Health Maintenance Plans

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?

 Anytime you visit the Health Centre, 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 also 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. The Health Portal is your Health Management tool.

What actions do I take?

The following describes some of the possible HMP tasks and what action needs to be taken by the patient.

HMP Tasks

HMP Task Name

Completed By

Action Required

Blood Pressure Reading

Patient

Take home BP Reading, enter data on Health Portal.

BMD

Clinic

Call clinic to arrange a Bone Mineral Density test.

CHF Review + 10 min

Clinic

Call clinic for appointment See note 1

Colonoscopy

Clinic

The clinician will setup a referral for you after discussing the procedure.

Diabetic Management Assessment

Clinic

Call clinic for appointment

FOBT Recall

Patient

FOBT test required; call clinic and have FOBT test kit prepared; pickup and complete. You can also pickup the kit at most pharmacies.


 

Mammography or Mammography-Special

Clinic

Call clinic to request requisition for a Mammography test.

OBSP

Patient

Contact the Ontario Breast Screening Program for an appointment @ 613-728-0777

PAP Smear

Clinic

Call clinic for PAP appointment

Pneumovax

Clinic

Call clinic to arrange a time that you can drop by to have the immunization.
See Note 2

Sigmoid Recall

Clinic

Call clinic for Sigmoid appointment

Smoking Status Missing

Patient

Update your smoking status on the Portal Main page. E.g.
SMOKER, NONSMOKER or EXSMOKER

Tetanus Booster

Clinic

Call clinic to arrange a time that you can drop by to have the immunization.
See Note 2

 

 

 

Note 1: May be added to an up coming appointment. Note 2: 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 further information. If you have further questions, use the Health Portal Questions feature to get an answer to your question.

Blood Pressure Reading

Readings of your blood pressure are taken frequently over your life time 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 than less readings. Readings should be done when you are quiet and relaxed, sitting up straight in a chair with your feet 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. Home Blood Pressure machines are available. There are also blood pressure machines at pharmacies or you could drop into our clinic to have our nurse check your blood pressure.

CHF Review

CHF is a short form for Congestive Heart Failure. Patients diagnosed with CHF will be monitored by the 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.


 

FOBT Recall

FOBT is a short form for Fecal Occult Blood Test. Fecal occult blood testing (FOBT), as its name implies, aims to detect subtle blood loss in the gastrointestinal tract, anywhere from the mouth to the colon. Positive tests ("positive stool") may result from either upper gastrointestinal bleeding 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 for that disease, but it can also be used to look for active occult blood loss in anemia[2] or when there are gastrointestinal symptoms.[3]
It is a test that is preformed by the patient at home and then mailed to the Laboratory for analysis. It is usually done every 1-2 years from the age of 50 - 69. Some patients are excluded if they have had other tests performed or have been treated for cancer.

Sigmoid Recall

Flexible sigmoidoscopy enables the physician to look at the inside of the large intestine from the rectum through the last part of the colon, called the sigmoid. Physicians may use the procedure to find the cause of diarrhea, abdominal pain, or constipation. They also use it to look for benign and malignant polyps, as well as early signs of cancer in the descending colon and rectum.

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 a screening tool. The goal of mammography is the early detection of breast cancer, typically through detection of characteristic masses and/or microcalcifications.

PAP Smear

The Babeș-Papanicolaou test (also called Pap smear, Pap test, cervical smear, or smear test) is a screening test used to detect pre-cancerous and cancerous processes in the endocervical canal (transformation zone) of the female reproductive system.

Diabetic Management Assessment

A patient with Diabetes needs to be assessed on a regular basis. This is part of the disease management protocol. The clinician will perform and record a number of tests.

Smoking Status Missing

To assess your health risks, a smoking history is required. Your “Social History” needs to be updated in the EMR. You are a SMOKER of 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.

Immunizations

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.

 

 

Our Location

119 Langstaff Drive
Box 218
Carp, Ontario
K0A 1L0
Phone: 613.839.3271
Fax: 613.839.3273