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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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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.
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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.
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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.
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Published Date
2022
Link to File
/media/divresources/GPSCSupports_for_TeamBasedCare_Communication_Document.pdf
Description
"This document provides a brief overview of all the supports offered by the GPSC to support the transition of primary care practices to team based care."
Corporate Author
General Practice Services Committee
Published Date
2022
Topics
Team-Based Care
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSCSupports_for_TeamBasedCare_Communication_Document.pdf
Description
This document provides a brief overview of all the supports offered by the GPSC to support the transition of primary care practices to team based care.
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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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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.
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MSC Story - Accessible Upstream Care Supporting Patient Health

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1509
Published Date
2019
Link to File
/media/divresources/MSCStory_AccessibleUpstreamCareSupportingPatientHealth.pdf
Description
"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"
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Evaluation
Team-Based Care
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_AccessibleUpstreamCareSupportingPatientHealth.pdf
Description
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
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MSC Story - A Team Approach Restored My Enjoyment of Family Practice

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1539
Published Date
2019
Link to File
/media/divresources/MSCStory_ATeamApproachRestoredMyEnjoymentofFamilyPractice.pdf
Description
"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."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Team-Based Care
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_ATeamApproachRestoredMyEnjoymentofFamilyPractice.pdf
Description
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.
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MSC Story - Engaging Polypharmacy Patients through Team-Based Care

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1515
Published Date
2019
Link to File
/media/divresources/MSCStory_EngagingPolypharmacyPatientsthroughTeamBasedCare.pdf
Description
"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 collaborating with a pharmacist in practice led to greater patient engagement in their care."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Evaluation
Most Significant Change
Team-Based Care
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_EngagingPolypharmacyPatientsthroughTeamBasedCare.pdf
Description
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 collaborating with a pharmacist in practice led to greater patient engagement in their care.
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MSC Story - Good Care Gives Hope for Chronic Conditions

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1517
Published Date
2019
Link to File
/media/divresources/MSCStory_GoodCareGivesHopeforChronicConditions.pdf
Description
"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 helps improve patient mental health."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Evaluation
Most Significant Change
Team-Based Care
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_GoodCareGivesHopeforChronicConditions.pdf
Description
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 helps improve patient mental health.
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MSC Story - Improving Patient Care with a Coordinated Team Approach

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1520
Published Date
2019
Link to File
/media/divresources/MSCStory_ImprovingPatientCarewithaCoordinatedTeamApproach.pdf
Description
"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 the PMH led to faster, more responsive patient care."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Team-Based Care
Patient-Centred Care
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_ImprovingPatientCarewithaCoordinatedTeamApproach.pdf
Description
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 the PMH led to faster, more responsive patient care.
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MSC Story - Marching to a New Drummer - Funding Better Patient Care

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1521
Published Date
2019
Link to File
/media/divresources/MSCStory_MarchingtoaNewDrummerFundingBetterPatientCare.pdf
Description
"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 blended compensation model supports full-service family practice and team-based care."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Evaluation
Most Significant Change
Team-Based Care
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_MarchingtoaNewDrummerFundingBetterPatientCare.pdf
Description
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 blended compensation model supports full-service family practice and team-based care.
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MSC Story - Team Support for GP Helping Young People Access the Care They Need

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1540
Published Date
2019
Link to File
/media/divresources/MSCStory_TeamSupportforGPHelpingYoungPeopleAccesstheCareTheyNeed.pdf
Description
"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 working onsite with a team helped a GP feel more supported to provide care for youth."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Team-Based Care
Patient Medical Home
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_TeamSupportforGPHelpingYoungPeopleAccesstheCareTheyNeed.pdf
Description
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 working onsite with a team helped a GP feel more supported to provide care for youth.
Less detail
Published Date
2019
Link to File
/media/divresources/MSCStory_TimeandaTeamApproach.pdf
Description
"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 the PMH innovation allows nurses spend extra time with patients to help support the GP."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Team-Based Care
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_TimeandaTeamApproach.pdf
Description
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 the PMH innovation allows nurses spend extra time with patients to help support the GP.
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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.
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Patient Medical Home in rural communities: What are the realities? - Rural PMH Overview Handout

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1006
Published Date
2017-06-20
Link to File
/media/divresources/Rural_GPSC_Presentation_NetworkofDivisionsServingRuralandRemoteCommunities.docx
Description
" Network of Divisions Serving Rural and Remote Communities' presentation at the Patient Medical Home in rural communities: What are the realities? session at the GPSC Spring Summit 2017."
Corporate Author
Network of Divisions Serving Rural and Remote Communites
Published Date
2017-06-20
Topics
Patient-Centred Care
Rural
Nurse Practitioners
Team-Based Care
Telehealth
Patient Medical Home
Event
GPSC Spring Summit 2017
Workshop
Patient Medical Home in rural communities: What are the realities?
Resource Type
Handout
Summary
Presentation
Meeting / Event Materials
File Type
Word
Link to File
/media/divresources/Rural_GPSC_Presentation_NetworkofDivisionsServingRuralandRemoteCommunities.docx
Description
Network of Divisions Serving Rural and Remote Communities' presentation at the Patient Medical Home in rural communities: What are the realities? session at the GPSC Spring Summit 2017.
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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
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBC_Flexible_Learning_Opportunities.pdf
Description
"Overview of PSP's TBC flexible learning opportunities, which help primary care providers and practice teams develop competencies key to successful team based care in practice, as outlined in the National Interprofessional Competency Framework."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Strengthing & Sustaining Stage
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/PSPTBC_Flexible_Learning_Opportunities.pdf
Description
Overview of PSP's TBC flexible learning opportunities, which help primary care providers and practice teams develop competencies key to successful team based care in practice, as outlined in the National Interprofessional Competency Framework.
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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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23 public records – page 1 of 2.