Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 - Recording
"This is the recording of the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held January 22, 2020."
This is the recording of the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held January 22, 2020.
"Richmond is comprised of many smaller, unique neighbourhoods, each with distinct socioeconomic, cultural, language and healthcare needs. The Richmond Division’s Neighborhood Networks strategy saw the creation of geographically clustered GPs. The Division began to trial a more systematic approach to coordinated multidisciplinary care, patient attachment, physician recruitment, peer support and practice coverage. This paper is part of a series that highlights their processes and learnings specifically on their integration of Allied Health Professionals."
Richmond is comprised of many smaller, unique neighbourhoods, each with distinct socioeconomic, cultural, language and healthcare needs. The Richmond Division’s Neighborhood Networks strategy saw the creation of geographically clustered GPs. The Division began to trial a more systematic approach to coordinated multidisciplinary care, patient attachment, physician recruitment, peer support and practice coverage. This paper is part of a series that highlights their processes and learnings specifically on their integration of Allied Health Professionals.
"This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The executive summary describes key impacts and lessons on how to implement culturally safe care."
This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The executive summary describes key impacts and lessons on how to implement culturally safe care.
"The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers), and clarifies the values held by different stakeholders in primary care transformation. The executive summary contains priority next steps for system actors (GPSC, Divisions, and FPs) to address."
The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers), and clarifies the values held by different stakeholders in primary care transformation. The executive summary contains priority next steps for system actors (GPSC, Divisions, and FPs) to address.
"Overview of PSP's TBC flexible learning opportunities, which help primary care providers and practice teams develop competencies key to successful team based care in practice, as outlined in the National Interprofessional Competency Framework."
Overview of PSP's TBC flexible learning opportunities, which help primary care providers and practice teams develop competencies key to successful team based care in practice, as outlined in the National Interprofessional Competency Framework.
"This document is the executive summary of the Burnaby DoFP Neighbourhood Networks case study. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included."
This document is the executive summary of the Burnaby DoFP Neighbourhood Networks case study. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included.
"This document provides a brief overview of all the supports offered by the GPSC to support the transition of primary care practices to team based care."
This document provides a brief overview of all the supports offered by the GPSC to support the transition of primary care practices to team based care.
"This is the executive summary for the Sunshine Coast Data Integration Case Study. The Sunshine Coast Data Integration Case Study explores work done to advance data integration across five primary care clinics using Med Access EMR. The project involved 38 family physicians on the Sunshine Coast who desired a technical solution to lacking information continuity for their patients, who they often see across multiple primary care settings with separate EMRs. While the project work stalled due to technical problems that emerged during the vendor engagement step, the case study offers previously unavailable insight into the expected project phases for large-scale data integration work, and typical challenges and enablers that might impede or maintain such initiatives."
This is the executive summary for the Sunshine Coast Data Integration Case Study. The Sunshine Coast Data Integration Case Study explores work done to advance data integration across five primary care clinics using Med Access EMR. The project involved 38 family physicians on the Sunshine Coast who desired a technical solution to lacking information continuity for their patients, who they often see across multiple primary care settings with separate EMRs. While the project work stalled due to technical problems that emerged during the vendor engagement step, the case study offers previously unavailable insight into the expected project phases for large-scale data integration work, and typical challenges and enablers that might impede or maintain such initiatives.
"This report analyzes liability concerns raised by health professionals in the context of interdisciplinary collaborative practices and provides recommendations to support broader adoption of these models of care."
This report analyzes liability concerns raised by health professionals in the context of interdisciplinary collaborative practices and provides recommendations to support broader adoption of these models of care.
"This document identifies potential medico-legal risks and proposes solutions to mitigate those risks and addresses potential accountability and liability concerns which, if left unaddressed may hinder the achievement of collaborative care goals."
This document identifies potential medico-legal risks and proposes solutions to mitigate those risks and addresses potential accountability and liability concerns which, if left unaddressed may hinder the achievement of collaborative care goals.
"This report provides a summary of information from the discussions at the Regional Round Table in Castlegar on May 12, 2011, and an outline of the next steps."
This report provides a summary of information from the discussions at the Regional Round Table in Castlegar on May 12, 2011, and an outline of the next steps.
"Based on the results of a five-year evaluation initiative, this report explores the successes and challenges of the Family Health Team (FHT) model of primary care in Ontario."
Based on the results of a five-year evaluation initiative, this report explores the successes and challenges of the Family Health Team (FHT) model of primary care in Ontario.
"These guidelines are intended to offer clarity about information sharing between GPs and community partners for Mental Health and Substance Use (MHSU) adult patients (non-urgent care).
They were prepared to exist within the context of current legislation, including two privacy laws:
1) The BC Personal Information Protection Act (PIPA), which is the ‘private sector’ privacy law that covers the Delta Division of Family Practice, Doctors of BC, A GP for Me, health clinics, psychologists, GPs, counselors, and not-for-profit organizations, etc., and
2) The BC Freedom of Information and Protection of Privacy Act (FIPPA), the ‘public sector’ law, which applies to the Ministry of Health and Health Authorities."
These guidelines are intended to offer clarity about information sharing between GPs and community partners for Mental Health and Substance Use (MHSU) adult patients (non-urgent care).
They were prepared to exist within the context of current legislation, including two privacy laws:
1) The BC Personal Information Protection Act (PIPA), which is the ‘private sector’ privacy law that covers the Delta Division of Family Practice, Doctors of BC, A GP for Me, health clinics, psychologists, GPs, counselors, and not-for-profit organizations, etc., and
2) The BC Freedom of Information and Protection of Privacy Act (FIPPA), the ‘public sector’ law, which applies to the Ministry of Health and Health Authorities.
"This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost."
This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost.
"Survey summary, conducted with medical students and residents to better understand their future practice goals and what supports would help with their transition to practice."
Survey summary, conducted with medical students and residents to better understand their future practice goals and what supports would help with their transition to practice.