"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 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.
"The Powell River Division risk management plan to outline a risk management approach, identify and qualify risks, and outline risk mitigation tactics related to the A GP for Me initiative."
The Powell River Division risk management plan to outline a risk management approach, identify and qualify risks, and outline risk mitigation tactics related to the A GP for Me initiative.
"Article to raise awareness about Nurse Practitioner (NP) in Powell River.
To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists."
Article to raise awareness about Nurse Practitioner (NP) in Powell River.
To support better care for patients, the Powell River Division and Vancouver Coastal Health piloted a new program to refer patients with chronic conditions to a nurse practitioner. Nurse practitioners can order and interpret diagnostic tests, make medical diagnoses, prescribe some medications, perform specific procedures, and refer to medical specialists.
"Social Determinants of Health and Adverse Childhood Experiences presentation at the GPSC Spring Summit 2017. Co- presented by several Divisions of Family Practice, Child Youth Mental Health, and community partners."
Social Determinants of Health and Adverse Childhood Experiences presentation at the GPSC Spring Summit 2017. Co- presented by several Divisions of Family Practice, Child Youth Mental Health, and community partners.
"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.
"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."
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.