Establishing A Model to Sustain Improvement in
Clinical Care
February 28, 2014
Establishing A Model to Sustain
Improvement in Clinical Care
Successes
Challenges
Critical Factors
North Shore
High Needs Unattached Population
Estimated 2,870-6,270
Mental Challenges
Homeless
Frail Elderly
Access to Health Care
Emergency Department
Homeless Shelter
Home Health Care
Development of a Multidisciplinary
Clinic With Vancouver Coastal Health
Integrated Practice Support Initiative
NS Division of Family Practice
Physician Information
Technology Office
Practice Sup...
Align & Integrate Physician Practice
Support
Change Management
Quality Improvement
Technology Adoption
Framework of Integrated Support
North Shore
Division

PITO

PSP
HealthConnection Clinic
• Customized a Systematic Decision Matrix tool
for selecting an Electronic Medical Record
• Develo...
Key Learnings
• Collaboration is critical
• Collaboration promoted engagement of other
key stakeholders (Shared Care, IPCC...
Challenges of IPSI
• Difficulty moving from “siloed” processes
• Encouraging collaborative creative thinking
• Lack of awa...
Successes of IPSI
• Built and strengthened relationships
• Successfully supported HealthConnection
Clinic
• Gained an unde...
Next Steps
•
•
•
•

Implement EMR at HealthConnection Clinic
Inform Physicians/MOAs of IPSI support
Introduce VCH team to ...
Critical Factors for Success of IPSI
• Collaborative table with decision making
• Division Leadership & project support
• ...
We wish to thank the GPSC for the
tremendous opportunity to engage PSP, PITO
and the Division in support of physicians and...
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Establishing a High Needs Outreach Clinic in North Vancouver: A Model to Sustain Improvements in Clinical Care

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This was presented in session E2 at the Quality Forum 2014 by:

Margaret English
Executive Director
North Shore Division of Family Practice

Josefa Kontogiannis
Acting Manager
Vancouver Coastal Health Practice Support Program

Published in: Health & Medicine
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Establishing a High Needs Outreach Clinic in North Vancouver: A Model to Sustain Improvements in Clinical Care

  1. 1. Establishing A Model to Sustain Improvement in Clinical Care February 28, 2014
  2. 2. Establishing A Model to Sustain Improvement in Clinical Care Successes Challenges Critical Factors
  3. 3. North Shore High Needs Unattached Population Estimated 2,870-6,270 Mental Challenges Homeless Frail Elderly
  4. 4. Access to Health Care Emergency Department Homeless Shelter Home Health Care
  5. 5. Development of a Multidisciplinary Clinic With Vancouver Coastal Health
  6. 6. Integrated Practice Support Initiative NS Division of Family Practice Physician Information Technology Office Practice Support Program
  7. 7. Align & Integrate Physician Practice Support Change Management Quality Improvement Technology Adoption
  8. 8. Framework of Integrated Support North Shore Division PITO PSP
  9. 9. HealthConnection Clinic • Customized a Systematic Decision Matrix tool for selecting an Electronic Medical Record • Developed an Access Intake Process • Created a Complexity Scoring Tool
  10. 10. Key Learnings • Collaboration is critical • Collaboration promoted engagement of other key stakeholders (Shared Care, IPCC) • Organization support and team willingness led to outcomes that might not have been achieved otherwise
  11. 11. Challenges of IPSI • Difficulty moving from “siloed” processes • Encouraging collaborative creative thinking • Lack of awareness of the culture within partner organizations • Lack of clarity about broad IPSI goals, expectations and deliverables
  12. 12. Successes of IPSI • Built and strengthened relationships • Successfully supported HealthConnection Clinic • Gained an understanding of roles & expertise • Developed a Collaborative Model that can be used to help integrate teams in future initiatives.
  13. 13. Next Steps • • • • Implement EMR at HealthConnection Clinic Inform Physicians/MOAs of IPSI support Introduce VCH team to the IPSI team & model Broaden collaborative table to larger community including VCH, IPCC, etc
  14. 14. Critical Factors for Success of IPSI • Collaborative table with decision making • Division Leadership & project support • Clear mandate supported by on-line collaborative technology • Evaluation implemented at outset of project • Knowledge sharing & open communication
  15. 15. We wish to thank the GPSC for the tremendous opportunity to engage PSP, PITO and the Division in support of physicians and their patients 

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