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The larger image shows a laptop screen displaying a doctor during a video call, with a stethoscope visible around the doctor's neck. The smaller image shows two people sitting together, looking at a tablet. 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In a Commonwealth Fund survey in 2016, Canada placed last on specialist access among the 11 countries surveyed, with 56 percent of people living in Canada reporting that they wait four weeks or longer to see a specialist.",{"text":2217,"type":349,"marks":2218},"1",[2219],{"type":2220},"superscript",{"type":15,"attrs":2222,"content":2223},{"textAlign":53},[2224],{"text":2225,"type":349},"The Canadian Foundation for Healthcare Improvement (CFHI – now Healthcare Excellence Canada) partnered with Canada Health Infoway, the College of Family Physicians of Canada and the Royal College of Physicians and Surgeons of Canada to spread the adoption of two proven innovations that had substantially increased access to primary care specialty services:",{"type":373,"content":2227},[2228,2256],{"type":376,"content":2229},[2230],{"type":15,"attrs":2231,"content":2232},{"textAlign":53},[2233,2246,2254],{"text":2234,"type":349,"marks":2235},"Champlain BASE",[2236],{"type":385,"attrs":2237},{"href":2238,"uuid":2239,"anchor":53,"custom":2240,"target":443,"linktype":925,"story":2241},"/resources/the-champlain-base-econsult-service","a632a83e-346b-49e6-a9a6-1ada575a8e55",{},{"name":2242,"id":2243,"uuid":2239,"slug":2244,"url":2245,"full_slug":2245,"_stopResolving":291},"The Champlain BASE eConsult Service",113881339068180,"the-champlain-base-econsult-service","resources/the-champlain-base-econsult-service",{"text":2247,"type":349,"marks":2248},"TM",[2249,2253],{"type":385,"attrs":2250},{"href":2238,"uuid":2239,"anchor":53,"custom":2251,"target":443,"linktype":925,"story":2252},{},{"name":2242,"id":2243,"uuid":2239,"slug":2244,"url":2245,"full_slug":2245,"_stopResolving":291},{"type":2220},{"text":2255,"type":349}," (Building Access to Specialists through eConsultation), a secure web-based eConsult service which originated with the Champlain Local Health Integration Network in Ontario",{"type":376,"content":2257},[2258],{"type":15,"attrs":2259,"content":2260},{"textAlign":53},[2261,2274,2281,2288,2290,2303],{"text":2262,"type":349,"marks":2263},"Rapid Access to Consultative Expertise (RACE",[2264],{"type":385,"attrs":2265},{"href":2266,"uuid":2267,"anchor":53,"custom":2268,"target":443,"linktype":925,"story":2269},"/resources/race-rapid-access-to-consultative-expertise","fe6ea362-9e74-43a0-b3d7-2a027cae96e4",{},{"name":2270,"id":2271,"uuid":2267,"slug":2272,"url":2273,"full_slug":2273,"_stopResolving":291},"RACE (Rapid Access to Consultative Expertise)",113881375690527,"race-rapid-access-to-consultative-expertise","resources/race-rapid-access-to-consultative-expertise",{"text":2247,"type":349,"marks":2275},[2276,2280],{"type":385,"attrs":2277},{"href":2266,"uuid":2267,"anchor":53,"custom":2278,"target":443,"linktype":925,"story":2279},{},{"name":2270,"id":2271,"uuid":2267,"slug":2272,"url":2273,"full_slug":2273,"_stopResolving":291},{"type":2220},{"text":2282,"type":349,"marks":2283},")",[2284],{"type":385,"attrs":2285},{"href":2266,"uuid":2267,"anchor":53,"custom":2286,"target":443,"linktype":925,"story":2287},{},{"name":2270,"id":2271,"uuid":2267,"slug":2272,"url":2273,"full_slug":2273,"_stopResolving":291},{"text":2289,"type":349},", a telephone advice line and app launched at Providence Health Care and Vancouver Coastal Health. (CFHI identified RACE™ through the ",{"text":2291,"type":349,"marks":2292},"EXTRA Executive Program",[2293],{"type":385,"attrs":2294},{"href":2295,"uuid":2296,"anchor":53,"custom":2297,"target":443,"linktype":925,"story":2298},"/programs/extra","0d250e3b-c34d-45b6-8b49-1a309622bad9",{},{"name":2299,"id":2300,"uuid":2296,"slug":2301,"url":2302,"full_slug":2302,"_stopResolving":291},"EXTRA™: Executive Training Program",123451205911741,"extra","programs/extra",{"text":2304,"type":349},".)",{"type":15,"attrs":2306,"content":2307},{"textAlign":53},[2308,2310,2316,2318,2324],{"text":2309,"type":349},"Through this 18-month quality improvement collaborative, 11 teams from across Canada improved primary care provider access to specialist advice by adapting and implementing one or both of the ",{"text":2311,"type":349,"marks":2312},"RACE™",[2313],{"type":385,"attrs":2314},{"href":2315,"uuid":53,"anchor":53,"custom":53,"target":389,"linktype":390},"http://www.raceconnect.ca/",{"text":2317,"type":349}," and