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Building Blocks for Maternity Care - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1113
Health Authority
Fraser
Interior
Division
Burnaby Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Published Date
2018-04-17
Link to File
/media/divresources/GPSC_Summit_2018_Maternity_Care_Breakout_Slides.pdf
Description
"A presentation from the GPSC Summit 2018 on the several initiatives that are improving maternity care for providers and patients."
Health Authority
Fraser
Interior
Division
Burnaby Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Corporate Author
General Practice Services Committee
Burnaby Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Personal Author
Dr Shelley Ross Nancy Falconer Kim Williams Dr Charlene Lui Dr Marvin Lemke Dr Jeanette Boyd Dr Tahmeena Ali Dr Karen Buhler
Published Date
2018-04-17
Topics
Maternity Care
Patient Medical Home
Event
GPSC Summit 2018
Workshop
Building Blocks for Maternity Care
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/GPSC_Summit_2018_Maternity_Care_Breakout_Slides.pdf
Description
A presentation from the GPSC Summit 2018 on the several initiatives that are improving maternity care for providers and patients.
Less detail

Nurses in Primary Care: Four Experiences Across BC - Pre-Session Reading Material

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1114
Health Authority
Fraser
Interior
Vancouver Coastal
Division
Central Okanagan Division of Family Practice
Powell River Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Published Date
2018-04-17
Link to File
/media/divresources/Nurses_in_Primary_Care_Pre_session_Handout.pdf
Description
"A pre-reading summary of the Nurses in Primary Care: Four Experiences Across BC session at the GPSC Summit 2018."
Health Authority
Fraser
Interior
Vancouver Coastal
Division
Central Okanagan Division of Family Practice
Powell River Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2018-04-17
Topics
Nurse
Patient Medical Home
Team-Based Care
Primary Care
Event
GPSC Summit 2018
Workshop
Nurses in Primary Care: Four Experiences Across BC
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/Nurses_in_Primary_Care_Pre_session_Handout.pdf
Description
A pre-reading summary of the Nurses in Primary Care: Four Experiences Across BC session at the GPSC Summit 2018.
Less detail
Published Date
2018-05-14
Link to File
/media/divresources/GPSC_Summit_Summary.pdf
Description
"The event summary from the GPSC Summit 2018. This document captures the highlights of the event, and finishes with a message from the GPSC Co-chairs about the future of primary care in BC."
Corporate Author
General Practice Services Committee
Published Date
2018-05-14
Topics
First Nations
Primary Care
Nurse
EMR
Engagement
Primary Care Network
Patient Medical Home
Event
GPSC Summit 2018
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSC_Summit_Summary.pdf
Description
The event summary from the GPSC Summit 2018. This document captures the highlights of the event, and finishes with a message from the GPSC Co-chairs about the future of primary care in BC.
Less detail

Board Composition and Succession Planning Webinar - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1161
Health Authority
Vancouver Coastal
Interior
Division
Powell River Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Published Date
2018-08-16
Link to File
/media/divresources/Board_Composition_and_Succession_Planning_Webinar_PPT.pptx
Description
"The presentation from the Board Composition and Succession Planning Webinar on how Powell River and South Okanagan Similkameen made changes to their board composition to comply with Section 41 of the new BC Societies Act, and their onboarding process of new board members."
Health Authority
Vancouver Coastal
Interior
Division
Powell River Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Corporate Author
Powell River Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Published Date
2018-08-16
Topics
BC Societies Act
Succession Planning
Event
Board Composition and Succession Planning Webinar
Resource Type
Presentation
File Type
PowerPoint
Link to File
/media/divresources/Board_Composition_and_Succession_Planning_Webinar_PPT.pptx
Description
The presentation from the Board Composition and Succession Planning Webinar on how Powell River and South Okanagan Similkameen made changes to their board composition to comply with Section 41 of the new BC Societies Act, and their onboarding process of new board members.
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Recovery-Oriented Mental Health and Addiction Care in the Patient’s Medical Home - Best Advice Guide: Quick Reference

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1172
Published Date
2018/10/23
Description
"A quick reference to accompany the Best Advice Recovery-Oriented Mental Health and Addiction Care in the Patient’s Medical Home guide."
Corporate Author
Mental Health Commission of Canada
College of Family Physicians of Canada
Published Date
2018/10/23
Topics
Patient Medical Home
Mental Health and Substance Use
Resource Type
Summary
Website
File Type
Pdf
Web page
Originating web page
https://patientsmedicalhome.ca/files/uploads/BAG_Mental_Health_1pager_ENG_web.pdf
Description
A quick reference to accompany the Best Advice Recovery-Oriented Mental Health and Addiction Care in the Patient’s Medical Home guide.
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Kootenay Boundary DoFP - The Boundary Proof of Concept PMH/PCN - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1178
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2018-12
Link to File
/media/divresources/Boundary_PMHPCNCaseStudyResults.pdf
Description
"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."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
Kootenay Boundary Division of Family Practice
General Practice Services Committee
Published Date
2018-12
Topics
Evaluation
Patient Medical Home
Primary Care Network
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Case Study
Presentation
File Type
Pdf
Link to File
/media/divresources/Boundary_PMHPCNCaseStudyResults.pdf
Description
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.
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Boundary Proof of Concept Patient Medical Home/ Primary Care Network: A summary of evaluation findings

