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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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Cultural Safety & Humility Framework - Chilliwack

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1647
Program
Primary Care Networks
Published Date
2021
Link to File
/media/divresources/Cultural-Safety-and-Humility-Framework-Chilliwack.pdf
Description
"This document shows an example of a cultural safety and humility framework for a PCN. It was created by the Chilliwack and 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
Published Date
2021
Topics
PCN Resource Shareout Documents
Primary Care Network
File Type
Pdf
Link to File
/media/divresources/Cultural-Safety-and-Humility-Framework-Chilliwack.pdf
Description
This document shows an example of a cultural safety and humility framework for a PCN. It was created by the Chilliwack and Fraser Health Rural PCN and can be used as a guide or template by other PCNs.
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Link to File
/media/divresources/FINAL-PCNCOKDecisionTemplates_final.xlsx
Description
"This is an example of a PCN Operations Group Decision-Making Template. It was created by the Central Okanagan PCN Operations Group and can be used as a template or guide for other groups."
Personal Author
Central Okanagan PCN
Topics
PCN Resource Shareout Documents
Primary Care Network
Governance
Resource Type
Template
File Type
Excel
Link to File
/media/divresources/FINAL-PCNCOKDecisionTemplates_final.xlsx
Description
This is an example of a PCN Operations Group Decision-Making Template. It was created by the Central Okanagan PCN Operations Group and can be used as a template or guide for other groups.
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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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Designing a Supportive Primary Care System for Family Physicians

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1258
Health Authority
Fraser
Division
Surrey / North Delta Division of Family Practice
Published Date
2019-02-11
Link to File
http://www.divisionsbc.ca/sites/default/files/inline-files/January%20Redesigning%20Primary%20Care%20Event%20Report_0.pdf
Description
"The report provides a snapshot into the discussions that took place aong 50 community physicians in the Surrey-North Delta area."
Health Authority
Fraser
Division
Surrey / North Delta Division of Family Practice
Corporate Author
Surrey / North Delta Division of Family Practice
Published Date
2019-02-11
Topics
Primary Care Network
Primary Care
Patient Medical Home
Resource Type
Report
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/inline-files/January%20Redesigning%20Primary%20Care%20Event%20Report_0.pdf
Originating web page
http://www.divisionsbc.ca/surrey-north-delta/local-initiatives/patient-medical-home
Description
The report provides a snapshot into the discussions that took place aong 50 community physicians in the Surrey-North Delta area.
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Divisions Learning Session 2019 - Event Summary

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1325
Published Date
2019-04-05
Link to File
/media/divresources/DivisionsLearningEvent_2019_Summary_FINAL.pdf
Description
"The event summary from the Divisions Learning Session 2019. This document captures the key themes and highlights of the event, how it could be improved and next steps for Divisions."
Corporate Author
General Practice Services Committee
Published Date
2019-04-05
Topics
Physician Health and Wellness
First Nations
Patient Medical Home
Primary Care Network
Event
Divisions Learning Session 2019
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/DivisionsLearningEvent_2019_Summary_FINAL.pdf
Description
The event summary from the Divisions Learning Session 2019. This document captures the key themes and highlights of the event, how it could be improved and next steps for Divisions.
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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.
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Engaging Specialist Physicians in Primary Care Transformation - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1099
Published Date
2018-04-16
Link to File
/media/divresources/GPSC_Summit_Engaging_Specialists_in_Primary_Care_Transformation.pptx
Description
"A presentation from the GPSC Summit 2018 exploring the expansion within the medical circle to include specialist physicians and family caregivers, and identify opportunities to design better care coordination for adults with complex conditions and frailty."
Corporate Author
Shared Care Committee
Doctors of BC
Personal Author
Katie Hill Dr Jiwei Li Janet McLean Margaret English
Published Date
2018-04-16
Topics
Patient-Centred Care
Specialists
Seniors
Shared Care
Primary Care
Patient Medical Home
Primary Care Network
Event
GPSC Summit 2018
Workshop
Engaging Specialist Physicians in Primary Care Transformation
Resource Type
Presentation
File Type
PowerPoint
Link to File
/media/divresources/GPSC_Summit_Engaging_Specialists_in_Primary_Care_Transformation.pptx
Description
A presentation from the GPSC Summit 2018 exploring the expansion within the medical circle to include specialist physicians and family caregivers, and identify opportunities to design better care coordination for adults with complex conditions and frailty.
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Program
Primary Care Networks
Link to File
/media/divresources/Nanaimo-EOI-process.docx
Description
"This document shows an example of a expression of interest to take part in a local PCN. It was created by the Nanaimo PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Nanaimo PCN
Topics
PCN Resource Shareout Documents
Primary Care Network
Engagement
File Type
Word
Link to File
/media/divresources/Nanaimo-EOI-process.docx
Description
This document shows an example of a expression of interest to take part in a local PCN. It was created by the Nanaimo 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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Program
Primary Care Networks
Published Date
2020
Link to File
/media/divresources/Central-Okanagan-PCN-Eval-Plan.pdf
Description
"This document shows an example of a PCN evaluation plan. It was created by the Central Okanagan PCN and can be used as a guide or template by other PCNs."
Program
Primary Care Networks
Personal Author
Central Okanagan PCN
Published Date
2020
Topics
PCN Resource Shareout Documents
Evaluation
Primary Care Network
File Type
Pdf
Link to File
/media/divresources/Central-Okanagan-PCN-Eval-Plan.pdf
Description
This document shows an example of a PCN evaluation plan. It was created by the Central Okanagan PCN and can be used as a guide or template by other PCNs.
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Executive Summary - Boundary Proof of Concept PMH/PCN

