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Executive Summary - Boundary Proof of Concept PMH/PCN

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1492
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-02-07
Link to File
/media/divresources/BoundaryPocCaseStudyFinal_Executive_Summary.pdf
Description
"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."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-02-07
Topics
Patient Medical Home
Primary Care Network
Primary Care
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/BoundaryPocCaseStudyFinal_Executive_Summary.pdf
Description
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.
Less detail
Division
Delta Division of Family Practice
Campbell River and District Division of Family Practice
Victoria Division of Family Practice
Fraser Northwest Division of Family Practice
East Kootenay Division of Family Practice
Central Okanagan Division of Family Practice
Rural and Remote Division of Family Practice
Powell River Division of Family Practice
Thompson Region Division of Family Practice
Kootenay Boundary Division of Family Practice
Richmond Division of Family Practice
Ridge Meadows Division of Family Practice
White Rock South Surrey Division of Family Practice
Chilliwack Division of Family Practice
Central Interior Rural Division of Family Practice
North Shore Division of Family Practice
Published Date
2019-10
Link to File
/media/divresources/GPSCSummitSlideshow_2019_Master.pptx
Description
"Prior to changing to a virtual Summit, all Divisions were asked to share their stories, projects, innovations, and learnings to be included in a set of rotating slides that would run throughout the event. This is the end result of what was submitted but unfortunately not showcased as the in-person event was cancelled."
Division
Delta Division of Family Practice
Campbell River and District Division of Family Practice
Victoria Division of Family Practice
Fraser Northwest Division of Family Practice
East Kootenay Division of Family Practice
Central Okanagan Division of Family Practice
Rural and Remote Division of Family Practice
Powell River Division of Family Practice
Thompson Region Division of Family Practice
Kootenay Boundary Division of Family Practice
Richmond Division of Family Practice
Ridge Meadows Division of Family Practice
White Rock South Surrey Division of Family Practice
Chilliwack Division of Family Practice
Central Interior Rural Division of Family Practice
North Shore Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-10
Topics
Engagement
First Nations
Patient Medical Home
Primary Care Network
Nurse
Nurse Practitioners
Primary Care
Event
GPSC Summit 2019
Resource Type
Presentation
File Type
PowerPoint
Link to File
/media/divresources/GPSCSummitSlideshow_2019_Master.pptx
Description
Prior to changing to a virtual Summit, all Divisions were asked to share their stories, projects, innovations, and learnings to be included in a set of rotating slides that would run throughout the event. This is the end result of what was submitted but unfortunately not showcased as the in-person event was cancelled.
Less detail

Kootenay Boundary's PCN Governance Model - Draft

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1547
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019
Link to File
/media/divresources/v2_PCN_Governance_Diagram_DRAFTAug2019.pdf
Description
"This diagram shows the Kootenay Boundary Divison of Family Practice's draft PCN Governance Model."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2019
Topics
Governance
Primary Care Network
Primary Care
Event
Implementation Launch Day with PCN Partners
Resource Type
Plan
File Type
Pdf
Link to File
/media/divresources/v2_PCN_Governance_Diagram_DRAFTAug2019.pdf
Description
This diagram shows the Kootenay Boundary Divison of Family Practice's draft PCN Governance Model.
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Kootenay Boundary - Primary Care Network Steering Committee Terms of Reference

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1548
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-10-21
Link to File
/media/divresources/TOR-KB-PCNSteeringCommittee-DRAFT_ToSharev20191021.docx
Description
"This draft document defines the purpose and structures of the Kootenay Boundary PCN Steering Committe."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-10-21
Topics
Primary Care Network
PCN Resource Shareout Documents
Governance
Event
Implementation Launch Day with PCN Partners
Resource Type
Template
File Type
Word
Link to File
/media/divresources/TOR-KB-PCNSteeringCommittee-DRAFT_ToSharev20191021.docx
Description
This draft document defines the purpose and structures of the Kootenay Boundary PCN Steering Committe.
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What We Value: Stories of Most Significant Change (MSC) from Physicians, Allied Healthcare Providers, and Patients (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1565
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_ExecutiveSummary.pdf
Description
"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."
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2020-11
Topics
Patient Medical Home
Most Significant Change
Team-Based Care
Evaluation
EMR
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_ExecutiveSummary.pdf
Description
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.
Less detail

What We Value: Stories of Most Significant Change (MSC) from Physicians, Allied Healthcare Providers, and Patients (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1566
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_FullReport.pdf
Description
"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). By collecting, sharing, and reflecting on PMH stories from across BC, this project identifies common and different values held by different stakeholder groups in the BC health system."
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2020-11
Topics
Patient Medical Home
Most Significant Change
Team-Based Care
Evaluation
EMR
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_FullReport.pdf
Description
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). By collecting, sharing, and reflecting on PMH stories from across BC, this project identifies common and different values held by different stakeholder groups in the BC health system.
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Kootenay Boundary Division of Family Practice – Engagement Journey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1572
Division
Kootenay Boundary Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Kootenay_Boundary_Engagement_Journey.pdf
Description
"This is the Kootenay Boundary 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
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Published Date
2017
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/Kootenay_Boundary_Engagement_Journey.pdf
Description
This is the Kootenay Boundary 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.
Less detail
Division
Sunshine Coast Division of Family Practice
Published Date
2021-05-04
Link to File
/media/divresources/SocialWorkerRole_FINAL_V2.pdf
Description
"This infographic was created by the Sunshine Coast Division of Family Practice and Vancouver Coastal Health to show the various roles occupied by a Primary Care Social Worker. This resource can be used by other PCNs, it can be provided to patients, or it could be placed in a clinic. It can also be used as a guiding template to be adapted or changed based on the role."
Division
Sunshine Coast Division of Family Practice
Corporate Author
Sunshine Coast Division of Family Practice
Vancouver Coastal Health
Published Date
2021-05-04
Topics
Primary Care Network
Team-Based Care
Human Resources
Resource Type
Info Graphic
File Type
Pdf
Link to File
/media/divresources/SocialWorkerRole_FINAL_V2.pdf
Description
This infographic was created by the Sunshine Coast Division of Family Practice and Vancouver Coastal Health to show the various roles occupied by a Primary Care Social Worker. This resource can be used by other PCNs, it can be provided to patients, or it could be placed in a clinic. It can also be used as a guiding template to be adapted or changed based on the role.
Less detail

Sunshine Coast Data Integration - Executive Summary

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1618
Division
Sunshine Coast Division of Family Practice
Published Date
2022
Link to File
/media/divresources/GPSCPMHCaseStudy-SunshineCoastDataIntegration-ExecutiveSummary.pdf
Description
"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."
Division
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2022
Topics
Patient Medical Home
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSCPMHCaseStudy-SunshineCoastDataIntegration-ExecutiveSummary.pdf
Description
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.
Less detail
Division
Sunshine Coast Division of Family Practice
Published Date
2022-04
Link to File
/media/divresources/GPSCPMHCaseStudy-SunshineCoastDataIntegration.pdf
Description
"This is the full case study report 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."
Division
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2022-04
Topics
Patient Medical Home
Evaluation
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/GPSCPMHCaseStudy-SunshineCoastDataIntegration.pdf
Description
This is the full case study report 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.
Less detail

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
Less detail

Feedback From the Regional Round Table for the Kootenay Boundary Division of Family Practice

