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Saanich Peninsula Primary Health Care Society (SPPHCS) - Model of Primary Health Care

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1124
Published Date
2016
Link to File
https://divisionsbc.ca/sites/default/files/Divisions/Provincial/SPPHCS%20Model%20for%20Primary%20Health%20Care%20%20Oct%2026_0.doc
Description
"This report describes a model of primary health care including stepped care and an interdisciplinary safety net."
Corporate Author
Saanich Peninsula Primary Health Care Society (SPPHCS)
Published Date
2016
Topics
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Patient Medical Home
Resource Type
Report
File Type
Word
Link to File
https://divisionsbc.ca/sites/default/files/Divisions/Provincial/SPPHCS%20Model%20for%20Primary%20Health%20Care%20%20Oct%2026_0.doc
Description
This report describes a model of primary health care including stepped care and an interdisciplinary safety net.
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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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Published Date
2017-05-09
Link to File
/media/divresources/GPSCPMHEvaluationFrameworkandOnepager.pdf
Description
"The primary purpose of the GPSC Patient Medical Home Evaluation is to measure system-level outcome changes based on adopting the PMH model in British Columbia. The framework mainly focuses on long-term goals that will be observable as the PMH model reaches maturity over the course of several years. The one pager is a summarized version of the framework."
Corporate Author
General Practice Services Committee
Published Date
2017-05-09
Topics
Evaluation
Patient Medical Home
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/GPSCPMHEvaluationFrameworkandOnepager.pdf
Description
The primary purpose of the GPSC Patient Medical Home Evaluation is to measure system-level outcome changes based on adopting the PMH model in British Columbia. The framework mainly focuses on long-term goals that will be observable as the PMH model reaches maturity over the course of several years. The one pager is a summarized version of the framework.
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GPSC Patient Medical Home Evaluation - Methods & Supports

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1175
Published Date
2017-04-07
Link to File
/media/divresources/GPSCPatientMedicalHomeEvaluation_MethodsandSupports.docx
Description
"A report compiling the various methods utilized in the PMH Evaluation process, and the central supports available."
Corporate Author
General Practice Services Committee
Published Date
2017-04-07
Topics
Evaluation
Patient Medical Home
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Report
File Type
Word
Link to File
/media/divresources/GPSCPatientMedicalHomeEvaluation_MethodsandSupports.docx
Description
A report compiling the various methods utilized in the PMH Evaluation process, and the central supports available.
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GPSC Patient Medical Home Evaluation Framework - Most Significant Change Guildelines

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1176
Published Date
2017-12-12
Link to File
/media/divresources/GPSCPatientMedicalHomeEvaluationFramework_MSCGuideline.pdf
Description
"The Provincial Evaluation Framework for the Patient Medical Home initiative includes the use of Most Significant Change (MSC) methodology. This document provides information on the guidelines surrounding MSC."
Corporate Author
General Practice Services Committee
Published Date
2017-12-12
Topics
Most Significant Change
Evaluation
Patient Medical Home
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Guidelines
File Type
Pdf
Link to File
/media/divresources/GPSCPatientMedicalHomeEvaluationFramework_MSCGuideline.pdf
Description
The Provincial Evaluation Framework for the Patient Medical Home initiative includes the use of Most Significant Change (MSC) methodology. This document provides information on the guidelines surrounding MSC.
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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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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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Neighbourhood Networks - Integration of Health Professionals

