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Building relationships, improving quality. Clay Barber Shared Care Committee. Youth Transitions. Scholarships & ReDesign. Partners in Care. Practice Support Program. Rapid Access to Psychiatry. Transitions in Care. Teledermatology. Polypharmacy. S. Vancouver Island
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Building relationships, improving quality Clay Barber Shared Care Committee
Youth Transitions Scholarships & ReDesign Partners in Care Practice Support Program Rapid Access to Psychiatry Transitions in Care Teledermatology Polypharmacy S. Vancouver Island & Victoria Northern PiC (UNBC) South Okanagan many more locations… Central Okanagan Richmond Providence 2
The Triple Aim • Improve patient/provider experience. • Improve population health outcomes (wellness). • Demonstrate sustainable per capita costs. • Demonstrate achievable, measurable outcomes. • Address gaps in care.
Key deliverables/Scope of work • Knowledge transfer and relationship-building activities. • Testing innovation. • Promoting collaboration and fostering engagement. • Building trust, dignity, and respect between providers and between providers and patients. • Developing key requirements for expansion across BC. • Ensuring sustainable system change. • Fostering patient self-management mechanisms.
NHS 10 Principles of Large Scale Change • Movement towards a new vision that is better and fundamentally different from the status quo • Identification and communications of key themes that people can relate to and that will make a big difference • Multiples of things (lots of lots) • Framing and reframing issues in ways that engage and mobilize a lot of different people • Mutually reinforcing change across different parts of the system
NHS 10 Principles of Large Scale Change • Continually refreshing the story and attracting new active supporters • Emergent planning and design, based on monitoring progress and adapting as you go. • Enabling many people to contribute to the leadership of change, beyond organizational boundaries • Transforming mindsets, leading to inherently sustainable change • Maintaining and refreshing the leaders’ energy over the long haul
Shared Care Initiatives • Over 1500 FPs • Over 200 SPs Fort St. John a network of FPs in northern BC Fort St. James Smithers Terrace Prince George Kitimat Burns Lake Fraser Lake East Kootenay Mission Maple Ridge / Abbotsford Salmon Arm Fraser North West North Okanagan Kelowna Central Okanagan Surrey Kootenay Boundary South Okanagan North Shore Richmond Nanaimo PIC Confirmed sites Cowichan Chilliwack Abbotsford Victoria PIC Under development sites Langley South Vancouver Island White Rock-South Surrey Other Shared care sites Saltspring Providence Health Care
System alignment and integration • …to gain broader adoption of Shared Care concepts, tools, and techniques. • Divisions of Family Practice • Health Authorities • Practice Support Program/PITO • NGOs • SSC • …leverage existing initiatives and improve alignment while reducing overlaps and redundancies.
System improvements based on… • Solutions developed with those who will be implementing • Constant assessment of ability to implement • Pace of spread • Forces of resistance • Ability to recognize success & failure - measurement • Disciplined teamwork, humility • NOT - independence/self-sufficiency/autonomy. • Systems change is the great task. Complexity requires group success • Community Development and viral spread.
What is success? • The patient’s journey is seamless, with appropriate and timely access and improved outcomes. • Patients are supported to better manage their own care with fewer unnecessary medical interventions. • Duplication of effort and utilization of resources are reduced on a per-capita basis. • Hassles and frustrations of patients and providers are reduced. • Relationships are enhanced.
For more information Shared Care Committee 115 - 1665 West Broadway Vancouver, BC V6J 5A4 Tel: 604 736-5551 www.bcma.org