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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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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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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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The Engagement Partner & Primary Care Transformation Partner Roles - Webinar Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1568
Published Date
2020-12-02
Link to File
/media/divresources/EngagementPartnerandPrimaryCareTransformation_webinar_Dec_2_2020.pdf
Description
"This webinar reviews the Doctors of BC staff role of Engagement Partners and Primary Care Transformation Partners, and the ways they support physicians through the Divisions of Family Practice and the Medical Staff Association."
Corporate Author
Doctors of BC
Published Date
2020-12-02
Topics
Engagement
Primary Care
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/EngagementPartnerandPrimaryCareTransformation_webinar_Dec_2_2020.pdf
Description
This webinar reviews the Doctors of BC staff role of Engagement Partners and Primary Care Transformation Partners, and the ways they support physicians through the Divisions of Family Practice and the Medical Staff Association.
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The Engagement Partner & Primary Care Transformation Partner Roles - Webinar Recording

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1567
Published Date
2020-12-02
Link to File
/media/divresources/EngagementPartnerandPrimaryCareTransformationPartner_webinar.mp4
Description
"This webinar reviews the Doctors of BC staff role of Engagement Partners and Primary Care Transformation Partners, and the ways they support physicians through the Divisions of Family Practice and the Medical Staff Association."
Corporate Author
Doctors of BC
Published Date
2020-12-02
Topics
Engagement
Primary Care
Resource Type
Video Recording
File Type
MP4
Link to File
/media/divresources/EngagementPartnerandPrimaryCareTransformationPartner_webinar.mp4
Description
This webinar reviews the Doctors of BC staff role of Engagement Partners and Primary Care Transformation Partners, and the ways they support physicians through the Divisions of Family Practice and the Medical Staff Association.
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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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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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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.
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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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.
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.
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A GP for Me Celebration: Evaluation Overview - Talking Notes

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1446
Program
A GP for Me
Published Date
2016-11-28
Link to File
/media/divresources/A_GP_for_Me_Duncan_Ooms.pdf
Description
"This document was used during the GPSC Summit 2016. They were the talking notes for Dr. Duncan & Shana Ooms."
Program
A GP for Me
Corporate Author
Ministry of Health
General Practice Services Committee
Personal Author
Dr. Fiona Duncan
Shana Ooms
Published Date
2016-11-28
Topics
Evaluation
Primary Care
Event
GPSC Summit 2016
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/A_GP_for_Me_Duncan_Ooms.pdf
Description
This document was used during the GPSC Summit 2016. They were the talking notes for Dr. Duncan & Shana Ooms.
Less detail
Published Date
2018-05-14
Link to File
/media/divresources/GPSC_Summit_Summary.pdf
Description
"The event summary from the GPSC Summit 2018. This document captures the highlights of the event, and finishes with a message from the GPSC Co-chairs about the future of primary care in BC."
Corporate Author
General Practice Services Committee
Published Date
2018-05-14
Topics
First Nations
Primary Care
Nurse
EMR
Engagement
Primary Care Network
Patient Medical Home
Event
GPSC Summit 2018
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/GPSC_Summit_Summary.pdf
Description
The event summary from the GPSC Summit 2018. This document captures the highlights of the event, and finishes with a message from the GPSC Co-chairs about the future of primary care in BC.
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183 public records – page 2 of 10.