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1492
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-02-07
Link to File
/media/divresources/BoundaryPocCaseStudyFinal_Executive_Summary.pdf
Description
"This is the executive summary of a three year project in the Boundary area of BC which began in 2016 to support the implementation of PMHs in five medical clinics, and the creation of a PCN connecting them and the health authority."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-02-07
Topics
Patient Medical Home
Primary Care Network
Primary Care
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/BoundaryPocCaseStudyFinal_Executive_Summary.pdf
Description
This is the executive summary of a three year project in the Boundary area of BC which began in 2016 to support the implementation of PMHs in five medical clinics, and the creation of a PCN connecting them and the health authority.
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Executive Summary - Early Findings on Collaboration to Foster Family Practice Networks

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1490
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Published Date
2019-02
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegion_PMHCaseStudy_ExecutiveSummary.pdf
Description
"This is an executive summary on the early findings on collaboration to foster family practice networks, and provides recommendations to further enable family practice networking."
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-02
Topics
Patient Medical Home
Primary Care Network
Primary Care
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegion_PMHCaseStudy_ExecutiveSummary.pdf
Description
This is an executive summary on the early findings on collaboration to foster family practice networks, and provides recommendations to further enable family practice networking.
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Executive Summary - Exploring the Role of Collaborative Structures of Vancouver Island

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1493
Health Authority
Island
Division
Campbell River and District Division of Family Practice
Comox Valley Division of Family Practice
Cowichan Valley Division of Family Practice
Nanaimo Division of Family Practice
Oceanside Division of Family Practice
Rural and Remote Division of Family Practice
South Island Division of Family Practice
Victoria Division of Family Practice
Published Date
2019-01
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_ExecutiveSummary.pdf
Description
"This document provides a summary of the overall case study: Exploring the Role of Collaborative Structures of Vancouver Island."
Health Authority
Island
Division
Campbell River and District Division of Family Practice
Comox Valley Division of Family Practice
Cowichan Valley Division of Family Practice
Nanaimo Division of Family Practice
Oceanside Division of Family Practice
Rural and Remote Division of Family Practice
South Island Division of Family Practice
Victoria Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2019-01
Topics
Patient Medical Home
Primary Care Network
Primary Care
Evaluation
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_ExecutiveSummary.pdf
Description
This document provides a summary of the overall case study: Exploring the Role of Collaborative Structures of Vancouver Island.
Less detail
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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Exploring the Role of Collaborative Structures on Vancouver Island - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1393
Health Authority
Island
Division
Campbell River and District Division of Family Practice
Comox Valley Division of Family Practice
Cowichan Valley Division of Family Practice
Nanaimo Division of Family Practice
Oceanside Division of Family Practice
Rural and Remote Division of Family Practice
South Island Division of Family Practice
Victoria Division of Family Practice
Published Date
2019/01
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_FinalSept182018.pdf
Description
"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."
Health Authority
Island
Division
Campbell River and District Division of Family Practice
Comox Valley Division of Family Practice
Cowichan Valley Division of Family Practice
Nanaimo Division of Family Practice
Oceanside Division of Family Practice
Rural and Remote Division of Family Practice
South Island Division of Family Practice
Victoria Division of Family Practice
Corporate Author
General Practice Services Committee
Island Health
Published Date
2019/01
Topics
Evaluation
Patient Medical Home
Primary Care Network
Engagement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/ExploringtheRoleofCollaborativestructuresonVancouverIsland_FinalSept182018.pdf
Description
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.
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First Nations and Aboriginal Primary Care Network - Vancouver Coastal

