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Health Check

Health Check

A Comprehensive Health Assessment of Adults with Intellectual and Developmental Disabilities

Introduction

This point-of-care tool assists primary care providers to implement the evidence-informed Comprehensive Health Assessment or “Health Check” for adults with intellectual and developmental disabilities (IDD). It identifies health issues for adults with IDD that family physicians should consider when they undertake annual Health Checks.

Health Check forms for integration with Electronic Medical Records are in development. Contact ddpcp@surreyplace.ca for more information. Visit ddprimarycare.surreyplace.ca for updates.

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  • Implementing Health Checks

    In the video Implementing Health Check Dr. Ian Casson explains the importance of proactive healthcare for adults with intellectual and developmental disabilities. It highlights key elements for implementing the Health Check in your practice: identifying patients with IDD; inviting people with IDD for a comprehensive health review; and using tools and resources for implementation. Developed by Health Care Access and Developmental Disabilities (H-CARDD), CAMH, Toronto, 2016 [4:20 minutes]

    To learn more about how to implement the Health Check for adults with IDD, download a Toolkit for Primary Care Providers from hcardd.ca

  • Practice tools

    Health Watch Tables

    Health Watch Tables provide health information for specific syndromes with an established etiology and with identified health concerns.

    Patient and caregiver tools

    To allow your patients with IDD to participate in their healthcare to their fullest potential, use the patient and caregiver tools My Health Care Visit (PDF) and About Me: My Health Information (PDF). These tools help you identify specific needs and accommodations required to successfully perform a comprehensive health assessment with patients with IDD.

  • Clinical Practice Guidelines

    This tool facilitates the implementation of the clinical practice guideline Health Assessments published in the Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines, Canadian Family Physician, Volume 64(4), April 2018.

Clinical leads

headshot of Dr. Ian Casson

Dr. Ian Casson (MD, MSc, CCFP, FCFP), is a family doctor with a general practice that includes adults with intellectual and developmental disabilities. He has been involved in clinical service, education and research through Queen’s University’s Department of Family Medicine’s Intellectual and Developmental Disabilities Program, Kingston, Ontario.

Authors

Meg Gemmill, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

Laurie Green, MD, CCFP-EM, FCFP, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario.

Elizabeth Grier, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

Amy Hung, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

Jessica Ladouceur, MD, CCFP, Department of Family Medicine, Queen’s University Kingston, Ontario.

Amanda Lepp, MD, PhD, CCFP, Department of Family Medicine, McMaster University, Hamilton, Ontario.

Ullanda Neil, MD, CCFP, Scarborough Centre for Health Communities, Scarborough, Ontario.

Michelle Ross, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

Bill Sullivan, MD, CCFP(COE), FCFP, PhD, Department of Family and Community Medicine, University of Toronto; Clinical Lead, Developmental Disabilities Primary Care Program, Surrey Place, Toronto, Ontario.

This tool makes it easier for family doctors to provide care for adults with IDD. It identifies important health issues for patients with IDD, in the context of methods familiar to Canadian family doctors: the usual clinical problem-solving steps (history, physical, assessment and plan) and medical record strategies (eg, the Cumulative Patient Profile). It can facilitate strengths of family practice, such as continuity and comprehensiveness of care, communication and the patient-doctor relationship.

It selects from and supplements the 2018 Canadian Consensus Guidelines for Primary Care of Adults with Intellectual and Developmental Disabilities (Canadian Family Physician 2018; 64:254-79) based on the experience and consensus of family doctors in general practices who made up the Developmental Disabilities Primary Care Program’s Health Check Tool group. The content and process of Health Checks were tested at Queen’s University’s Department of Family Medicine’s IDD Program, St Michael’s Hospital Academic Family Health Team and through the Health Care Access Research and Developmental Disabilities research program.

The tool provides practice tips for an encounter with an individual with complex health issues. It can be used in the context of a quality improvement program for adults with IDD in a family practice. It is meant to be integrated into an electronic medical record. It can benefit from the participation of the patient, caregivers, office staff, allied health care professionals and consultants.

This tool is a merged version and update to the Cumulative Patient Profile for Adults with Developmental Disabilities and the Preventive Care Checklist, published in Sullivan WF, Developmental Disabilities Primary Care Initiative Scientific and Editorial Staff, editors. Tools for the primary care of people with developmental disabilities. Toronto: MUMS Guideline Clearing House; 2011, p.30-41.

