"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 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.
"Chilliwack Division of Family Practice's presentation at the Divisions Learning Session 2019 on their journey from engagement to partnership with Indigenous communities."
Chilliwack Division of Family Practice's presentation at the Divisions Learning Session 2019 on their journey from engagement to partnership with Indigenous communities.
"The presentation used by the Comox Valley Division of Family Practice during the session on Engaging Indigenous Communities during the Divisions Learning Session 2019."
The presentation used by the Comox Valley Division of Family Practice during the session on Engaging Indigenous Communities during the Divisions Learning Session 2019.
"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.
"Prior to changing to a virtual Summit, all Divisions were asked to share their stories, projects, innovations, and learnings to be included in a set of rotating slides that would run throughout the event. This is the end result of what was submitted but unfortunately not showcased as the in-person event was cancelled."
Prior to changing to a virtual Summit, all Divisions were asked to share their stories, projects, innovations, and learnings to be included in a set of rotating slides that would run throughout the event. This is the end result of what was submitted but unfortunately not showcased as the in-person event was cancelled.
"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.
"This presentation was used during the GPSC Summit 2019 webinar series. The session set out principles and practices for inclusion and diversity; and a discussion around creating safe spaces, and improving primary health care delivery for diverse groups."
This presentation was used during the GPSC Summit 2019 webinar series. The session set out principles and practices for inclusion and diversity; and a discussion around creating safe spaces, and improving primary health care delivery for diverse groups.
"The recording from the Inclusion & Diversity in Health Care Delivery session held during the GPSC Summit 2019 webinar series. This session touched on the principles and practices for inclusion and diversity; and how best to create safe spaces, and improve primary health care delivery for diverse groups."
The recording from the Inclusion & Diversity in Health Care Delivery session held during the GPSC Summit 2019 webinar series. This session touched on the principles and practices for inclusion and diversity; and how best to create safe spaces, and improve primary health care delivery for diverse groups.
"These instruction sheets provide an overview of basic IntraHealth Profile functions for new users. This is an independent quick reference guide on getting started with IntraHealth Profile that has been created by physicians, for physicians."
These instruction sheets provide an overview of basic IntraHealth Profile functions for new users. This is an independent quick reference guide on getting started with IntraHealth Profile that has been created by physicians, for physicians.
"These instruction sheets provide an overview of basic Med-Access functions for new users. This is an independent quick reference guide on getting started with Med-Access that has been created by physicians, for physicians."
These instruction sheets provide an overview of basic Med-Access functions for new users. This is an independent quick reference guide on getting started with Med-Access that has been created by physicians, for physicians.
"These instruction sheets provide an overview of basic MOIS functions for new users. This is an independent quick reference guide on getting started with MOIS that has been created by
physicians, for physicians."
These instruction sheets provide an overview of basic MOIS functions for new users. This is an independent quick reference guide on getting started with MOIS that has been created by
physicians, for physicians.
"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 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 story looks at how collaborating with a pharmacist in practice led to greater patient engagement in their 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 looks at how collaborating with a pharmacist in practice led to greater patient engagement in their 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 looks at how team-based care helps improve patient mental health."
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 helps improve patient mental health.
"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 the PMH led to faster, more responsive patient 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 tells the reader about how the PMH led to faster, more responsive patient care.