IMPROVED DELIVERY OF CARDIOVASCULAR CARE
(IDOCC) PROGRAM


Working together to prevent and manage cardiovascular disease in the Champlain District

The Champlain Cardiovascular Disease Prevention Network (CCPN), a collaboration of 15 partner organizations, is providing leadership to a five-year Cardiovascular Disease Prevention Strategy for the Champlain District. The first phase of the strategy includes the roll-out of six key initiatives to improve CVD prevention in the Champlain District, one of which is the IDOCC Program.

 

What is the IDOCC Program?

The IDOCC Program is a regional program designed to assist primary health care providers in the Champlain District improve the delivery of evidence-based prevention and management strategies for heart disease, stroke and diabetes within their practice.

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How does the IDOCC Program Work?

The IDOCC Program uses an Outreach Facilitation Model, in which skilled health professionals known as Outreach Facilitators, serve as an expert resource to primary care practices.

Outreach Facilitators work with practices to implement evidence-based guidelines for the following risk factors and conditions associated with the prevention and management of CAD, Stroke and Diabetes:

  • hypertension (blood pressure)
  • dyslipidemia (cholesterol)
  • smoking
  • weight management/ physical activity
  • management of patients with coronary artery disease (CAD) or peripheral vascular disease (PVD)
  • management of TIA/stroke
  • management of diabetes

Outreach Facilitators support practices with:

  • organizing work so that prevention and chronic disease management are integrated into routine operation
  • structuring and implementing specific care improvements identified by your practice
  • increasing the use of evidence-based guidelines
  • integrating practice activities with other services, including specialists and community resources

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What are the IDOCC Program Components?

Outreach Facilitation Visits
Your practice will be visited monthly by an Outreach Facilitator who will learn about your practice and work with you by providing support in the following areas:

  • goal setting and implementation
  • clinical, technical, and organizational resources
  • practical advice with moving through the challenges associated with change

IDOCC Program Tools
Facilitators use IDOCC Program tools made available to them through the primary care practice, as well as their own resources and tools from other established health organizations. Some tools include:

The Champlain CVD Prevention Guideline provides a summary of the latest evidence-based guidelines for heart, stroke, and diabetes, as well as key risk factors (e.g. smoking, hypertension, dyslipidemia) and a comprehensive list of community programs and services.

  • Decision Aid and Risk Factor Management Tools:
    • Integrated Risk Factor Screening Tool
    • Guide for Comprehensive Risk Reduction coupled with the CV Risk Flowsheet

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When will the IDOCC Program Reach our Community?

The IDOCC program will rollout in three phases.  In each phase, practices in a specific geographic area within the Champlain District is focused upon.  By the end of phase 3  the program will rollout out across the entire District. 

Below is a summary of the regions being targeted in each Phase of the IDOCC Program.  

Phase

Region of Champlain District

Time Frame

1

Ottawa West
Ottawa Downtown
Eastern Counties

 2007 – 2008

 

2

Lanark, Leeds, and Grenville
Central/South Ottawa
East Ottawa

 2009 – 2010

 

3

Renfrew County & District
Southern Parts of Ottawa and Eastern Counties
Central/East Ottawa

2010 – 2011

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How is the IDOCC Program Being Evaluated?

Pre- and post-implementation data abstractions will be conducted on a randomly selected group of patients over 40 years of age, who meet at least one of the following criteria:

  1. Established cardiovascular disease: coronary artery disease, cerebrovascular disease (documented stroke and/or TIA), and/or peripheral vascular disease
  2. Diabetes mellitus (DM)
  3. Chronic kidney disease (CKD)
  4. High risk of CVD based on a presence of at least three of the following established cardiovascular risk factors: age (males ≥ 45, females ≥ 55), smoker, hypertension, and/or dyslipidemia

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Who are the IDOCC Program Partners?