  • Supporting materials
    • Implementing Health Checks

      In the video Implementing Health Check Dr. Ian Casson explains the importance of proactive healthcare for adults with intellectual and developmental disabilities. It highlights key elements for implementing the Health Check in your practice: identifying patients with IDD; inviting people with IDD for a comprehensive health review; and using tools and resources for implementation. Developed by Health Care Access and Developmental Disabilities (H-CARDD), CAMH, Toronto, 2016 [4:20 minutes]

      To learn more about how to implement the Health Check for adults with IDD, download a Toolkit for Primary Care Providers from hcardd.ca

    • Practice tools

      Health Watch Tables

      Health Watch Tables provide health information for specific syndromes with an established etiology and with identified health concerns.

      Patient and caregiver tools

      To allow your patients with IDD to participate in their healthcare to their fullest potential, use the patient and caregiver tools My Health Care Visit (PDF) and About Me: My Health Information (PDF). These tools help you identify specific needs and accommodations required to successfully perform a comprehensive health assessment with patients with IDD.

    • Clinical Practice Guidelines

      This tool facilitates the implementation of the clinical practice guideline Health Assessments published in the Primary care of adults with intellectual and developmental disabilities: 2018 Canadian consensus guidelines, Canadian Family Physician, Volume 64(4), April 2018.

  • Meet the team

    Clinical leads

    headshot of Dr. Ian Casson

    Dr. Ian Casson (MD, MSc, CCFP, FCFP), is a family doctor with a general practice that includes adults with intellectual and developmental disabilities. He has been involved in clinical service, education and research through Queen’s University’s Department of Family Medicine’s Intellectual and Developmental Disabilities Program, Kingston, Ontario.

    Authors

    Meg Gemmill, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

    Laurie Green, MD, CCFP-EM, FCFP, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario.

    Elizabeth Grier, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

    Amy Hung, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

    Jessica Ladouceur, MD, CCFP, Department of Family Medicine, Queen’s University Kingston, Ontario.

    Amanda Lepp, MD, PhD, CCFP, Department of Family Medicine, McMaster University, Hamilton, Ontario.

    Ullanda Neil, MD, CCFP, Scarborough Centre for Health Communities, Scarborough, Ontario.

    Michelle Ross, MD, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario.

    Bill Sullivan, MD, CCFP(COE), FCFP, PhD, Department of Family and Community Medicine, University of Toronto; Clinical Lead, Developmental Disabilities Primary Care Program, Surrey Place, Toronto, Ontario.

  • About the tool development

    This tool makes it easier for family doctors to provide care for adults with IDD. It identifies important health issues for patients with IDD, in the context of methods familiar to Canadian family doctors: the usual clinical problem-solving steps (history, physical, assessment and plan) and medical record strategies (eg, the Cumulative Patient Profile). It can facilitate strengths of family practice, such as continuity and comprehensiveness of care, communication and the patient-doctor relationship.

    It selects from and supplements the 2018 Canadian Consensus Guidelines for Primary Care of Adults with Intellectual and Developmental Disabilities (Canadian Family Physician 2018; 64:254-79) based on the experience and consensus of family doctors in general practices who made up the Developmental Disabilities Primary Care Program’s Health Check Tool group. The content and process of Health Checks were tested at Queen’s University’s Department of Family Medicine’s IDD Program, St Michael’s Hospital Academic Family Health Team and through the Health Care Access Research and Developmental Disabilities research program.

    The tool provides practice tips for an encounter with an individual with complex health issues. It can be used in the context of a quality improvement program for adults with IDD in a family practice. It is meant to be integrated into an electronic medical record. It can benefit from the participation of the patient, caregivers, office staff, allied health care professionals and consultants.

  • Version history

    This tool is a merged version and update to the Cumulative Patient Profile for Adults with Developmental Disabilities and the Preventive Care Checklist, published in Sullivan WF, Developmental Disabilities Primary Care Initiative Scientific and Editorial Staff, editors. Tools for the primary care of people with developmental disabilities. Toronto: MUMS Guideline Clearing House; 2011, p.30-41.