REFERRAL INFORMATION
WHO IS ELIGIBLE TO PARTICIPATE IN THE CANVAS-IBD PILOT PROGRAM?
No matter where a person with IBD lives, it is essential that they can access their healthcare team. The CaNVAS-IBD program is dedicated to serving patients living with Crohn’s disease and ulcerative colitis who live in underserviced locations across Canada.
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Eligibility criteria may vary between provinces depending on the needs assessment of each province. People with Crohn’s disease or ulcerative colitis are eligible to participate in this IBD virtual care pilot project if they live more than 100km* away from an IBD Centre.
Referral forms to virtual care (CaNVAS-IBD program) must be completed by a physician or nurse practitioner. In some provinces, the IBD patient can self-refer to virtual care.
Eligibility criteria and referral process varies between provinces due to differences in provincial systems and needs assessment.
To ensure appropriate referrals, please refer to your province-specific referral information.
In addition to referral forms, please fax all IBD-related health records for the patient which includes:
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Endoscopy and pathology reports
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Diagnostic imaging results
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Past IBD health records (i.e., health records from gastroenterologists, colorectal surgeons)
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IBD-related specific complications including other specialists reports
If you are unsure about the referral process, please do not hesitate to contact the virtual care coordinator for your province or the national virtual care manager.
How will patients be referred to the program?
Stay tuned for more details to come.
Who will refer patients to the program?
Stay tuned for more details to come.
What is the process for referring patients to virtual care? (Current processes, if any exist?)
Stay tuned for more details to come. .
How will patients be referred to the program?
Patients would be identified from within the current patient roster at the IBD clinic in Saskatoon. There is no formal multidisciplinary IBD program in Regina yet, but Dr. Bhasin is working on establishing this. For now, patients from Regina would likely be identified from Dr. Bhasin's practice.
Who will refer patients to the program?
Currently patients are referred to the IBD centre in Saskatoon (or to Dr. Bhasin in Regina who is GI with IBD training) from general practitioners (GPs), General Surgery, and from GI who do not focus on IBD. New patients who are referred in to the IBD center would be flagged if they are in remote locations as these patients would benefit most from the virtual care program.
What is the process for referring patients to virtual care? (Current processes, if any exist?)
For the past 2 years, the majority of patients have been seen virtually. If on initial virtual assessment they are found to require an in person visit, this is then arranged (visit for physical exam, visit for scope or IUS, etc).
Clients must be referred by a Gastroenterologist affiliated with the Multidisciplinary IBD Clinic at the Royal University Hospital.
Schedule: Clients will be followed through clinic appointments or by individual appointments depending on the needs of the individual patient.
How will patients be referred to the program?
Patient requirements; only bona fide diagnosis of IBD (not for people who are worried they have IBD). Patients or physicians with IBD patients can call the clinic directly.
Who will refer patients to the program?
Patients can be self-referred or a physician or nurse practitioner caring for a patient with IBD can call in for advice or to refer the patient.
What is the process for referring patients to virtual care? (Current processes, if any exist?)
The nurse practitioner will have a phone visit with the patient and/or health care provider. The program’s gastroenterologists can then elect to have a virtual care visit with the patient either by phone or by video or if needed an in-person visit.
The Ontario IBD virtual care program is dedicated to serving patients living with Crohn’s disease and Ulcerative Colitis who reside in underserviced locations throughout Ontario. Referrals are accepted for adult patients living at least 100 kms from Mount Sinai Hospital in Toronto.
How to be referred to the Ontario IBD virtual care program
The PACE IBD telemedicine program accepts referrals from physicians and nurse practitioners for the following reasons:
to assist with the diagnosis of IBD,
to assume ongoing IBD management, or
for a second opinion regarding treatment and care of IBD
Along with the completed referral form, the referring health care provider should include:
recent medical imaging results
endoscopy and surgical reports
relevant lab work
The referral form and supporting documents should be faxed to the IBD Telemedicine: 416-586-5971 or emailed to PaceIBD.MSH@SinaiHealth.ca
For further information, please contact:
Peter Habashi, RN
Mount Sinai Hospital
Zane Cohen Centre for Digestive Diseases
Phone: 416-586-4800 x 2188
Fax: 416-586-5971
Em: Peter.habashi@SinaiHealth.ca
CaNVAS-IBD Quebec Program is dedicated to serving patients living with Crohn's disease and ulcerative colitis who reside in underserviced locations throughout Quebec. We accept referrals for adult patients living at least 100 kms from the Montreal General Hospital. Patients in the CaNVAS-IBD Quebec program have access to real-time medical consultations from Gastroenterologists who specialize in IBD management. Telemedicine essentially involves a health care specialist speaking to a patient through videoconferencing technology similar to Skype or FaceTime, but with a secured computer network. Through the use of this technology, our program endeavors to minimize the disruption, stress and cost that can be associated with travel to Montreal for IBD related medical appointments. We will use Teams for Healthcare in our virtual care program. How will patients be referred to the program?