The IDOCC Program is being coordinated by the Élisabeth-Bruyère Research Institute in collaboration with the:


 

Funding

The IDOCC Initiative is sponsored in part by Pfizer Canada Inc., a Founding Industry Partner of the Champlain CVD Prevention Network, and the Champlain Local Health Integration Network.  


   

Working Together to Prevent Heart Disease & Stroke in the Champlain Region
IDOCC is one of six priority initiatives of the Champlain CVD Prevention Network (CCPN), a network of health and community partners from across the Champlain District - dedicated to the prevention of CVD. The CCPN is implementing a five-year CVD prevention strategy in our region. For more information about the Champlain Cardiovascular Disease Prevention Strategy visit our website www.ccpnetwork.ca.


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How do I Join the IDOCC Program?

For more information about the IDOCC Program, please have a look at our ADDITIONAL INFORMATION, PHYSICIAN LETTER or contact Jo-Anne Dusseault, Project Manager, at:
613 562-4262, ext. 1440, or via email at jdusseau@scohs.on.ca.

To join the IDOCC Program, please complete a CONSENT FORM and return via fax to Jo-Anne Dusseault at 613 562-6099.

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Leadership Team

Dr. William Hogg William Hogg
Co-Lead, IDOCC Initiative

Dr. William E. Hogg was appointed as Director of the C.T. Lamont Primary Health Care Research Centre in 2003. He is also a Professor in the Department of Family Medicine, University of Ottawa, a Principal Scientist at the Institute for Population Health, an Affiliate Scientist at the Ottawa Health Research Institute and the Director of Research for the Department of Family Medicine, University of Ottawa.  In 2001 and 2002 he won the Arthur Bond Scholarship for Innovative Systems Research.  In 2006 Dr. Hogg was recognized as Family Medicine Researcher of the Year 2006 by the College of Family Physicians of Canada.

Dr. Hogg has a background as a family physician, scientist and professor.  He received his C.C.F.P. following a residency in Family Medicine at the University of Western Ontario and his M.D., C.M. from McGill University.  He also has a Masters in Clinical Science from the University of Western Ontario Graduate Studies Program and a Masters Degree in Experimental Medicine from McGill University.  Dr. Hogg continues to practise family medicine at the Melrose Family Medicine Clinic. 

Email : whogg@uottawa.ca
Telephone : 613-562-4262, ext 1431

 

Clare Liddy Clare Liddy
Co-Lead, IDOCC Initiative

Dr. Liddy is an investigator with the C.T. Lamont Primary Health Care Research Centre. Her research focuses on implementation issues related to chronic disease management and prevention in Ontario. On her research agenda are issues related to best practices, models of care, improving quality of care, knowledge translation as they relate to chronic disease. Chronic disease care is a very important area of research and there is much to be done to bridge the divisions between what is known, what is done, and where the focus of the policymakers lies.

Dr. Liddy continues to practice family medicine with the Riverside Family Health Team and is an Assistant Professor with the Department of Family Medicine at the University of Ottawa.

Email : cliddy@scohs.on.ca
Telephone: 613-562-4262, ext. 1514

 
Project Management Team
 

Jo-Anne DusseaultJo-Anne Dusseault
Project Manager, IDOCC Initiative

Jo-Anne graduated in 2004 with an Honours Baccalaureate in Anthropology, and is now working towards a Master’s degree in Sociology at Carleton University.  She has previously worked for Hewlett-Packard in management and team leader positions. 

Email : jdusseau@scohs.on.ca
Telephone : 613-562-4262, ext. 1440

 

Alyssa Spaxman Alyssa Spaxman
Project Coordinator, IDOCC Initiative

Alyssa earned a Bachelor of Arts degree in Linguistics with a minor in Psychology from Carleton University in Ottawa. After university, Alyssa spent time traveling and working in Central and South America. She has enjoyed becoming more familiar with research and had some hands-on experience as a research assistant at the Élisabeth Bruyère Research Institute before coming on board with IDOCC.

