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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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Program
Shared Care
Description
"The Collaborative Toolbox is a ‘one stop shop’ of tools and resources created and curated by members of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. Whether you’re interested in working with local schools, planning events, implementing the new ER protocol in your local hospital, or ACEs in your practice, the tools and resources are all available. The goal is to make it easy to share successful strategies for CYMHSU from anywhere in the province."
Program
Shared Care
Corporate Author
Shared Care Committee
Topics
Adverse Childhood Experiences
Children and Youth
Community Engagement
Engagement
Mental Health and Substance Use
Community Resources
Resource Type
Website
Originating web page
http://www.collaborativetoolbox.ca/
Description
The Collaborative Toolbox is a ‘one stop shop’ of tools and resources created and curated by members of the Child and Youth Mental Health and Substance Use (CYMHSU) Collaborative. Whether you’re interested in working with local schools, planning events, implementing the new ER protocol in your local hospital, or ACEs in your practice, the tools and resources are all available. The goal is to make it easy to share successful strategies for CYMHSU from anywhere in the province.
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Decision Matrix for AHP Allocation - Chilliwack

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1661
Program
Primary Care Networks
Link to File
/media/divresources/Chilliwack-Decision-Matrix-for-AHP-allocation.docx
Description
"This document shows an example of decision matrix for resource allocation within a PCN. It was created by the Chilliwack Fraser Health Rural PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Chilliwack and Fraser Health Rural PCN
Topics
Primary Care Network
PCN Resource Shareout Documents
Team-Based Care
File Type
Word
Link to File
/media/divresources/Chilliwack-Decision-Matrix-for-AHP-allocation.docx
Description
This document shows an example of decision matrix for resource allocation within a PCN. It was created by the Chilliwack Fraser Health Rural PCN and can be used as a guide or template by other PCNs.
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Evaluation of the Multidisciplinary Care Provider Grants in White Rock-South Surrey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1261
Health Authority
Fraser
Division
White Rock South Surrey Division of Family Practice
Published Date
2014-12
Link to File
http://www.divisionsbc.ca/sites/default/files/vgrewal1/WRSS201412MDCGrantsEvaluation.pdf
Description
"This report summarizes the evaluation of the multidisciplinary care provider grants in White Rock-South Surrey through A GP for Me. The grants allowed practices to hire registered nurses (RN) or licensed practical nurses (LPN) or increase the hours of those already working in the practices."
Health Authority
Fraser
Division
White Rock South Surrey Division of Family Practice
Corporate Author
White Rock South Surrey Division of Family Practice
Personal Author
Marina Niks
Marla Steinberg
Published Date
2014-12
Topics
Evaluation
Nurse
Nurse Practitioners
Team-Based Care
Resource Type
Report
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/vgrewal1/WRSS201412MDCGrantsEvaluation.pdf
Originating web page
http://www.divisionsbc.ca/white-rock-south-surrey/initiatives/multidisciplinary-care
Description
This report summarizes the evaluation of the multidisciplinary care provider grants in White Rock-South Surrey through A GP for Me. The grants allowed practices to hire registered nurses (RN) or licensed practical nurses (LPN) or increase the hours of those already working in the practices.
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Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Published Date
2018-11
Link to File
/media/divresources/SunshineCoastCaseStudyReport_Executive_Summary.pdf
Description
"The case study was commissioned by the GPSC Evaluation Team in consultation with the Sunshine Coast Division of Family Practice, and with the support of the Pender Harbour Health Centre. The case study documented various information including the status and operations of the centre, and the growing partnership between the centre and the division. This is a summary of the overall case study."
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2018-11
Topics
Patient Medical Home
Primary Care Network
Primary Care
Team-Based Care
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/SunshineCoastCaseStudyReport_Executive_Summary.pdf
Description
The case study was commissioned by the GPSC Evaluation Team in consultation with the Sunshine Coast Division of Family Practice, and with the support of the Pender Harbour Health Centre. The case study documented various information including the status and operations of the centre, and the growing partnership between the centre and the division. This is a summary of the overall case study.
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Family Physician Guide for Depression, Anxiety Disorders, Early Psychosis, and Substance Use Disorders

