remotely by video. 


Medeo (integrated with Accuro EMR)

An integrated digital health patient engagement tool available as a mobile app or web-based tool. Medeo enables patients to use their mobile devices to securely message their provider, attend virtual calls, and book appointments with their providers.


MediSeen

Offers physicians free access to our secure virtual care platform with the ability to launch same-day. Physicians can assess patients, securely online.


MyHealthAccess

A virtual patient portal solution from CloudMD, integrated with Juno EMR, that allows a medical practice to provide patients with: (i) the ability to schedule appointments; (ii) secure messaging; and, (iii) direct access to video consults with health professionals.


Novari eVisit

Novari Health has partnered with OTN to enable participating health care professionals and participating patients to have virtual appointments. The Novari eVisit system uses both the web and mobile apps (Android & iOS) to allow patients and health care professionals to communicate through secure video, audio and messaging. The technology is secure and compliant with privacy legislation.


OnCall Health

Offers physicians virtual care engagement tools (secure video conferencing, secure instant messaging, secure file sharing, screen sharing, etc.) to expand the reach of their practices.


OPTT

OPTT equips healthcare providers with predesigned, diagnosis-specific and clinically validated therapy content, and advanced care delivery technology. Using OPTT, supervised, asynchronous, digital CBT could be delivered in as short as 15 minutes, or video sessions could be scheduled for more comprehensive care. This service for free for the next six months. OPTT has also developed modules for 2020, including one on COVID-19.


REACTS

Reacts is simple and secure virtual collaboration tool which enables health care professionals to connect among them and with their patients for video visits, instant messaging, and remote assistance. Professionals can easily and rapidly onboard their patients on Reacts to provide secure virtual consultations.


TELUS EMR Video Visits

Allows you to schedule and conduct a video visit and live chat with a patient. TELUS EMR Video Visits is being piloted this week in targeted clinics and will be available for gradual roll-out the week of March 30, 2020. EMR Video Visits will be available free of charge for 4 months from activation for customers who sign up before May 31, 2020. Watch the video on how to treat your patients remotely from your PS Suite EMR with TELUS EMR Virtual Visit.


VirtualClinic+ (Works with any EMR. Integrates to OSCAR) 

Voice and Video PHIPA compliant telehealth platform for both practitioners with attached patients and those doing virtual walk-in. Can be used by physicians operating on any EMR platform but if you are a physician or clinic operating on an OSCAR EMR, VirtualClinic+ provides additional capabilities that allow you to operate your telehealth practice in a manner that is fully integrated with your EMR.


TECHNOLOGIES NOT TRADITIONALLY USED IN HEALTH CARE:


There are also tools that can be leveraged for your practice to enhance the flow of patients, enable their care at home, or the ability for you to communicate with them.  Some are offered by EMR vendors and some are stand alone.  All below have stated they are PHIPA compliant, and consent for use is collected by the tool on patient sign-up.

DIRECT-TO-PATIENT VIRTUAL AND DIGITAL TOOLS FOR PRACTICE:

Adracare

Adracare provides a virtual-first platform with practice management and patient engagement tools. It’s simple – we offer a secure virtual care solution that seamlessly lets physicians and allied health professionals connect with their patients.


Babylon (TELUS HEALTH SOLUTIONS)

A primary care virtual care service that is already operational in B.C. and Alberta for the public, and also available in Ontario for employers. In addition to being accessible as an employee benefit, patients can sign on and pay out of pocket.


BEACON (MindBeacon)

MindBeacon’s BEACON product is a digital mental health platform that provides assessment, optional diagnosis and personalized treatment. Through evidence-based, digitally delivered cognitive behavioural therapy, BEACON helps people feel and function better, including symptoms relating to depression, anxiety, panic, health anxiety, insomnia and PTSD. Stronger Minds by BEACON is a free digital program designed to help Canadians stay resilient during COVID-19.  Visit www.mindbeacon.com/strongerminds to learn more.


Togetherall (formerly Big White Wall)

Togetherall (formerly Big White Wall) is a digital healthcare company. It delivers personalized support and recovery pathways to improve mental health and related conditions via a safe and engaging collaborative platform of peers, professionals and evidence-based digital partners.