Email : aspaxman@schos.on.ca
Telephone : 613-562-4262, ext. 1458

 

Miriam Wiens Miriam Wiens
Research Associate, IDOCC Initiative

Miriam has a B.Sc. (Hons) in Human Kinetics (2005) and is a M.Sc. candidate in the department of Epidemiology and Community Medicine at the University of Ottawa.  Her current research interests lie in the provision of genetics health services and primary health care services. She is currently working on the Improved Delivery of CVD Preventive Care (IDOCC) project and the Cardiovascular Disease Registry Project (CVDRP). Miriam is delighted to be participating in such exciting and relevant research.

Email : mwiens@scohs.on.ca
Telephone : 613-562-4262, ext. 1448

 
Advisory Committee Team Members
 

Lyall Higginson, Cardiologist
Former Chief of Staff University of Ottawa Heart Institute,
Currently Regional Health Authority, Victoria BC

William Williams, Cardiologist
University of Ottawa Heart Institute

Michael Sharma, Director, Champlain Regional Stroke Network and Program
The Ottawa Hospital

David Gibson, Executive Director, Sandy Hill Community Centre 

Ayub Akbari, Assistant Professor of Medicine, The Ottawa Hospital

Frederic Lavoie, Director of Outcomes Research, Pfizer Canada Inc. 

Lorraine Montoya, Health Promotion, Heart Health Education Centre,
Prevention and Rehabilitation Centre, University of Ottawa Heart Institute

Sophia Papadakis, Project Leader, Champlain Cardiovascular Disease Prevention Network
Associate, Prevention and Rehabilitation, University of Ottawa Heart Institute

 
Outreach Facilitators
 

Eileen Villis Eileen Vilis
Eileen holds a Bachelor of Nursing Science, a Masters in Public Administration and over 20 years of experience in both traditional and non-traditional health care settings. Since 2001 she has been involved in primary health care research as an outreach facilitator, promoting systems change through evidence-based best practices in prevention, respiratory infection control and chronic illness care management. Eileen has been involved in the dissemination of the outreach facilitation model as the Ontario lead for the National Facilitation project and its WebCT course, “Guiding Facilitation in the Canadian Context”.

Email : evilis@scohs.on.ca
Telephone : 613-316-0611

 

Eileen Villis

Kate Nash
Kate holds a Masters in Health Psychology from City University, London UK, Bachelors in Philosophy, Leeds University, UK. Kate recently completed a Project Management course at McGill. Kate comes to us from the UK where she practiced as an osteopath in primary care and was the Research Coordinator at the British School of Osteopathy. Since moving to Ottawa she has been working as a volunteer at the EAGLE Training Centre, a charity that works to provide educational opportunities for marginalised groups, and for the Women in Leadership Foundation.

Email : knash@schos.on.ca
Telephone : 613-620-1728

 

Dianne LaferriereDianne Laferriere
Dianne holds a BA in Psychology and a BSc. in Nursing from the University of Ottawa. She has a great interest in community health issues and has provided care as a visiting home nurse and coordinated home care both in chronic and acute care situations. More recently, she has assisted in research projects with the U of O Centre for Research on Community Services and the Canadian Mental Health Association dealing with homelessness and concurrent disorders. She is very pleased to be involved in facilitation as an approach to improving primary health care delivery.

Email : dlaferri@scohs.on.ca
Telephone : 613-282-6025

 

Olga NikolajevOlga Nikolajev
Olga holds a Master's Degree in Religion & Culture from Wilfrid Laurier, a BA in Anthropology and Psychology, as well a Nursing diploma. Since moving to Ottawa years ago, Olga has been providing palliative care nursing in the community, long-term care nursing, and has been involved in palliative care research with several doctors at the Élisabeth Bruyère Research Institute and The Ottawa Hospital. Olga continues to expand her educational knowledge and looks forward to contributing to healthcare research.

Email : onikolaj@scohs.on.ca
Telephone : 613-769-6005

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