Telemedicine/ Virtual Care
(updated May 4, 2020)
Doctors Technology Office Resources
- DTO drop-in telemedicine support sessions | 7:15-8 am every Thursday. To register for one or multiple sessions please click here.
Training Support for Doxy.me | The Doctors Technology Office has created a series of short 'how-to' videos to assist you in getting going with virtual care using Doxy.me. You can find their online Learning Series here, including a link to a recent webinar facilitated by local physician Dr. David Harrison.
Zoom licenses available free of charge for community providers.
DTO, in partnership with the Provincial Health Services Authority (PHSA), is providing Zoom for Healthcare licenses to community providers (family physicians, nurse practitioners, and specialists). For further information:
- Registration Instructions (PDF).
- Zoom for Healthcare: Training videos (link is external).
- Zoom for Healthcare: Quick start guide for patients (PDF).
Guides and Handouts:
- Hardware requirements (microphone, camera)
- Informing patients, getting consent, and documenting consent
- Workflows for scheduling, charting, and billing
- How to bill, and more.
- Virtual Care Tool Kit (DTO)
- FAQ for Patients (DTO)
- Poster for clinics providing virtual care visits during COVID-19
- Guide to eFaxing from Home (DTO)
- Guide to Mailchimp and Fongo (video and guide)
Practice Support Program (PSP) Resources
The PSP has a team of regional coaches that provide 1:1 support to GPs and teams to enable and optimize the use of virtual care technology in family practice. PSP coaches can provide support around workflow and office efficiencies, and can connect you to a peer mentor for additional supports if needed. If you’d like to receive support from PSP, contact your PSP representative.
Billing codes have been adjusted so that you may bill for a telephone call at the same rate as you would for a videoconference consult.
Having a standard and consistently applied way of receiving informed verbal consent from patients is essential, though written consent is more rigorous. You can use the CMPA form (headline links to it) for written consent.
Pages 2-3 of the DTO Virtual Care Toolkit offer a script for verbal consent, as well as suggested chart notes. You may create a template within your EMR that launches every time a virtual visit is initiated. If you do not know how to create EMR templates, contact your EMR provider. Your Practice Support Program coordinator may also be able to help.
- Using Facetime
You can use Facetime for virtual visits but you must have iCloud turned off on your mobile device, the DTO advises. To turn off iCloud:
- Click on "Settings" app.
- Click on your device name (at the top)
- Click on iCloud (cloud icon)
- Scroll down to "iCloud Backup" - click and make sure it is set to "off"
Vancouver Coastal Health region is using Facetime. View their Standard Operating Procedure here (keep in mind some links may not work outside VCH)
The College of Physicians and Surgeons of BC have revised their practice standard to improve access to telemedicine. Specifically, they are now allowing physicians to prescribe opioids or cannabis via telemedicine if they have a longitudinal relationship with the patient or are in direct communication with a physician or nurse practitioner than has such a relationship. Read the details here.
CPMA confirms that you are supported to provide virtual care, including to patients who are temporarily outside of Canada (e.g. travellers who are unable to return home).
More information and one-on-one support: