"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."
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.
"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 an executive summary on the early findings on collaboration to foster family practice networks, and provides recommendations to further enable family practice networking."
This is an executive summary on the early findings on collaboration to foster family practice networks, and provides recommendations to further enable family practice networking.
"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.
"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.