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1179
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-01-08
Link to File
/media/divresources/BoundaryPoCProvincialSummary.pdf
Description
"The document was provided during the GPSC Patient Medical Home Evaluation Webinar. It draws on the GPSC case study of the Boundary PoC in 2018."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Published Date
2019-01-08
Topics
Patient Medical Home
Primary Care Network
Evaluation
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCProvincialSummary.pdf
Description
The document was provided during the GPSC Patient Medical Home Evaluation Webinar. It draws on the GPSC case study of the Boundary PoC in 2018.
Less detail
Health Authority
Fraser
Interior
Vancouver Coastal
Division
East Kootenay Division of Family Practice
Kootenay Boundary Division of Family Practice
North Shore Division of Family Practice
Mission Division of Family Practice
Rural and Remote Division of Family Practice
Published Date
2019-01-08
Link to File
/media/divresources/GPSCPMHEvaluationWebinar_Presentation.pptx
Description
"The slideshow presented during the GPSC Patient Medical Home Evaluation webinar on January 8, 2019."
Health Authority
Fraser
Interior
Vancouver Coastal
Division
East Kootenay Division of Family Practice
Kootenay Boundary Division of Family Practice
North Shore Division of Family Practice
Mission Division of Family Practice
Rural and Remote Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-01-08
Topics
Patient Medical Home
Evaluation
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Presentation
File Type
PowerPoint
Link to File
/media/divresources/GPSCPMHEvaluationWebinar_Presentation.pptx
Description
The slideshow presented during the GPSC Patient Medical Home Evaluation webinar on January 8, 2019.
Less detail

Stronger Collective Understanding - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1195
Published Date
2019-03-04
Link to File
/media/divresources/Stronger_Collective_Understanding.pdf
Description
"The presentation used during the Stronger Collective Understanding session at the Divisions Learning Session 2019. The session focused around exploring key issues and successes shared by divisions, and discussions around methods to use for arriving at common goals with partners while ensuring transparency, engagement, and consistency."
Corporate Author
General Practice Services Committee
Published Date
2019-03-04
Topics
Patient Medical Home
Primary Care Network
Primary Care
Governance
Evaluation
Event
Divisions Learning Session 2019
Workshop
Stronger Collective Understanding
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/Stronger_Collective_Understanding.pdf
Description
The presentation used during the Stronger Collective Understanding session at the Divisions Learning Session 2019. The session focused around exploring key issues and successes shared by divisions, and discussions around methods to use for arriving at common goals with partners while ensuring transparency, engagement, and consistency.
Less detail

Divisions Learning Session 2019 - Event Summary

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1325
Published Date
2019-04-05
Link to File
/media/divresources/DivisionsLearningEvent_2019_Summary_FINAL.pdf
Description
"The event summary from the Divisions Learning Session 2019. This document captures the key themes and highlights of the event, how it could be improved and next steps for Divisions."
Corporate Author
General Practice Services Committee
Published Date
2019-04-05
Topics
Physician Health and Wellness
First Nations
Patient Medical Home
Primary Care Network
Event
Divisions Learning Session 2019
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/DivisionsLearningEvent_2019_Summary_FINAL.pdf
Description
The event summary from the Divisions Learning Session 2019. This document captures the key themes and highlights of the event, how it could be improved and next steps for Divisions.
Less detail

Executive Summary - Early Findings on Collaboration to Foster Family Practice Networks

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1490
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Published Date
2019-02
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegion_PMHCaseStudy_ExecutiveSummary.pdf
Description
"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."
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-02
Topics
Patient Medical Home
Primary Care Network
Primary Care
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegion_PMHCaseStudy_ExecutiveSummary.pdf
Description
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.
Less detail
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Published Date
2018-11
Link to File
/media/divresources/SunshineCoastCaseStudyReport_Executive_Summary.pdf
Description
"The case study was commissioned by the GPSC Evaluation Team in consultation with the Sunshine Coast Division of Family Practice, and with the support of the Pender Harbour Health Centre. The case study documented various information including the status and operations of the centre, and the growing partnership between the centre and the division. This is a summary of the overall case study."
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2018-11
Topics
Patient Medical Home
Primary Care Network
Primary Care
Team-Based Care
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/SunshineCoastCaseStudyReport_Executive_Summary.pdf
Description
The case study was commissioned by the GPSC Evaluation Team in consultation with the Sunshine Coast Division of Family Practice, and with the support of the Pender Harbour Health Centre. The case study documented various information including the status and operations of the centre, and the growing partnership between the centre and the division. This is a summary of the overall case study.
Less detail

