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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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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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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.
Less detail
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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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.
Less detail
Published Date
2018-05-14
Link to File
/media/divresources/GPSC_Summit_Summary.pdf
Description
"The event summary from the GPSC Summit 2018. This document captures the highlights of the event, and finishes with a message from the GPSC Co-chairs about the future of primary care in BC."
Corporate Author
General Practice Services Committee
Published Date
2018-05-14
Topics
First Nations
Primary Care
Nurse
EMR
Engagement
Primary Care Network
Patient Medical Home
Event
GPSC Summit 2018
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSC_Summit_Summary.pdf
Description
The event summary from the GPSC Summit 2018. This document captures the highlights of the event, and finishes with a message from the GPSC Co-chairs about the future of primary care in BC.
Less detail
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.
Less detail

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.
Less detail

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 Centred Care in PMH Planning - Partners Program Overview Handout

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1000
Published Date
2017-06-20
Link to File
/media/divresources/Patients_as_Partners_Profile_Page_Content.docx
Description
"Ministry of Health Patients as Partners Program overview. Handout from the Patient Centred Care in PMH Planning session at the GPSC Spring Summit 2017."
Personal Author
Shannon Holmes
Published Date
2017-06-20
Topics
Engagement
Patient-Centred Care
Patient Medical Home
Event
GPSC Spring Summit 2017
Workshop
Patient Centred Care in PMH Planning
Resource Type
Summary
Handout
Meeting / Event Materials
File Type
Word
Link to File
/media/divresources/Patients_as_Partners_Profile_Page_Content.docx
Description
Ministry of Health Patients as Partners Program overview. Handout from the Patient Centred Care in PMH Planning session at the GPSC Spring Summit 2017.
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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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What We Value: Stories of Most Significant Change (MSC) from Physicians, Allied Healthcare Providers, and Patients (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1565
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_ExecutiveSummary.pdf
Description
"The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers), and clarifies the values held by different stakeholders in primary care transformation. The executive summary contains priority next steps for system actors (GPSC, Divisions, and FPs) to address."
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2020-11
Topics
Patient Medical Home
Most Significant Change
Team-Based Care
Evaluation
EMR
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_ExecutiveSummary.pdf
Description
The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers), and clarifies the values held by different stakeholders in primary care transformation. The executive summary contains priority next steps for system actors (GPSC, Divisions, and FPs) to address.
Less detail

What We Value: Stories of Most Significant Change (MSC) from Physicians, Allied Healthcare Providers, and Patients (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1566
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_FullReport.pdf
Description
"The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers). By collecting, sharing, and reflecting on PMH stories from across BC, this project identifies common and different values held by different stakeholder groups in the BC health system."
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2020-11
Topics
Patient Medical Home
Most Significant Change
Team-Based Care
Evaluation
EMR
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_FullReport.pdf
Description
The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers). By collecting, sharing, and reflecting on PMH stories from across BC, this project identifies common and different values held by different stakeholder groups in the BC health system.
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19 public records – page 1 of 1.