Six Features for Success: Stewardship Programs in LTC

WEBINAR | Six Features for Success: Stewardship Programs in LTC

November 29, 2017

The National Collaborating Centre for Infectious Diseases (NCCID), in collaboration with Do Bugs Need Drugs? and other national experts, was pleased to offer a second webinar—Six Features for Success—in the series,”Promising Strategy for Stewardship in Long Term Care.”

This webinar featured Sandra Leung, pharmacy lead for antibiotic utilization and stewardship programs (ASPs) in long term care in the Edmonton area for over 20 years, and Mary Carson, former program coordinator for the Do Bugs Need Drugs antimicrobial stewardship program. The speakers shared lessons learned from antimicrobial stewardship pilots at Alberta Health Services and describe the six key features of successful ASPs in long term care settings. Tools and strategies that might be helpful in establishing ASPs and sustaining practice improvements in other jurisdictions were discussed.

Presenters

Sandra Leung has been involved with antimicrobial stewardship programs (ASPs) in continuing care since the late 1990s. She participated in the development of Alberta Toward Optimized Practice Urinary Tract Infection and Nursing Home Acquired Pneumonia clinical practice guidelines and checklists, and has been involved clinically as a frontline pharmacist, promoting and leading development of the strategies in the implementation of ASPs. She is currently the Pharmacy Manager for Continuing Care in Edmonton for Alberta Health Services, and the co-chair of the Edmonton Zone Continuing Care Antimicrobial Stewardship Working Group.

Mary Carson was the Program Coordinator for the Do Bugs Need Drugs antimicrobial stewardship program from 1997 until retirement in 2016. Mary worked closely with Toward Optimized Practice of the Alberta Medical Association in the development of clinical practice guidelines and clinical checklists for nursing home acquired pneumonia and urinary tract infections in long term care. With Sandra Leung she co-chaired the Edmonton Zone Continuing Care Antimicrobial Stewardship Working Group and was an active participant in national antimicrobial stewardship working groups since 2005. With over 30 years experience in public health research and education she has a keen interest promoting health-wise behaviours in the community.

Antimicrobial Stewardship (AMS) in Atlantic Canada

WEBINAR / Antimicrobial Stewardship (AMS) in Atlantic Canada

OCTOBER 12, 2017

The Public Health Agency of Canada, with support from the National Collaborating Centre for Infectious Diseases, hosted this webinar on Antimicrobial Stewardship (AMS), and how to advance AMS in the Atlantic.  This session built on the previous collaborative efforts to create an Atlantic AMS community that began in June at an inaugural face-to-face meeting in Halifax. The session was open to all interested in AMS in Atlantic Canada (academia, community/tertiary care hospitals, non-profit organizations).

Speakers

Dr. Emily Black of the Dalhousie University, College of Pharmacy, provided an overview of a recent point prevalence study conducted in Nova Scotia (in press). The objective of this study was to determine prevalence and characterize antimicrobial use at acute care hospitals in Nova Scotia. Results and targets for quality improvement will be discussed.

Dr. Paul Bonnar of the Nova Scotia Health Authority moderated and lead a brief discussion on next steps for the Atlantic AMS community.

An archived version of this webinar is now available for viewing. Please email Margaret Haworth-Brockman, NCCID Senior Program Manager, for access.

Knowledge Translation on Infectious Diseases for Public Health

WEBINAR / Knowledge Translation on Infectious Diseases for Public Health: Exploring NCCID’s resources

APRIL 10, 2017

Presenter: Margaret Haworth-Brockman, Senior Program Manager, NCCID

This webinar was tailored for Public Health Agency of Canada public health officers (Canadian Public Health Service), field epidemiologists (Canadian Field Epidemiology Program), senior epidemiologists in the Field Services Training Unit, Managers and Regional Coordinators.

The webinar has three main goals:

  1. to describe the mandate and work of NCCID and the other NCCs
  2. to explore some of the tools and resources available on the NCCID website
  3. to encourage discussion on how NCCID resources can be helpful to PHAC field staff and managers

Webinar participants were able to explore interactively some of NCCID’s tools, including the Notifiable Diseases Database (NDDB), the Outbreak Management tool, the Environmental scan on Emerging Diseases Policies and Diseases Debriefs, in addition to learn more about our Alerts, publications and webcasts.

An archived version of this webinar is now available for viewing. Please email Margaret Haworth-Brockman, NCCID Senior Program Manager, for access.

