Patient Care

• Paxlovid
• Updated Recommendations on the use of Paxlovid and Guidance for Health Care Providers, Ontario Health, Dec. 8
• What Prescribers and Pharmacists need to know - updated with with dosing for eGFR under 30 by former ON Science Table, Ontario Health, Dec. 12
• May be split or crushed and mixed with common food: For guidance, see “Crushing Nirmatrelvir/ritonavir”
• To administer via enteral feeding tubes, see: Pfizer’s PaxlovidTM Medical Information sheet.
• Evusheld: updated Recommendations on the use of Evusheld, Ontario Health, Dec. 12
• All Ontarians Aged 5+ Eligible for Bivalent Booster, MOH, Dec. 15
• Updated: Recommendations for the management of case and contacts of monkeypox, MOH

Geriatric Ambulatory Access Team asking for primary care rep to give feedback on communication tools between GAAT and primary care

The Geriatric Ambulatory Access Team (GAAT) is looking for a dedicated London Middlesex primary care rep to provide feedback on revised drafts of communication tools used between GAAT and primary care (e.g., acknowledgement of referral, when they need more information, and their disposition letter).

GAAT is looking for further feedback and validation from primary care to ensure they are addressing pain points experienced by the sector. (London Middlesex residents make up 75% of the total referral volume in GAAT.)

The anticipated ask involves:

• 45-60 minute individual virtual meeting in January
• Email communication for final feedback in February

What GAAT heard from primary care in spring 2022:

• Improve the referral form
• Align with CPSO guidelines about acknowledging referrals within 2 weeks
• Improve communication tools between GAAT and primary care.

Work to date:

• Processing referrals - GAAT has been working to decrease wait times and is now exceeding the two week CPSO benchmark.
• Next: focus on improving communication tools used between GAAT and primary care.

If you would like more info, please reach out to Lyndsey Butler, Coordinator, Lyndsey.butler@sjhc.london.on.ca.

Your perspective needed: Single door approach to connecting patients to health and social services in Middlesex London 

Are you interested in providing a primary care provider's perspective to a localized navigation solution for Middlesex London?

The Middlesex London Ontario Health Team (MLOHT) would like to hear from providers who contact the navigator on behalf of the patient about what is needed. As with all MLOHT engagements with Primary Care practitioners, your time would be compensated at a rate of $165 per hour.

For more info, contact Trudy DeVries, MLOHT Healthcare Navigation Planning Lead at Trudy.Devries@mloht.ca.

More educational opportunities are available on the LMPCA website https://lmprimarycare.ca/education-opportunities/ 

Healthcare Decision-Making in Ontario, Jan. 10-31, 2023

Four-part webinar series hosted by Hospice Palliative Care Ontario and facilitated by Jane Meadus, the Advocacy Centre for the Elderly (ACE). Learn what you need to know about consent, capacity and healthcare decision making in Ontario. Register here.

Climate Conscious Inhaler Prescribing webinar explored the carbon footprint of healthcare systems and how inhalers contribute to it, and imagined practice change that results in "high value, low carbon care". See the slides and video here.