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Boundary Proof of Concept Patient Medical Home/Primary Care Networks - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1395
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
"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."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Interior Health Authority
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Team-Based Care
Quality Improvement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
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.
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Burnaby DoFP Neighbourhood Networks Case Study - Full Report

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1606
Division
Burnaby Division of Family Practice
Published Date
2022-02
Link to File
/media/divresources/BurnabyDoFP_NeighborhoodNetworksCaseStudy_Full_Report.pdf
Description
"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."
Division
Burnaby Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2022-02
Topics
Primary Care Network
Patient Medical Home
Evaluation
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/BurnabyDoFP_NeighborhoodNetworksCaseStudy_Full_Report.pdf
Description
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.
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Central Okanagan Division of Family Practice – Engagement Journey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1569
Division
Central Okanagan Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Central_Okanagan_Engagement_Journey.pdf
Description
"This is the Central Okanagan 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
Central Okanagan Division of Family Practice
Corporate Author
Central Okanagan Division of Family Practice
General Practice Services Committee
Published Date
2017
Topics
Engagement
Patient Medical Home
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/Central_Okanagan_Engagement_Journey.pdf
Description
This is the Central Okanagan 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.
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Collaboration to Foster FP Networks in the Thompson Region Division of Family Practice - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1394
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegionPMHCaseStudy_Dec2018.pdf
Description
"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."
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Corporate Author
General Practice Services Committee
Thompson Region Division of Family Practice
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Engagement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegionPMHCaseStudy_Dec2018.pdf
Description
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.
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Converting to Population Based Funding: Development and Transition Stages (Case Study)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1564
Division
Mission Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/MissonPBF_CaseStudy_FinalReport.pdf
Description
"Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model. The report provides important lessons about the preparation involved and support required from a broad set of stakeholders for the transition process."
Division
Mission Division of Family Practice
Corporate Author
General Practice Services Committee
Mission Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Population Based Funding
Payment Models
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/MissonPBF_CaseStudy_FinalReport.pdf
Description
Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model. The report provides important lessons about the preparation involved and support required from a broad set of stakeholders for the transition process.
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Culturally Safe Team-based Care at the Snuneymuxw Health Centre (Case Study)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1562
Division
Nanaimo Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_FullReport.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 report highlights the work and time required to develop trust and earn the respect of the Snuneymuxw First Nation patients, so that care is provided in culturally safe and appropriate ways."
Division
Nanaimo Division of Family Practice
Corporate Author
General Practice Services Committee
Nanaimo Division of Family Practice
Published Date
2020-11
Topics
Team-Based Care
First Nations
Patient Medical Home
Resource Type
Case Study
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_FullReport.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 report highlights the work and time required to develop trust and earn the respect of the Snuneymuxw First Nation patients, so that care is provided in culturally safe and appropriate ways.
Less detail
Link to File
/media/divresources/FINAL-PCNCOKDecisionTemplates_final.xlsx
Description
"This is an example of a PCN Operations Group Decision-Making Template. It was created by the Central Okanagan PCN Operations Group and can be used as a template or guide for other groups."
Personal Author
Central Okanagan PCN
Topics
PCN Resource Shareout Documents
Primary Care Network
Governance
Resource Type
Template
File Type
Excel
Link to File
/media/divresources/FINAL-PCNCOKDecisionTemplates_final.xlsx
Description
This is an example of a PCN Operations Group Decision-Making Template. It was created by the Central Okanagan PCN Operations Group and can be used as a template or guide for other groups.
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Exploring the Role of Collaborative Structures on Vancouver Island - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1393
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_FinalSept182018.pdf
Description
"The purpose of this report is to: -Systematically measure the current collaboration between key stakeholder groups, -Establish an understanding of how the structures in place support collaboration between key stakeholder groups, -Facilitate learning and improvement within the collaborative structures on Vancouver Island, and -Support learning across the province based on the strengths and challenges on 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
Island Health
Published Date
2019/01
Topics
Evaluation
Patient Medical Home
Primary Care Network
Engagement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_FinalSept182018.pdf
Description
The purpose of this report is to: -Systematically measure the current collaboration between key stakeholder groups, -Establish an understanding of how the structures in place support collaboration between key stakeholder groups, -Facilitate learning and improvement within the collaborative structures on Vancouver Island, and -Support learning across the province based on the strengths and challenges on Vancouver Island.
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Fraser Northwest Primary Care Network Steering Committee Terms of Reference

