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Cost Analysis of a Nurse Practitioner in a GP Clinic

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource509
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
"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."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Finances
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
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.
Less detail
Program
A GP for Me
Published Date
2015
Link to File
http://divisionsbc.ca/sites/default/files/Divisions/Provincial/Data%20Request%20Guidance.pdf
Description
"This document provides an overview of the kind of data available and the process for requesting data from the Ministry of Health, and Health Authorities in different regions"
Program
A GP for Me
Corporate Author
Ministry of Health
Doctors of BC
General Practice Services Committee
Published Date
2015
Topics
Privacy
Evaluation
Resource Type
Presentation
File Type
Pdf
Link to File
http://divisionsbc.ca/sites/default/files/Divisions/Provincial/Data%20Request%20Guidance.pdf
Originating web page
http://divisionsbc.ca/provincial/resources/assessment-measurement/data-requests
Description
This document provides an overview of the kind of data available and the process for requesting data from the Ministry of Health, and Health Authorities in different regions
Less detail
Health Authority
Fraser
Division
Langley Division of Family Practice
Program
Divisions of Family Practice
Published Date
2012
Link to File
/media/divresources/CMEEvaluationForm.pdf
Description
"Langley Division event evaluation form."
Health Authority
Fraser
Division
Langley Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Langley Division of Family Practice
Published Date
2012
Topics
Evaluation
Surveys
Resource Type
Survey
Form
File Type
Pdf
Link to File
/media/divresources/CMEEvaluationForm.pdf
Description
Langley Division event evaluation form.
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Program
A GP for Me
Published Date
2017
Link to File
http://divisionsbc.ca/sites/default/files/Divisions/Provincial/Sample%20Evaluator%20Interview%20Guide.docx
Description
"This sample interview guide can support the interview process with prospective evaluators."
Program
A GP for Me
Corporate Author
Doctors of BC
Published Date
2017
Topics
Evaluation
Resource Type
Guide
File Type
Word
Link to File
http://divisionsbc.ca/sites/default/files/Divisions/Provincial/Sample%20Evaluator%20Interview%20Guide.docx
Originating web page
http://divisionsbc.ca/provincial/resources/assessment-measurement/tools-selecting-evaluator
Description
This sample interview guide can support the interview process with prospective evaluators.
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Feedback From Meetings With and Surveys Completed By GPs and NPs (Draft)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource365
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Published Date
2011-05
Link to File
/media/divresources/CMEFeedbackfromMeetingsMay2011.pdf
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2011-05
Topics
Continuing Medical Education (CME)
Evaluation
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/CMEFeedbackfromMeetingsMay2011.pdf
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A GP for Me Celebration: Evaluation Overview - Talking Notes

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1446
Program
A GP for Me
Published Date
2016-11-28
Link to File
/media/divresources/A_GP_for_Me_Duncan_Ooms.pdf
Description
"This document was used during the GPSC Summit 2016. They were the talking notes for Dr. Duncan & Shana Ooms."
Program
A GP for Me
Corporate Author
Ministry of Health
General Practice Services Committee
Personal Author
Dr. Fiona Duncan
Shana Ooms
Published Date
2016-11-28
Topics
Evaluation
Primary Care
Event
GPSC Summit 2016
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/A_GP_for_Me_Duncan_Ooms.pdf
Description
This document was used during the GPSC Summit 2016. They were the talking notes for Dr. Duncan & Shana Ooms.
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Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20Health%20Promotion%20Coordinator%20Contract%20-%20final.docx
Description
"This is a sample job posting for a health promotion coordinator which was developed by the East Kootenay Division."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
East Kootenay Division of Family Practice
Topics
Health Promotion
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Human Resources
Patient Medical Home
Resource Type
Job Description
File Type
Word
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20Health%20Promotion%20Coordinator%20Contract%20-%20final.docx
Originating web page
https://www.divisionsbc.ca/provincial/resources/patient-medical-homeprimary-care-home-resources/human-resources
Description
This is a sample job posting for a health promotion coordinator which was developed by the East Kootenay Division.
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Hope Partners in Health Care Community Forum Evaluation Questions

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource415
Health Authority
Fraser
Division
Chilliwack Division of Family Practice
Program
A GP for Me
Published Date
2014-02-24
Link to File
/media/divresources/HopeHealthPromoCommunityForumEvaluation.pdf
Description
"A one-page event evaluation survey."
Health Authority
Fraser
Division
Chilliwack Division of Family Practice
Program
A GP for Me
Corporate Author
Chilliwack Division of Family Practice
Published Date
2014-02-24
Topics
Evaluation
Health Promotion
Event
Hope Health Promo Community Forum
Resource Type
Form
Survey
File Type
Pdf
Link to File
/media/divresources/HopeHealthPromoCommunityForumEvaluation.pdf
Description
A one-page event evaluation survey.
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Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
"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."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Communications and Marketing
Resource Type
Article
File Type
Pdf
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
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.
Less detail
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20-%20Life%20Skills%20Worker%20Contract-final.docx
Description
"This is a sample job posting for a life skills worker which was developed by the East Kootenay Division."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
East Kootenay Division of Family Practice
Topics
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Human Resources
Patient Medical Home
Resource Type
Job Description
File Type
Word
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20-%20Life%20Skills%20Worker%20Contract-final.docx
Originating web page
https://www.divisionsbc.ca/provincial/resources/patient-medical-homeprimary-care-home-resources/human-resources
Description
This is a sample job posting for a life skills worker which was developed by the East Kootenay Division.
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Peer 2 Peer (P2P) Health and Wealth Physician Engagement Event Evaluation Report

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource369
Health Authority
Fraser
Division
Langley Division of Family Practice
Program
Divisions of Family Practice
Published Date
2012-05-01
Link to File
/media/divresources/CME-P2PHealthWealthEvaluationReport.pdf
Description
"A summary of the results from the Langley Division's Peer 2 Peer (P2P) Health and Wealth Physician Engagement Event evaluation survey."
Health Authority
Fraser
Division
Langley Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Langley Division of Family Practice
Published Date
2012-05-01
Topics
Evaluation
Surveys
Resource Type
Survey
Report
File Type
Pdf
Link to File
/media/divresources/CME-P2PHealthWealthEvaluationReport.pdf
Description
A summary of the results from the Langley Division's Peer 2 Peer (P2P) Health and Wealth Physician Engagement Event evaluation survey.
Less detail
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20-%20Physician%20Recruiter%20Contract-Final%202.docx
Description
"This is a sample job posting for a physician recruiter which was developed by the East Kootenay Division."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
East Kootenay Division of Family Practice
Topics
Recruitment and Retention
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Human Resources
Patient Medical Home
Resource Type
Job Description
File Type
Word
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20-%20Physician%20Recruiter%20Contract-Final%202.docx
Originating web page
https://www.divisionsbc.ca/provincial/resources/patient-medical-homeprimary-care-home-resources/human-resources
Description
This is a sample job posting for a physician recruiter which was developed by the East Kootenay Division.
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The Physician’s Control of the Patient’s Medical Record

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1139
Program
Divisions of Family Practice
Link to File
https://www.divisionsbc.ca/provincial/resources/medical-records-issues-guidelines/ii-physicians-control-patients-medical
Description
"This guideline regarding physician's control of the patient's medical record can be used to better understand responsibilities related to information sharing within a team."
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Topics
PMH Attributes: TBC Toolkit - TBC Communication
Team-Based Care
Privacy
Patient Medical Home
Resource Type
Policy
File Type
Web page
Link to File
https://www.divisionsbc.ca/provincial/resources/medical-records-issues-guidelines/ii-physicians-control-patients-medical
Originating web page
https://www.divisionsbc.ca/provincial/resources/medical-records-issues-guidelines/ii-physicians-control-patients-medical
Description
This guideline regarding physician's control of the patient's medical record can be used to better understand responsibilities related to information sharing within a team.
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Powell River Resource Navigator Feasability Pilot 2013-2014 Evaluation Report

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource386
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2014-07-04
Link to File
/media/divresources/PRResourceNavigatorReportFinal.pdf
Description
"Vancouver Coastal Health Integrated Primary and Community Care (IPCC) and the Powell River Division of Family Practice (DoFP) partnered together on a one year pilot project to determine the feasibility and value of a Resource Navigator (R-N) serving family physicians. The goal of the position was to assist physicians in identifying available health and social support services and linking their patients to these services. This report evaluates the Resource Navigator pilot."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Vancouver Coastal Health
Powell River Division of Family Practice
Published Date
2014-07-04
Topics
Evaluation
Human Resources
Community / Patient Navigation
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/PRResourceNavigatorReportFinal.pdf
Description
Vancouver Coastal Health Integrated Primary and Community Care (IPCC) and the Powell River Division of Family Practice (DoFP) partnered together on a one year pilot project to determine the feasibility and value of a Resource Navigator (R-N) serving family physicians. The goal of the position was to assist physicians in identifying available health and social support services and linking their patients to these services. This report evaluates the Resource Navigator pilot.
Less detail
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20-%20Practice%20Facilitator%20Contract%20-%20Final.docx
Description
"This is a sample job posting for a practice facilitator which was developed by the East Kootenay Division."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
East Kootenay Division of Family Practice
Topics
Practice Efficiencies and Support
Physician Support and Education
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Human Resources
Patient Medical Home
Resource Type
Job Description
File Type
Word
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20-%20Practice%20Facilitator%20Contract%20-%20Final.docx
Originating web page
https://www.divisionsbc.ca/provincial/resources/patient-medical-homeprimary-care-home-resources/human-resources
Description
This is a sample job posting for a practice facilitator which was developed by the East Kootenay Division.
Less detail
Program
Divisions of Family Practice
Description
"The Practice Toolkit provides a variety of policies and procedures for clinics."
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Topics
Practice Efficiencies and Support
PMH Attributes: TBC Toolkit - Additional Resources
Team-Based Care
Patient Medical Home
Resource Type
Website
File Type
Web page
Originating web page
https://www.divisionsbc.ca/provincial/resources/practice-toolkit
Description
The Practice Toolkit provides a variety of policies and procedures for clinics.
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Project Coordinator, A GP for Me Sunshiner's Frailty Network