Champlain ",{"text":2319,"type":349,"marks":2320},"BASE™",[2321],{"type":385,"attrs":2322},{"href":2323,"uuid":53,"anchor":53,"custom":53,"target":389,"linktype":390},"https://www.champlainbaseeconsult.com/",{"text":2325,"type":349}," proven remote consult models of care. ",{"type":15,"attrs":2327,"content":2328},{"textAlign":53},[2329],{"text":2330,"type":349},"The quality improvement collaborative built on the 2016-17 Connected Medicine e-collaborative in which 10 provincial/territorial and international teams came together to develop business cases and strategies to implement remote consult services in their jurisdictions.",{"type":15,"attrs":2332,"content":2333},{"textAlign":53},[2334],{"text":2335,"type":349},"Some of the participating teams have since joined HEC’s Momentum Challenge – an invitation-only program that assists teams which have completed a collaborative to expand the reach of the innovation and sustain its impact.",{"type":827,"attrs":2337,"content":2338},{"level":959,"textAlign":53},[2339],{"text":2340,"type":349},"How Connected Medicine contributes to better healthcare in Canada",{"type":15,"attrs":2342,"content":2343},{"textAlign":53},[2344],{"text":2345,"type":349},"Connected Medicine is part of HEC’s ongoing efforts to spread and scale proven innovations that deliver high quality care closer to home and the community.",{"type":15,"attrs":2347,"content":2348},{"textAlign":53},[2349],{"text":2350,"type":349},"Through remote consultations, eligible patients can access specialist advice closer to home from primary care providers they know and trust. The process is typically faster than being referred for a face-to-face specialist appointment and often avoids unnecessary trips to the emergency department.",{"type":15,"attrs":2352,"content":2353},{"textAlign":53},[2354],{"text":2355,"type":349},"During the collaborative, more than 2,200 primary care providers participated in a remote consult service and continue to benefit from it – rapidly accessing specialist advice, typically within a week or less. By the end of the collaborative, more than 800 specialists had enrolled and were consulting through a BASE™ or RACE™-like service; the most common specialty service is psychiatry, followed by cardiology, nephrology, obstetrics/gynecology and pediatrics.",{"type":15,"attrs":2357,"content":2358},{"textAlign":53},[2359],{"text":2360,"type":349},"Between June 2017 and September 2019, patients took part in more than 19,000 remote consults with specialists.",{"type":827,"attrs":2362,"content":2363},{"level":959,"textAlign":53},[2364],{"text":2365,"type":349},"Using an improvement collaborative to spread new models of care",{"type":15,"attrs":2367,"content":2368},{"textAlign":53},[2369],{"text":2370,"type":349},"Publicly-funded Canadian healthcare delivery organizations, ministries and providers participated in the Connected Medicine collaborative from June 2017 until September 2018. The collaborative focused on supporting teams in the spread and adaption of RACE™ and BASE™ – that improved primary care access to specialist advice through telephone services and digital technology.",{"type":15,"attrs":2372,"content":2373},{"textAlign":53},[2374],{"text":2375,"type":349},"Participating teams had up to $600,000 in seed funding available, in addition to support with the implementation, spread, scale and evaluation of the innovations within their project areas. Teams took part in a curriculum to enhance their quality improvement skills. This included educational webinars, in-person workshops, access to a network of expert faculty and coaches, and peer-to-peer networking.","wysiwyg-program",{"id":16,"_uid":2378,"items":2379,"component":2396},"283da444-b759-44f9-9f06-041f26e8c820",[2380],{"_uid":2381,"image":2382,"quote":2384,"author":2393,"component":2394,"author_title":2395},"485eba3a-a8a1-4d6a-a9f7-63b8927a0eeb",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":2383},{},{"type":12,"content":2385},[2386,2391],{"type":15,"attrs":2387,"content":2388},{"textAlign":53},[2389],{"text":2390,"type":349},"If one group had tried this project in isolation, it wouldn’t have worked. This was never a ‘top-down’ initiative. It was always seen as a true collaborative, with all stakeholders at the table.",{"type":15,"attrs":2392},{"textAlign":53},"Karla Faig","quote-item","Healthcare Consultant, Department of Health, New Brunswick (2019)","quote",{"id":16,"_uid":2398,"content":2399,"component":2376},"e34a00cf-79f7-4d94-9f18-36bfe072335a",[2400,2532],{"_uid":2401,"content":2402,"component":990},"9fab81ad-0192-46f7-b637-d5a781597394",{"type":12,"content":2403},[2404,2409,2423,2428,2435,2440,2445,2452,2457,2464],{"type":827,"attrs":2405,"content":2406},{"level":959,"textAlign":53},[2407],{"text":2408,"type":349},"Connected Medicine Collaboration Results",{"type":15,"attrs":2410,"content":2411},{"textAlign":53},[2412,2414,2417,2419,2422],{"text":2413,"type":349},"The Connected Medicine collaboration spread two proven Canadian healthcare innovations that improved access to specialist advice by enabling primary care providers, such as family doctors and nurse practitioners, to ask specialists patient care questions: Champlain BASE",{"text":2247,"type":349,"marks":2415},[2416],{"type":2220},{"text":2418,"type":349}," and RACE",{"text":2247,"type":349,"marks":2420},[2421],{"type":2220},{"text":989,"type":349},{"type":15,"attrs":2424,"content":2425},{"textAlign":53},[2426],{"text":2427,"type":349},"Results from this collaboration are consistent with those that have been achieved through original implementations of these two innovations. The Connected Medicine collaboration brought about improvements for patients and providers in a number of areas.",{"type":827,"attrs":2429,"content":2430},{"level":829,"textAlign":53},[2431],{"text":2432,"type":349,"marks":2433},"Improvements for providers",[2434],{"type":2049},{"type":15,"attrs":2436,"content":2437},{"textAlign":53},[2438],{"text":2439,"type":349},"Primary care providers initiated more than 12,300 remote consults with specialists to support patient care. Teams from Newfoundland and Labrador, New Brunswick, Quebec, Manitoba, Saskatchewan, Alberta, British Columbia and the Department of National Defence enrolled more than 2,200 primary care practitioners and 800 specialists, including many in underserved rural and remote regions.",{"type":15,"attrs":2441,"content":2442},{"textAlign":53},[2443],{"text":2444,"type":349},"In some regions, primary care providers had access to as many as 38 specialties for remote consultation. The most commonly available specialty was psychiatry, followed by cardiology, nephrology, obstetrics/gynecology and pediatrics. Four services also offered palliative care consults. Results by team are available in the Results of Collaborative. These practitioners can now access specialist consults through secure digital technology and telephone services.",{"type":827,"attrs":2446,"content":2447},{"level":829,"textAlign":53},[2448],{"text":2449,"type":349,"marks":2450},"Improvements for patients",[2451],{"type":2049},{"type":15,"attrs":2453,"content":2454},{"textAlign":53},[2455],{"text":2456,"type":349},"Eligible patients receive care based on specialist advice closer to home, from a primary care provider they know and trust. 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Between October 2021 and March 2022, teams tested and refined supports needed for community-based primary care providers to implement safe and high-quality virtual care services, and informed content development for a toolkit for new and experienced users of virtual care.",{"type":15,"attrs":5988,"content":5989},{"textAlign":53},[5990],{"text":5844,"type":349},{"type":827,"attrs":5992,"content":5993},{"level":959,"textAlign":53},[5994],{"text":5995,"type":349},"Virtual Care Together Toolkit",{"type":15,"attrs":5997,"content":5998},{"textAlign":53},[5999],{"text":6000,"type":349},"The Clinician Change Virtual Care Toolkit shares information and resources to support clinicians with the tools they need to provide safe, high quality virtual care. It can be used by clinicians and support staff who are new or experienced users of virtual care.",{"type":15,"attrs":6002,"content":6003},{"textAlign":53},[6004],{"text":6005,"type":349},"Inside the toolkit you’ll find:",{"type":373,"content":6007},[6008,6019,6030],{"type":376,"content":6009},[6010],{"type":15,"attrs":6011,"content":6012},{"textAlign":53},[6013,6017],{"text":6014,"type":349,"marks":6015},"Streamlined information from trusted sources ",[6016],{"type":2049},{"text":6018,"type":349},"that can be used to plan for and improve virtual care services offered via different modalities, such as phone, video, secure messaging or remote patient monitoring.",{"type":376,"content":6020},[6021],{"type":15,"attrs":6022,"content":6023},{"textAlign":53},[6024,6028],{"text":6025,"type":349,"marks":6026},"Virtual care evaluation resources ",[6027],{"type":2049},{"text":6029,"type":349},"that can be consulted to inform plans and approaches for evaluating virtual care services and identifying areas for