"This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations."
This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations.
"This document is the executive summary of the Burnaby DoFP Neighbourhood Networks case study. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included."
This document is the executive summary of the Burnaby DoFP Neighbourhood Networks case study. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included.
"This document details the full case study on the Burnaby DoFP Neighborhood Networks. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included."
This document details the full case study on the Burnaby DoFP Neighborhood Networks. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included.
"This case study employed four broad approaches to understand how PSP and the DoFP are working together to support the creation of networks. These approaches included:
1. A review of local documentation that focused on the relationship structure and current work taking place to support the development of FP networks.
2. A literature review which reviewed over 50 research articles, policy and position documents, guidelines, and best practices to focus on understanding how other groups across Canada and the developed world have worked together in primary care to create networks within primary care. These findings are available in Appendix 3.
3. Interviews with key stakeholders at a local, regional and provincial level to understand the various factors (i.e. political, environmental, technological, legal) influencing the development of FP networks in the Thompson Region and BC more broadly. The list of individuals interviewed is included in Appendix 1.
4. A survey of the members of the Thompson Region DoFP which asked questions on their current levels of networking and areas for which they see opportunities to network."
This case study employed four broad approaches to understand how PSP and the DoFP are working together to support the creation of networks. These approaches included:
1. A review of local documentation that focused on the relationship structure and current work taking place to support the development of FP networks.
2. A literature review which reviewed over 50 research articles, policy and position documents, guidelines, and best practices to focus on understanding how other groups across Canada and the developed world have worked together in primary care to create networks within primary care. These findings are available in Appendix 3.
3. Interviews with key stakeholders at a local, regional and provincial level to understand the various factors (i.e. political, environmental, technological, legal) influencing the development of FP networks in the Thompson Region and BC more broadly. The list of individuals interviewed is included in Appendix 1.
4. A survey of the members of the Thompson Region DoFP which asked questions on their current levels of networking and areas for which they see opportunities to network.
"This document is a draft of the common PCN community evaluation indicators. It was created by the FPSC Evaluation team and can be used as a guide or template by PCNs."
This document is a draft of the common PCN community evaluation indicators. It was created by the FPSC Evaluation team and can be used as a guide or template by PCNs.
"This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost."
This document examines the financial impact of the work environment of a Nurse Practitioner (NP) on Vancouver Coastal Health’s (VCH) budget. It evaluates the cost effectiveness of having the NP work from a General Practitioners (GP) clinic compared to the community healthcare clinic in the hospital. NPs are working in many different primary care areas, as a specialist or as generalist in a primary care setting. Compared to physicians, patient satisfaction and quality of care have been equal or higher than care provided by physicians. NPs are effective in the reduction of patient unattachment and reduction of emergency department (ED) visits. Although NPs take often more consultation time and sometimes conduct more preventative actions, their work can be comparable or even more effective compared to other providers.
This study hypothesized that the NP’s direct patient time and accessibility increases in the GP clinic, leading to a reduction of ED cost. ED and hospitalization cost of NP patients one year prior to attachment is compared with one year after attachment. Cost effectiveness is calculated by deducting incremental work environment cost by avoided ED and hospitalization cost.
"The Collaborative Toolbox is a ‘one stop shop’ of tools and resources created and curated by members of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. Whether you’re interested in working with local schools, planning events, implementing the new ER protocol in your local hospital, or ACEs in your practice, the tools and resources are all available. The goal is to make it easy to share successful strategies for CYMHSU from anywhere in the province."
The Collaborative Toolbox is a ‘one stop shop’ of tools and resources created and curated by members of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. Whether you’re interested in working with local schools, planning events, implementing the new ER protocol in your local hospital, or ACEs in your practice, the tools and resources are all available. The goal is to make it easy to share successful strategies for CYMHSU from anywhere in the province.
"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"
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
"This video introduces Developmental Evaluation, talks about what this approach means, how it can be used, and in what settings it is most appropriate."
"A presentation at the GPSC Summit 2018 about what will guide how interdisciplinary care teams share clinical patient information between primary care clinics and acute care facilities."
A presentation at the GPSC Summit 2018 about what will guide how interdisciplinary care teams share clinical patient information between primary care clinics and acute care facilities.
"The Doctors Technology Office (DTO) and Practice Support Program (PSP) in collaboration with the electronic medical record (EMR) vendor have developed EMR orientation guides that outline how to submit encounter, attachment and shift records using a step-by-step approach. Encounter reporting is the principal mechanism for contracted Family Physicians, Nurse Practitioners and PCN funded Registered Nurses and Licensed Practical Nurses required to report on services provided to patients. Activity reporting using encounter records are initiated through the clinic EMR and collected by the Ministry through Teleplan."
The Doctors Technology Office (DTO) and Practice Support Program (PSP) in collaboration with the electronic medical record (EMR) vendor have developed EMR orientation guides that outline how to submit encounter, attachment and shift records using a step-by-step approach. Encounter reporting is the principal mechanism for contracted Family Physicians, Nurse Practitioners and PCN funded Registered Nurses and Licensed Practical Nurses required to report on services provided to patients. Activity reporting using encounter records are initiated through the clinic EMR and collected by the Ministry through Teleplan.
"The Doctors Technology Office (DTO) and Practice Support Program (PSP) in collaboration with the electronic medical record (EMR) vendor have developed EMR orientation guides that outline how to submit encounter, attachment and shift records using a step-by-step approach. Encounter reporting is the principal mechanism for contracted Family Physicians, Nurse Practitioners and PCN funded Registered Nurses and Licensed Practical Nurses required to report on services provided to patients. Activity reporting using encounter records are initiated through the clinic EMR and collected by the Ministry through Teleplan."
The Doctors Technology Office (DTO) and Practice Support Program (PSP) in collaboration with the electronic medical record (EMR) vendor have developed EMR orientation guides that outline how to submit encounter, attachment and shift records using a step-by-step approach. Encounter reporting is the principal mechanism for contracted Family Physicians, Nurse Practitioners and PCN funded Registered Nurses and Licensed Practical Nurses required to report on services provided to patients. Activity reporting using encounter records are initiated through the clinic EMR and collected by the Ministry through Teleplan.