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource429
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Program
A GP for Me
Link to File
/media/divresources/AGPforMeProjectCoordinatorJobDescriptionFNW.pdf
Description
"Job description for the Fraser Northwest Division's A GP for me Sunshiner's Frailty Network project coordinator."
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Program
A GP for Me
Corporate Author
Fraser Northwest Division of Family Practice
Topics
Patient Medical Home
PMH Attributes: TBC Toolkit - Understanding TBC
Frail Patients
Human Resources
Seniors
Team-Based Care
Nurse Practitioners
Resource Type
Job Description
File Type
Pdf
Link to File
/media/divresources/AGPforMeProjectCoordinatorJobDescriptionFNW.pdf
Description
Job description for the Fraser Northwest Division's A GP for me Sunshiner's Frailty Network project coordinator.
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Report – Moving Forward Together: Supporting Team-based Care and Networks in Community

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1042
Program
Divisions of Family Practice
Published Date
11-03-2017
Link to File
/media/divresources/ReporttoDivisions_ Nov3and6_Events.pdf
Description
"Report from the Moving Forward Together: Supporting Team-based Care and Networks Community event on Nov 3 & 6, 2017. The GPSC’s Incentives Working Group (IWG) and the Team-based Care Task Group (TBC TG) met with Divisions and health authority partners to discuss emerging ideas for supporting Patient Medical Homes (PMH) and Primary Care Networks (PCN)."
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Published Date
11-03-2017
Topics
Team-Based Care
Incentive Fee Codes
Event
Moving Forward Together: Supporting Team-based Care and Networks in Community
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/ReporttoDivisions_ Nov3and6_Events.pdf
Description
Report from the Moving Forward Together: Supporting Team-based Care and Networks Community event on Nov 3 & 6, 2017. The GPSC’s Incentives Working Group (IWG) and the Team-based Care Task Group (TBC TG) met with Divisions and health authority partners to discuss emerging ideas for supporting Patient Medical Homes (PMH) and Primary Care Networks (PCN).
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Sample contract between Physician and Primary Health Care Society

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1136
Division
South Island Division of Family Practice
Program
Divisions of Family Practice
Published Date
2016
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/SPPHCS%20Physician%20Contract%20Aug%202016%20(1).docx
Description
"Developed by South Island Division of Family Practice, this is a sample contract between physician and the Primary Health Care Society."
Division
South Island Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
South Island Division of Family Practice
Published Date
2016
Topics
Team-Based Care
Human Resources
Patient Medical Home
Resource Type
Job Description
File Type
Word
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/SPPHCS%20Physician%20Contract%20Aug%202016%20(1).docx
Originating web page
https://www.divisionsbc.ca/provincial/resources/patient-medical-homeprimary-care-home-resources/human-resources
Description
Developed by South Island Division of Family Practice, this is a sample contract between physician and the Primary Health Care Society.
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Sample Medical Office Assistant Job Description

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1129
Program
Divisions of Family Practice
Link to File
https://divisionsbc.ca/sites/default/files/Divisions/Provincial/MOA%20Job%20Description.pdf
Description
"This job description for a Medical Office Assistant can be used as a template."
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Topics
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Human Resources
MOAs
Patient Medical Home
Resource Type
Job Description
File Type
Web page
Link to File
https://divisionsbc.ca/sites/default/files/Divisions/Provincial/MOA%20Job%20Description.pdf
Originating web page
https://www.divisionsbc.ca/provincial/resources/practice-toolkit/appendices
Description
This job description for a Medical Office Assistant can be used as a template.
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22 public records – page 1 of 2.