BrightSquid (integrated with TELUS EMR)

Secure messaging for provider-to-provider and patient-provider.


Chronometriq (integrated with TELUS EMR)

Chronometriq offers online appointment booking, an online COVID screening tool, digital patient communication and reminder services,  and a digital waiting room app so patients can wait for appointments outside of the clinic maintaining  “Social Distancing”. All of these tools are integrated with TELUS EMRs and Accuro EMR.


Cliniconex

Communicate with patients on their preferred devices via voice, text or email notifications to remind them of appointments, Wait Room Management, Health Quality Improvement.


Cloud DX

Downloadable patient app includes a digital survey and temperature record to monitor patients and perform virtual screening. Clinical dashboard offers virtual (Zoom-based) video visits, secure text messaging and population management tools. Automated Notification emails are generated if symptoms are detected. 


DSG Secure

A secure messaging platform that allows physicians and patients to communicate online, in a safe and encrypted environment. Communication through DSG Secure can supplement in-office appointments or replace questions that would previously have been asked over the phone.


Empower Health (integrated with OSCAR EMR)

EMR-integrated online appointment booking, automated appointment reminders, walk-in clinic wait-time calculator, wait room management, and National Directory of Healthcare Facilities/Professionals/Services to support Referrals.


Health Espresso

Health Espresso is a cloud based, secure, connected, patient-centred platform for authorized healthcare professionals to set up a Digital Patient Profile, build and communicate Digital Care Plans. Health care partners can access real time patient vitals, medication adherence and view pertinent updated clinical encounters through its (iOS or Android) mobile app. Health Espresso is video capable and supports a built in Physician-Patient e-Visits or can integrate with OTN.


Health Myself (integrated with TELUS EMR)

Patient Portal (including patient messaging, appointment reminders, broadcasts), mobile self check-in, eBooking, E-Forms.


iMD Health Patient Education Platform

Medically-vetted, trusted information on COVID-19 (+2,100 other medical topics); the platform offers an easily searchable database of patient-friendly content while filtering out misinformation and “Dr. Google”. Materials can be easily sent to patients via secure, private email so as to enable telehealth information sharing. A public version of the site is also available for patients looking for general information.


MyHealthAccess

A virtual patient portal solution from CloudMD, integrated with Juno EMR, that allows a medical practice to provide patients with: (i) the ability to schedule appointments; (ii) secure messaging; and, (iii) direct access to video consults with health professionals.


Ocean by CognisantMD (integrated with TELUS, Accuro and OSCAR EMR)

Ocean by CognisantMD offers a range of EMR-integrated patient engagement and eReferral solutions. With a library of thousands of patient forms including Coronavirus Screening, Ocean allows patients and healthcare providers to securely share health information using Online Booking, Check-in Kiosks, Patient Tablets, Patient Messages, Patient Reminders, Website Forms and Ocean Studies 


Telesense Canada

A telehealth provider enabling a true digital health platform that delivers next generation telemedicine point of care direct to patients, clinic, and hospitals. The benefits of real time telemetry enables medical professionals to take advantage of a complete vital assessment remotely.


The MEMOTEXT CV-19 Rapid Screener

A customizable screening tool to allow clinics/providers to adjust recommendations in real time based on guidelines and patient volumes. The MEMOTEXT version is updated as new guidelines become available.  Accessible by SMS or web and in use text CORONASCREEN to 89873.


VirtualClinic+ (Insig) (Works with any EMR. Integrates to OSCAR) 

Voice and Video PHIPA compliant telehealth platform for both practitioners with attached patients and those doing virtual walk-in. Can be used by physicians operating on any EMR platform but if you are a physician or clinic operating on an OSCAR EMR, VirtualClinic+ provides additional capabilities that allow you to operate your telehealth practice in a manner that is fully integrated with your EMR.


Wellx

Send information to your patients securely and as quickly as sending an email. You and your team can ensure that the right person responds at the right time to patient messages. Wellx is designed for solo, group and multidisciplinary practice.