The referral process will be as follows:
(1) Patients already being seen at the McGill University Health Centre (MUHC) IBD clinic but live remotely, (2) Lead gastroenterologist (GI) triages all IBD referral to the clinic and will identify eligible referrals, (3) Corridor of service with Hull/Gatineau already established and will offer virtual care service (4) GIs routinely travel to Northern QC area for colonoscopies and will identify eligible IBD patients.
Who will refer patients to the program?
The CaNVAS-IBD Quebec program accepts referrals from physicians and nurse practitioners for the following reasons:
1. to assist with the diagnosis of IBD,
2. to assume ongoing IBD management, or
3. for a second opinion regarding treatment and care of IBD
Along with the completed referral form, the referring health care provider should include:
- recent medical imaging results
- endoscopy and surgical reports
- relevant lab work
What is the process for referring patients to virtual care?
The referral form and supporting documents can be emailed to: jennifer.laneuville@muhc.mcgill.ca or faxed at 514-843-2891 Once your referral has been triaged by one of our IBD specialists, you will be contacted by the IBD Telemedicine nurse from the Montreal General Hospital with the date and time of your telemedicine appointment.
Le programme RCaVAS-MII Québec est destiné aux patients atteints de la maladie de Crohn et de la colite ulcéreuse qui habitent dans des régions mal desservies du Québec. Nous acceptons les patients adultes qui habitent à au moins 100 km de l’Hôpital général de Montréal. Les patients du programme RCaVAS-MII Québec ont accès à des consultations médicales en temps réel de la part de gastro-entérologues spécialisés dans la prise en charge des MII. La télémédecine implique essentiellement qu’un spécialiste des soins de santé parle à un patient par le bias d’une technologie de vidéoconférence similaire à Skype ou FaceTime, mais avec un réseau informatique sécurisé. Grâce à cette technologie, notre programme s’efforce de minimiser les perturbations, le stress et les coûts qui peuvent être associés aux déplacements à Montréal pour les rendez-vous médicaux liés aux MII. Nous utiliserons Teams pour Healthcare dans notre programme de soins virtuels.
Comment les patients seront-ils orientés vers le programme ?
Le processus de référence est le suivant :
(1) Les patients déjà vus à la clinique des MII du Centre universitaire de santé McGill (CSUM) mais vivant à distance, (2) Le gastro-entérologue en chef trie tous les cas de MII adressés à la clinique et identifiera les cas admissibles, (3) Un corridor de service avec Hull/Gatineau est déjà établi et offrira un service de soins virtuels (4) Les gastro-entérologues se rendent régulièrement dans le nord du Québec pour des coloscopies et identifieront les patients atteints de MII admissibles.
Qui oriente les patients vers le programme ?
Le programme RCaVAS-MII Québec accepte les recommandations des médecins et des infirmières praticiennes pour les raisons suivantes :
1. Pour aider au diagnostic des MII,
2. Pour prendre en charge la gestion continue des MII, ou
3. Pour obtenir un deuxième avis sur le traitement et la prise en charge des MII
Le fournisseur de soins de santé qui adresse le patient doit joindre au formulaire d’orientation rempli les documents suivants :
- les résultats d’imagerie médicale récents
- les rapports d’endoscopie et de chirurgie
- les résultats de laboratoire pertinents
Quel est le processus pour référer des patients aux soins virtuels ?
Le formulaire de recommandation et les documents à l’appui peuvent être envoyés par courriel à jennifer.laneuville@muhc.mcgill.ca ou par télécopieur au 514-843-2891. Une fois que votre recommandation aura été triée par l’un de nos spécialistes des MII, l’infirmière de télémédecine des MII de l’Hôpital général de Montréal communiquera avec vous pour vous indiquer la date et l’heure de votre rendez-vous par télémédecine.
How will patients be referred to the program?
Virtual Hallway (VH) is a platform that embeds evidence-based referral algorithms. In instances when a physician or NP from a rural or underserviced region is referring to Nova Scotia Collaborative IBD Program (NSCIBD) Centre of Excellence (COE), these referrals will come in via VH through a smart referral algorithm that will incorporate clinical decision support at the time a referral for an IBD flare is made. The intent of this platform is to improve the quality of the referral and to improve efficiency and appropriateness of the referral process.
Who will refer patients to the program?
A physician or NP from a rural or underserviced region will refer patients. In Nova Scotia, given lack of resourcing for dedicated virtual care nurses, as well as underservicing in primary care, the proposed model will engage community-based internists and general gastroenterologists, offering them and their patients the support services of the Virtual IBD Nurse Navigation (VINN) to empower and incentivize local IBD care delivery.
What is the process for referring patients to virtual care? (Current processes, if any exist?)
To be determined.