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1315
Division
Rural and Remote Division of Family Practice
Program
Shared Care
Published Date
2017-03
Link to File
http://www.sfu.ca/content/dam/sfu/carmha/resources/fpg/FPG_2007.pdf
Description
"This is the Family Physician Guide for Depression, Anxiety Disorders, Early Psychosis, and Substance Use Disorders"
Division
Rural and Remote Division of Family Practice
Program
Shared Care
Corporate Author
Faculty of Health Sciences Simon Fraser University
Published Date
2017-03
Topics
Mental Health and Substance Use
Resource Type
Guide
File Type
Pdf
Link to File
http://www.sfu.ca/content/dam/sfu/carmha/resources/fpg/FPG_2007.pdf
Originating web page
http://www.divisionsbc.ca/rural-and-remote/resources/other-links
Description
This is the Family Physician Guide for Depression, Anxiety Disorders, Early Psychosis, and Substance Use Disorders
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Health Authority
Interior
Division
South Okanagan Similkameen Division of Family Practice
Program
Divisions of Family Practice
Shared Care
Published Date
2018-01-18
Link to File
/media/divresources/SOSDIVoFPCYMHSUphysicianresourcesfolder.pdf
Description
"This printable folder is meant to contain resources which help physicians assist CYMHSU patients."
Health Authority
Interior
Division
South Okanagan Similkameen Division of Family Practice
Program
Divisions of Family Practice
Shared Care
Corporate Author
South Okanagan Similkameen Division of Family Practice
Published Date
2018-01-18
Topics
Children and Youth
Mental Health and Substance Use
Resource Type
Information Package
File Type
Pdf
Link to File
/media/divresources/SOSDIVoFPCYMHSUphysicianresourcesfolder.pdf
Description
This printable folder is meant to contain resources which help physicians assist CYMHSU patients.
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Family Physician’s Conversation Guide for Young Patients in Oliver, Osoyoos and Okanagan Falls

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1072
Health Authority
Interior
Division
South Okanagan Similkameen Division of Family Practice
Program
Divisions of Family Practice
Shared Care
Published Date
2018-03-05
Link to File
/media/divresources/SOSDoFPCYMHSUconversationguide.pdf
Description
"This checklist supports the mental health conversation between family physicians and young patients."
Health Authority
Interior
Division
South Okanagan Similkameen Division of Family Practice
Program
Divisions of Family Practice
Shared Care
Corporate Author
South Okanagan Similkameen Division of Family Practice
Published Date
2018-03-05
Topics
Children and Youth
Mental Health and Substance Use
Resource Type
Checklist
Handout
Information Package
File Type
Pdf
Link to File
/media/divresources/SOSDoFPCYMHSUconversationguide.pdf
Description
This checklist supports the mental health conversation between family physicians and young patients.
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Feedback From the Regional Round Table for the Kootenay Boundary Division of Family Practice

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource366
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Published Date
2011-05-12
Link to File
/media/divresources/CMEFinalReporMay12RoundTable.pdf
Description
"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."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
Kootenay Boundary Division of Family Practice
Published Date
2011-05-12
Topics
Recruitment and Retention
Continuing Medical Education (CME)
Practice Efficiencies and Support
Seniors
Mental Health and Substance Use
Maternity Care
Shared Care
Event
Kootenay Boundary Regional Roundtable
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/CMEFinalReporMay12RoundTable.pdf
Description
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.
Less detail

Final Report: An External Evaluation of the Family Health Team (FHT) Initiative

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource381
Published Date
2014-12-17
Description
"Based on the results of a five-year evaluation initiative, this report explores the successes and challenges of the Family Health Team (FHT) model of primary care in Ontario."
Corporate Author
The Conference Board of Canada
Published Date
2014-12-17
Topics
Team-Based Care
Resource Type
Report
File Type
Pdf
Originating web page
http://www.conferenceboard.ca/e-library/abstract.aspx?did=6711
Description
Based on the results of a five-year evaluation initiative, this report explores the successes and challenges of the Family Health Team (FHT) model of primary care in Ontario.
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Fraser Northwest Division of Family Practice - Primary Care Network (PCN) - Registered Nurse in Practice Expression of Interest (EOI) Form

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1487
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Published Date
2019
Link to File
/media/divresources/RegisteredNurseinPractice_ExpressionofInterestForm.pdf
Description
"An example of a PCN EOI form from FNW DoFP for the role of RN."
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Corporate Author
Fraser Health Authority
Fraser Northwest Division of Family Practice
Published Date
2019
Topics
Primary Care
Primary Care Network
Nurse
Team-Based Care
Resource Type
Job Description
File Type
Pdf
Link to File
/media/divresources/RegisteredNurseinPractice_ExpressionofInterestForm.pdf
Description
An example of a PCN EOI form from FNW DoFP for the role of RN.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Function_Mapping.pdf
Description
"Helpful as practices explore TBC, this tool helps identify key functions needed to support patients and determine how the team can best fulfil these."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Exploring & Engaging Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Function_Mapping.pdf
Description
Helpful as practices explore TBC, this tool helps identify key functions needed to support patients and determine how the team can best fulfil these.
Less detail
Published Date
2022
Link to File
/media/divresources/GPSCSupports_for_TeamBasedCare_Communication_Document.pdf
Description
"This document provides a brief overview of all the supports offered by the GPSC to support the transition of primary care practices to team based care."
Corporate Author
General Practice Services Committee
Published Date
2022
Topics
Team-Based Care
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSCSupports_for_TeamBasedCare_Communication_Document.pdf
Description
This document provides a brief overview of all the supports offered by the GPSC to support the transition of primary care practices to team based care.
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Guidelines for Communications and Information Sharing Between GPs and Community Partners

