"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.
"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."
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.
"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."
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.
"These guidelines are intended to offer clarity about information sharing between GPs and community partners for Mental Health and Substance Use (MHSU) adult patients (non-urgent care).
They were prepared to exist within the context of current legislation, including two privacy laws:
1) The BC Personal Information Protection Act (PIPA), which is the ‘private sector’ privacy law that covers the Delta Division of Family Practice, Doctors of BC, A GP for Me, health clinics, psychologists, GPs, counselors, and not-for-profit organizations, etc., and
2) The BC Freedom of Information and Protection of Privacy Act (FIPPA), the ‘public sector’ law, which applies to the Ministry of Health and Health Authorities."
These guidelines are intended to offer clarity about information sharing between GPs and community partners for Mental Health and Substance Use (MHSU) adult patients (non-urgent care).
They were prepared to exist within the context of current legislation, including two privacy laws:
1) The BC Personal Information Protection Act (PIPA), which is the ‘private sector’ privacy law that covers the Delta Division of Family Practice, Doctors of BC, A GP for Me, health clinics, psychologists, GPs, counselors, and not-for-profit organizations, etc., and
2) The BC Freedom of Information and Protection of Privacy Act (FIPPA), the ‘public sector’ law, which applies to the Ministry of Health and Health Authorities.
"Article to raise awareness about Nurse Practitioner (NP) in Powell River.
To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists."
Article to raise awareness about Nurse Practitioner (NP) in Powell River.
To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists.
"A handout from the GPSC Summit 2018 on Specialized Community Services Programs aimed at providing better health care for people with complex or specific medical needs."
A handout from the GPSC Summit 2018 on Specialized Community Services Programs aimed at providing better health care for people with complex or specific medical needs.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story looks at how team-based care improved access for patients"
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story looks at how team-based care improved access for patients
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story shows how collaboration led to better care, improved connections, and increased support within the system."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story shows how collaboration led to better care, improved connections, and increased support within the system.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story is about how having a nurse and social worker in practice improves the quality and patient-centredness of care."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story is about how having a nurse and social worker in practice improves the quality and patient-centredness of care.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story highlights a physician's transition from solo to group practice, which in turn restored their enjoyment of family practice."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story highlights a physician's transition from solo to group practice, which in turn restored their enjoyment of family practice.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story looks at how GP-pharmacist collaboration helped reduce polypharmacy in their patients."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story looks at how GP-pharmacist collaboration helped reduce polypharmacy in their patients.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story looks at how team-based care improved access and comprehensive care for patients."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story looks at how team-based care improved access and comprehensive care for patients.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story is about how FP networking led to identifying key care needs for a population of seniors (Note that this was not identified as a significant change)."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story is about how FP networking led to identifying key care needs for a population of seniors (Note that this was not identified as a significant change).
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story tells the reader about how teams and networks help support physician recruitment and retention."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story tells the reader about how teams and networks help support physician recruitment and retention.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story is about how a local Division initiative removed barriers to healthcare for students."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story is about how a local Division initiative removed barriers to healthcare for students.
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story is about how having a social worker in practice helps meet broader community needs."
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story is about how having a social worker in practice helps meet broader community needs.