iPEHOC Toolkit

Prevention & Care

iPEHOC Toolkit

This toolkit was developed to support the six pilot sites across Ontario and Quebec that are implementing the Improving Patient Experience and Health Outcomes Collaborative (iPEHOC) project.
The ultimate goal of the project is to develop a common and sustainable patient-reported outcome (PRO) and patient experience measurement system that is applicable to all jurisdictions in Canada. The primary aim of this project is to reduce symptom burden and improve patient experience of care by engaging clinicians in the meaningful use of Patient-Reported Outcome data in routine clinical care.

iPEHOC Project Documents

Asset	Description	Download
iPEHOC Project Summary	Overview of the iPEHOC project	iPEHOC Project Summary (PDF)
Governance Structure	iPEHOC project Governance	iPEHOC Governance (PPTX)
Key Messages	High level overview of the iPEHOC project	iPEHOC Key Messages Slide Deck - Nov 2015 (PPTX)
Implementation Checklist	Implementation Checklist	iPEHOC Implementation Checklist (DOCX)
Change Plans & Clinic Flows	Sites clinic flow documents	Hamilton iPEHOC Site Change Plan and Clinic Flow - JCC (PPTX) Symptom Assess Process Flow August 2015 (PDF) Montreal JGH clinic flow August 2015 (PDF) MUHC clinic flow August 2015 (PDF) SMH clinic flow August 2015 (PDF) Sudbury iPEHOC PROs Completion Clinic Flow (NECC) - September 2015 (PDF) Toronto Change-Management-Plan Princess Margaret (PDF) iPEHOC Site Change Plan and Clinic Flow - PMH (PPTX)
Information Technology	Data dictionary, UAT template for testing with patients, and the ISAAC iPEHOC user guide	Data Dictionary iPEHOC Data Elements (PDF) UAT with patients - template UAT Testing_iPEHOC_DART_2015 (DOCX) UAT Testing_iPEHOC_ISAAC_2015 (DOCX) User Guide ISAAC iPEHOC User Guide 2015-09-02 (DOCX)

Clinician Education Materials

Asset	Description	Download
Patient Reported Outcome Education Modules - Slides with audio and video	Inter-professional education sessions including a complex cluster case review, and targeted sessions for anxiety & depression, pain, and fatigue	iPEHOC - Patient Reported Outcomes Anxiety/Depression Module (DART) iPEHOC - Patient Reported Outcomes Anxiety/Depression Module (ISAAC) iPEHOC Global Module iPEHOC Fatigue Module iPEHOC Pain Module
Anxiety Depression Webcast Nov 11 2015	Anxiety and Depression PROs in the Clinical Encounter Webinar by Madeline Li to enhance knowledge of how to integrate PHQ-9 and GAD-7 scores in managing emotional distress with Q&A.	Anxiety Depression Webcast
CAPO Algorithms	Algorithms for Anxiety and Depression, pain, and fatigue	Algorithm-for-Screening-and-Assessment-for-fatigue (PDF) Algorithms-for-Cancer-Related-Distress-Depression-and-Global-Anxiety (PDF) Pain (Algorithm) (PDF)
Output Guide PowerPoint	Detailed navigation of the symptom report	iPEHOC Printout Output Guide (PPTX)
CPAC PRO’s Videos	Introduction to PROs for clinicians and patients	CPAC_PRO_Videos (DOCX)
PROM Frequency and Cut Off Scores	Logic for triggering each PROM (PHQ-9, GAD-7, BPI, CFS)	PROMs Frequency and Cut-Offs (PPTX)
iPEHOC Measures Inventory	Brief description of all iPEHOC measures	iPEHOC Measures Inventory (PDF)
Literature	Articles for review	BPI BPI_UserGuide (PDF) CFS 1-s2 0-S0885392401003050-main (PDF) 301.full (PDF) Comparison of Fatigue Scales (PDF) Validity of Cancer-Related Fatigue Instruments (PDF) ESAS Cut-Offs Bagha 2012 (PDF) ESAS cut points (PDF) GAD-7 Spitzer 2006 - GAD-7 Validation (PDF) PHQ-9 PHQ-9 Instruction Manual (PDF) Thekkumpurath 2011 - Screening for Major Depression in Cancer Outpatients (PDF) Vodermaier 2009 - Screening for Emotional Distress (PDF)
Stakeholder Meeting Videos	Presentations on symptom management and screening from clinician perspective and patient perspective	PROMs in Practice: Anxiety and Depression A Patient’s Perspective: My Message to Clinicians Dispelling Myths About Cancer-Related Fatigue
PRO Education Videos (full)	Case examples for using PROs in routine care	iPEHOC Anxiety Case Scenario iPEHOC Cluster Case Scenario iPEHOC Fatigue Case Scenario iPEHOC Pain Case Scenario
Brief Action Planning	Materials for using PROs in routine care for patient activation	10-BAP_guide_2014-03-01 (PDF) BAP_flow_Chart_2014-03-01 (PDF)
KTE	KTE framework and evaluation	kte_planning_guide_2006-1 (PDF) Melanie Barwick KTE (DOCX) Standard KTE Survey_for partners (Oct 2014) (DOCX)

Patient Education Materials

Asset	Description	Download
iPEHOC Pamphlet	Brief description of PROs and the symptom report for patients	iPEHOC Patient Newsletter (English & French) 08Oct2015 (PDF) iPEHOC_EN2-FR2_Pamphlet (DOCX) iPEHOC_FR_Pamphlet (DOCX)
Patient SMG	Patient Symptom Management Guides for pain and fatigue	CCO DRAFT Patient Mgmt Guide PAIN (PDF) CCO Patient Symptom Mgmt Guides FATIGUE (PDF)
Patient Post Card	Post cards for patients to raise awareness of iPHEOC in your centre	ISAAC Poster HSN - iPEHOC implementation 16Sept2015 (PDF) Post Card for IPEHOC_Sudbury 15September2015 (PDF) Post Card for IPEHOC October (DOCX) Post Card for IPEHOC (DOCX)

Last modified: Wed, Mar 30, 2016