An overview of the current Interim Federal Health Program (IFHP) in Canada

WEBINAR | An overview of the current Interim Federal Health Program (IFHP) in Canada

October 5, 2017

This webinar offered an overview to service providers and policy makers of the current Interim Federal Health Program (IFHP), coverage offered to various refugee streams in Canada. Professor Y.Y. Brandon Chen and Ms. Siffan Rahman discussed in detail the beneficiaries and coverage, the recent changes to the program, registration and reimbursement process for service providers and ongoing challenges and gaps of the IFHP. They also discussed some key findings and recommendations from their respective studies on the current practices of the IFHP.

An archived version of this webinar is now available for viewing. Please email S.M. Zeeshan Qadar at sheikh.qadar@umanitoba.ca, for access.

SPEAKERS

Y.Y. Brandon Chen is an Assistant Professor at the University of Ottawa’s Faculty of Law, Common Law Section. He holds Master of Social Work and Juris Doctor degrees from the University of Toronto, and is currently a Doctor of Juridical Science candidate at the same university. His research program focuses on the examination of health inequities facing marginalized populations, particularly noncitizens and racialized minorities. His published work has touched on such topics as health rights litigation, refugee health care, social determinant of health, and medical tourism. Between 2009 and 2011, Y.Y. was publicly appointed to the Ontario Advisory Committee on HIV/AIDS. He served as the Co-Chair of the Committee for Accessible AIDS Treatment from 2014 to 2016. He is currently a Board member of the Canadian Centre on Statelessness.

Siffan Rahman is a Program Manager at Somerset West Community Health Centre who oversees the activities of the Ottawa Newcomer Health Centre, which serves and advocates for immigrants and refugees in different capacities. She sits on the Ottawa Local Immigration Partnership’s Health and Wellbeing Sector Table and co-chairs a working group striving to increase access to mental health services for immigrants and refugees. Siffan is a member of the Board of Directors of the Canadian Association of Community Health Centres and co-chairs its Newcomer Health working group. She also sits on the advisory committee of Connecting Ottawa. Siffan has a B.Sc. in Psychology and is currently enrolled in the Masters of Health Administration program at University of Ottawa.

Note: Funding for the series was provided by the Public Health Agency of Canada. The opinions expressed are those of the speaker(s) and do not necessarily reflect the official views of the Public Health Agency of Canada or NCCID.

Building Bridges: Creating Sustainability in the Newcomer Health Clinic through Planned Transitions to Community Providers

Building Bridges: Creating Sustainability in the Newcomer Health Clinic through Planned Transitions to Community Providers

September 19, 2017

Concept

The National Collaborating Centre for Infectious Diseases (NCCID) continues its series of public health podcasts and webinars on refugee health. This time our webinar will offer an overview of the Newcomer Health Clinic practice under Nova Scotia Health Authority (NHSA). This will include the model of care, patient readiness and screening procedures devised by the transitional newcomer health clinic. Ms. Ashley Sharpe and Dr. Tim Holland will discuss in detail the transition model developed to move patients from our specialized refugee health clinic to community primary care providers. This will include a discussion regarding current research to validate the model with some preliminary results.

For an archived version of this webinar, contact Zeeshan Qadar via Sheikh.Qadar@umanitoba.ca.

Speakers:

Ashley Sharpe

Ashley is a registered nurse and health services lead in Primary Heath Care, Nova Scotia Health Authority. She supports collaborative family practices, including the Newcomer Health Clinic, which serves refugee populations in Halifax, Nova Scotia and area. From 2012-2015 she worked with displaced populations and others as a nurse with Médecins Sans Frontières/Doctors Without Borders in several different countries. This passion led her first to the nurse position at the Newcomer Health Clinic in 2015 when it opened under the banner of Nova Scotia Health Authority, before moving on to a health services lead position. As Newcomer Health Clinic nurse, her work included clinical care as well as planning for the 2016 Syrian Refugee influx as well as developing and implementing the transition model for the clinic.

Dr. Tim Holland

After completing a degree in philosophy and psychology, Tim Holland began study at Dalhousie medical school in 2007. His interest in Refugee Health began during his Family Medicine Residency in Halifax. Shortly after completing his residency, he began work with the Immigration Services Association of Nova Scotia and the Halifax Refugee Clinic to found a health clinic for refugees in Halifax. The Newcomer Health Clinic opened its doors to Refugees in May of 2014 (previously known as the Transitional Health Clinic for Refugees). Since that time, he has continued to be a physician lead for this clinic, which included overseeing the historic arrival of the Syrian Refugee Influx of 2016. He is also a member of the Steering Committee for Canadian Clinicians for Refugee Care.

