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From November 16 th to December 1 st , 2009 SETFHTonce again lived our vision when the front half ofthe clinic at 840 Coxwell Avenue became a FluAssessment Centre for the City of Toronto. As partof the City’s pandemic response, the Centreprovided health assessment, treatment and referralsfor people with flu‐like symptoms. At noted byToronto Public Health, the SETFHT site was the mostsuccessful and had the best operations of the 5Centres that rolled out in the city. Collectively, wesaw 319 individuals in the community that may haveused the emergency room at Toronto East GeneralHospital for their symptoms and treatment. Thiswas a great example of how primary care DOESmake a difference in the community. To thankeveryone that participated in the FAC, we received aplaque of appreciation by Toronto Public Health.The fall of 2009 was also busy with H1N1vaccination—over 4,100 people in the communitywere vaccinated over a short 2 months.FLU ASSESSMENT CENTRECOMMITMENT TO QUALITY IMPROVEMENTQIIP Learning CollaborativesThe focus of the QIIP Learning Collaboratives was tosupport the introduction of a quality improvementagenda within FHTs. The three main areas of focus were: Chronic Disease Management (Diabetes) Preventive Care (Colorectal Cancer Screening) Office Practice Redesign.With the support of a Practice Facilitator, SETFHTdeveloped a QI team and implemented a number ofpractice improvements using the model of Plan, DoStudy, Act (PDSA). Outcome measures were used andmonthly reports were run to see whether these smallchanges in practice resulted in improved clinicalmeasures. The QI team attended three Learning Sessionswith action periods in between.92009/10 saw the following improvements implementingwith the FHT: Simplified version of the FOBT instructions forpatients requiring testing and translation of theseinstructions into 5 different languages. Mapping out the process within the clinic for cancerscreening. Development of a diabetes planned visit approach forType II Diabetes. Development of a self management tool fordocumenting patients self management goals. Development of a clinical foot assessment tool forhealth care providers to used with patients withdiabetes Creation of same day appointments for eachphysician to improve access for patientsFuture quality improvement work involves SETFHT beinginvolved in six QIIP Learning Communities related toAsthma, COPD, Hypertension, Diabetes, IntegratedCancer Screening and Office Practice Redesign.
GROWTH OF SETFHTOver 40 individuals from the community attended our Pre‐Demolition Open House at 1871 Danforth Avenue on June 11 th ,2010. We had speeches from two of our closest communitypartners, Rob Devitt (President and CEO, Toronto East GeneralHospital) and Dr. Lynn Wilson (Chair, Family and CommunityMedicine, University of Toronto). With a number of unexpecteddelays, we are still hopeful that we will be able to open this newsite in late spring/early summer 2011. Demolition of the propertyis occurring in Summer 2010 and it is hopeful that construction ofthis 5‐storey (basement included) building will commence shortlyafter.Rob DevittDr. Lynn Wilson2009/10 was a very eventful year – we have had a lot of activities and should be very proud of all of ouraccomplishments. 2010/11 will be just as busy and will bring with it many challenges but some greatopportunities to be leaders amongst our peers. Some activities we already have engaged in or areanticipating to participate in include:Integration of a physician assistant in a Family Health Team (HealthForceOntario grant programinitiative);Development and roll out of the virtual ward program, initiated to provide care to unattachedpatients that are most medically and socially complex in their home setting alongwith Interprofessional case management;Deployment of Ontario Telemedicine Network Telehomecare equipment to monitor vitals of patientsat home with COPD, CHF and/or diabetes;The SETFHT Memory Clinic which is composed of an Interprofessional team that provides earlydiagnosis and treatment for people experiencing problems with their memory;The participation in the QIIP Learning Sessions in the areas of diabetes, COPD, Asthma, hypertension,integrated cancer screening and office practice redesign; andPATH (Personal Action Towards Health), a six‐week self‐management workshop that empowerspeople to live well while dealing with conditions like diabetes, heart disease, arthritis, lung disease,and other health issues.SETFHT will also be undergoing its very first strategic planning session in the Fall of 2010 which will help usget even closer to living our vision. Keep informed of our activities by visiting our website on an ongoingbasis – www.setfht.on.ca. Collectively with our patients and community, we are working towards our visionof becoming a leading academic family health team that improves the health of our community.10
Page 1: 2009/10 Annual Report1
Page 4 and 5: Dr. Geordie FallisChair of the Boar
Page 6 and 7: PROGRAM AND SERVICES HIGHLIGHTSDiab
Page 8 and 9: Point of Care Anticoagulation Clini

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