People enrolled in the Health2Work program will receive a comprehensive assessment, including history and a physical assessment, diagnosis, treatment and self-management preventative strategies in relation to their musculoskeletal (MSK) condition.
They will receive access to chiropractic care, which may include a combination of patient education, therapeutic exercise, recommendations for nutrition and lifestyle modifications, rehabilitative care, spinal manipulation and soft tissue therapy. The care provided to Health2Work participants is entirely non-pharmacological.
With consent from the patient, the chiropractor will share the assessment and management plan with those in the individual’s circle of care, including their primary care provider and case worker and welcome opportunities for ongoing communication and collaboration.
As a result of the challenges that practitioners are facing during the COVID-19 pandemic, we are working to establish guidelines for continuing care for our Health2Work (H2W) patients. Public health bodies continue to recommend saving in person visits for those truly acute patients, and we support these guidelines. However, we know that our Health2Work population comprises a vulnerable sector that continues to need support. As such, we have been looking into ways to maintain contact with our Health2Work patients while respecting these guidelines. One option is virtual appointments. Please note that this is document will be updated as new information is available. First and foremost, any virtual appointments must meet the CCO guidelines for providing this type of service. Please see Appendix A for the most current guidelines. You can also visit the College of Chiropractors of Ontario website at https://www.cco.on.ca/ for up to date information.
As long as you meet the requirements of the College of Chiropractors of Ontario, CCPA has confirmed that your liability insurance will continue to cover you.
If you are going to use video conferencing as a means to connect with patents, you need to ensure that you are meeting PHIPA requirements. That means that you need to ensure that you are using encrypted video. Fortunately, there are a number of platforms that already support this. Please let us know if you need some advice in this area. It will be important to let the H2W client know that any data charges incurred as a result of a virtual appointment are the responsibility of the client. These additional data charges will not be paid for by the Region of Waterloo. Please mention this when you reach out to the clients to see if they are interested in having a virtual appointment.
Our preference is to provide hands on treatments in person. However, sometimes we need to adapt. Things that you might look at providing in a virtual follow up appointment:
You will be able to bill for these visits within the Health2Work program. The fee for these visits is the same as the regular fees. However, please note that as we are not providing hands on care for these visits, follow-up visits done virtually will not count towards the visits that you have had approved as part of your plan of management. The Region of Waterloo recognizes that these are trying times for many people and are looking at this as a temporary way to provide support for vulnerable clients.
You may want to start by reaching out to your patients by email or by phone. Check in and see how they are doing. You may find that they are not focussing on their nMSK issues right now because they are more concerned about other things. That’s fine. However, if they would like to book something further then go ahead with that.
For H2W clients who are struggle with pain, there are online resources available including the self-management program:
www.wwselfmanagement.ca supports for people within the Waterloo-Wellington LHIN living with chronic pain. Their in-person workshops have been suspended for the time being due to COVID-19, but there are online resources that can be accessed.
www.here4help.ca provides mental health resources specifically developed for COVID-19 by the Waterloo Wellington CMHA.
Ontario Works caseworkers, employment facilitators and community agency partners can use the Referral/Consent Forms to start the referral process. Primary care providers can use the Primary Care Provider Referral Form.
Health care providers, local health agencies and social services within Waterloo Region that are interested in discussing potential partnerships and referral pathways are invited to contact:
If your patient has a MSK condition and is receiving Ontario Works or is a non-disabled family member of a person receiving support from Ontario Disability Support Program, you can refer them to the program. Please use this referral form, which also indicates who to send the form to in order to complete the referral.
We are rolling out the program throughout the Waterloo Region in several phases. As of December 2018, the program is available in Cambridge. The program is expected to expand to Kitchener and North Dumfries in November 2019. By September 2020, it is anticipated that the program will be available throughout the Waterloo Region.
Your patient will receive an assessment from a chiropractor. During an assessment the chiropractor will ask about health history, chief complaints, functioning and complete a physical examination. With patient consent, the results of the assessment and the treatment plan will be sent back to the patient’s primary care provider to ensure a collaborative circle of care.
Yes. After the initial assessment, the chiropractor will develop a treatment plan with your patient, with up to ten follow up visits depending on their condition. There will also be a formal discharge after treatment is completed.
Chiropractors are trained to refer to other health care professionals for assessment and treatment of conditions outside of their scope of practice and when interdisciplinary care would benefit the patient.