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1546
Health Authority
Vancouver Coastal
Division
Richmond Division of Family Practice
Published Date
2016-10
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Richmond/FINAL-Integration%20of%20AHP-October%202016.pdf
Description
"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."
Health Authority
Vancouver Coastal
Division
Richmond Division of Family Practice
Corporate Author
Richmond Division of Family Practice
Published Date
2016-10
Topics
Primary Care
Patient Medical Home
Primary Care Network
Event
Implementation Launch Day with PCN Partners
Resource Type
Report
File Type
Pdf
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Richmond/FINAL-Integration%20of%20AHP-October%202016.pdf
Originating web page
https://www.divisionsbc.ca/richmond/our-impact/neighbourhood-networks
Description
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.
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Central Okanagan Division of Family Practice – Engagement Journey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1569
Division
Central Okanagan Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Central_Okanagan_Engagement_Journey.pdf
Description
"This is the Central Okanagan Division of Family Practice’s PMH Engagement Journey. The PMH Engagement Journeys were designed to capture eight divisions' early implementation of the patient medical home (PMH) model of health care. The stories offer a look at the challenges and successes the divisions experienced along their journeys, and the resources they created to engage members and partners around primary care. It is the hope that these stories will act as a resource, support, and source of inspiration for other divisions beginning their journeys to an integrated system of care via the PMH."
Division
Central Okanagan Division of Family Practice
Corporate Author
Central Okanagan Division of Family Practice
General Practice Services Committee
Published Date
2017
Topics
Engagement
Patient Medical Home
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/Central_Okanagan_Engagement_Journey.pdf
Description
This is the Central Okanagan Division of Family Practice’s PMH Engagement Journey. The PMH Engagement Journeys were designed to capture eight divisions' early implementation of the patient medical home (PMH) model of health care. The stories offer a look at the challenges and successes the divisions experienced along their journeys, and the resources they created to engage members and partners around primary care. It is the hope that these stories will act as a resource, support, and source of inspiration for other divisions beginning their journeys to an integrated system of care via the PMH.
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Health Authority
Vancouver Coastal
Division
North Shore Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Terms_of_Reference_ PCH_SubCommittee.docx
Description
"These are the terms of reference for the CSC Sub-Committee - Primary Care Homes. This committee was intended to provide a collaborative forum for the North Shore Division of Family Practice and Vancouver Coastal Health to engage in coordinated planning and support for the implementation of the primary care home on the North Shore, guided by the Triple Aim framework. These can be used as a template for other Divisions. This ToR was previously published under the Patient Medical Homes and Primary Care Networks page on the divisionsbc.ca website which has since been archived."
Health Authority
Vancouver Coastal
Division
North Shore Division of Family Practice
Corporate Author
North Shore Division of Family Practice
Vancouver Coastal Health
Published Date
2017
Topics
Patient Medical Home
Primary Care
Resource Type
Template
File Type
Word
Link to File
/media/divresources/Terms_of_Reference_ PCH_SubCommittee.docx
Description
These are the terms of reference for the CSC Sub-Committee - Primary Care Homes. This committee was intended to provide a collaborative forum for the North Shore Division of Family Practice and Vancouver Coastal Health to engage in coordinated planning and support for the implementation of the primary care home on the North Shore, guided by the Triple Aim framework. These can be used as a template for other Divisions. This ToR was previously published under the Patient Medical Homes and Primary Care Networks page on the divisionsbc.ca website which has since been archived.
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Victoria and South Island - Patient Summaries Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1590
Health Authority
Island
Division
Victoria Division of Family Practice
South Island Division of Family Practice
Program
Shared Care
Published Date
2021-09
Link to File
/media/divresources/VictoriaandSouthIsland-PatientSummaries_CaseStudy.pdf
Description
"This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation."
Health Authority
Island
Division
Victoria Division of Family Practice
South Island Division of Family Practice
Program
Shared Care
Corporate Author
General Practice Services Committee
Published Date
2021-09
Topics
Transitions in Care
Evaluation
Technology
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/VictoriaandSouthIsland-PatientSummaries_CaseStudy.pdf
Description
This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation.
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Victoria and South Island - Patient Summaries Case Study - Executive Summary

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1591
Health Authority
Island
Division
Victoria Division of Family Practice
South Island Division of Family Practice
Program
Shared Care
Published Date
2021-09
Link to File
/media/divresources/VictoriaandSouthIsland-PatientSummaries_CaseStudy-ExecutiveSummary.pdf
Description
"This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation."
Health Authority
Island
Division
Victoria Division of Family Practice
South Island Division of Family Practice
Program
Shared Care
Corporate Author
General Practice Services Committee
Published Date
2021-09
Topics
Transitions in Care
Evaluation
Technology
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/VictoriaandSouthIsland-PatientSummaries_CaseStudy-ExecutiveSummary.pdf
Description
This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation.
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PCN Evaluation Community of Practice Year in Review

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1680
Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/PCN-Evaluation-Community-of-Practice-Year-in-Review.pdf
Description
"This document shows the PCN Evaluation Community of Practice first year in review. It was created by the FPSC Evaluation team and can be used as a guide or a template by local PCNs."
Program
Primary Care Networks
Published Date
2021
Topics
PCN Resource Shareout Documents
Primary Care Network
Evaluation
File Type
Pdf
Link to File
/media/divresources/PCN-Evaluation-Community-of-Practice-Year-in-Review.pdf
Description
This document shows the PCN Evaluation Community of Practice first year in review. It was created by the FPSC Evaluation team and can be used as a guide or a template by local PCNs.
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PCN Mental Health and Substance Use (MHSU) Report - Chilliwack and Fraser Health

