What are they?
A Health Maintenance Plan (HMP) is a feature of our Electronic Medical Record (EMR) system, which lets us schedule reminders. These reminders generally repeat with a pre-determined frequency based on published standards. For example, we may create a HMP for “Blood Pressure Reading” for patients who require regular monitoring (based on their risk factor profile). This allows for trends to be observed and corrective action to be taken if necessary.
What do I do?
Any time you visit the clinic, our staff will be prompted if you have a HMP that is coming-up or past-due. Our staff will take the appropriate action at that time.
When you login to the Health Portal, you can see the same HMP tasks. In some cases you can take the appropriate action yourself by either completing the task at home (e.g. take a home blood pressure reading) or schedule an appointment with one of our staff.
You are an important part of your health care team. We encourage all of our patients to register on the Patient Health Portal to play an active role by keeping up to date with their Health Maintenance Plans.
What actions do I take?
The following describes some of the possible Health Maintenance Plan tasks and what action needs to be taken by the patient.
|HMP Task Name||Action Required|
|Blood Pressure Reading||Take home BP Readings, enter data on Health Portal.|
|BMD||Send a portal message to your physician or nurse practitioner requesting a Bone Mineral Density test.|
|CHF Review + 10 min||Call us for an appointment. Note: CHF review may be added to an upcoming appointment.|
|Colonoscopy||Send a portal message to your physician or nurse practitioner requesting a referral.|
|Diabetic Management Assessment||Call us for an appointment.|
|FOBT Recall||FOBT test required; call us to have FOBT test kit prepared. Pickup and complete from home. You can also obtain the kit from most pharmacies.|
|Mammography||Call us to request requisition for a Mammography test.|
|OBSP||Contact the Ontario Breast Screening Program for an appointment @ 613-728-0777|
|PAP Smear||Call us for a PAP appointment|
|Pneumovax||Call us for an appointment
See “Immunizations” below
|Smoking Status Missing||Update your smoking status on the Portal Main page. E.g.
SMOKER, NONSMOKER or EXSMOKER
|Tetanus Booster||Call us for an appointment
See “Immunizations” below
What do the terms mean?
In the HMP task list above, medical short forms have been used to conserve space. In the table below, the text has been expanded and references included for additional information. If you have further questions, use the Health Portal Message feature to get an answer to your question.
Blood Pressure Reading
Readings of your blood pressure are taken frequently over your lifetime and stored as part of your medical record. Significant changes in the blood pressure may indicate a medical condition that should be investigated. It is better to have more readings than too few. Readings should be done when you are relaxed, sitting up straight in a chair with your feet flat on the floor (not crossed). Your arm should be level at the elbow and 3 readings should be taken with five minutes delay between the readings.
Some patients will purchase a blood pressure machine to take readings from home, more easily and frequently. To view a list of recommended devices, click here. There are also blood pressure machines at pharmacies or you could drop into our clinic to have our nurse check your blood pressure.
CHF is a short form for Congestive Heart Failure. Patients diagnosed with CHF will be monitored by our clinical team on a regular basis. The clinician will review a number of tests and observations to complete this task. It usually adds 10 minutes to the appointment time.
Diabetic Management Assessment
A patient with Diabetes needs to be assessed in the office at least 3 times per year. This is part of the disease management protocol. The clinician will perform and record a number of tests.
FOBT is a short form for Fecal Occult Blood Test. The FOBT detects subtle (occult) amounts of blood in your stool. Positive tests (“positive stool”) may result from blood loss anywhere in the gastrointestinal tract (passageway from the mouth, to the stomach, through the intestines, to the colon). It could be a sign of upper or lower gastrointestinal bleeding and warrant further investigation for peptic ulcers or a malignancy (such as colorectal cancer or gastric cancer). The test does not directly detect colon cancer but is often used in clinical screening.
It is a test that is preformed by the patient at home and then mailed to the Laboratory for analysis. If you are between the ages of 50-74, it is recommended that you have the FOBT every 1-2 years. Some patients are excluded if they have had other tests performed (such as a colonoscopy) or have been treated for cancer.
Mammography or OBSP
Mammography is the process of using low-energy X-rays to examine the human breast and is used as a diagnostic and screening tool. The goal of mammography is to screen for breast cancers when they are small and are less likely to have spread (metastasized) and more likely to be successfully treated. The Ontario Breast Screening Program (OBSP) screens women ages 30-69 who are identified as being at high risk of breast cancer. For more information, visit Cancer Care Ontario’s website.
The Pap Smear (also called Pap test, cervical smear, or smear test) is a screening test used to detect abnormal cells in the cervix that could lead to cervical cancer later in life. For women ages 21-69 who have ever been sexually active, it is recommended that they have regular Pap tests every 3 years.
Smoking Status Missing
To assess your health risks, a smoking history is required. You are a SMOKER if you have smoked in the past 2 weeks, an EXSMOKER if you have smoked in the past and a NONSMOKER if you have never smoked. You can update your smoking status in the “INFO” tab of the Patient Health Portal.
A number of immunizations may be listed such as Tetanus, which requires a booster shot every 10 years. Others may be shown in the HMP list but not described in this document.