"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."
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.
"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 is the executive summary of a three year project in the Boundary area of BC which began in 2016 to support the implementation of PMHs in five medical clinics, and the creation of a PCN connecting them and the health authority."
This is the executive summary of a three year project in the Boundary area of BC which began in 2016 to support the implementation of PMHs in five medical clinics, and the creation of a PCN connecting them and the health authority.
"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."
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.
"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.
"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.
"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."
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.
"Presentation going over Primary Care Home trajectory in BC including health spending vs. outcomes across the province and nationally. The presentation provides an overview of the role of the KB Collaborative Services Committee (CSC) plays in implementing the Primary Care Home (PCH)."
Presentation going over Primary Care Home trajectory in BC including health spending vs. outcomes across the province and nationally. The presentation provides an overview of the role of the KB Collaborative Services Committee (CSC) plays in implementing the Primary Care Home (PCH).
"A presentation on PMH/PCH in the Kootenay Boundary including a Change Acceleration Plan, KB CSC Spectrum of Member Issue Engagement & Decision Making, and Risks and Pitfalls of PHC for Community, Physicians, and IH Staff."
A presentation on PMH/PCH in the Kootenay Boundary including a Change Acceleration Plan, KB CSC Spectrum of Member Issue Engagement & Decision Making, and Risks and Pitfalls of PHC for Community, Physicians, and IH Staff.
"Vancouver Coastal Health Integrated Primary and Community Care (IPCC) and the Powell River Division of Family Practice (DoFP) partnered together on a one year pilot project to determine the feasibility and value of a Resource Navigator (R-N) serving family physicians. The goal of the position was to assist physicians in identifying available health and social support services and linking their patients to these services.
This report evaluates the Resource Navigator pilot."
Vancouver Coastal Health Integrated Primary and Community Care (IPCC) and the Powell River Division of Family Practice (DoFP) partnered together on a one year pilot project to determine the feasibility and value of a Resource Navigator (R-N) serving family physicians. The goal of the position was to assist physicians in identifying available health and social support services and linking their patients to these services.
This report evaluates the Resource Navigator pilot.
"This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation."
This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation.
"This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation."
This report presents findings from a case study of the Patient Summaries Pilot, delivered in Victoria, British Columbia, from September 2015 to July 2019. This case study covers the development of the patient summaries pilot over the first four years of operation, describing the pilot implementation, local network of project partners, technical components of the patient summaries’ development, provider perspectives, and project outcomes. A discussion of the conditions for success is included. As part of the General Practice Service Committee’s (GPSC) ongoing evaluation of Patient Medical Home (PMH)initiatives in BC, this case study helps to build a provincial picture of PMH innovation and implementation.
"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."
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.