"This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations."
This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations.
"This case study employed four broad approaches to understand how PSP and the DoFP are working together to support the creation of networks. These approaches included:
1. A review of local documentation that focused on the relationship structure and current work taking place to support the development of FP networks.
2. A literature review which reviewed over 50 research articles, policy and position documents, guidelines, and best practices to focus on understanding how other groups across Canada and the developed world have worked together in primary care to create networks within primary care. These findings are available in Appendix 3.
3. Interviews with key stakeholders at a local, regional and provincial level to understand the various factors (i.e. political, environmental, technological, legal) influencing the development of FP networks in the Thompson Region and BC more broadly. The list of individuals interviewed is included in Appendix 1.
4. A survey of the members of the Thompson Region DoFP which asked questions on their current levels of networking and areas for which they see opportunities to network."
This case study employed four broad approaches to understand how PSP and the DoFP are working together to support the creation of networks. These approaches included:
1. A review of local documentation that focused on the relationship structure and current work taking place to support the development of FP networks.
2. A literature review which reviewed over 50 research articles, policy and position documents, guidelines, and best practices to focus on understanding how other groups across Canada and the developed world have worked together in primary care to create networks within primary care. These findings are available in Appendix 3.
3. Interviews with key stakeholders at a local, regional and provincial level to understand the various factors (i.e. political, environmental, technological, legal) influencing the development of FP networks in the Thompson Region and BC more broadly. The list of individuals interviewed is included in Appendix 1.
4. A survey of the members of the Thompson Region DoFP which asked questions on their current levels of networking and areas for which they see opportunities to network.
"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.
"This report summarizes the evaluation of the multidisciplinary care provider grants in White Rock-South Surrey through A GP for Me. The grants allowed practices to hire registered nurses (RN) or licensed practical nurses (LPN) or increase the hours of those already working in the practices."
This report summarizes the evaluation of the multidisciplinary care provider grants in White Rock-South Surrey through A GP for Me. The grants allowed practices to hire registered nurses (RN) or licensed practical nurses (LPN) or increase the hours of those already working in the practices.
"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.
"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.
"Presentation surrounding the case study detailing the collaborative initiative to implement a PMH/PCN in the Boundary region, and its results. This was provided by Kootenay Boundary during the GPSC Patient Medical Home Evaluation Webinar held January 2019."
Presentation surrounding the case study detailing the collaborative initiative to implement a PMH/PCN in the Boundary region, and its results. This was provided by Kootenay Boundary during the GPSC Patient Medical Home Evaluation Webinar held January 2019.
" A case study describing the Langley Divisions's project-based approach and how that to a focus on the wellness and work-life balance side of engagement."
A case study describing the Langley Divisions's project-based approach and how that to a focus on the wellness and work-life balance side of engagement.
"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.