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Published Date
2019
Link to File
/media/divresources/MSCStory_TimeandaTeamApproach.pdf
Description
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story is about how the PMH innovation allows nurses spend extra time with patients to help support the GP."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Team-Based Care
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_TimeandaTeamApproach.pdf
Description
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This particular story is about how the PMH innovation allows nurses spend extra time with patients to help support the GP.
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Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 - Recording

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1537
Published Date
2020-01-22
Link to File
/media/divresources/PrinciplesApproachestoBestPracticeTBC_ReflectionsfromtheNukaSymposium_recording.mp4
Description
"This is the recording of the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held January 22, 2020."
Corporate Author
General Practice Services Committee
Personal Author
Dr Bonnie Bagdan Dr Dan Horvat Dr Alan Ruddiman Dr Tim Troughton
Published Date
2020-01-22
Topics
Team-Based Care
Primary Care
Patient Medical Home
Primary Care Network
First Nations
Engagement
Governance
Event
Divisions Webinar Learning Series
Resource Type
Audio Recording
Video Recording
File Type
MP4
Link to File
/media/divresources/PrinciplesApproachestoBestPracticeTBC_ReflectionsfromtheNukaSymposium_recording.mp4
Recording Length
59mins 13secs
Description
This is the recording of the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held January 22, 2020.
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Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1538
Published Date
2020-01-22
Link to File
/media/divresources/PresentationReflectionsfromtheNukaSymposiumWebinar.pdf
Description
" Southcentral Foundation has had tremendous success in improving primary care from a quadruple aim perspective. In August 2019 a cohort of 19 attended a symposium created for BC participants to learn about their Nuka Model of Care.The webinar, hosted by Dr Dan Horvat along with a panel of Physicians who also attended, presented on the key learnings and how they can be applied in BC. This is the slide deck used during the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held on January 22, 2020."
Corporate Author
General Practice Services Committee
Personal Author
Dr Bonnie Bagdan Dr Dan Horvat Dr Alan Ruddiman Dr Tim Troughton
Published Date
2020-01-22
Topics
Primary Care
Patient Medical Home
Primary Care Network
Engagement
First Nations
Governance
Team-Based Care
Event
Divisions Webinar Learning Series
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/PresentationReflectionsfromtheNukaSymposiumWebinar.pdf
Description
Southcentral Foundation has had tremendous success in improving primary care from a quadruple aim perspective. In August 2019 a cohort of 19 attended a symposium created for BC participants to learn about their Nuka Model of Care.The webinar, hosted by Dr Dan Horvat along with a panel of Physicians who also attended, presented on the key learnings and how they can be applied in BC. This is the slide deck used during the Principles and Approaches to Best Practice Team Based Care and Organizational Excellence – Reflections from the Nuka Symposium, August 2019 webinar held on January 22, 2020.
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MSC Story - A Team Approach Restored My Enjoyment of Family Practice

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1539
Published Date
2019
Link to File
/media/divresources/MSCStory_ATeamApproachRestoredMyEnjoymentofFamilyPractice.pdf
Description
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story highlights a physician's transition from solo to group practice, which in turn restored their enjoyment of family practice."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Patient Medical Home
Team-Based Care
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_ATeamApproachRestoredMyEnjoymentofFamilyPractice.pdf
Description
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story highlights a physician's transition from solo to group practice, which in turn restored their enjoyment of family practice.
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MSC Story - Team Support for GP Helping Young People Access the Care They Need

