Telemental Health

Video Appointment Information Sheets

1. Patient Information Sheet for Individual Video Appointments

2. Patient Information Sheet for Video Groups (also refer to Webex Resources below for virtual groups)

Ontario Telemedicine Network (OTN)

3. GuestLink Client/Patient Information

Webex

4. Cisco Webex Meetings - User Guide for Clinical Virtual Visits (CAMH external)

5. Downloading Webex Application – Computer

6. Downloading Webex Application - Mobile Device

7. Using Webex for your Appointment (with Email invite)

8. Using Webex for your Appointment (without Email invite)

Webex Resources

9. User Guide for Webex Remotely

10. Using Webex Personal Room for Virtual Groups

11. Webex Checklist for Virtual Groups

Video: How to download the Webex mobile application

Video: How to download the computer Webex application

This toolkit is a temporary set of procedural guidelines and resources developed in response to immediate COVID-19 service needs. It is intended to support CAMH clinicians and staff in the delivery of care via virtual means.

A new TeleMental Health Policy has been developed to train physicians and clinicians on how to use TeleMental Health at CAMH. Physicians and clinicians are encouraged to review the policy to support their use of virtual visits. The CAMPUS training module reinforces the material included in the policy.

1. TeleMental Health Policy + Amendment

2. Campus Training Module 

The Virtual Visits Guidelines provide instructions to be followed when sending a video link to a patient, patient group, or other health care providers via the CAMH approved platforms Webex or OTN-PCVC (Ontario Telemedicine Network - Personal Computer Videoconferencing). The Clinician Checklists and Patient Information Sheets are quick references guides based on the more detailed guidelines document.

3. CAMH Guidelines for Virtual Clinical Visits

4. Clinician Checklist for Individual Video Visits

5. Clinician Checklist for Video Groups*

6. Patient Information Sheet for Individual Video Appointments

7. Patient Information Sheet for Video Groups*

8. Guidance for Conducting Assessments and Interventions via Telephone

* Also refer to Webex Resources for virtual groups (NEED to link)

How-to Videos

As part of our role-out of TeleMental Health at CAMH, the TeleMental Health team has created video content from our virtual “drop-in” training and registration sessions.  The goal of the Training Video is to outline the process involved to onboard physicians, allied health care professionals, and clinical schedulers to Ontario Telemedicine Network (OTN) and Webex platforms and schedule appointments. The step-by-step video on how to schedule virtual visits is a collaborative effort by the TeleMental Health, EPMO and Clinical Informatics designed to meet the needs of CAMH staff documenting in I-CARE.

Information contained in these videos will help you to:

• Expediently register CAMH physicians to the Ontario Telemedicine Network (OTN) and Webex platforms
• Provide training on scheduling and technological needs
• Support dissemination and training of staff on our new organizational TeleMental Health policy and institutional training materials
• Schedule Virtual Clinical appointments using either OTN or Webex platforms

I-Care Training:

Book a Group Appointment 

The videos are also provided via PowerPoint:

9. OTN Registration and Scheduling for Physician & Allied HCP

10. OTN Registration & Scheduling for Clinical Schedulers

11. Webex Meetings Registration & Scheduling

TeleMental Health Etiquette

DO

DON'T

Have a well-lit (though not too bright) office with an appropriate colour (light blue or grey) wall or background. Have a quiet and private space. Sit facing the screen.  Look at the double screen to see how the other participant will see you.  Introduce yourself. Use double identifiers to confirm the client's identity. Describe the process, expectations, and technology setup. Explain privacy and confidentiality.

Don't act inappropriately while in front of a televideo unit.  It might be on. Don't use equipment without understanding functions and best practices. Don't start session without reviewing the patient chart. Remember to use double identifiers! Don't shout.  Microphones are sensitive. Don't have your room door open for anyone to come in during the session.  Information must stay confidential. Don't just wear professional attire above the waist.  Don't eat or chew gum.  Don't have side conversations. Don't have your cell phone ringer on. Don't forget to use the camera in camera feature to see what you look like to the client. Explain what to do in a crisis or if medical assistance is needed.

 

TeleMental Health Resources:

1. VPN Access (Scotty)
2. Remote Access (Scotty)
3. PCVC Tip sheet
4. TeleMental Health Tips: Do’s and Don’ts (video)
5. Recommended Equipment (PCVC), Equipment Guide & Poster
6. Adopting and Integrating Virtual Visits into Care: Draft Clinical Guidance
7. Leading Groups Online 

Billing Resources

*Please check the following sites directly for the most up-to-date info

• MOH Virtual Care Billing Information Manual v2.0 (Apr 2020)
• Ontario Medical Association - Introduction of Fee Code for Physicians effective March 14, 2020
• INFOBulletin #4750 (Mar 25, 2020) - New Virtual Care Billing Codes effective April 1, 2020 
• INFOBulletin #4747 (Mar 21, 2020) - Changes to Schedule of Benefits for Physician Services in response to COVID-19 effective March 21, 2020
• INFOBulletin #4746 (Mar 19, 2020) - Billing for virtual physician services and technical guidance
• INFOBulletin #4745 (Mar 13, 2020) - Changes to Schedule of Benefits in response to COVID-19 effective March 14, 2020
• INFOBulletin #4731 (Nov 15, 2019) - Virtual Care Program - Billing Amendments Direct to Patient Video Visits 
• MOH Schedule of Benefits (Effective October 1, 2019), Telemedicine pg. A44
• K083 Billing Code Conversions

Covid-19 Guidance

• Ontario MOH Covid-19 Guidance for Health Sector
• Covid-19 Information Page (CAMH)

 

IMPORTANT: [Effective March 18] Temporary policy amendment to use Webex & OTN for TeleMental Health Activity (Video Visits): Follow-ups and urgent first-time consults only. Clinicians, Clinical Schedulers & Admins are encouraged to register for both platforms for back-up and in case of system failures.

Registration (OTN) (PCVC allows physicians to send a link directly to patients)

In order to accelerate registration for OTN (which can take up to 15 days), please complete the appropriate form below:

• Doctors: If you do NOT have a OTN/PCVC account, click here.
• Medical Students, Residents & Fellows: If you do NOT have a OTN/PCVC account, click here.
• Allied Health Professionals: If you do NOT have an OTN/PCVC account, click here.
• Clinical Schedulers: If you do NOT have an account to schedule on OTN, click here. 
• If you have a ONE-ID account from a previous healthcare organization, click here to "Express Sign Up" with CAMH.
• If you have an OTN account but it is NOT activated, please call OTN for assistance: 1-855-654-0888

Registration (Webex)

To register for a Webex account, please send a request to Jonathon Tunstead.

Resident Drop-In Sessions

Virtual drop-in sessions will be available for residents beginning Friday, July 3, 2020 through Friday, July 10, 2020 daily at 12 noon - lunch hour.

Join by Webex
Meeting number (access code): 161 588 4226
Meeting password: jRWB3Vfp3a2

Join by Phone 
Tap to call in from a mobile device (attendees only) 
+1-647-484-1598 Canada Toll (Toronto) 
+1-647-484-1598 Canada Toll (Toronto) 
Global call-in numbers