O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

AAC Joint Models of Care Workshop:Quality Improvement – Using the Model for

Improvement to Implement Inflammatory Arthritis (IA) and Osteoarthritis (OA) Models of Care

Friday, October 27th, 2017, 7:30-12:30 pm PST

Marriott Vancouver Pinnacle Downtown Hotel

2

AAC Osteoarthritis (OA) Models of Care (MOC): Overview of AAC-CFPC collaboration project on OA

Tool development

Gunita MiteraDirector, Program and Practice Support, The College of Family

Physicians of Canada, Toronto ON

A 3-way partnership:

3

Osteoarthritis (OA) Tool for Use in Family Practice:A collaboration project to close the knowledge to

practice gap for OA care

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

OA Tool Steering Committee

4

OA Composition

Dr. Laura Cruz, , Sport and Exercise Medicine Physician; Assistant Programme Director, University of Toronto, President, Canadian Academy of Sport and Exercise Medicine (CASEM)

Dr. Natasha Gakhal, Rheumatologist, Women's College Hospital, Toronto

Dr. Gillian Hawker, Sir John and Lady Eaton Professor, Department of Medicine, University of Toronto

Dr. Jamie Meuser, Executive Director, Professional Development and Practice Support, The College of Family Physicians of Canada

Ms. Gunita Mitera, Director, Program and Practice Support, The College of Family Physicians of Canada

Louise Crane, Patient Representative, Calgary

Purpose: Provides guidance, advice and recommendations on the development, planning and decisions for the project.

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

OA Tool Clinical Working Group

5

OA Tool Clinical Working Group:

Dr. Julia Alleyne, Sport and Exercise Medicine physician, therapist and administrator, Toronto Rehab, University of Toronto - Clinical Lead

Dr. Pierre Frémont, Chair of Sport and Exercise Medicine CPFM Committee, University of Laval, Montreal

Dr. Natasha Gakhal, Rheumatologist, Women's College Hospital, Toronto

Dr. Gillian Hawker, Sir John and Lady Eaton Professor, Department of Medicine, University of Toronto

Dr. Mathieu Lafontaine-Godbout, Adjunct Professor at the Faculty of Medicine and Health Sciences at the University of Sherbrooke

Dr. Victor Lun, Clinical Assistant Professor, Department of Family Medicine, University of Calgary, Sport and Exercise Physician

Dr. Sahil Jain, Comprehensive family physician, Vancouver Carol Cox, OA Patient Representative

Purpose: Responsible for providing specific insight and feedback on the content for the osteoarthritis Tool.

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

6

• To develop and implement a family practice tool to effectively diagnose and treat OA patients in a primary care setting.

Purpose

• Family physicians, primary health care team; physiotherapists, occupational therapists, pharmacists, chiropractors, dieticians, and other OA providers in primary care.

TargetUsers

Osteoarthritis (OA) Tool for Use in Family Practice:A collaboration project

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

7

Key Supporting Evidence to Build OA Tool

2014 OARSI guidelines for the non-surgical management of knee OA

American College of Physicians OA “Home Builder” module

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

8

Key Milestones

8

Key Milestones Timelines

CFPC/AAC formalized partnership January 2016

Steering committee formation; Present update at AAC Members meeting

April 2016

CEP hired to develop a Tool June 2016

Clinical Working Group (CWG) recruitment Steering committee meeting

September 2016

Workshop at AAC annual meeting CWG finalized

October 2016

Evidence review Key messages developed Convene CWG

November 2016-January 2017

Practitioner focus group January 2017

Patient focus group AAC members update T/C

February 2017

Review & refine key messages based on focus group sessions CWG meeting Develop KTE plan; Steering Committee meeting

March 2017

Draft tool developed Input on final tool from CWG and SC Review and input from AAC Members, April 13th F2F Meeting

April 2017

Tool refinements, graphic design, French translation=Launch Soft Launch July 20, 2017; full launch Monday, September 18, 2017

8

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

9

Osteoarthritis Family Practice Tool

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

10

Osteoarthritis Family Practice Tool Designed to:

Effectively identify, assess, monitor and care for people with OA

Help OA patients take an active role in their self-care – by providing access to the right information and resources, at the right time, with the right providers

Help family physicians and other healthcare providers understand that OA is a common, treatable, chronic illness

Recommend specific non-pharmacologic and pharmacologic therapies

Key Messages

In search of solutions to their pain, those affected by OA typically seek help from

primary care practitioners and other healthcare practitioners such as

physiotherapists, occupational therapists, nurses, chiropractors, and pharmacists;

however, these care providers often do not know how to effectively diagnose or treat

this chronic condition.

The Osteoarthritis Toolkit has been developed by CFPC and AAC to assist family physicians in their daily clinical practice when dealing with patients

who present with symptoms of osteoarthritis.

The OA Tool has been developed to provide health care providers with key professional

knowledge and skills necessary to effectively identify, assess, monitor and

care for people with OA. It has also been created to help OA patients take an active

role in their self-management – by providing access to the right information and resources, at the right time, with the

right providers.

The Osteoarthritis Tool provides a standardized guideline to assist

physicians in assessing and triaging patients with osteoarthritis.

40

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

Communication/Dissemination Plan

- AAC Members

-Professional Associations

- Patients

-Senior Citizen Centres

-Colleges and educational institutions

- Private sector

Targets

- Websites

- eNews

- Conferences

- Important events

- Webinars

- Podcasts

- Social media

- email

Channels

- Can be adapted to target audiences

- Creation can be supported by CFPC/AAC

Key Messages

- AAC/CFPC surveyed to support dissemination strategy

- Leverage our networks to ensure broad dissemination and uptake of tool

Collaboration

12

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

OA Tool Launch Kit: September

Full launched on Monday, September 18

Joint AAC-CFPC News Release

Email introducing the OA Tool, Link to the Tool, Blurbs

Social media messaging (tweets, Facebook post, LinkedIn)

Links to graphics (website banner, email signature line, etc.)

OA Tool Post card (designed by CFPC)

Launch kit and notification to AAC Members and stakeholders Monday, September 11

13

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

OA Tool Launch Kit: Post Card

14

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

OA Tool Launch Kit: Banner

15

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

AAC Members Sharing OA Tool

16

Arthritis Consumer Experts

Arthritis Health Professions Association

The Arthritis Society Bone and Joint Canada Canadian Rheumatology

Association CIHR-IMHA (“IMHA on

the Move”)

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

OA Tool Launch July-October 2017Statistics

Bi-lingual launch kit was provided to over 30 AAC member organizations and their communities.

Arthritis Alliance of Canada (AAC) Website page views/hits: 6000

Canadian Rheumatology Association (CRA) Educational Resources Website page views/hits:

104

Arthritis Consumer Experts (ACE) Social Media channelsstatistics on OA Tool:

Joint Health Twitter: Impressions: 3,051; Total engagements (retweets, likes, etc.): 87

ABN Twitter Tweet on OA Tool: Impressions 1098; Total Engagement (retweets, likes, etc.): 17

Joint Health Express OA Tool English: 702 open, 125 clicks

Joint Health Express OA Tool French: 69 open, 19 clicks

Joint Health Facebook Post English: 199 reached, 1 share, 2 likes; JH Facebook Post French: 26 reached

ABN Facebook Post English: 277 reached, 1 share, 6 likes; ABN Facebook Post French: 65 reached

Cheryl Koehn Twitter Tweet on OA Tool: Tweets 10;

Impressions 1,000; Total engagements 16

17

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

AAC Members Sharing OA Tool Feedback

18

The Arthritis Society Social Media channels - Facebook, Twitter and LinkedIn-statistics on OA Tool:

117 link clicks

10,778 impressions

100 engagements

CFPC Promotional Campaign Results

PageviewsUnique

PageviewsAvg. Time on

PageEntrances

Bounce Rate

% Exit

3,210 3,002 1m35s 1,648 51.27% 54.67%

CFPC Webpage Statistics• Webpage Launched on July 23, 2017• Statistics represent both English and French webpages and tools• All results collected on October 24, 2017

Total OA Tool Downloads: 1,286

Twitter Statistics (totals for all OA Tool tweets)

Impressions Engagements Retweets Link Clicks Likes

5,194 87 13 25 12

Email Open Rate Click Through Rate

48.2% (8,253 sent) 704

Email Statistics (total for all OA Tool emails)

CFPC Promotional Campaign Results

Other Statistics and PromotionalConsiderations

• Centre for Effective Practice Statistics (As of October 11, 2017)

• Webpage Views: 1,025

• Tool downloads: 320

• The OA Tool will be featured in a toolkit for academic detailers around pain management developed by RxFiles in partnership with the Centre for Effective Practice.

Qualitative Feedback

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

AAC-CFPC Next Steps: New MOU 2018AAC Annual Meeting: OA Tool Materials at the registration desk/ Joint IA/OA Workshop in Oct.

Family Medicine Forum 2017, November 8-11, 2017, Montreal (Exhibit booth, and electronic distribution)

Develop e-learning module to share/demonstrate how to use the Tool

Develop short videos for patient waiting rooms

Host CPD events/Certification for learning modules

Family Medicine Forum 2018 (AAC to submit abstract for formal presentation)

Other key stakeholder platforms for dissemination, opportunities for presentation, etc.

Post event evaluation to access awareness and usability of the Tool

Long-Term Objective:

Building an OA Toolkit: Together

with key stakeholders, the

AAC and CFPC will facilitate the

collection of existing,

validated, evidenced based

tools to complement the

OA Tool.

23

O U R V I S I O N I M P R O V E T H E L I V E S O F P E O P L E L I V I N G W I T H A R T H R I T I S

Questions

24