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1486
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Published Date
2019-07
Link to File
/media/divresources/FNW_PCNSteeringCommitteeTOR_July_4_2019.pdf
Description
"This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Fraser Northwest PCN and can be used as a guide or template by other PCNs."
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Corporate Author
Fraser Northwest Division of Family Practice
Published Date
2019-07
Topics
Primary Care Network
PCN Resource Shareout Documents
Governance
Resource Type
Template
File Type
Pdf
Link to File
/media/divresources/FNW_PCNSteeringCommitteeTOR_July_4_2019.pdf
Description
This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Fraser Northwest PCN and can be used as a guide or template by other PCNs.
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Integrating Nurses into Practice: Transition Stage (Case Study)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1560
Division
Central Okanagan Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/CODFP_NiPCP_Case_Study_FinalReport.pdf
Description
"The report provides valuable lessons about the process of onboarding and integrating nurses into family practices (e.g. preparation prior to onboarding, building trust with team members). Initial outcomes related to attachment, access, and patient and provider experience are explored. While the findings in the report are primarily focused on the Nurse in Primary Care Practice program in Central Okanagan, the findings can be applied to any team-based care environment, regardless of funding model."
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
Team-Based Care
Nurse
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/CODFP_NiPCP_Case_Study_FinalReport.pdf
Description
The report provides valuable lessons about the process of onboarding and integrating nurses into family practices (e.g. preparation prior to onboarding, building trust with team members). Initial outcomes related to attachment, access, and patient and provider experience are explored. While the findings in the report are primarily focused on the Nurse in Primary Care Practice program in Central Okanagan, the findings can be applied to any team-based care environment, regardless of funding model.
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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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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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Minor Tenant Improvement (MTI) Funding Reporting Template

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1551
Published Date
2019-11-28
Link to File
/media/divresources/Minor-Tenant-Improvement-Funding-Reporting-Template.docx
Description
"The GPSC has endorsed one-time funding for minor tenant improvements to family physician owned/ leased clinics participating in their local Primary Care Networks (PCNs). The GPSC and the Ministry of Health are continuing to collaborate and support all PCN Wave 1 and 2 communities to lead the implementation, spread and sustainability of team-based care within the context of Patient Medical Homes and Primary Care Networks. This template is to be used by Divisions when reporting on the Minor Tenant Improvement funding within 3 months of completing the minor tenant improvements."
Corporate Author
General Practice Services Committee
Published Date
2019-11-28
Topics
Primary Care Network
Patient Medical Home
Funding
Resource Type
Template
File Type
Word
Link to File
/media/divresources/Minor-Tenant-Improvement-Funding-Reporting-Template.docx
Description
The GPSC has endorsed one-time funding for minor tenant improvements to family physician owned/ leased clinics participating in their local Primary Care Networks (PCNs). The GPSC and the Ministry of Health are continuing to collaborate and support all PCN Wave 1 and 2 communities to lead the implementation, spread and sustainability of team-based care within the context of Patient Medical Homes and Primary Care Networks. This template is to be used by Divisions when reporting on the Minor Tenant Improvement funding within 3 months of completing the minor tenant improvements.
Less detail
Published Date
2021
Link to File
/media/divresources/PCN_COK_Terms_of_Reference_final.pdf
Description
"This document shows an example of a terms of reference (TOR) for a PCN operations group. It was created by the Central Okanagan PCN Operations Group and can be used as a guide or template by other PCNs."
Personal Author
Central Okanagan PCN
Published Date
2021
Topics
Primary Care Network
Governance
PCN Resource Shareout Documents
Resource Type
Template
File Type
Pdf
Link to File
/media/divresources/PCN_COK_Terms_of_Reference_final.pdf
Description
This document shows an example of a terms of reference (TOR) for a PCN operations group. It was created by the Central Okanagan PCN Operations Group and can be used as a guide or template by other PCNs.
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PCN Steering Committee TOR - Central Interior Rural

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1634
Published Date
2021
Link to File
/media/divresources/CIRD-PCN-Steering-Committee-TOR-Final.docx
Description
"This document shows an example of a terms of reference (ToR) for a PCN steering committee.It was created by the Central Interior Rural PCN and can be used as a guide or template by other PCNs."
Personal Author
Central Interior Rural PCN
Published Date
2021
Topics
Primary Care Network
Governance
PCN Resource Shareout Documents
Resource Type
Template
File Type
Word
Link to File
/media/divresources/CIRD-PCN-Steering-Committee-TOR-Final.docx
Description
This document shows an example of a terms of reference (ToR) for a PCN steering committee.It was created by the Central Interior Rural PCN and can be used as a guide or template by other PCNs.
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Program
Primary Care Networks
Link to File
/media/divresources/Steering-Committee-Comox-Valley-PCN-SC-TOR.pdf
Description
"This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Comox Valley PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Comox Valley PCN
Topics
Primary Care Network
Governance
PCN Resource Shareout Documents
Resource Type
Template
File Type
Pdf
Link to File
/media/divresources/Steering-Committee-Comox-Valley-PCN-SC-TOR.pdf
Description
This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Comox Valley PCN and can be used as a guide or template by other PCNs.
Less detail
Program
Primary Care Networks
Published Date
2019
Description
"This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Oceanside PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Oceanside PCN
Published Date
2019
Topics
PCN Resource Shareout Documents
Governance
Primary Care Network
Resource Type
Template
File Type
Word
Description
This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Oceanside PCN and can be used as a guide or template by other PCNs.
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Pender Harbour Health Centre (PHHC) and Sunshine Coast Division of Family Practice (SCDFP) - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1361
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Published Date
Nov 2018
Link to File
/media/divresources/SunshineCoastCasestudyReport.pdf
Description
"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’."
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Sunshine Coast Division of Family Practice
Published Date
Nov 2018
Topics
Evaluation
Patient Medical Home
Primary Care Network
Team-Based Care
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/SunshineCoastCasestudyReport.pdf
Description
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’.
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.
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23 public records – page 1 of 2.