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource383
Health Authority
Fraser
Division
Delta Division of Family Practice
Program
A GP for Me
Link to File
/media/divresources/GuidelinesForCommunicationBetweenGPsandCommunityPartners.pdf
Description
"These guidelines are intended to offer clarity about information sharing between GPs and community partners for Mental Health and Substance Use (MHSU) adult patients (non-urgent care). They were prepared to exist within the context of current legislation, including two privacy laws: 1) The BC Personal Information Protection Act (PIPA), which is the ‘private sector’ privacy law that covers the Delta Division of Family Practice, Doctors of BC, A GP for Me, health clinics, psychologists, GPs, counselors, and not-for-profit organizations, etc., and 2) The BC Freedom of Information and Protection of Privacy Act (FIPPA), the ‘public sector’ law, which applies to the Ministry of Health and Health Authorities."
Health Authority
Fraser
Division
Delta Division of Family Practice
Program
A GP for Me
Corporate Author
Delta Division of Family Practice
Personal Author
David Flaherty
Geri McGrath
Diane Burton
Topics
Mental Health and Substance Use
Privacy
Resource Type
Guidelines
Report
File Type
Pdf
Link to File
/media/divresources/GuidelinesForCommunicationBetweenGPsandCommunityPartners.pdf
Description
These guidelines are intended to offer clarity about information sharing between GPs and community partners for Mental Health and Substance Use (MHSU) adult patients (non-urgent care). They were prepared to exist within the context of current legislation, including two privacy laws: 1) The BC Personal Information Protection Act (PIPA), which is the ‘private sector’ privacy law that covers the Delta Division of Family Practice, Doctors of BC, A GP for Me, health clinics, psychologists, GPs, counselors, and not-for-profit organizations, etc., and 2) The BC Freedom of Information and Protection of Privacy Act (FIPPA), the ‘public sector’ law, which applies to the Ministry of Health and Health Authorities.
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Link to File
http://www2.gov.bc.ca/gov/content/governments/aboriginal-people/aboriginal-organizations-services
Description
"The Guide to Aboriginal Organizations and Services is a resource listing of Aboriginal community-based services and organizations."
Corporate Author
BC Government
Topics
First Nations
Children and Youth
Community Engagement
Community Resources
Mental Health and Substance Use
Communications and Marketing
Rural
Social Work / Lifeskills Work
Resource Type
Resource List
File Type
Web page
Excel
Link to File
http://www2.gov.bc.ca/gov/content/governments/aboriginal-people/aboriginal-organizations-services
Description
The Guide to Aboriginal Organizations and Services is a resource listing of Aboriginal community-based services and organizations.
Less detail
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20Health%20Promotion%20Coordinator%20Contract%20-%20final.docx
Description
"This is a sample job posting for a health promotion coordinator which was developed by the East Kootenay Division."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Divisions of Family Practice
Corporate Author
East Kootenay Division of Family Practice
Topics
Health Promotion
PMH Attributes: TBC Toolkit - Understanding TBC
Team-Based Care
Human Resources
Patient Medical Home
Resource Type
Job Description
File Type
Word
Link to File
https://www.divisionsbc.ca/sites/default/files/Divisions/Provincial/TO%20POST%20Health%20Promotion%20Coordinator%20Contract%20-%20final.docx
Originating web page
https://www.divisionsbc.ca/provincial/resources/patient-medical-homeprimary-care-home-resources/human-resources
Description
This is a sample job posting for a health promotion coordinator which was developed by the East Kootenay Division.
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Heart Failure Service Map - White Rock South Surrey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1676
Program
Primary Care Networks
Published Date
2022
Link to File
/media/divresources/WRSS-HEART-FAILURE-Service-Map.pdf
Description
"This document shows an example a heart failure 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-HEART-FAILURE-Service-Map.pdf
Description
This document shows an example a heart failure 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
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/NPArticlePowellRiver.pdf
Description
"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."
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
Communications and Marketing
Resource Type
Article
File Type
Pdf
Link to File
/media/divresources/NPArticlePowellRiver.pdf
Description
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.
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150 public records – page 2 of 8.