Initiatives & Guidelines

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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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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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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Ontario Paediatric Bariatric Network

The Ontario Paediatric Bariatric Network (OPBN) is comprised of 12 clinics that provides specialized paediatric bariatric services to children and youth who are overweight or obese. The OPBN identifies priorities and recommend strategies to advance a coordinated system of services, address service gaps, and improve quality of care over time across community and hospital settings,

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Ontario Perinatal Record (OPR)

The Ontario Perinatal Record (OPR) replaces the Ontario Antenatal Record 1 and 2. Please order the new OPR and destroy remaining Antenatal 1 and 2 forms. The updated OPR is the fifth revision and replaces the 2005 version. Ontario Perinatal Record (2017 Version) Ontario Perinatal Record User Guide (2018 Version) The new OPR and the development of

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Early Pregnancy Complications and Loss

In Ontario, individuals experiencing early pregnancy complications and loss face numerous challenges in accessing timely, specialized and compassionate care. For many individuals, the emergency department (ED) serves as the primary entry point for care. In 2017, PCMCH, in partnership with Health Quality Ontario and the Champlain Maternal Newborn Regional Program, developed recommendations for ED healthcare

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Emergency Department Clinical Pathway for Children and Youth with Mental Health Conditions

Please note: The PCMCH ED Clinical Pathway for Children and Youth with Mental Health Conditions was developed in 2013. The contents of the pathway are valid as of the time of publication. The ED Clinical Pathway for Children and Youth with Mental Health Conditions and the related decision-support tools were developed to guide and support

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