WelTel Health

Text-based Virtual Care for COVID19 monitoring, surveillance & support.


VIRTUAL CLINICS AVAILABLE TO THE PUBLIC:

Akira (TELUS Health Solutions)

Offers COVID-19 Online Assessment and Tele-Triage.


Access Virtual 

Video visits with the family doctors or specialists, and other health professionals from where patients are most comfortable using their computer, iOS or Android device. A fee may apply if the service is not covered by a provincial health insurance plan.


Ask the Doctor

Patients can connect with physicians in over 25+ specialties to help solve simple or complex medical issues for a monthly subscription fee.


CloudMD

Through a free-to-use downloadable app, patients can request a telehealth consultation with a Canadian doctor for a range of medical services (including ePrescriptions) from their phone, tablet or computer.  Currently available in BC and Ontario, will be available in other provinces soon.


go eVisit SmartExam

Patients can connect 24/7 with medical practitioners using any mobile device; securely, privately and confidentially for a fee.


LinkedHealth

Multidisciplinary clinic with medical and surgical subspecialists who provide rapid assessments and consultations through a PHIPA-compliant telehealth platform. The clinic offers “direct-to-patient” virtual video consultations and also the ability to see patients in person when required.


Maple

Patients can request a consultation with a Canadian doctor for medical care from their phone, tablet or computer – any time, 24/7 for a fee.


MediCall

Currently provides patients with OHIP-covered secure videos visits and real time chat with doctors for a variety of medical issues. We can provide requisitions for blood work, imaging and prescribe medications. More important, we always try to loop the patient’s family doctor into their care.


TELADOC

Patients can access a Canadian-licensed physician 24/7 by app or phone from anywhere to get medical treatment for non-emergency conditions.


tia.Health

A website to allow patients to access to physicians by phone, video or secure messaging for a fee.


VirtualClinic+ (Works with any EMR. Integrates to OSCAR) 

Voice and Video PHIPA compliant telehealth platform for both practitioners with attached patients and those doing virtual walk-in. Can be used by physicians operating on any EMR platform but if you are a physician or clinic operating on an OSCAR EMR, VirtualClinic+ provides additional capabilities that allow you to operate your telehealth practice in a manner that is fully integrated with your EMR.


EMRs have other workflow assistance built into their core functionality that can assist with working virtually. Here is a sample of what they may offer:

OntarioMD CERTIFIED EMRs:

ABELMed EHR-EMR/PM (AbelSoft Inc.)

Secure Patient Messaging and Notifications – Physicians can communicate securely with patients registered on ABELMed Portal from the integrated Web Messaging inbox in ABELMed. Patients login to their ABELMed Portal account to view and send secure messages to their physician. Either party can initiate a messaging thread. Providers can also send regular email and text messages to individuals or groups of patients directly from ABELMed.

Digital Patient Forms and Documents – Providers can use ABELMed Portal to send electronic forms (e.g., COVID-19 screening form) to patients to complete and return online for automatic integration into ABELMed. Providers can easily and securely send patients electronic documents like lab requisitions, patient education information, exercise plans, etc.

Online Appointment Booking – Patients can request, reschedule or cancel appointments online based on your office policies using ABELMed’s patient portal. Office staff are required to approve any scheduling requests and changes.

Online Medications and Results – Patients can conveniently and securely view their medications, request renewals, and view lab results online via ABELMed’s patient portal.

ABELMed Mobile – When you need it, your valuable information is as close as your smartphone or tablet. ABELMed Mobile allows physicians to remotely view their scheduled appointments along with patient demographics, medications, and allergy information. 


Accuro® EMR (QHR Technologies Inc.)

Medeo – An integrated digital health patient engagement tool available as a mobile app or web-based tool. Medeo enables patients to use their mobile devices to securely message their provider, attend virtual calls, and book appointments with their providers using Accuro.

Online Booking – Gives your patients power over their own time while securely managing yours. Spend less time on the phone and more time running your practice.