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1648
Program
Primary Care Networks
Published Date
2020
Link to File
/media/divresources/First-Nations-and-Aboriginal-PCN-Overview-FINAL.pdf
Description
"This document is an overview of a First Nations and Aboriginal Primary Care Network (FNAPCN). This collaboration is held by the Aboriginal program of Vancouver Coastal Health. Content may be reproduced without written permission provided the source is fully acknowledged and can be used by other PCNs as a resource for collaboration."
Program
Primary Care Networks
Personal Author
First Nations and Aboriginal Primary Care Network
Published Date
2020
Topics
PCN Resource Shareout Documents
Primary Care
Primary Care Network
File Type
Pdf
Link to File
/media/divresources/First-Nations-and-Aboriginal-PCN-Overview-FINAL.pdf
Description
This document is an overview of a First Nations and Aboriginal Primary Care Network (FNAPCN). This collaboration is held by the Aboriginal program of Vancouver Coastal Health. Content may be reproduced without written permission provided the source is fully acknowledged and can be used by other PCNs as a resource for collaboration.
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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.
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Fraser Northwest - Primary Care Network - Registered Nurse in Practice Onboarding Process Manual

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1504
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Published Date
2019-10-02
Link to File
/media/divresources/FNW-RegisteredNurseinPracticeProgramGuide.pdf
Description
"The Fraser Northwest Division of Family Practice (FNW DoFP) will be working with the Fraser Health Authority (FHA), and Family Practice Clinics to introduce 32 Registered Nurses in Practice (RN in Practice) by Fall of 2020. This document has been created to aid in the standardization of the onboarding process."
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Corporate Author
Fraser Health Authority
Fraser Northwest Division of Family Practice
Published Date
2019-10-02
Topics
Primary Care Network
Human Resources
Nurse
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/FNW-RegisteredNurseinPracticeProgramGuide.pdf
Description
The Fraser Northwest Division of Family Practice (FNW DoFP) will be working with the Fraser Health Authority (FHA), and Family Practice Clinics to introduce 32 Registered Nurses in Practice (RN in Practice) by Fall of 2020. This document has been created to aid in the standardization of the onboarding process.
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Fraser Northwest Primary Care Network Steering Committee Terms of Reference

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1486
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Published Date
2019-07
Link to File
/media/divresources/FNW_PCNSteeringCommitteeTOR_July_4_2019.pdf
Description
"This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Fraser Northwest PCN and can be used as a guide or template by other PCNs."
Health Authority
Fraser
Division
Fraser Northwest Division of Family Practice
Corporate Author
Fraser Northwest Division of Family Practice
Published Date
2019-07
Topics
Primary Care Network
PCN Resource Shareout Documents
Governance
Resource Type
Template
File Type
Pdf
Link to File
/media/divresources/FNW_PCNSteeringCommitteeTOR_July_4_2019.pdf
Description
This document shows an example of a terms of reference (ToR) for a PCN steering committee. It was created by the Fraser Northwest PCN and can be used as a guide or template by other PCNs.
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212 public records – page 2 of 11.