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1540
Published Date
2019
Link to File
/media/divresources/MSCStory_TeamSupportforGPHelpingYoungPeopleAccesstheCareTheyNeed.pdf
Description
"These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story tells the reader about how working onsite with a team helped a GP feel more supported to provide care for youth."
Corporate Author
General Practice Services Committee
Published Date
2019
Topics
Team-Based Care
Patient Medical Home
Evaluation
Most Significant Change
Resource Type
Story
File Type
Pdf
Link to File
/media/divresources/MSCStory_TeamSupportforGPHelpingYoungPeopleAccesstheCareTheyNeed.pdf
Description
These most significant change (MSC) stories take readers on a journey toward understanding how patient medical homes are removing barriers to care around the province. This story tells the reader about how working onsite with a team helped a GP feel more supported to provide care for youth.
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Integrating Nurses into Practice: Transition Stage (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1559
Division
Central Okanagan Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/CODFP_NiPCP_ExecutiveSummary.pdf
Description
"Processes and initial outcomes from onboarding and integrating nurses into family practices."
Division
Central Okanagan Division of Family Practice
Corporate Author
General Practice Services Committee
Central Okanagan Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Nurse
Team-Based Care
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/CODFP_NiPCP_ExecutiveSummary.pdf
Description
Processes and initial outcomes from onboarding and integrating nurses into family practices.
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Integrating Nurses into Practice: Transition Stage (Case Study)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1560
Division
Central Okanagan Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/CODFP_NiPCP_Case_Study_FinalReport.pdf
Description
"The report provides valuable lessons about the process of onboarding and integrating nurses into family practices (e.g. preparation prior to onboarding, building trust with team members). Initial outcomes related to attachment, access, and patient and provider experience are explored. While the findings in the report are primarily focused on the Nurse in Primary Care Practice program in Central Okanagan, the findings can be applied to any team-based care environment, regardless of funding model."
Division
Central Okanagan Division of Family Practice
Corporate Author
General Practice Services Committee
Central Okanagan Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Team-Based Care
Nurse
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/CODFP_NiPCP_Case_Study_FinalReport.pdf
Description
The report provides valuable lessons about the process of onboarding and integrating nurses into family practices (e.g. preparation prior to onboarding, building trust with team members). Initial outcomes related to attachment, access, and patient and provider experience are explored. While the findings in the report are primarily focused on the Nurse in Primary Care Practice program in Central Okanagan, the findings can be applied to any team-based care environment, regardless of funding model.
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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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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.
Less detail

What We Value: Stories of Most Significant Change (MSC) from Physicians, Allied Healthcare Providers, and Patients (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1565
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_ExecutiveSummary.pdf
Description
"The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers), and clarifies the values held by different stakeholders in primary care transformation. The executive summary contains priority next steps for system actors (GPSC, Divisions, and FPs) to address."
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2020-11
Topics
Patient Medical Home
Most Significant Change
Team-Based Care
Evaluation
EMR
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_ExecutiveSummary.pdf
Description
The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers), and clarifies the values held by different stakeholders in primary care transformation. The executive summary contains priority next steps for system actors (GPSC, Divisions, and FPs) to address.
Less detail

