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Breakout Sessions - Day 2

Dialogue Session: Practice Support

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Opening Sessions - Day 2

Welcome

 

In his keynote address, Dr Alan Ruddiman spoke to pressures and opportunities in the current landscape of health partner collaboration. He shared a cultural saying, “If you want to go fast, go alone. If you want to go far, go together,” affirming the value of collaborative community-based solutions to long-standing health care challenges. In closing, Dr Ruddiman emphasized Doctors of BC's support for health professionals in addressing the needs of the most vulnerable members of society.

GPSC Overview and Partnership Panel

 

GPSC Co-Chairs Dr Shelley Ross and Doug Hughes shared the partnership perspective of working together to support physicians in caring for patients with complex needs. They presented their shared objective: to create clearly defined paths of care for patients across the health system. The Co-Chairs also acknowledged that the patient medical home/primary care home is a renewed opportunity for system improvement.

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View this session's PowerPoint presentation. 

Community Practice, Quality, and Integration Strategy and Supports

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The session acknowledged recent organizational changes at Doctors of BC. The newly titled Community Practice, Quality, and Integration department (formerly known as Practice Support and Quality) is broadening its scope of work to better support primary health care in BC.

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The re-named provincial Divisions office – now Community Partnership and Integration – will more broadly support community-level partnerships while staff will work in a more integrated manner to better coordinate partner interactions. The Community Practice Quality portfolio now holds the Practice Support Program, incentives, and evaluation. This structure will improve the GPSC’s effectiveness and its work with the Ministry of Health and Doctors of BC.

Patient Medical Homes in Rural Communities

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View this session's PowerPoint presentation. 

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View a copy of this session's 'pentagram sandbox' diagram.

Using Data to Create a Patient Medical Home/Primary Care Home at the Practice Level

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This presentation used an appreciative inquiry approach to explore the use of technology, data, education, and practice support to help strengthen the physician's ability to develop the patient medical home, and implement quality improvement and practice improvement strategies.

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View this session's PowerPoint presentation. 

Collaboration and Partnership: Learnings from the Neighbourhood Networks

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Participants in this session learned how the Richmond Division and VCH-Richmond purposefully tackled collaboration, partnership, and integration of services to support networks of GPs. Additionally, participants were brought up to speed regarding collaboration among GPs aligning with the patient medical home/primary care home model.
 

View this session's PowerPoint presentation. 

Practice Coverage as a Key Component to the Medical Home

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Led by Drs Shelley Ross, Bruce Hobson, David Merry, and Sandra Lee, this interactive session explored the Practice Coverage Working Group’s progress to date, highlighted how this progress aligns with the patient medical home, and provided insights about what can be achieved in a collaborative space. Participants engaged in a discussion focused on what is currently working, areas requiring change, and what might be necessary for future success.

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View this session's PowerPoint presentation. 

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View a copy of this session's handout.
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View a summary of themes from this session's rotatable discussions. 

Dialogue Session: Practice Support

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This dialogue session explored the challenges and successes experienced by the Practice Support Program in its work with divisions of family practice.

Patient Medical Homes in Rural Communities

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This session focused on divisions serving rural communities who came together to help shape the unique vision and strategies for developing individualized patient medical homes in rural BC communities. Session participants shared ideas and thoughts around strengthening the rural medical voice to enable design, support, and evaluation that advances rural patient medical homes.

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View this session's PowerPoint presentation. 

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View a copy of this session's "Pentagon Sandbox" diagram. 

​Social Determinants of Health and the PMH/PCH: Building an Integrated System Through a Health Equity Approach

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The Kootenay Boundary Division of Family Practice hosted an action-oriented session that strategized how ”the patient medical home/primary care home of tomorrow”  can be seeded with the insights, tools, skills, and resources required to integrate the social determinants of health into every patient encounter and every community in BC.

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View this session's PowerPoint presentation. 

Dialogue Session: Engagement

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This dialogue session explored divisions’ progress and challenges in engaging with their membership about the patient medical home/primary care home model, and system integration.  Participants exchanged practical solutions and discussed areas where greater support is still needed.

Dialogue Session: Appreciative Inquiry

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This session featured a high-level introduction to the framework of appreciative inquiry and the art of asking discovery questions. Participants also engaged in dialogue about the link between harnessing potential and effecting positive change.

Dialogue Session: Networks

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This dialogue session covered a variety of networks, including geographic (neighbourhood), service (residential care, maternity), access (after-hours coverage), and specific provider type (MOAs).

Overall, participants embraced the concept of networking as a strategy to improve care, increase access, and support physician well-being. Dialogue around key supports and resources included: the need for human resources to maintain and facilitate connections, access to technological tools, interoperability between networks, and a centralized EMR system.

BC Patient Medical Home Expectations

 

A task group working with stakeholders to better articulate future expectations around the patient medical home/primary care home concept in BC engaged participants in a dialogue about the expectations surrounding a few of the attributes of the patient medical home.

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View this session's PowerPoint presentation.

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View a summary of themes from this session's rotatable discussions.

Measuring Access

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As the GPSC is developing a provincial evaluation framework for the patient medical home, this workshop focused on measuring access. Participants shared their thoughts, concerns, and creative suggestions for how access could be measured at the provincial level, and voted for their preference.  

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View this session's PowerPoint presentation. 

How Partnership Alignment Makes Big Changes Possible

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This session described how the Cowichan Valley Division used the Collective Impact Framework and partnership alignment principles to engage their community in two large-scale transformation change initiatives: the patient medical home/primary care home, and the Housing First initiative. This initiative is to ensure housing accessibility through MHSU strategic priorities.

 

View this session's PowerPoint presentation. 

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