Aside from his work at the Newcomer Health Clinic, Dr. Holland is also the Chair of Ethics for the Canadian Medical Association, Chair of the Policy and Health Issues Committee for Doctors Nova Scotia and President-Elect of Doctors Nova Scotia. Aside from these “extra-curricular” pursuits, Dr. Holland splits his clinical time between Emergency Medicine and Family Medicine. He currently divides clinical time equally between Emergency Medicine in Truro, Nova Scotia and Family Medicine. Dr. Holland’s family medicine time is equally divided between Refugee Health (at the Newcomer Health Clinic in Halifax) and First Nations health (at the Sipekne’katik Health Center in Indian brook, Nova Scotia).

Funding for the series was provided by the Public Health Agency of Canada. The opinions expressed are those of the speaker(s) and do not necessarily reflect the official views of the Public Health Agency of Canada or the host organization, National Collaborating Centre for Infectious Disease (NCCID).

Atlantic Health Organizations Meet to Address Antimicrobial Stewardship in Halifax

For immediate release

Atlantic Health Organizations Meet to Address Antimicrobial Stewardship in Halifax

June 8, 2017 (Halifax) – The National Collaborating Centre for Infectious Diseases (NCCID) and the Public Health Agency of Canada are pleased to greet representatives from across the Atlantic provinces today to discuss strategies for improving the use of antimicrobials such as antibiotics.

Physicians, pharmacists and public health staff will share information on successes and challenges in ensuring appropriate use of antibiotics and helping to reduce resistance to life-saving treatments. “We are really pleased to be part of the growing interest and momentum in effective and appropriate use of antimicrobials,” said Yoav Keynan, co-Scientific Director at the NCCID. “This event builds upon work we have been engaged in across the country for over a year. The Atlantic Region in particular has a strong role to play in leading the way for other parts of Canada.”

Antimicrobial resistance has been in the news more and more and is considered a significant threat to human health by the World Health Organization. It has been estimated that by 2050, annual deaths due to AMR could reach 10 million worldwide, overtaking deaths due to diabetes and cancer combined. And AMR is not just a human health threat; it is a complex issue that has animal, agricultural, environmental and economic implications.

Antimicrobial stewardship involves systems-wide organization and approaches to monitoring the most effective use of antimicrobials drugs, and promoting their appropriate use according to national and international guidelines. It is one of four pillars of the Government of Canada’s Federal Framework for Action on AMR, which identifies AMS as conserving the effectiveness of existing treatments through infection prevention and control guidelines, education and awareness, regulations, and oversight.

“The groundwork has been laid and there is considerable expertise in this country. Now our task is to reinforce and support AMS programs locally so that patients, practitioners and policy-makers are committed and involved”, said Margaret Haworth-Brockman, Senior Program Manager at the NCCID.

For more information on AMR and AMS, and to find additional resources, please contact NCCID at nccid@umanitoba.ca or 1-204-318-2591.

What can Big Data do for Public Health?

WEBINAR / What can Big Data do for Public Health?

MAY 17, 2017

New information was presented on the potential contributions of big data for infectious diseases surveillance and the investigation of foodborne outbreaks in Canada. Recognizing the potential for big data as a resource for public health planning and decision-making, NCCID commissioned a summary of evidence with the objectives of:

  1. Understanding big data resources related to infectious diseases surveillance;
  2. Exploring options and challenges in visualizing and analyzing the resulting information; and
  3. Highlighting examples of how big data have been applied to foodborne illnesses.

In this presentation, Dr. Cheryl Waldner, DVM, PhD (University of Saskatchewan) gave an overview of big data, its opportunities and limitations for public health, and describe examples related to foodborne illnesses.

An archived version of this webinar is now available for viewing. Please email Margaret Haworth-Brockman, NCCID Senior Program Manager, for access.

Antimicrobial Stewardship in Long Term / Elder Care

WEBINAR | Antimicrobial Stewardship in Long Term / Elder Care: The Case To Act, A Call To Leaders

Presented by: The National Collaborating Centre for Infectious Diseases (NCCID) and Do Bugs Need Drugs? Alberta Health Services

MARCH 9, 2017

An archived version of this webinar is now available for viewing. Please email Harpa Isfeld-Kiely, NCCID Senior Project Manager, for access.

This March 9, 2017 webinar was developed for senior leaders, decision makers and innovators in long term care—administrators, medical directors, directors of care, or program managers—in provincial, private or voluntary sector organizations. Leads were asked to invite key staff who implement antimicrobial stewardship programs (e.g. infection prevention and control specialists, or nurse practitioners).

