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Boundary Proof of Concept Patient Medical Home/ Primary Care Network: A summary of evaluation findings

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1179
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-01-08
Link to File
/media/divresources/BoundaryPoCProvincialSummary.pdf
Description
"The document was provided during the GPSC Patient Medical Home Evaluation Webinar. It draws on the GPSC case study of the Boundary PoC in 2018."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Published Date
2019-01-08
Topics
Patient Medical Home
Primary Care Network
Evaluation
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCProvincialSummary.pdf
Description
The document was provided during the GPSC Patient Medical Home Evaluation Webinar. It draws on the GPSC case study of the Boundary PoC in 2018.
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Boundary Proof of Concept Patient Medical Home/Primary Care Networks - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1395
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
"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."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Interior Health Authority
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Team-Based Care
Quality Improvement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
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.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Building_Collaborative_Leadership.pdf
Description
"This tool helps teams to identify characteristics of different collaborative leadership approaches and set areas of focus to help them move towards collaborative leadership."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Implementing Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Building_Collaborative_Leadership.pdf
Description
This tool helps teams to identify characteristics of different collaborative leadership approaches and set areas of focus to help them move towards collaborative leadership.
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Burnaby DoFP Neighbourhood Networks Case Study - Executive Summary

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1605
Division
Burnaby Division of Family Practice
Published Date
2022-02
Link to File
/media/divresources/BurnabyDoFP_NeighborhoodNetworksCaseStudy_Executive_Summary.pdf
Description
"This document is the executive summary of the Burnaby DoFP Neighbourhood Networks case study. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included."
Division
Burnaby Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2022-02
Topics
Primary Care Network
Patient Medical Home
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/BurnabyDoFP_NeighborhoodNetworksCaseStudy_Executive_Summary.pdf
Description
This document is the executive summary of the Burnaby DoFP Neighbourhood Networks case study. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included.
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Burnaby DoFP Neighbourhood Networks Case Study - Full Report

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1606
Division
Burnaby Division of Family Practice
Published Date
2022-02
Link to File
/media/divresources/BurnabyDoFP_NeighborhoodNetworksCaseStudy_Full_Report.pdf
Description
"This document details the full case study on the Burnaby DoFP Neighborhood Networks. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included."
Division
Burnaby Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2022-02
Topics
Primary Care Network
Patient Medical Home
Evaluation
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/BurnabyDoFP_NeighborhoodNetworksCaseStudy_Full_Report.pdf
Description
This document details the full case study on the Burnaby DoFP Neighborhood Networks. As part of GPSC commitment to the development of physician networks as a key component of primary care system change, the Burnaby DoFP Neighborhood Network case study explores the development and implementation of three neighborhood networks in Burnaby. The creation of neighborhood networks in Burnaby was prompted by family physicians who recognized the need to bring together family physicians from across local communities to increase their interconnectedness, provide opportunities for local Primary Care Network planning, and enable methods for sharing care with each other with the goal of improving patient access to medical care across Burnaby. Burnaby’s neighborhood networks have supported family physicians to connect socially, learn from each other, identify options for locum coverage and after-hours care, and support referrals to specialist care throughout the networks. Key outcomes: family physicians were able to increase patients’ access to care by referring patients to their family physician peers, expanding their use of locums, working on the development of an Urgent and Primary Care Clinic, and procuring additional healthcare resources for the neighborhood networks. A discussion of the neighborhood network's future goals and next steps is included.
Less detail
Published Date
07-26-2017
Link to File
/media/divresources/Info_webinar_on_changes_to_GPSC_incentives_07262017.pdf
Description
"These webinar slides review the changes to GPSC incentives that will become effective October 1, 2017 and allows participants to ask questions about billing GPSC incentives"
Corporate Author
General Practice Services Committee
Published Date
07-26-2017
Topics
Billing
Incentive Fee Codes
Team-Based Care
Patient Medical Home
File Type
Pdf
Link to File
/media/divresources/Info_webinar_on_changes_to_GPSC_incentives_07262017.pdf
Description
These webinar slides review the changes to GPSC incentives that will become effective October 1, 2017 and allows participants to ask questions about billing GPSC incentives
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Chronic Disease Service Map - White Rock South Surrey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1674
Program
Primary Care Networks
Published Date
2022
Link to File
/media/divresources/WRSS-Intermediate-Risk-Factors-of-Chronic-Disease-Service-Map.pdf
Description
"This document shows an example an intermediate risk factors of chronic diseases service map. It was created by the White Rock/South Surrey PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
White Rock South Surrey PCN
Published Date
2022
Topics
PCN Resource Shareout Documents
Primary Care Network
Team-Based Care
File Type
Pdf
Link to File
/media/divresources/WRSS-Intermediate-Risk-Factors-of-Chronic-Disease-Service-Map.pdf
Description
This document shows an example an intermediate risk factors of chronic diseases service map. It was created by the White Rock/South Surrey PCN and can be used as a guide or template by other PCNs.
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Chronic Obstructive Pulmonary Disease (COPD) Service Map - White Rock South Surrey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1675
Program
Primary Care Networks
Published Date
2022
Link to File
/media/divresources/WRSS -COPD-Service-Map.pdf
Description
"This document shows an example an intermediate risk factors of chronic diseases service map. It was created by the White Rock/South Surrey PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
White Rock South Surrey PCN
Published Date
2022
Topics
PCN Resource Shareout Documents
Primary Care Network
Team-Based Care
File Type
Pdf
Link to File
/media/divresources/WRSS -COPD-Service-Map.pdf
Description
This document shows an example an intermediate risk factors of chronic diseases service map. It was created by the White Rock/South Surrey PCN and can be used as a guide or template by other PCNs.
Less detail

Collaboration to Foster FP Networks in the Thompson Region Division of Family Practice - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1394
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegionPMHCaseStudy_Dec2018.pdf
Description
"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."
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Corporate Author
General Practice Services Committee
Thompson Region Division of Family Practice
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Engagement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegionPMHCaseStudy_Dec2018.pdf
Description
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.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Collaborative_Leadership_in_Practice.pdf
Description
"This tool helps team members identify their top three collaborative leadership objectives, and consider what strategies, accountability tools, and actions would be required to achieve them."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Strengthing & Sustaining Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Collaborative_Leadership_in_Practice.pdf
Description
This tool helps team members identify their top three collaborative leadership objectives, and consider what strategies, accountability tools, and actions would be required to achieve them.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Collaborative_Leadership_Priorities.pdf
Description
"This tool helps teams identify and prioritize collaborative leadership objectives (ex: establishing shared goals)."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Strengthing & Sustaining Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Collaborative_Leadership_Priorities.pdf
Description
This tool helps teams identify and prioritize collaborative leadership objectives (ex: establishing shared goals).
Less detail
Health Authority
Island
Division
Comox Valley Division of Family Practice
Published Date
2016
Link to File
/media/divresources/CVFP_AGM_MemberPriorityPresentation.pdf
Description
"A presentation on working better together. It focuses on working with allied health providers, community services, and specialists."
Health Authority
Island
Division
Comox Valley Division of Family Practice
Corporate Author
Comox Valley Division of Family Practice
Published Date
2016
Topics
Engagement
Community Engagement
Patient Medical Home
EMR
Mental Health and Substance Use
Nurse
Nurse Practitioners
Team-Based Care
Primary Care Network
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/CVFP_AGM_MemberPriorityPresentation.pdf
Description
A presentation on working better together. It focuses on working with allied health providers, community services, and specialists.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Conflict_Diagnostic.pdf
Description
"This tool supports team members to discuss potential causes of conflict in changing environments and how these can be managed collaboratively within the team."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Strengthing & Sustaining Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Conflict_Diagnostic.pdf
Description
This tool supports team members to discuss potential causes of conflict in changing environments and how these can be managed collaboratively within the team.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Constructive_Conflict.pdf
Description
"This tool helps identify ways to support constructive conflict and integrate new approaches into practice."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Implementing Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Constructive_Conflict.pdf
Description
This tool helps identify ways to support constructive conflict and integrate new approaches into practice.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Conversation_Guide_with_Patient.pdf
Description
"This tool can help you think through and prepare for a variety of different conversations you may need to have with patients."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Implementing Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Conversation_Guide_with_Patient.pdf
Description
This tool can help you think through and prepare for a variety of different conversations you may need to have with patients.
Less detail

Cost Analysis of a Nurse Practitioner in a GP Clinic

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource509
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Published Date
2015-12-22
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
"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."
Health Authority
Vancouver Coastal
Division
Powell River Division of Family Practice
Program
A GP for Me
Corporate Author
Powell River Division of Family Practice
Personal Author
Christien Kaaij
Published Date
2015-12-22
Topics
Nurse Practitioners
Team-Based Care
Finances
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/AnalysisNPinGPClinicPowellRiver.pdf
Description
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.
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Culturally Safe Team-based Care at the Snuneymuxw Health Centre (Case Study)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1562
Division
Nanaimo Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_FullReport.pdf
Description
"This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The report highlights the work and time required to develop trust and earn the respect of the Snuneymuxw First Nation patients, so that care is provided in culturally safe and appropriate ways."
Division
Nanaimo Division of Family Practice
Corporate Author
General Practice Services Committee
Nanaimo Division of Family Practice
Published Date
2020-11
Topics
Team-Based Care
First Nations
Patient Medical Home
Resource Type
Case Study
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_FullReport.pdf
Description
This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The report highlights the work and time required to develop trust and earn the respect of the Snuneymuxw First Nation patients, so that care is provided in culturally safe and appropriate ways.
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Culturally Safe Team-based Care at the Snuneymuxw Health Centre (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1561
Division
Nanaimo Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_ExecutiveSummary.pdf
Description
"This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The executive summary describes key impacts and lessons on how to implement culturally safe care."
Division
Nanaimo Division of Family Practice
Corporate Author
General Practice Services Committee
Nanaimo Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Team-Based Care
First Nations
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSCPMHCaseStudy_SnuneymuxwHealthCentre_ExecutiveSummary.pdf
Description
This PMH Case Study explores the integration of physician services in a First Nations interdisciplinary health team and culturally safe and appropriate care. The executive summary describes key impacts and lessons on how to implement culturally safe care.
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Doing it Legally – You Need a Common Program Agreement! - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1100
Published Date
2018-04-16
Link to File
/media/divresources/PCN_Common_Program_Agreement.pdf
Description
"A presentation at the GPSC Summit 2018 about what will guide how interdisciplinary care teams share clinical patient information between primary care clinics and acute care facilities."
Corporate Author
Ministry of Health
Interior Health Authority
Vancouver Coastal Health
Doctors of BC
Personal Author
Alison Pearce Dr Douglas Kingsford Steven Tam Carol Rimmer
Published Date
2018-04-16
Topics
Primary Care
Patient Medical Home
Primary Care Network
Evaluation
EMR
Telehealth
Event
GPSC Summit 2018
Workshop
Doing it Legally – You Need a Common Program Agreement!
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/PCN_Common_Program_Agreement.pdf
Description
A presentation at the GPSC Summit 2018 about what will guide how interdisciplinary care teams share clinical patient information between primary care clinics and acute care facilities.
Less detail
Health Authority
Fraser
Division
Langley Division of Family Practice
Program
Divisions of Family Practice
Published Date
2012
Link to File
/media/divresources/CMEEvaluationForm.pdf
Description
"Langley Division event evaluation form."
Health Authority
Fraser
Division
Langley Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Langley Division of Family Practice
Published Date
2012
Topics
Evaluation
Surveys
Resource Type
Survey
Form
File Type
Pdf
Link to File
/media/divresources/CMEEvaluationForm.pdf
Description
Langley Division event evaluation form.
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134 public records – page 1 of 7.