"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 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."
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.
"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."
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.
"This job descritpion template is for the role of PCN Development Specialist. The creation of this template was led by the Richmond Division of Family Practice and Vancouver Coastal Health-Richmond."
This job descritpion template is for the role of PCN Development Specialist. The creation of this template was led by the Richmond Division of Family Practice and Vancouver Coastal Health-Richmond.
"The case study was intended to document the status and operations of the centre, the growing partnership between the Division and the centre including the development of TBC, to capture the formative information, establish a baseline of information for tracking for centres/ partnerships developments and to provide information regarding ‘next steps’."
The case study was intended to document the status and operations of the centre, the growing partnership between the Division and the centre including the development of TBC, to capture the formative information, establish a baseline of information for tracking for centres/ partnerships developments and to provide information regarding ‘next steps’.
"A handout from the Team-based Care Buffet at the GPSC Summit 2018 depicting the North Shore DoFP's journey from their current model to their future model of Primary Care."
A handout from the Team-based Care Buffet at the GPSC Summit 2018 depicting the North Shore DoFP's journey from their current model to their future model of Primary Care.