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

Executive Summary - Exploring the Role of Collaborative Structures of Vancouver Island

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1493
Health Authority
Island
Division
Campbell River and District Division of Family Practice
Comox Valley Division of Family Practice
Cowichan Valley Division of Family Practice
Nanaimo Division of Family Practice
Oceanside Division of Family Practice
Rural and Remote Division of Family Practice
South Island Division of Family Practice
Victoria Division of Family Practice
Published Date
2019-01
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_ExecutiveSummary.pdf
Description
"This document provides a summary of the overall case study: Exploring the Role of Collaborative Structures of Vancouver Island."
Health Authority
Island
Division
Campbell River and District Division of Family Practice
Comox Valley Division of Family Practice
Cowichan Valley Division of Family Practice
Nanaimo Division of Family Practice
Oceanside Division of Family Practice
Rural and Remote Division of Family Practice
South Island Division of Family Practice
Victoria Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-01
Topics
Patient Medical Home
Primary Care Network
Primary Care
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_ExecutiveSummary.pdf
Description
This document provides a summary of the overall case study: Exploring the Role of Collaborative Structures of Vancouver Island.
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

Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1538
Published Date
2020-01-22
Link to File
/media/divresources/PresentationReflectionsfromtheNukaSymposiumWebinar.pdf
Description
" Southcentral Foundation has had tremendous success in improving primary care from a quadruple aim perspective. In August 2019 a cohort of 19 attended a symposium created for BC participants to learn about their Nuka Model of Care.The webinar, hosted by Dr Dan Horvat along with a panel of Physicians who also attended, presented on the key learnings and how they can be applied in BC. This is the slide deck used during the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held on January 22, 2020."
Corporate Author
General Practice Services Committee
Personal Author
Dr Bonnie Bagdan Dr Dan Horvat Dr Alan Ruddiman Dr Tim Troughton
Published Date
2020-01-22
Topics
Primary Care
Patient Medical Home
Primary Care Network
Engagement
First Nations
Governance
Team-Based Care
Event
Divisions Webinar Learning Series
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/PresentationReflectionsfromtheNukaSymposiumWebinar.pdf
Description
Southcentral Foundation has had tremendous success in improving primary care from a quadruple aim perspective. In August 2019 a cohort of 19 attended a symposium created for BC participants to learn about their Nuka Model of Care.The webinar, hosted by Dr Dan Horvat along with a panel of Physicians who also attended, presented on the key learnings and how they can be applied in BC. This is the slide deck used during the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held on January 22, 2020.
Less detail

Integrating Nurses into Practice: Transition Stage (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1559
Division
Central Okanagan Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/CODFP_NiPCP_ExecutiveSummary.pdf
Description
"Processes and initial outcomes from onboarding and integrating nurses into family practices."
Division
Central Okanagan Division of Family Practice
Corporate Author
General Practice Services Committee
Central Okanagan Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Nurse
Team-Based Care
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/CODFP_NiPCP_ExecutiveSummary.pdf
Description
Processes and initial outcomes from onboarding and integrating nurses into family practices.
Less detail

Culturally Safe Team-based Care at the Snuneymuxw Health Centre (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1561
Division
Nanaimo Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_ExecutiveSummary.pdf
Description
"This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The executive summary describes key impacts and lessons on how to implement culturally safe care."
Division
Nanaimo Division of Family Practice
Corporate Author
General Practice Services Committee
Nanaimo Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Team-Based Care
First Nations
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_ExecutiveSummary.pdf
Description
This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The executive summary describes key impacts and lessons on how to implement culturally safe care.
Less detail

Converting to Population Based Funding: Development and Transition Stages (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1563
Division
Mission Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/MissionPBF_CaseStudy_ExecutiveSummary.pdf
Description
"Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model."
Division
Mission Division of Family Practice
Corporate Author
General Practice Services Committee
Mission Division of Family Practice
Published Date
2020-11
Topics
Payment Models
Patient Medical Home
Population Based Funding
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/MissionPBF_CaseStudy_ExecutiveSummary.pdf
Description
Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model.
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/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

61 public records – page 1 of 4.