Program

The emergence of antimicrobial resistant (AMR) microorganisms in care facilities and their spread into the community places patients at risk and contributes to a major public health challenge. To respond effectively, leaders require knowledge of the challenges and opportunities to take action.

The first in a series, this webinar invited leaders and decision makers in long term care to consider the evidence for AMR harms, leading practices relevant to LTC settings, and their own role in initiating and advancing antimicrobial stewardship programs. Key findings on common diagnoses in LTC for which antibiotics are prescribed, as well as campaigns and initiatives designed to address inappropriate prescribing and use of antimicrobials were presented. Future webinars will provide implementers with information on how to begin stewardship programs in LTC.

Featured speakers included Dr. John Conly, one of Canada’s foremost experts on antimicrobial resistance and stewardship programs. As well, other innovators in antimicrobial stewardship initiatives, Dr. Victor Leung and Dr. Gregory German, provided examples based on their work relevant to long term / elder care in Pacific and Atlantic regions, respectively.

The webinar included a live Q&A with the presenters. Participants had an opportunity to comment on challenges to implementing AMS programs, information needs of leaders and their teams, and their interest in a national network to help identify and spread leading practices in AMS for long term care settings.

About our Presenters

Dr. John Conly, Foothills Medical Centre, AB

John Conly MD is trained in internal medicine and infectious disease and is a Professor of Medicine at the University of Calgary. He currently serves as a member of the WHO Advisory Group on Integrated Antimicrobial Surveillance and the PHAC Expert Advisory Group on Antimicrobial Resistance. He was a past Chairman of the Board for the Canadian Committee on Antibiotic Resistance and previous Vice-Chair for the Canadian Expert Drug Advisory Committee. He has published over 300 papers and has received numerous career honours for clinical service, mentorship, teaching, research, and innovation.

Dr. Greg German, Queen Elizabeth Hospital, PEI

Greg German is the Medical Microbiologist and infectious disease consultant for P.E.I. He is the medical lead of Health PEI antibiotic stewardship efforts. Nationally, Greg serves on several AMR working groups, including co-chair for the antimicrobial resistance working group of the Canadian Public Health Laboratory Network. He co-developed and actively champions a program targeting LTC and UTI diagnostics that was created by the Association of Medical Microbiology and Infectious Disease Canada. In 2015 the Medical Society for P.E.I. awarded him the President’s Leadership award for his infection and antibiotic expertise.

Dr. Victor Leung, Providence Health Centre, BC

Victor Leung completed fellowships in Infectious Diseases and Medical Microbiology at McGill University.  He is currently the Medical Director for Infection Prevention and Control, and the Medical Lead for the Antimicrobial Stewardship Program at Providence Health Care in BC.  He is interested in implementing interventions to prevent nosocomial infections and optimize antimicrobial use.  He also wants to improve efficiency of surveillance systems for nosocomial infections.

Moderator: Simon Habegger, Alberta Health Services (AHS)

Simon leads Do Bugs Need Drugs?, a community education program on Antimicrobial Stewardship at AHS. He and his colleagues build on a twenty year history of stewardship program development in the province that has seen particular success working with long-term care administrators. Simon holds degrees in Biological Anthropology and International Health. He has worked as an educator in college-level nursing and science programs, as well as a coordinator with other community education outreach programs (HIV Edmonton, Canadian Diabetes Association).

Communicating the Risk of Infectious Diseases in a Changing Climate

Communicating the Risk of Infectious Diseases in a Changing Climate

Presented by: National Collaborating Centre for Infectious Diseases (NCCID) and National Collaborating Centre for Environmental Health (NCCEH)

WEBINAR / 8 March 2017

An archived version of this webinar is now available for viewing. Please email NCCID’s Elnaz Shadabi for access.

What means are available to public health practitioners for effectively communicating the risk of infectious diseases to the public? When a new outbreak emerges, how can public health convey facts and risks accurately to the public and to policy makers? How are risks interpreted by various audiences?

These are examples of some of the questions that public health professionals may grapple with during a new infectious disease outbreak or re-emergence of an existing one. To ensure that both the public and policy makers receive the most accurate information, the means and methods of communication utilized by healthcare providers must be effective. This March 8, 2017 webinar provided different perspectives on communicating risk in an “environment” of change: the intersection of climate change and infectious disease emergence and resurgence. The webinar had two main goals: to present a range of perspectives on good communication about risk for public health stakeholders; and, to allow for discussion on communication for public health, using examples that relate to emerging and resurging infectious diseases in the context of changing climate.