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1684
Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/Chilliwack-Substance-Use-MHSU-Report.pdf
Description
"This document shows an example of a MHSU Report. It was created by the Chilliwack and Fraser Health Rural PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Chilliwack and Fraser Health Rural PCN
Published Date
2021
Topics
PCN Resource Shareout Documents
Primary Care Network
Evaluation
Mental Health and Substance Use
File Type
Pdf
Link to File
/media/divresources/Chilliwack-Substance-Use-MHSU-Report.pdf
Description
This document shows an example of a MHSU Report. It was created by the Chilliwack and Fraser Health Rural PCN and can be used as a guide or template by other PCNs.
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PCN QI and Evaluation Framework - Kootenay Boundary

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1685
Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/Kootenay-Boundary-PCN-QI-and-Evaluation-Framework.docx
Description
"This document shows an example of a PCN QI and Evaluation Framework. It was created by the Kootenay Boundary PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Kootenay Boundary PCN
Published Date
2021
Topics
Evaluation
PCN Resource Shareout Documents
Primary Care Network
File Type
Word
Link to File
/media/divresources/Kootenay-Boundary-PCN-QI-and-Evaluation-Framework.docx
Description
This document shows an example of a PCN QI and Evaluation Framework. It was created by the Kootenay Boundary PCN and can be used as a guide or template by other PCNs.
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PCN QI and Evaluation Framework – New Indicators - Kootenay Boundar

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1686
Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/Kootenay-Boundary-PCN-QI-and-Evaluation-Framework-New-Indicators.docx
Description
"This document shows an example of a PCN QI and Evaluation Framework with indicators. It was created by the Kootenay Boundary PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Kootenay Boundary PCN
Published Date
2021
Topics
Quality Improvement
PCN Resource Shareout Documents
Primary Care Network
Evaluation
File Type
Word
Link to File
/media/divresources/Kootenay-Boundary-PCN-QI-and-Evaluation-Framework-New-Indicators.docx
Description
This document shows an example of a PCN QI and Evaluation Framework with indicators. It was created by the Kootenay Boundary PCN and can be used as a guide or template by other PCNs.
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PCN Year One Progress Report - Central Okanagan

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1689
Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/Central-Okanagan-PCN-Year-One-Progress-Report.pdf
Description
"This document shows year one PCN Progress Report. It was created by the Central Okanagan PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Central Okanagan PCN
Published Date
2021
Topics
PCN Resource Shareout Documents
Primary Care Network
Evaluation
File Type
Pdf
Link to File
/media/divresources/Central-Okanagan-PCN-Year-One-Progress-Report.pdf
Description
This document shows year one PCN Progress Report. It was created by the Central Okanagan PCN and can be used as a guide or template by other PCNs.
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Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/KB-PCN-DASHBOARD.pdf
Description
"This document shows a PCN Status Dashboard. It was created by the Kootenay Boundary PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Kootenay Boundary PCN
Published Date
2021
Topics
Evaluation
PCN Resource Shareout Documents
Primary Care Network
File Type
Pdf
Link to File
/media/divresources/KB-PCN-DASHBOARD.pdf
Description
This document shows a PCN Status Dashboard. It was created by the Kootenay Boundary PCN and can be used as a guide or template by other PCNs.
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The 12 Attributes of a Patient Medical Home in BC

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource916
Published Date
2016-09-20
Link to File
http://www.gpscbc.ca/sites/default/files/PMH%20graphic%20%2020160920.pdf
Description
"This illustration shows the framing of a patient medical home in BC. It depicts one goal and 12 attributes grouped into three areas. The patient is located in the centre, with the goal being whole-person care."
Corporate Author
General Practice Services Committee
Published Date
2016-09-20
Topics
Patient Medical Home
PMH Attributes: TBC Toolkit - Understanding TBC
Resource Type
Info Graphic
File Type
Pdf
Link to File
http://www.gpscbc.ca/sites/default/files/PMH%20graphic%20%2020160920.pdf
Originating web page
http://www.gpscbc.ca/what-we-do/primary-care-bc/patient-medical-home
Description
This illustration shows the framing of a patient medical home in BC. It depicts one goal and 12 attributes grouped into three areas. The patient is located in the centre, with the goal being whole-person care.
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Published Date
2017-04-24
Link to File
https://youtu.be/LG2YAR6Qb4M
Description
"This video walks through the vision, mission, journey, structure, and goals of the Patient Medical Home in BC."
Corporate Author
General Practice Services Committee
Published Date
2017-04-24
Topics
Patient Medical Home
Resource Type
Video Recording
Link to File
https://youtu.be/LG2YAR6Qb4M
Originating web page
http://www.gpscbc.ca/what-we-do/primary-care-bc/pmh-resources
Recording Length
2min 18sec
Description
This video walks through the vision, mission, journey, structure, and goals of the Patient Medical Home in BC.
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87 public records – page 1 of 5.