"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 is the executive summary of a three year project in the Boundary area of BC which began in 2016 to support the implementation of PMHs in five medical clinics, and the creation of a PCN connecting them and the health authority."
This is the executive summary of a three year project in the Boundary area of BC which began in 2016 to support the implementation of PMHs in five medical clinics, and the creation of a PCN connecting them and the health authority.
"This is an executive summary on the early findings on collaboration to foster family practice networks, and provides recommendations to further enable family practice networking."
This is an executive summary on the early findings on collaboration to foster family practice networks, and provides recommendations to further enable family practice networking.
"Article to raise awareness about Nurse Practitioner (NP) in Powell River.
To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists."
Article to raise awareness about Nurse Practitioner (NP) in Powell River.
To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists.
"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.
" South Okanagan Similkameen Division's presentation during the Patient Medical Home Evaluation and Action Learning session at the GPSC Spring Summit 2017."
South Okanagan Similkameen Division's presentation during the Patient Medical Home Evaluation and Action Learning session at the GPSC Spring Summit 2017.
" South Okanagan Similkameen pathway to partnership video. Shared suring the Patient Medical Home Evaluation and Action Learning session at the GPSC Spring Summit 2017."
South Okanagan Similkameen pathway to partnership video. Shared suring the Patient Medical Home Evaluation and Action Learning session at the GPSC Spring Summit 2017.
"A presentation on PMH/PCH in the Kootenay Boundary including a Change Acceleration Plan, KB CSC Spectrum of Member Issue Engagement & Decision Making, and Risks and Pitfalls of PHC for Community, Physicians, and IH Staff."
A presentation on PMH/PCH in the Kootenay Boundary including a Change Acceleration Plan, KB CSC Spectrum of Member Issue Engagement & Decision Making, and Risks and Pitfalls of PHC for Community, Physicians, and IH Staff.
"The case study was intended to document the status and operations of the centre, the growing partnership between the Division and the centre including the development of TBC, to capture the formative information, establish a baseline of information for tracking for centres/ partnerships developments and to provide information regarding ‘next steps’."
The case study was intended to document the status and operations of the centre, the growing partnership between the Division and the centre including the development of TBC, to capture the formative information, establish a baseline of information for tracking for centres/ partnerships developments and to provide information regarding ‘next steps’.