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource366
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Published Date
2011-05-12
Link to File
/media/divresources/CMEFinalReporMay12RoundTable.pdf
Description
"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."
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
2011-05-12
Topics
Recruitment and Retention
Continuing Medical Education (CME)
Practice Efficiencies and Support
Seniors
Mental Health and Substance Use
Maternity Care
Shared Care
Event
Kootenay Boundary Regional Roundtable
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/CMEFinalReporMay12RoundTable.pdf
Description
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.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Published Date
2012
Link to File
/media/divresources/CMESurvey2012RoundTable.pdf
Description
"This survey requests feedback on CME events from participants at the Kootenay Boundary Regional Round Table in 2012."
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
2012
Topics
Continuing Medical Education (CME)
Surveys
Event
Kootenay Boundary Regional Roundtable
Resource Type
Form
Survey
File Type
Pdf
Link to File
/media/divresources/CMESurvey2012RoundTable.pdf
Description
This survey requests feedback on CME events from participants at the Kootenay Boundary Regional Round Table in 2012.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Published Date
2015
Link to File
/media/divresources/MOAblueform.pdf
Description
"This form, completed by the patient and MOA, is meant to provide information to the Kootenay Boundary Division on whether the patient was attached and whether they were referred to the clinic by the Kootenay Boundatry A GP for Me Hotline."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2015
Topics
Attachment
Resource Type
Form
File Type
Pdf
Link to File
/media/divresources/MOAblueform.pdf
Description
This form, completed by the patient and MOA, is meant to provide information to the Kootenay Boundary Division on whether the patient was attached and whether they were referred to the clinic by the Kootenay Boundatry A GP for Me Hotline.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Published Date
2015
Link to File
/media/divresources/AGPForMeHotline2Pager.pdf
Description
"Details of the Kootenay Boundary A GP for Me Hotline including screening questions and a process map."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2015
Topics
Attachment
Resource Type
Process Map
Handout
File Type
Pdf
Link to File
/media/divresources/AGPForMeHotline2Pager.pdf
Description
Details of the Kootenay Boundary A GP for Me Hotline including screening questions and a process map.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Published Date
2015
Link to File
/media/divresources/AGPForMeHotlineRackCard.pdf
Description
"Rack card which promotes the Kootenay Boundary A GP for Me Hotline to patients."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2015
Topics
Attachment
Resource Type
Rack Card
File Type
Pdf
Link to File
/media/divresources/AGPForMeHotlineRackCard.pdf
Description
Rack card which promotes the Kootenay Boundary A GP for Me Hotline to patients.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Published Date
2015-01-08
Link to File
/media/divresources/GPsAcceptingNewPatientsLetterTemplate.docx
Description
"This email provides information to members of the Kootenay Boundary Division on the attachment mechanism work underway. It also requests information from physicians who are interested in participating."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
A GP for Me
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2015-01-08
Topics
Attachment
Resource Type
Email
File Type
Word
Link to File
/media/divresources/GPsAcceptingNewPatientsLetterTemplate.docx
Description
This email provides information to members of the Kootenay Boundary Division on the attachment mechanism work underway. It also requests information from physicians who are interested in participating.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Published Date
2014-02-28
Link to File
/media/divresources/StatusReportTemplate.docx
Description
"An example project status report template containing overall project performance, milestone report, activities completed this period, activities planned for next period, and issues log."
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
2014-02-28
Topics
Project Management
Resource Type
Report
File Type
Word
Link to File
/media/divresources/StatusReportTemplate.docx
Description
An example project status report template containing overall project performance, milestone report, activities completed this period, activities planned for next period, and issues log.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Link to File
/media/divresources/PathwaysProjectPlan.docx
Description
"The Kootenay Boundary Division's project plan for implementing Pathways. Pathways is a web based resource designed by physicians, for physicians, and contains the information required to facilitate efficient referrals and support optimal patient care during the referrals process."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Kootenay Boundary Division of Family Practice
Topics
Shared Care
Resource Type
Plan
File Type
Word
Link to File
/media/divresources/PathwaysProjectPlan.docx
Description
The Kootenay Boundary Division's project plan for implementing Pathways. Pathways is a web based resource designed by physicians, for physicians, and contains the information required to facilitate efficient referrals and support optimal patient care during the referrals process.
Less detail
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Link to File
/media/divresources/KBDivProjectPlanTemplate.docx
Description
"Example project plan template from the Kootenay Boundary Division. Includes a best practice guide."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Kootenay Boundary Division of Family Practice
Topics
Project Management
Resource Type
Plan
File Type
Word
Link to File
/media/divresources/KBDivProjectPlanTemplate.docx
Description
Example project plan template from the Kootenay Boundary Division. Includes a best practice guide.
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48 public records – page 2 of 3.