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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
Description
"UBC Health is an institutional consortium that enables more systematic collaboration across health programs at the university. The site offers learning opportunities related to collaborative work across disciplines."
Corporate Author
University of British Columbia (UBC)
Topics
PMH Attributes: TBC Toolkit - Additional Resources
Team-Based Care
Patient Medical Home
Resource Type
Website
File Type
Web page
Originating web page
https://health.ubc.ca/
Description
UBC Health is an institutional consortium that enables more systematic collaboration across health programs at the university. The site offers learning opportunities related to collaborative work across disciplines.
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Interprofessional Continuing Education (IPCE)

https://www.pcnbc.ca/en/permalink/divisionresource1152
Description
"IPCE provides advanced, up-to-date, interdisciplinary professional educational programming to health professionals, service providers, policy officials, researchers and the public on a variety of topics."
Corporate Author
University of British Columbia (UBC)
Topics
PMH Attributes: TBC Toolkit - Additional Resources
Team-Based Care
Patient Medical Home
Resource Type
Website
File Type
Web page
Originating web page
http://interprofessional.ubc.ca/
Description
IPCE provides advanced, up-to-date, interdisciplinary professional educational programming to health professionals, service providers, policy officials, researchers and the public on a variety of topics.
Less detail
Program
Divisions of Family Practice
Description
"The Practice Toolkit provides a variety of policies and procedures for clinics."
Program
Divisions of Family Practice
Corporate Author
General Practice Services Committee
Topics
Practice Efficiencies and Support
PMH Attributes: TBC Toolkit - Additional Resources
Team-Based Care
Patient Medical Home
Resource Type
Website
File Type
Web page
Originating web page
https://www.divisionsbc.ca/provincial/resources/practice-toolkit
Description
The Practice Toolkit provides a variety of policies and procedures for clinics.
Less detail
Link to File
https://www2.gov.bc.ca/assets/gov/health/about-bc-s-health-care-system/heath-care-partners/patients-as-partners/patients-as-partners-monthly-activity-guide.pdf
Description
"This activity guide contains patient self-management resources and monthly engagement opportunities for patients across the province."

Patient, Family, Caregiver and Public Engagement Planning Guide 2018

https://www.pcnbc.ca/en/permalink/divisionresource1156
Link to File
https://www2.gov.bc.ca/assets/gov/health/about-bc-s-health-care-system/heath-care-partners/patients-as-partners/engagement-planning-guide.pdf
Description
"This guide contains best practices, rationale, tools and resources for doing engagements with patients, their families and caregivers."
Corporate Author
Ministry of Health
Topics
Engagement
PMH Attributes: TBC Toolkit - Additional Resources
Team-Based Care
Patient Medical Home
Resource Type
Guide
File Type
Pdf
Link to File
https://www2.gov.bc.ca/assets/gov/health/about-bc-s-health-care-system/heath-care-partners/patients-as-partners/engagement-planning-guide.pdf
Originating web page
https://www2.gov.bc.ca/gov/content/health/about-bc-s-health-care-system/partners/patients
Description
This guide contains best practices, rationale, tools and resources for doing engagements with patients, their families and caregivers.
Less detail
Description
"IPC on the Run is an online module series designed to provide flexible interprofessional education (IPE) for interprofessional collaborative practice (IPC). It is based on the National Interprofessional Competency Framework developed by the Canadian Interprofessional Health Collaborative (www.cihc.ca)."
Corporate Author
IPC on the Run
Topics
PMH Attributes: TBC Toolkit - Additional Resources
Patient Medical Home
Team-Based Care
Resource Type
Website
File Type
Web page
Originating web page
www.ipcontherun.ca/
Description
IPC on the Run is an online module series designed to provide flexible interprofessional education (IPE) for interprofessional collaborative practice (IPC). It is based on the National Interprofessional Competency Framework developed by the Canadian Interprofessional Health Collaborative (www.cihc.ca).
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Reducing medico-legal risk in team-based care settings - Information Sheet