improvement.",{"type":376,"content":6031},[6032],{"type":15,"attrs":6033,"content":6034},{"textAlign":53},[6035,6039],{"text":6036,"type":349,"marks":6037},"Additional tools and resources ",[6038],{"type":2049},{"text":6040,"type":349},"that were identified through an extensive environmental scan and stakeholder outreach activities.",{"_uid":6042,"file":6043,"link":6045,"label":5995,"linkType":385,"component":2539,"linkLabel":6046},"73149cf1-4bbd-490a-bc99-3aa41a66469f",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":6044},{},{"id":16,"url":5958,"target":389,"linktype":390,"fieldtype":926,"cached_url":5958},"Get the toolkit",{"_uid":6048,"content":6049,"component":990},"dcaed661-0c2a-4793-b971-498068de9034",{"type":12,"content":6050},[6051,6056,6061,6089],{"type":15,"attrs":6052,"content":6053},{"textAlign":53},[6054],{"text":6055,"type":349},"The Clinician Change Virtual Care Toolkit was created by clinicians and virtual care experts who helped select key resources, published by trusted sources, and extract and synthesize information and evidence from these resources.",{"type":827,"attrs":6057,"content":6058},{"level":959,"textAlign":53},[6059],{"text":6060,"type":349},"More about Virtual Care Together",{"type":15,"attrs":6062,"content":6063},{"textAlign":53},[6064,6066,6072,6074,6087],{"text":6065,"type":349},"Virtual Care Together is part of the Change Management Program, which also includes the ",{"text":6067,"type":349,"marks":6068},"Digital Health Learning Program",[6069],{"type":385,"attrs":6070},{"href":6071,"uuid":53,"anchor":53,"custom":53,"target":389,"linktype":390},"https://www.infoway-inforoute.ca/en/patients-families-caregivers/digital-health-learning-program",{"text":6073,"type":349},". Together, these programs help ensure that providers and other members of the care team, including patients and their ",{"text":6075,"type":349,"marks":6076},"essential care partners",[6077],{"type":385,"attrs":6078},{"href":6079,"uuid":6080,"anchor":53,"custom":6081,"target":443,"linktype":925,"story":6082},"/programs/essential-together","5121c67b-655c-4fe2-b0d7-d8d6193f6aaf",{},{"name":6083,"id":6084,"uuid":6080,"slug":6085,"url":6086,"full_slug":6086,"_stopResolving":291},"Essential Together",123451112281264,"essential-together","programs/essential-together",{"text":6088,"type":349},", are well-equipped to help transform care — so more people can benefit from safe and high-quality virtual care.",{"type":15,"attrs":6090,"content":6091},{"textAlign":53},[6092],{"text":6093,"type":349},"Virtual Care Together supports Healthcare Excellence Canada’s efforts to shift care closer to home with safe transitions, and is one of Canada Health Infoway’s initiatives to develop and expand virtual care solutions across the country.",{"id":16,"_uid":6095,"link":6096,"image":6102,"title":1082,"video_id":16,"component":5962,"media_type":939,"description":6108,"video_title":16},"ced2d1c1-e4ac-4ad0-a993-bd81a616ece1",[6097],{"_uid":6098,"link":6099,"label":6101,"component":933},"b52e6009-85d0-440a-9982-96dd49d72d0b",{"id":1087,"url":16,"linktype":925,"fieldtype":926,"cached_url":2162,"story":6100},{"name":1082,"id":1086,"uuid":1087,"slug":2161,"url":2162,"full_slug":2162,"_stopResolving":291},"Read more",{"id":6103,"alt":6104,"name":16,"focus":16,"title":6105,"source":16,"filename":6106,"copyright":16,"fieldtype":283,"meta_data":6107,"is_external_url":285},114300078411792,"A parent and child sitting in their kitchen meet with a primary care provider using a laptop.","Partnering On Appropriate Virtual Care Webimages Program Page","https://a-ca.storyblok.com/f/850807391887861/32c743b83a/partnering-on-appropriate-virtual-care-webimages-program-page.png",{"alt":6104,"title":6105,"source":16,"copyright":16},{"type":12,"content":6109},[6110],{"type":15,"attrs":6111,"content":6112},{"textAlign":53},[6113,6118],{"text":6114,"type":349,"marks":6115},"Learn about Partnering on Appropriate Virtual Care, HEC’s current virtual care programming.",[6116],{"type":1897,"attrs":6117},{"color":16},{"text":6119,"type":349,"marks":6120},"  ",[6121],{"type":1897,"attrs":6122},{"color":6123},"#575757","virtual-care-together","programs/virtual-care-together",-5280,[],{"parent_slug":1071,"umbraco_path":6129,"umbraco_uuid":6130},"/HealthcareExcellenceCanada/WhatWeDo/AllPrograms/VirtualCareTogether","ec58c800-0e11-4d7f-bd74-ceb4b8b7bf1a","8372cb3a-465c-4cc1-90ef-ad3a789ca0d7","2025-12-15T20:04:38.967Z",[],[6135],{"path":6136,"name":6137,"lang":305,"published":291},"programmes/soins-virtuels-ensemble","Soins virtuels ensemble",1776087522827]