Secure Patient Messaging – Message your patients from Accuro EMR. Share comments, results, and documents. Messaging is ideal for follow-ups, lab result reviews, and post-op consultations that don’t require an in-person visit. Only providers can initiate and close a message thread.

Secure Video Visits – Provide video appointments for chronic care, injury and pain management follow-ups, include other providers, and securely reduce barriers due to distance or patient mobility issues.


Avaros

Avaros Secure Video Chat – With Avaros Secure Video Chat, you can conduct video appointments with your patients directly from the EMR. You can also take notes in the patient’s chart and send relevant documents to the patient during the appointment.

Avaros Appointment Reminders – With Avaros, you can send Appointment Reminders to your patients via email or text. Patients will be able to confirm or cancel the appointment.

Avaros Secure Patient Messaging – Avaros’ Secure Patient Messaging feature allows users to send secure messages and documents to patients. Patients can securely retrieve documents and reply or confirm receipt of the message.

Avaros eForms Generator Avaros’ eForms Generator allows users to quickly turn commonly used forms into auto-fill eForms.


EMR Advantage® (Canadian Health Systems Inc.)

Insig – A virtual care solution that directly integrates with EMR Advantage and allows a medical practice to offer phone, video and messaging appointment to patients.


IndiviCare

Communicate – This clinician controlled service allows you to send and receive secure electronic messages from your patients. All information is encrypted and secure at all times and is embedded in the patient’s chart. You can forward lab reports to your patient with the click of a button. If you wish to discuss the lab results with the patient electronically, the secure messaging application embeds this capability. Similarly, Communicate give your clinic the option to provide a patient-initiated secure messaging connection to a physician. 

Notify – Leveraging the power of Indivica’s network technology, IndiviNet, Notify is a native IndiviCare application that integrates appointment notifications and batch patient mailings into the standard IndiviCare EMR workflow. Notify allows, in the case of an outbreak such as COVID-19, an immediate bulk communications tool between the physician and their roster of patients.


Med Access EMR and PS Suite EMR (TELUS Health Solutions)

AkiraOffers COVID-19 Online Assessment and Tele-Triage.

BabylonA primary care virtual care service that is already operational in B.C. and Alberta for the public, and also available in Ontario for employers. In addition to being accessible as an employee benefit, patients can sign on and pay out of pocket.

Digital patient forms: Enable patients to conveniently complete forms (including COVID-19 screening forms) online and update their personal information prior to their appointments to save time in the clinic.

EMR Mobile: Remotely connect to your EMR using a mobile device, anytime, anywhere. Access patient and clinic information, manage labs, document symptoms, and more.

MedDialogProvider-to-provider communications: From your EMR, exchange and store unlimited digital and eFax communications with health care professionals outside your clinic for continuity of care.

Online Booking: This can be leveraged for booking multiple modes of appointments, including phone appointments with patients in a situation where in-clinic appointments are limited. Can be combined with COVID-19 bulletins and pre-screening forms.

Remote Patient Check-in: Empower patients to manage their own check-in, update information, and complete forms through a smartphone or kiosks to help limit contact with patients and staff members.

Secure Patient Messaging: Stay connected to patients with private messaging and patient broadcasting through a web-based, customizable portal.

TELUS EMR Virtual Visit is an easy-to-use, EMR-integrated feature that allows you to conduct virtual visits and live chat with patients – from your desktop EMR, smartphone or tablet. 


OSCAR McMaster – Professional Edition (WELL EMR Group Inc.)

At its core, OSCAR Professional McMaster Edition (OSCAR Pro), is the same OSCAR you know and use. It includes all the same great features you have grown accustomed to but with some added benefits. Namely, unparalleled support services, exceptional security and safety, a modernized interface, plus your choice of additional features designed to enhance your OSCAR experience even further. Click here to get started (Note links to Kai Innovations provider of OSCAR Pro).

VirtualClinic+ – (Integrates seamlessly with OSCAR. But can be used in conjunction with any EMR) 
Voice and Video PHIPA compliant telehealth platform for both practitioners with attached patients and those doing virtual walk-in. Can be used by physicians operating on any EMR platform but if you are a physician or clinic operating on an OSCAR EMR, VirtualClinic+ provides additional capabilities that allow you to operate your telehealth practice in a manner that is fully integrated with your EMR.


