Building on relationships of trust to deliver unbiased, evidence-based information to clinicians.
CEP designed, implemented and evaluated the first large-scale feasibility study for academic detailing in Ontario. Based in Sudbury and the Greater Toronto Area, this project focused on type 2 diabetes management. This program trained skilled health care providers to deliver independent, evidence-based information to providers and included a detailed evidence document, clinical tools and patient handouts.
Partners
| • | Canadian Academic Detailing Collaborative |
| • | Drug Information and Research Centre www.dirc.ca |
| • | Guidelines Advisory Committee www.gacguidelines.ca |
| • | Harvard Medical School faculty members from the Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital drugepi.org |
| • | Med-I-Well Services www.mediwell.ca |
| • | Nurse Practitioners' Association of Ontario www.npao.org |
| • | Ontario Pharmacists' Association www.opatoday.com |
Client/Funder
| • | Ontario Ministry of Health and Long-Term Care, Ontario Drugs Program Division www.health.gov.on.ca |
Description
From September 2007 to 2008, CEP developed and implemented an academic detailing pilot program focused on two geographic areas: Sudbury and the Greater Toronto Area. The clinical focus of the Best Practice Support program was on difficult aspects of type 2 diabetes including insulin starts, role of glitazones and the prevention of complications.
Expert academic detailing service facilitators deliver independent advice and evidence-based information to health care providers in their own office setting during brief one-to-one encounters. Specific clinical topics of interest to practitioners are discussed and ongoing support is provided targeting positive patient-care outcomes and good value in healthcare delivery.
Elements of this program included:
- Partnerships with Med-I-Well Services, the Ontario College of Family Physicians, Ontario Pharmacists’ Association, Nurse Practitioners' Association of Ontario, Hamilton Family Health Team, Centre for Evaluation of Medicines Drug & Therapeutics Information Services (DATIS, Adelaide, Australia), Independent Drug Information Service (iDiS, Pennsylvania)
- Recruitment of academic detailers who are affiliated with Med-I-Well Services, Summerville Family Health Team and Barrie Family Health Team
- Content development pertaining to clinical area (e.g. evidence summaries, identification of key messages and enablers)
- Development of performance aids to promote best practice (e.g. algorithms, patient management flow sheets)
- Development of patient education tools to support best practice
- Design of an evaluation framework
- Development and hosting of a training program (e.g. workshops, teleconferences, materials, etc.) for academic detailers
- Development of a comprehensive promotion and recruitment plan
- Collaboration and linkages with other diabetes educational programs
- Roll out to clinicians in Sudbury and the GTA (180 visits)
Tools
Achieving Glycemic Goals, a tool to help providers manage type 2 diabetes
Patient Prescription: Insulin, a tool for providers to use to help improve patient self-management
Starting Insulin, a provider resource detailing sample insulin regimens
Know Your Sugar Level, an information sheet for patients
Learn More About this Project
