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 Support Program
Align & Integrate Physician Practice Support
Change Management Quality Improvement Technology Adoption
Framework of Integrated Support
North Shore
Division
PSP PITO
HealthConnection Clinic • Customized a Systematic Decision Matrix tool
for selecting an Electronic Medical Record • Developed an Access Intake Process • Created a Complexity Scoring Tool
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
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
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.
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
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
We wish to thank the GPSC for the
tremendous opportunity to engage PSP, PITO and the Division in support of physicians and
their patients