"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 Financial Systems Handbook is designed to provide local divisions with guidance regarding all financial matters and to enable a division to manage funds effectively.
This handbook contains:
An overview of the elements of the financial system
The principles on which the financial system is based
The major activities related to planning, recording and reviewing finances, and
Processes and mechanisms for maintaining accountability for the finances of the organization."
This Financial Systems Handbook is designed to provide local divisions with guidance regarding all financial matters and to enable a division to manage funds effectively.
This handbook contains:
An overview of the elements of the financial system
The principles on which the financial system is based
The major activities related to planning, recording and reviewing finances, and
Processes and mechanisms for maintaining accountability for the finances of the organization.
"This is a poster/handout for patients that prompts 5 questions for them to ask their physician about their medications. It was adapted with permission from Institute for Safe Medication Practices (ISMP) Canada."
This is a poster/handout for patients that prompts 5 questions for them to ask their physician about their medications. It was adapted with permission from Institute for Safe Medication Practices (ISMP) Canada.
"This is an adaptation of the "Five Questions to Ask About Your Medications" patient poster, as our physicians thought that this would be helpful for GPs. ISMP now has a copy of our poster on their website for other physician groups to reference."
This is an adaptation of the "Five Questions to Ask About Your Medications" patient poster, as our physicians thought that this would be helpful for GPs. ISMP now has a copy of our poster on their website for other physician groups to reference.
"The Provincial Evaluation Framework for the Patient Medical Home initiative includes the use of Most Significant Change (MSC) methodology. This document provides information on the guidelines surrounding MSC."
The Provincial Evaluation Framework for the Patient Medical Home initiative includes the use of Most Significant Change (MSC) methodology. This document provides information on the guidelines surrounding MSC.
"A presentation on how patients can really talk to their doctor.
Topics:
1. Finding a local primary care provider
2. Making appointments
3. A team approach
4. What are your values and goals
5. Misconceptions about your doctor
6. Do we ultimately want the same thing?"
A presentation on how patients can really talk to their doctor.
Topics:
1. Finding a local primary care provider
2. Making appointments
3. A team approach
4. What are your values and goals
5. Misconceptions about your doctor
6. Do we ultimately want the same thing?
"This presentation plays on the waiting room tvs at the Mission Attachment Clinic. It provides information on local health services, ways to get the most out of your appointment, health-related tips, and community photos."
This presentation plays on the waiting room tvs at the Mission Attachment Clinic. It provides information on local health services, ways to get the most out of your appointment, health-related tips, and community photos.
"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"
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
"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 shows how collaboration led to better care, improved connections, and increased support within the system."
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 shows how collaboration led to better care, improved connections, and increased support within the system.
"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 having a nurse and social worker in practice improves the quality and patient-centredness of care."
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 having a nurse and social worker in practice improves the quality and patient-centredness of care.
"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."
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.
"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 looks at how GP-pharmacist collaboration helped reduce polypharmacy in their patients."
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 looks at how GP-pharmacist collaboration helped reduce polypharmacy in their patients.
"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 and comprehensive care for patients."
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 and comprehensive care for patients.
"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 FP networking led to identifying key care needs for a population of seniors (Note that this was not identified as a significant change)."
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 FP networking led to identifying key care needs for a population of seniors (Note that this was not identified as a significant change).
"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 teams and networks help support physician recruitment and retention."
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 teams and networks help support physician recruitment and retention.
"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 local Division initiative removed barriers to healthcare for students."
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 local Division initiative removed barriers to healthcare for students.