1. Please remember to complete the workshop evaluation & consent form. We appreciate your feedback. Thank you. Emergency Department Asthma Care Program: Adult and Pediatric Asthma Care Pathway Asthma Advisory Committee February 24, 2011 Dr. Mona Jabbour Chair, EDACP Steering Committee Sue Martin RRT MA(c) Provincial Coordinator EDACP

2. Objectives for 2010-2011 Dissemination of the Adult EDACP Monitor and assist with Adult EDACP implementation Develop Pediatric EDACP and implementation plan Support for EDACP Committees and external partners

3. Dissemination All LHIN workshops will be completed by March 31 st – Brampton, Kitchener, Windsor, London, Oshawa and Mississauga – Very positive participant responses Ontario Telemedicine Network used to increase accessibility Emphasis on increasing physician awareness – Provincial LHIN ED Leads endorsement – Assistance offered to local leads – Local LHIN lead opens workshops Notice of OTN based workshops sent to provincial ED educators

4. Adult EDACP Implementation Status Survey of 126 hospitals completed post workshop attendance – 63% response rate 15 sites reported full implementation 27 sites reported that implementation is ‘in progress’ 36 sites had no plans to implement – ‘Other priorities’ and limited resources cited – Most used tools – EDACP ‘envelope’ and the EDACP workshop – Hospitals would welcome e-learning tool and medical directives – Highlighted uneven availability of resources

5. Resources by LHIN – based on 48 sites

6. Pediatric Pathway Expert team has developed evidence based – Medical directive – Care path algorithm – Discharge plan Development in progress – ‘Slim Jim’ brochure – Poster – Pre-printed orders Submission to National Lung Health Framework

7. Support to EDACP and Partners Exhibited at Emergency Nurses Association of Ontario Conference Exhibited at Respiratory Therapy Society of Ontario Conference Presented at Emergency Educators of Ontario meeting Presented to LHIN 3 Emergency Services meeting Secretariat and organizational support to eight Pediatric Working Group and three EDACP Steering Committee meetings in Fiscal 10/11 Organized and presented 6 EDACP workshops Budget development, quarterly reports

8. 2011 / 2012 Potential Objectives Complete all Pediatric pathway tools/forms including Professional Practice review Develop Pediatric pathway pilot options based on available funding. Provide MacHealth e-learning Adult EDACP module http://machealth.ca/ Add Pediatric EDACP module to MacHealth

9. 2011 / 2012 Potential Objectives Provide OTN based workshops to hospitals that have not attended (approx 35) or who wish a review Provide OTN based workshops to all hospitals requiring implementation assistance Develop Medical Directive to accompany Adult pathway (to enhance clinical care and reduce ED LOS and re-visit rate)

10. EDACP Steering Committee Chair: Dr. Mona Jabbour, Pediatrician and Chief of Emergency Medicine at CHEO Dr. Louise McNaughton-Filion, LHIN Emergency Department Lead Dr. M. Diane Lougheed, CTS, Asthma Committee Chair Dr. Adam Cheng, Canadian Pediatric Society, Pediatric Emergency Medicine Dr. John Granton, OTS Susan Woollard, RN Emergency Department Administration Group Janice Spivey, RN Emergency Nurses Association of Ontario Jennifer Olajos-Clow, RN(EC) CAE, Registered Nurses Association of Ontario, ORCS Nancy Garvey, RRT, CAE Asthma Program Coordinator, MOH & LTC Carole Madeley, RRT, CRE Director Respiratory Health Programs, OLA Sue Martin, RRT, EDACP Provincial Coordinator, OLA Dr. Vincent Grant, CAEP - Pediatric Section Dr. Angelo Mikrogianakis Canadian Pediatric Society- Acute Care Committee Chair Marilyn Booth, Provincial Council for Maternal and Child Health Elizabeth Delville, RRT, CAE Respiratory Therapy Society of Ontario Jennifer Harrison, RRT, CAE College of Respiratory Therapists of Ontario

11. Expert Content Working Group Chair: Dr. Francine Ducharme – Associate Director of Clinical Research at the CHU Sainte-Justine Research Center and Professor at the Department of Pediatrics, Université de Montréal Dr. David Zielinski, Pediatric Respirologist, OTS Dr. Roger Zemek, Pediatrician (CHEO) Jennifer Olajos-Clow, RN(EC), CAE, Registered Nurses Association of Ontario, ORCS Dr. Joe Reisman Pediatric Respirologist CHEO Dr. Mona Jabbour, Pediatrician and Chief of Emergency Medicine at CHEO Bonnie Fleming-Carroll, RN(EC) Nurse Practitioner - Hospital for Sick Children Dr. Brian Kuzik – Community Pediatrician, Barrie Dr. Alan Kaplan, Chair Family Physician Airways Group of Canada Dr. Chris Bourdon Chief of Staff, Sudbury Elizabeth Delville, RRT, CAE, Respiratory Therapy Society of Ontario James Tjon, Ontario Hospital Pharmacists Association Jennifer Harrison, RRT, CAE College of Respiratory Therapists of Ontario

12. Questions?