What We Value: Stories of Most Significant Change (MSC) from Physicians, Allied Healthcare Providers, and Patients (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1566
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_FullReport.pdf
Description
"The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers). By collecting, sharing, and reflecting on PMH stories from across BC, this project identifies common and different values held by different stakeholder groups in the BC health system."
Division
Central Okanagan Division of Family Practice
Kootenay Boundary Division of Family Practice
North Peace Division of Family Practice
North Shore Division of Family Practice
South Island Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2020-11
Topics
Patient Medical Home
Most Significant Change
Team-Based Care
Evaluation
EMR
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/PMHMostSignificantChangeEvaluation_FullReport.pdf
Description
The PMH Most Significant Change Evaluation describes the changes that resulted from Patient Medical Home (PMH) strategies such as the implementation of team-based care with allied health professionals (i.e., pharmacists and social workers). By collecting, sharing, and reflecting on PMH stories from across BC, this project identifies common and different values held by different stakeholder groups in the BC health system.
Less detail
Published Date
2019-07
Link to File
/media/divresources/OscarEMRIntroduction_InstructionSheets_v4.pdf
Description
"These instruction sheets provide an overview of basic OSCAR functions for new users. This is an independent quick reference guide on getting started with OSCAR that has been created by physicians, for physicians."
Corporate Author
Recruitment and Retention Steering Comittee
Practice Support Program
Published Date
2019-07
Topics
EMR
Team-Based Care
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/OscarEMRIntroduction_InstructionSheets_v4.pdf
Description
These instruction sheets provide an overview of basic OSCAR functions for new users. This is an independent quick reference guide on getting started with OSCAR that has been created by physicians, for physicians.
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Published Date
2019-07
Link to File
/media/divresources/IHIntroduction_Instructionsv11.pdf
Description
"These instruction sheets provide an overview of basic IntraHealth Profile functions for new users. This is an independent quick reference guide on getting started with IntraHealth Profile that has been created by physicians, for physicians."
Corporate Author
Recruitment and Retention Steering Comittee
Practice Support Program
Published Date
2019-07
Topics
EMR
Team-Based Care
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/IHIntroduction_Instructionsv11.pdf
Description
These instruction sheets provide an overview of basic IntraHealth Profile functions for new users. This is an independent quick reference guide on getting started with IntraHealth Profile that has been created by physicians, for physicians.
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Published Date
2019-07
Link to File
/media/divresources/MOISEMRIntroduction_InstructionSheetsv5.pdf
Description
"These instruction sheets provide an overview of basic MOIS functions for new users. This is an independent quick reference guide on getting started with MOIS that has been created by physicians, for physicians."
Corporate Author
Recruitment and Retention Steering Comittee
Practice Support Program
Published Date
2019-07
Topics
EMR
Team-Based Care
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/MOISEMRIntroduction_InstructionSheetsv5.pdf
Description
These instruction sheets provide an overview of basic MOIS functions for new users. This is an independent quick reference guide on getting started with MOIS that has been created by physicians, for physicians.
Less detail
Published Date
2019-07
Link to File
/media/divresources/MedAccessIntroduction_Instructionsv6.pdf
Description
"These instruction sheets provide an overview of basic Med-Access functions for new users. This is an independent quick reference guide on getting started with Med-Access that has been created by physicians, for physicians."
Corporate Author
Recruitment and Retention Steering Comittee
Practice Support Program
Published Date
2019-07
Topics
EMR
Team-Based Care
Resource Type
Manual
File Type
Pdf
Link to File
/media/divresources/MedAccessIntroduction_Instructionsv6.pdf
Description
These instruction sheets provide an overview of basic Med-Access functions for new users. This is an independent quick reference guide on getting started with Med-Access that has been created by physicians, for physicians.
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Division
Sunshine Coast Division of Family Practice
Published Date
2021-05-04
Link to File
/media/divresources/SocialWorkerRole_FINAL_V2.pdf
Description
"This infographic was created by the Sunshine Coast Division of Family Practice and Vancouver Coastal Health to show the various roles occupied by a Primary Care Social Worker. This resource can be used by other PCNs, it can be provided to patients, or it could be placed in a clinic. It can also be used as a guiding template to be adapted or changed based on the role."
Division
Sunshine Coast Division of Family Practice
Corporate Author
Sunshine Coast Division of Family Practice
Vancouver Coastal Health
Published Date
2021-05-04
Topics
Primary Care Network
Team-Based Care
Human Resources
Resource Type
Info Graphic
File Type
Pdf
Link to File
/media/divresources/SocialWorkerRole_FINAL_V2.pdf
Description
This infographic was created by the Sunshine Coast Division of Family Practice and Vancouver Coastal Health to show the various roles occupied by a Primary Care Social Worker. This resource can be used by other PCNs, it can be provided to patients, or it could be placed in a clinic. It can also be used as a guiding template to be adapted or changed based on the role.
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Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool _TBC_Preparation_Checklist.pdf
Description
"This tool helps practices new to TBC to think through who you might want on your team and how you want the team to function."
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 _TBC_Preparation_Checklist.pdf
Description
This tool helps practices new to TBC to think through who you might want on your team and how you want the team to function.
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Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Team_Mapping.pdf
Description
"This tool supports teams to identify gaps and overlap in patient care, based on the actual or potential composition of the team."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Preparing Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Team_Mapping.pdf
Description
This tool supports teams to identify gaps and overlap in patient care, based on the actual or potential composition of the team.
Less detail
Program
Practice Support Program
Published Date
2018
Link to File
/media/divresources/PSPTBCTool_Team_Roles_and_Workflow_with_Patients.pdf
Description
"This tool helps team members determine key functions with patients, identify strategies to coordinate and collaborate among team members, and support consistent messaging with patients."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018
Topics
Team-Based Care
Quality Improvement
Team-Based Care: Preparing Stage
Resource Type
Tool
File Type
Pdf
Link to File
/media/divresources/PSPTBCTool_Team_Roles_and_Workflow_with_Patients.pdf
Description
This tool helps team members determine key functions with patients, identify strategies to coordinate and collaborate among team members, and support consistent messaging with patients.
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.
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121 public records – page 3 of 7.