"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.
"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.
"Part 3 of the audio recording from the Keynote presentation on High-Functioning Networks. This section surrounds Network Governance, Leadership & Management."
Part 3 of the audio recording from the Keynote presentation on High-Functioning Networks. This section surrounds Network Governance, Leadership & Management.
"Part 5 of the audio recording from the Keynote presentation on High-Functioning Networks. This section surrounds Network Evaluation, and features Q&A from the audience."
Part 5 of the audio recording from the Keynote presentation on High-Functioning Networks. This section surrounds Network Evaluation, and features Q&A from the audience.
"Introduction to key network concepts, emphasizing the importance of relationships, governance/leadership, stages of development, evaluation, and what contributes to success or failure. Gaps in research were shared too during the presentation at the Divisions Learning Session 2019."
Introduction to key network concepts, emphasizing the importance of relationships, governance/leadership, stages of development, evaluation, and what contributes to success or failure. Gaps in research were shared too during the presentation at the Divisions Learning Session 2019.
"This is an abridged verison of the presentation used during the Keynote address, and its repeat on October 11, at the GPSC Summit 2019 webinar series. It looks at leadership approaches that shift stakeholders from individual to collective interests, and engage teams and partners for better outcomes."
This is an abridged verison of the presentation used during the Keynote address, and its repeat on October 11, at the GPSC Summit 2019 webinar series. It looks at leadership approaches that shift stakeholders from individual to collective interests, and engage teams and partners for better outcomes.
"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).
"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.