Moderator and Presenters

Dr. Christine Navarro has been an Associate Medical Officer of Health with Toronto Public Health since August 2014. While training as an epidemiologist, she worked with the Public Health Agency of Canada before getting her medical degree. Christine completed her specialty training in Public Health and Preventive Medicine at the University of Toronto in 2014. Her portfolio at Toronto Public Health focuses on Environmental Health.

Dr. Craig Stephen is a veterinary epidemiologist, professor in the Department of Veterinary Microbiology at the University of Saskatchewan, and clinical professor at the School of Population and Public Health at the University of British Columbia. He is the CEO of the Canadian Wildlife Health Cooperative. He has worked in Canada and internationally on ecohealth approaches to emerging infectious diseases.

Dr. Anne-Marie Nicol is a knowledge translation scientist at the National Collaborating Centre for Environmental Health. She holds a PhD in Epidemiology from UBC and a Masters of Environmental Studies from York University. Her area of research is risk communication and perception and the roles they play in risk management, particularly in public health. She also teaches health communication, as well as human health risk assessment, at Simon Fraser University as an Associate Professor.

Dr. Negar Elmieh is an interdisciplinary researcher who applies both quantitative and qualitative methods to complex health, environment, risk and policy issues. She will share lessons learned from past zoonotic outbreaks on how we can best communicate new threats and balance risk from infection versus potential interventions.

Newcomers and Vaccine Decision-Making Practices: Lessons from the Prairies

Newcomers and Vaccine Decision-Making Practices: Lessons from the Prairies

Presenter: Stephanie Kowal

This January 26, 2017 webinar focused on immunization information-gathering and decision-making practices in vulnerable refugee and immigrant populations in the city of Edmonton, Alberta. Ms. Stephanie Kowal presented key findings and recommendations from her study on the prairies focusing particularly on the potential impact that using cultural brokers can have on the success of creating access to immunization services and promoting immunization uptake. In addition, she discussed how nurses and physicians can best communicate with newly arrived families to ensure that immunization decisions are fully informed and are in the best interest of the patients.

For an archived version of this webinar, contact Zeeshan Qadar via Sheikh.Qadar@umanitoba.ca.

The Two Faces of Syphilis: A Call for Sustained, National and Coordinated Responses to Syphilis

The Two Faces of Syphilis: A Call for Sustained, National and Coordinated Responses to Syphilis

Montréal, 22–23 November 2016

Syphilis has re-emerged in Canada during the last decade with epidemics now rooted in both urban and rural settings. While gay men are still at the centre of the urban epidemics, there is now a transition in the epidemiological pattern with increasing numbers of cases identified among northern heterosexual Indigenous men and women with the reappearance of congenital syphilis cases.

To support responses to syphilis, NCCID, in partnership with the National Collaborating Centre for Aboriginal Health (NCCAH) and the Urban Public Health Network (UPHN), hosted a knowledge exchange forum in Montreal, November 22-23 2016. This forum brought together 42 public health specialists from across Canada. Practitioners, program coordinators, epidemiologists, researchers, policy makers, community-based partners and knowledge brokers gathered to share on ways to improve public health interventions on syphilis in Canada.

This forum created a space for participants to share on rural and urban perspectives, key challenges, gaps and new avenues and discuss relevant lessons for strengthening syphilis control and management at local, regional and national levels. Participants identified some hand-on and upstream strategies. Some presentations and a summary report will soon be available.

The goal was to provide information and ideas about promising practices with a focus on local contexts and affected populations. The specific objectives included:

  • To share the current state of syphilis outbreaks, highlighting what we know about the burden with an emphasis on what is new and what has changed recently.
  • To share innovative ways of surveillance to better tailor public health responses and inform public health strategies.
  • To share evidence-based, practice-based, and client-centered knowledge to improve public health interventions and partner notification activities.
  • To provide opportunities to discuss population-specific challenges and ways of adapting innovative and integrated public health strategies.

You can view the full agenda here.

Data Management/Coordination & Refugee Health: Experience of Hamilton Public Health Services

NCCID’s series of public health podcasts and webinars on refugee health continued with this November 16, 2016 presentation about one Ontario city’s recent experience with data management/coordination. The City of Hamilton Public Health Services team was responsible for creating a strategy on the fly, working with several agencies to collect, collate and share such basic data as the names, ages, sex and location/address of refugees, but also vaccination status, health assessment status and dental screening results.

An archived copy of this webinar is available upon request. Please email qadarsmz@umanitoba.ca.