https://www.pcnbc.ca/en/permalink/divisionresource1163
Published Date
2018-09-19
Link to File
/media/divresources/InformationSheet_Reducingmedico-legalriskinTBCsettings.pdf
Description
"Developed by GPSC, the information sheet suggests practical steps that physicians can take to manage liability risks in team-based care settings. According to the Canadian Medical Protective Association (CMPA), the current medico-legal system that currently protects the interests of patients and individual providers can also protect team-based care practices. The information sheet provides general information and is not meant to be used as legal advice for specific legal situations. For medical legal advice and assistance, please contact the CMPA and/or a lawyer."
Corporate Author
GPSC Team-Based Care Task Group
General Practice Services Committee
Published Date
2018-09-19
Topics
Team-Based Care
Resource Type
Guide
File Type
Pdf
Link to File
/media/divresources/InformationSheet_Reducingmedico-legalriskinTBCsettings.pdf
Description
Developed by GPSC, the information sheet suggests practical steps that physicians can take to manage liability risks in team-based care settings. According to the Canadian Medical Protective Association (CMPA), the current medico-legal system that currently protects the interests of patients and individual providers can also protect team-based care practices. The information sheet provides general information and is not meant to be used as legal advice for specific legal situations. For medical legal advice and assistance, please contact the CMPA and/or a lawyer.
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Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Published Date
2018-11-01
Link to File
http://www.daretotestproject.cf/
Description
"The calculator analyzes specific patient panels, based on specific diagnosis parameters, and identifies the best clinical service delivery composition model by addressing the progressive healthcare concerns of those patients"
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Corporate Author
Abbotsford Division of Family Practice
Douglas College
Published Date
2018-11-01
Topics
Practice Coverage
Practice Efficiencies and Support
Team-Based Care
Resource Type
Assessment Tool
Link to File
http://www.daretotestproject.cf/
Originating web page
http://www.divisionsbc.ca/abbotsford-menu/business-supports/team-calculator
Description
The calculator analyzes specific patient panels, based on specific diagnosis parameters, and identifies the best clinical service delivery composition model by addressing the progressive healthcare concerns of those patients
Less detail
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Program
Shared Care
Published Date
2019-02-26
Link to File
http://www.divisionsbc.ca/sites/default/files/JenaK/Maternity%20Pathway%20Brochure%20English.pdf
Description
"This poster outlines key facts about midwifery, resources and key contacts, care milestones, and provider scope of practice for maternity care providers and patients in Abbotsford and Mission."
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Program
Shared Care
Corporate Author
Abbotsford Division of Family Practice
Mission Division of Family Practice
Personal Author
Hayley Goldsmith
Published Date
2019-02-26
Topics
Shared Care
Health Promotion
Community Resources
Maternity Care
Resource Type
Poster
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/JenaK/Maternity%20Pathway%20Brochure%20English.pdf
Originating web page
http://www.divisionsbc.ca/abbotsford-menu/shared-care-projects/maternity-patient-pathway
Description
This poster outlines key facts about midwifery, resources and key contacts, care milestones, and provider scope of practice for maternity care providers and patients in Abbotsford and Mission.
Less detail
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Mission Division of Family Practice
Program
Shared Care
Published Date
2019-02-26
Link to File
http://www.divisionsbc.ca/sites/default/files/JenaK/Maternity%20Pathway%20Brochure%20English.pdf
Description
"This brochure outlines resources and key contacts, care milestones, and provider scope of practice for maternity care providers and patients in Abbotsford and Mission."
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Mission Division of Family Practice
Program
Shared Care
Corporate Author
Abbotsford Division of Family Practice
Mission Division of Family Practice
Shared Care Committee
Published Date
2019-02-26
Topics
Shared Care
Maternity Care
Resource Type
Brochure
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/JenaK/Maternity%20Pathway%20Brochure%20English.pdf
Originating web page
http://www.divisionsbc.ca/abbotsford-menu/shared-care-projects/maternity-patient-pathway
Description
This brochure outlines resources and key contacts, care milestones, and provider scope of practice for maternity care providers and patients in Abbotsford and Mission.
Less detail
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Mission Division of Family Practice
Program
Shared Care
Published Date
2019-02-26
Link to File
http://www.divisionsbc.ca/sites/default/files/JenaK/Maternity%20Pathway%20Brochure%20Punjabi.pdf
Description
"This brochure outlines resources and key contacts, care milestones, and provider scope of practice for maternity care providers and patients in Abbotsford and Mission."
Health Authority
Fraser
Division
Abbotsford Division of Family Practice
Mission Division of Family Practice
Program
Shared Care
Corporate Author
Abbotsford Division of Family Practice
Mission Division of Family Practice
Shared Care Committee
Published Date
2019-02-26
Topics
Maternity Care
Shared Care
Resource Type
Brochure
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/JenaK/Maternity%20Pathway%20Brochure%20Punjabi.pdf
Originating web page
http://www.divisionsbc.ca/abbotsford-menu/shared-care-projects/maternity-patient-pathway
Description
This brochure outlines resources and key contacts, care milestones, and provider scope of practice for maternity care providers and patients in Abbotsford and Mission.
Less detail

