Transcript Shared Care Panel Discussion RA OA

MSK Train the Trainer 1
Shared Care Panel Discussion
Caring for your
Patient with Arthritis
www.pspbc.ca
Faculty/Presenter Disclosure
Speaker’s Name: Speaker’s Name
Relationships with commercial interests:
- Grants/Research Support: PharmaCorp ABC
- Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd
- Consulting Fees: MedX Group Inc.
- Other: Employee of XYZ Hospital Group
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Disclosure of Commercial Support
This program has received financial support from [organization name] in the form
of [describe support here – e.g. educational grant].
This program has received in-kind support from [organization name] in the form
of [describe the support here – e.g. logistical support].
Potential for conflict(s) of interest:
- [Speaker/Faculty name] has received [payment/funding, etc.] from
[organization supporting this program AND/OR organization whose product(s) are
being discussed in this program].
- [Supporting organization name] [developed/licenses/distributes/benefits from
the sale of, etc.] a product that will be discussed in this program: [enter generic
and brand name here].
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Mitigating Potential Bias
[Explain how potential sources of bias identified in slides 1 and 2 have been
mitigated].
Refer to “Quick Tips” document
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Certification
 Up to 21 Mainpro+ Certified credits for GPs awarded upon
completion of:
› All 3 Learning Sessions (NOTE: Credits and payment will be based on
the exact number of hours in session)
› At least 1 Action Period
› The Post-Activity Reflective Questionnaire (2 months after LS3)
 Up to 10.5 Section 1 credits for Specialists
› All 3 Learning Sessions (NOTE: Credits and payment will be based on
the exact number of hours in session)
› The Post-Activity Reflective Questionnaire (2 months after LS3)
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Update/revise
Action Plan
Report of AP1
experiences &
successes
Payment for:
PMV (optional)
LS1
Action Period 1
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Refine
implementation;
embed & sustain
improvements
attempted in
practice via
Action Plan +
AP2
requirements
Interactive
group learning
Finalize Action
Plan
Report of AP2
experiences &
successes
Payment for:
LS2
Action Period 2
LS3
Reflection
Interactive
group learning
Learning Session 3
Create Action
Plan (using
template)
Planning & initial
implementation
in practice;
review of Action
Plan &
improvements
attempted in
practice + AP1
requirements
Action Period 2
Interactive
group learning
Learning Session 2
Opportunity
for in-practice
visit to
introduce
applicable
EMR-enabled
tools &
templates prior
to LS1
Action Period 1
Learning Session 1
Pre-Module Visit
Learning Session & Action Period Workflow
Reinforce &
validate practice
improvements
GPs & Specialists
complete PostActivity
Reflective
Questionnaire
(PARQ) 2 months
after LS3 &
submit to PSP
Central
Payment Stream 1 (ideal)
Current Rates:
GPs
Specialists
MOAs
Hourly Rate
$125.73
$148.31
$20.00
Action Period 1
$880.10
$1,038.16
N/A
Action Period 2
$660.07
$778.62
N/A
Payment made after attending LS2
Payment made after attending LS3
GPs:
GPs:
PMV
= $125.73
LS2
= $440.05 ($125.73 x 3.5hrs max.)
LS1
= $440.05 ($125.73 x 3.5hrs max.)
AP2
= $660.08
AP1
= $880.10
LS3
= $440.05 ($125.73 x 3.5hrs max.)
TOTAL
$1,445.88
TOTAL
Specialists
Specialists
LS1
= $519.08 ($148.31 x 3.5hrs max.)
LS2
= $519.08 ($148.31 x 3.5hrs max.)
AP1
= $1,038.16
AP2
= $778.62
$1,557.24
LS3
= $519.08 ($148.31 x 3.5hrs max.)
TOTAL
TOTAL
MOAs
$1,816.78
MOAs
PMV
= $20.00
LS1
= $80.00 ($20.00 x 4hrs max.)
LS2
= $80.00 ($20.00 x 4hrs max.)
$100.00
LS3
= $80.00 ($20.00 x 4hrs max.)
TOTAL
TOTAL
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$1,540.18
$160.00
Panelists
 Moderator: Dr. Julia Alleyne
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Dr. Diane Lacaille
Dr. Ken Hughes
Ms. Linda Li
Dr. George Watson
Dr. Patrick Chan
Format
 Provide the panel with a rolling case
 Direct questions to panel
 Ask the panel to limit answers to
2 minutes
 Ask audience for questions
and comments
 Closing pearls of practice
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Maggie’s Voice
 Maggie is 51 years old and was
diagnosed with Rheumatoid arthritis
7 years ago.
 She has been managed with
medications (Plaquenil) for
inflammation but is still complaining
of pain and swelling.
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Panelists
1. Where would you start in assessing Maggie’s symptoms and
effectiveness of medication?
2. What is your approach to patient education regarding symptom
management?
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Maggie
 Maggie works in a sedentary job
and lives alone.
 She is experiencing prolonged
morning stiffness, night time pain
and increased foot joint swelling.
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Panelists
3. Would rehabilitation help Maggie cope better with work or home
activities?
4. What has been your experience with community resources for
patients like Maggie?
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Maggie
 2 weeks ago, Maggie started a
walking program on the treadmill
as she read that it exercise might
help her. She started to run one
day but felt a sudden pop in her
knee and it has been swollen
ever since.
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Panelist
5. How do you assess knee pain which may be mechanical or
osteoarthritic in the patient with inflammatory symptoms?
6. What is your criteria for surgical intervention in a patient with
rheumatoid arthritis?
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Cortisone Injections
What’s the scoop?
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Who
When
Why
How Many
Maggie

Maggie is divorced and has one sister who
lives 3 hours away. Her work is as a
receptionist for a car dealer and her hours are
scattered over days, evenings and weekends.
She has had a past history of panic attacks
and recently experienced some palpitations.
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“My biggest concern is that I
won’t be able to support myself
and I don’t know how to change
things around this time.
Being sick costs money!
Life’s demands don’t stop just
because you have arthritis.”
Panelist
7. How do you monitor and manage co-morbidities within a
scheduled office visit?
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Panelist
 If we were in your office for a day, what is the one pearl that you
would like us to take home regarding the care of a patient with
arthritis?
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Thank you
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