Telemedicine / Health IT
Getting you started quickly with telemedicine (updated on April 30)
Doxy.me for telemedicine: discounted subscription available
The Victoria and South Island Divisions have negotiated a discounted subscription for members to Doxy.me for telemedicine.
View the Doxy.me sign-up step-by-step instructions here.
View the Doxy.me Troubleshooting Guide here.
You will need a discount code. Please contact May Woodburn at the South Island Division of Family Practice (email@example.com) to receive your code.
You can check their system requirements to make sure you have what you need before you sign up.
If you have questions about the Division's work on telemedicine, please contact Kristin Atwood at firstname.lastname@example.org.
Webinars from the Doctors Technology Office (DTO):
- Training Support for Doxy.me | The Doctors Technology Office has created a series of short 'how-to' videos to assist you in getting going with virtual care using Doxy.me. You can find their online Learning Series here, including a link to a recent webinar facilitated by local physician Dr. David Harrison.
Zoom for Healthcare
Community FPs are able to receive a licence to Zoom for Healthcare from the Public Health Services Agency (PHSA). The Doctors Technology Office has published step-by-step instructions that you can follow to get your license: Click here .
For more information on Zoom for Healthcare you can visit this PHSA page.
You may have heard concerns about privacy and security with Zoom. These affect the free version of the software and not the version for Healthcare. You can read PHSA's latest statement about Zoom for Healthcare and privacy here.
One-time Subsidy for e-Faxing Solutions
To enable doctors to work more efficiently and effectively during the COVID-19 pandemic, the General Practice Services Committee (GPSC) is offering a one-time subsidy of $150 towards the cost of an eFax solution to all GPs in the province. This subsidy can be either:
- an automatic credit towards an SRFax Healthcare plan best suited to your practice for those that do not currently have an eFax solution; or
- for those that already have an eFax solution in place or access through your EMR vendor, a one-time reimbursement subsidy payment of the same value.
Access to this subsidy is available by completing the online application available here. Once your application has been approved, you will be sent instructions via email on how to register for your SRFax Healthcare account or receive your reimbursement subsidy. Applications for this benefit will close on August 31st, 2020.
For further information, please contact the Doctors Technology Office at email@example.com.
View these resources:
- Hardware requirements (microphone, camera)
- Informing patients, getting consent, and documenting consent
- Workflows for scheduling, charting, and billing
- How to bill, and more.
- Virtual Care Tool Kit (DTO)
- FAQ for Patients (DTO)
- Poster for clinics providing virtual care visits during COVID-19
- Guide to eFaxing from Home (DTO)
- Guide to Mailchimp and Fongo (video and guide)
Billing codes have been adjusted so that you may bill for a telephone call at the same rate as you would for a videoconference consult.
Having a standard and consistently applied way of receiving informed verbal consent from patients is essential, though written consent is more rigorous. You can use the CMPA form (headline links to it) for written consent.
Pages 2-3 of the DTO Virtual Care Toolkit offer a script for verbal consent, as well as suggested chart notes. You may create a template within your EMR that launches every time a virtual visit is initiated. If you do not know how to create EMR templates, contact your EMR provider. Your Practice Support Program coordinator may also be able to help.
- Using Facetime
You can use Facetime for virtual visits but you must have iCloud turned off on your mobile device, the DTO advises. To turn off iCloud:
- Click on "Settings" app.
- Click on your device name (at the top)
- Click on iCloud (cloud icon)
- Scroll down to "iCloud Backup" - click and make sure it is set to "off"
Vancouver Coastal Health region is using Facetime. View their Standard Operating Procedure here (keep in mind some links may not work outside VCH)
Telemedicine for Opioid and Cannabis Prescriptions:
The College of Physicians and Surgeons of BC have revised their practice standard to improve access to telemedicine. Specifically, they are now allowing physicians to prescribe opioids or cannabis via telemedicine if they have a longitudinal relationship with the patient or are in direct communication with a physician or nurse practitioner than has such a relationship. Read the details here.
CPMA confirms that you are supported to provide virtual care, including to patients who are temporarily outside of Canada (e.g. travellers who are unable to return home).
More information and one-on-one support:
Questions for the Victoria Division? Contact Kristin Atwood: firstname.lastname@example.org