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Emergency Department Paediatric Readiness

Children requiring emergency care have unique needs that are typically very different than those of adult patients, especially when the need for care is serious or life-threatening. Having the appropriate resources (e.g., infrastructure, equipment, supplies), staffing/training, paediatric-specific policies/procedures and quality improvement practices in place -in other words, “paediatric readiness’- is essential for an emergency department […]

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Ontario Neonatal Follow-Up Program

Neonatal follow-up plays a critical role in Ontario’s healthcare system, monitoring and offering early intervention for high-risk infants with varying diagnoses. The Neonatal Follow-Up Program (NFUP) refers to neonatal follow-up clinics collectively that are part of a larger collaborative provincial system. PCMCH has developed NFUP resources with the aims of reducing variations in practice among

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Quality-Based Procedures for Paediatric Tonsillectomy

The Quality-Based Procedures (QBPs) for Paediatric Tonsillectomy with and without Adenoidectomy were developed as part of the Ontario Health System Funding Reform (HSFR) initiative. The purpose of the HSFR was to strengthen the link between high-quality healthcare delivery and fiscal sustainability. The QBPs for Paediatric Tonsillectomy with and without Adenoidectomy provide clinicians with evidence-based recommendations

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Toolkit to Support Effective Collaboration within an Integrated Care Team

In 2014-2015, PCMCH committed to working with stakeholders to advance care for children with medical complexity (herein referred to as “CMC”). To support this journey, a toolkit to support effective collaboration within an integrated care team was developed. The goal of this toolkit is to help integrated care teams understand the shift required to overcome

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Maternal-Newborn Gap Analysis

In 2018, PCMCH reviewed low-volume, rural and remote intrapartum services and completed an analysis of access to safe and high-quality intrapartum care services in lower-volume centres (less than 500 births a year) across Ontario. The gap analysis used a mixed-methods approach, including: An environmental scan Interviews with representatives from lower volume intrapartum care sites Data

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Paediatric Diabetes Illness Management Guidelines

The Paediatric Diabetes Network revised the PDN Managing Diabetes During an Illness Guidelines (‘Illness Management Guidelines) in 2018.  The guidelines were reviewed and endorsed by the Paediatric Diabetes Network’s Quality and Clinical Standards Committee. These guidelines are meant to be used as a guide and are not intended as a  substitute for medical advice or a replacement for

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Transition to Adult Diabetes Care

Through the Ontario Paediatric Diabetes Network, PCMCH works to effect change in the paediatric diabetes landscape by addressing the challenges and discrepancies associated with the transition from paediatric to adult diabetes care. In 2013, PCMCH issued recommendations for a more structured and consistent provincial approach to transitioning youth living with diabetes from paediatric to adult

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Provincial Neonatal Consult, Transfer and Transport Process

CritiCall Ontario connects physicians with neonatologists from Ontario’s designated pediatric hospitals when arranging patient transfers between facilities. The neonatologist can provide consultations and assist in coordinating with the designated neonatal – pediatric transport team the patient transfer to the facility equipped to provide the required advanced level of care. (See below.) Hospital-based physicians in Ontario

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