Evaluation of the Multidisciplinary Care Provider Grants in White Rock-South Surrey

https://www.pcnbc.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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What You Might Expect When You’re Expecting

https://www.pcnbc.ca/en/permalink/divisionresource1266
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Maternity Care for BC (MC4BC)
Shared Care
Published Date
2019-02-04
Link to File
http://www.divisionsbc.ca/sites/default/files/Divisions/east-kootenay/SC%20Maternity%20Brochure.pdf
Description
"The working group created a target list of hassle factors for patients and physicians. They identified priorities in easing stress when families are transferred to East Kootenay Regional Hospital (EKRH) from outlying communities in obstetrical emergencies."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Program
Maternity Care for BC (MC4BC)
Shared Care
Corporate Author
East Kootenay Division of Family Practice
Published Date
2019-02-04
Topics
Shared Care
Maternity Care
Resource Type
Brochure
File Type
Pdf
Link to File
http://www.divisionsbc.ca/sites/default/files/Divisions/east-kootenay/SC%20Maternity%20Brochure.pdf
Originating web page
http://www.divisionsbc.ca/east-kootenay/our-impact/past-initiatives/shared-care-maternity
Description
The working group created a target list of hassle factors for patients and physicians. They identified priorities in easing stress when families are transferred to East Kootenay Regional Hospital (EKRH) from outlying communities in obstetrical emergencies.
Less detail
Health Authority
Island
Division
Comox Valley Division of Family Practice
Program
Maternity Care for BC (MC4BC)
Published Date
2018-09
Link to File
http://www.sharedcarebc.ca/sites/default/files/IPC%20Maternity%20Toolkit%20Sept%202018%20-%20Email%20and%20Web%20%28ID%20228182%29.pdf
Description
" key learnings, tips, and insights from one community’s journey to IPC, and serves as an important resource for divisions who are considering embarking on maternity initiatives."
Health Authority
Island
Division
Comox Valley Division of Family Practice
Program
Maternity Care for BC (MC4BC)
Corporate Author
Shared Care Committee
Personal Author
Lee Yeates
Published Date
2018-09
Topics
Shared Care
Maternity Care
Resource Type
Toolkit
File Type
Pdf
Link to File
http://www.sharedcarebc.ca/sites/default/files/IPC%20Maternity%20Toolkit%20Sept%202018%20-%20Email%20and%20Web%20%28ID%20228182%29.pdf
Originating web page
http://www.divisionsbc.ca/provincial/what-we-do/patient-support/maternity-care
Description
key learnings, tips, and insights from one community’s journey to IPC, and serves as an important resource for divisions who are considering embarking on maternity initiatives.
Less detail

Pender Harbour Health Centre (PHHC) and Sunshine Coast Division of Family Practice (SCDFP) - Case Study

https://www.pcnbc.ca/en/permalink/divisionresource1361
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Published Date
Nov 2018
Link to File
/media/divresources/SunshineCoastCasestudyReport.pdf
Description
"The case study was intended to document the status and operations of the centre, the growing partnership between the Division and the centre including the development of TBC, to capture the formative information, establish a baseline of information for tracking for centres/ partnerships developments and to provide information regarding ‘next steps’."
Health Authority
Vancouver Coastal
Division
Sunshine Coast Division of Family Practice
Corporate Author
General Practice Services Committee
Sunshine Coast Division of Family Practice
Published Date
Nov 2018
Topics
Evaluation
Patient Medical Home
Primary Care Network
Team-Based Care
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/SunshineCoastCasestudyReport.pdf
Description
The case study was intended to document the status and operations of the centre, the growing partnership between the Division and the centre including the development of TBC, to capture the formative information, establish a baseline of information for tracking for centres/ partnerships developments and to provide information regarding ‘next steps’.
Less detail

Boundary Proof of Concept Patient Medical Home/Primary Care Networks - Case Study

https://www.pcnbc.ca/en/permalink/divisionresource1395
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
"This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Interior Health Authority
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Team-Based Care
Quality Improvement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations.
Less detail

Patient Service Program Coordinator - Job Description

https://www.pcnbc.ca/en/permalink/divisionresource1475
Health Authority
Fraser
Division
Ridge Meadows Division of Family Practice
Published Date
2019
Link to File
/media/divresources/Patient_Service_Program_Coordinator_Ad_Draft.pdf
Description
"Sample job description from Ridge Meadows Division of Family Practice detailing the responsibilities, required skills, brief details of the Patient Service Program Coordinator."
Health Authority
Fraser
Division
Ridge Meadows Division of Family Practice
Corporate Author
Ridge Meadows Division of Family Practice
Published Date
2019
Topics
Human Resources
Primary Care
Patient Medical Home
Primary Care Network
Team-Based Care
Resource Type
Job Description
File Type
Pdf
Link to File
/media/divresources/Patient_Service_Program_Coordinator_Ad_Draft.pdf
Description
Sample job description from Ridge Meadows Division of Family Practice detailing the responsibilities, required skills, brief details of the Patient Service Program Coordinator.
Less detail

Fraser Northwest Division of Family Practice - Primary Care Network (PCN) - Registered Nurse in Practice Expression of Interest (EOI) Form

https://www.pcnbc.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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137 public records – page 2 of 7.