How does ISAEC benefit low back pain (LBP) patients and their primary care provider?
How can a primary care provider access the services provided by ISAEC?
What types of patients can PCPs refer to ISAEC?
Who will be responsible for the ongoing care of patients referred to ISAEC?
Will ISAEC provide patients with pharmacological or ongoing adjunct therapy to support their LBP self-management plans?
How did ISAEC begin?
How will ISAEC referrals be handled?
What type of communication will the referring PCP receive from ISAEC about their patient?
Among other benefits, ISAEC provides:
A PCP can obtain referral privileges by completing the ISAEC Registration and Onboarding Module which includes an overview of the ISAEC Program, training in LBP assessment and management as well as an evaluation of the PCP’s understanding of the program (~20 minutes).
ISAEC services are intended for patients who are over 18 years of age with persistent Low Back Pain (LBP) and/or related symptoms (e.g.: sciatica, neurogenic claudication) 6 weeks to 12 months post-onset or recurrent episodic unmanageable LBP and/or related symptoms of less than 12 months post-recurrence.
ISAEC utilizes a shared-care management approach for referred patients as no one provider can do it all. As the patient’s MRP, the PCP plays an integral part in the management of his/her patient’s progress against treatment goals. If no clinical improvements are realized, ISAEC Advanced Practice Clinicians (APCs) will be there to further evaluate and manage patients.
No, ISAEC will not provide patients with pharmacological or ongoing adjunct therapy. However, ISAEC clinicians will take the time to show patients proper exercises to improve their mobility and function. Certain ISAEC patients may be advised to seek out ancillary services from a community provider (e.g. Allied Health Clinicians) to support their plans while suspected surgical patients will be referred to the most appropriate spine specialist. ISAEC clinicians will arrange for one or more follow-up appointments with patients identified as being at moderate or high risk for chronicity or opioid dependency.
ISAEC began as a pilot project in Toronto, Hamilton and Thunder Bay to improve care and access to low back pain services. Due to the success of the pilot ISAEC is currently expanding provincially.
PCPs will complete and submit an ISAEC Referral Form. Referred patients will be matched with an ISAEC APC based on location proximity/availability and contacted for an appointment.
The patient’s referring PCP will be provided with a consult note post-assessment outlining the patient’s diagnosis, self-management plan and next steps, including any recommended follow-ups. For complex patients, an ISAEC clinician may contact the patient’s PCP directly to discuss the consult.