OHIP has InfoBulletins pertaining to virtual care. Please visit the OMA Agreement on Temporary Virtual Care K-Codes page for more information. On October 9, 2020, the Ministry of Health and the OMA reached an agreement to temporarily fund payments that are equivalent to the rates in the Schedule of Benefits for Physician Services for eligible premiums when related to the provision of the temporary virtual care K-code services and introduced New Temporary Virtual Care K-Code K084A. On July 30, 2021, the Ministry extended the K-codes that fund virtual care and other COVID-19-related physician funding to September 30, 2022. Please review InfoBulletin 210704 for details.


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.


Unless you are using virtual care technologies where consent from the patient is handled at sign-up, you should ask patients for their consent. Please see the sections above (Statement to Obtain Consent to Initiate a Virtual Care Patient Encounter, Detailed Information to Make Available to Patients, and Paragraph to Make a Note in Your EMR)


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 came 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 Virtual Visits

Used by healthcare professionals across the country to easily schedule and conduct virtual video visits, TELUS EMR Virtual Visit lets you access patient information, update patient records, receive and file images, and live chat with your patient simultaneously – right from your Med Access or PS Suite EMR. Watch the following tutorial videos to learn how to book and conduct virtual visits: PS Suite booking virtual visit tutorial – PS Suite starting virtual visit tutorial (French) – Med Access booking virtual visit tutorial – Med Access starting virtual visit tutorial.


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.



There are also other tools you can leverage for your practice to enhance the flow of patients, enable their care at home, or allow you to communicate with them.  Some are offered by EMR vendors and some are stand alone.  All the tools below have stated that they comply with Ontario’s Personal Health Information Protection Act (PHIPA), and consent for use is collected by the tool upon patient sign-up.


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

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)

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

It is the OMA’s position that doctor’s notes for clearance to return to work or school are not an appropriate use of primary care resources, especially while COVID-19 causes unprecedented strain on the health care system. Nevertheless, if you receive a request for a COVID-related doctor’s note, your obligations under the CPSO’s Third Party Reports Policy still apply. For more information see the OMA’s COVID-Related Doctor’s Notes Toolkit.

Sample language for exemption for wearing a mask in public

For requests for exemption from wearing a mask in public places, the following sample language may be used. Where applicable, add any detail necessary given the circumstances relevant to the situation.

I attest that based on my knowledge of the patient and the information available to me, [PATIENT NAME] has a condition that prevents him/her from wearing a mask.

Sample language for clearance to return to work or school

The OMA has developed a patient attestation form for members to share with their patients. This form is adapted from a version previously shared by the OMA Pediatrics Section.

If a patient requests a clearance note, engage them in a conversation about the potential drawbacks of a doctor’s note for the purpose of clearance (the note will be vague, and the note is not covered as an insured service). The CPSO has confirmed that a self-attestation form may be offered to patients/parents as an option in lieu of a doctor’s note.  After the conversation, the patient may elect to use the self-attestation form instead of a note. This relieves you of your obligation under the CPSO’s Third Party Reports Policy.

However, if the patient still requests a doctor’s note over the attestation form, your obligation to prepare a note under the CPSO’s Third Party Reports Policy still applies.

If the patient prefers a note instead of the self-attestation form, the following sample language may be used. Where applicable, add any detail necessary given the circumstances relevant to the situation.

I attest that based on my knowledge of the patient and the information available to me, __________________ [PATIENT NAME] meets the Ontario Ministry of Health requirements1 for clearance to return to [work/school].

Note that the Ministry of Health’s COVID-19 Guidance for Primary Care Providers in a Community Setting recommends against requiring doctor’s notes to clear students, staff and employees to return to school, child care and the workplace after suspected/confirmed cases of COVID-19. To read the full guidance, visit: http://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/2019_primary_care_guidance.pdf

*Ministry of Health. COVID-19 Quick Reference Public Health Guidance on Testing and Clearance.


OntarioMD has collected 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:



OntarioMD is available to support you! Our Insights4Care (i4C) Advisory Service can assist you 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 member of our staff, contact support@ontariomd.com


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 and how the province is responding.


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.


Centre for Effective Practice (CEP)

The Centre for Effective Practice is one of the largest independent knowledge translation organizations for primary care in Canada. CEP offers many useful resources such as Enhancing Management of Chronic Conditions Using Virtual Care During COVID-19, using Email and Secure Messaging, Telephone and Video, Screening for and Managing At-Risk Drinking and Alcohol Use Disorder (AUD) During COVID-19 and Virtual Care for Managing COPD.


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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