COVID-19 TOOLS FOR EMRs:

Following are some digital tools available in TELUS PS Suite, OSCAR, and Accuro EMRs designed to assist with COVID-19 documentation.  We’ve included instructions to help you access them within your EMR.


Accuro EMR COVID-19 Tools: Go to Form Publisher in Accuro to Access


OSCAR EMR COVID-19 Tools:


TELUS PS Suite EMR COVID-19 Tools:



We are here for you! OntarioMD’s i4C Advisory Services can assist with redesigning office workflows to support virtual care, and to customize EMR tools to assist with managing the COVID-19 pandemic.  To connect with a Practice Enhancement Consultant, contact support@ontariomd.com


OTHER RESOURCES:

OMA website (login required)

Information and resources to keep physicians safe, including an informational chart that explains the processes to assess patients with possible coronavirus symptoms.


Ontario Ministry of Health website

Information about the virus for providers and patients.


Ontario eConsult Program

OTN and the eConsult Centre of Excellence have created a COVID-19 BASE™ managed eConsult specialty group for physicians and nurse practitioners to ask clinical questions to infectious disease specialists electronically and receive a response within days. The COVID-19 specialty group is accessed through the BASE™ managed specialty option and listed under Infectious Disease and Public Health. For non-patient specific questions please enter the patient information as:

First Name: COVID19

Last Name: COVID19

Date of Birth: 1900-01-01

Select OHIP number not available


Canadian Medical Association

The CMA is working with the Public Health Agency of Canada, provincial and territorial medical associations, and the Council of Chief Medical Officers of Health to share the most up-to-date and reliable COVID-19 resources with physicians and patients and to provide guidance on how to set up virtual care in your practice.


Empower Health

National patient navigation health care options websites and mobile apps http://iamsick.cahttp://holidayhours.cahttp://myflushot.canational COVID-19 resource and information about all COVID-19 assessment centres.


Insig

Free COVID screening questionnaires for use by any EMR user.


InTouch Health

Rated the #1 Virtual Care Platform for the third consecutive year by KLAS Research, InTouch Health offers an array of purpose-built telehealth devices and a scalable software platform for any use case and healthcare environment. In Canada, our solution provides a virtual-first strategy to rapidly respond, evaluate, and minimize the risk of spreading infectious diseases by keeping the healthy at home and virtualizing existing patient care. Just as we did for British Columbia’s Provincial Health Services Authority, we can deploy our cloud-based software quickly and cost effectively to enable end-to-end care, as well as a virtual COVID-19 questionnaire.


PageMe

PageMe is a PHIPA compliant mobile app that allows physicians to use their phones to text about patient care with colleagues and share images.  Old style pagers are antiquated, and regular texting or social media violate privacy statutes.  PageMe lets the user seamlessly communicate about patient care on their phone, but in a compliant manner.


Petal MD

Reduces the time of creating and maintaining schedules by up to 80%, plus swap shifts with your fellow physicians. Gain real-time access to the most up-to-date schedule. Share critical information with team members via secure messaging.


PrimaryON.ca

PrimaryON.ca identifies and helps provide solutions to the internal and external barriers that have historically limited the ability of FFS, FHG and CCM doctors in being able to actively engage in primary care planning, coordination and delivery. New resources include Safe Return to School Toolkit, Safely Restarting Your Primary Care Clinic, PPE resources, and more.


Public Health Ontario website

Information about current outbreaks of infectious diseases in Ontario.


ShareSmart

ShareSmart is a free and secure clinical mobile application that enables healthcare professionals to use their own smartphones securely to take photos and discuss patient cases with colleagues. ShareSmart proudly meets and exceeds all local and global privacy regulations and guidelines making it the number one choice of doctors worldwide.


Telehealth Ontario

24-hour medical advice for patients by phone.


Virtual Care Resources for Canadian Physicians 

A province-by-province list of virtual care resources for physicians.


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