IMPROVED DELIVERY OF CARDIOVASCULAR CARE
(IDOCC) PROGRAM


About IDOCC

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.

BACK TO TOP

 

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

BACK TO TOP

 

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

BACK TO TOP

 

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

BACK TO TOP

 

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

BACK TO TOP