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Partners in Care
Transitions in Care
Teledermatology Practice Support
Program
Northern PiC (UNBC)
Scholarships & ReDesign Polypharmacy
Rapid Access to Psychiatry
Youth Transitions
Central Okanagan
Richmond S. Vancouver
Island & Victoria
Providence South
Okanagan many more locations…
3
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.
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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.
Key deliverables/Scope of work
NHS 10 Principles of Large Scale Change
1. Movement towards a new vision that is better and fundamentally different from the status quo
2. Identification and communications of key themes that people can relate to and that will make a big difference
3. Multiples of things (lots of lots)
4. Framing and reframing issues in ways that engage and mobilize a lot of different people
5. Mutually reinforcing change across different parts of the system
NHS 10 Principles of Large Scale Change
6. Continually refreshing the story and attracting new active supporters
7. Emergent planning and design, based on monitoring progress and adapting as you go.
8. Enabling many people to contribute to the leadership of change, beyond organizational boundaries
9. Transforming mindsets, leading to inherently sustainable change
10.Maintaining and refreshing the leaders’ energy over the long haul
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Providence Health Care
Shared Care Initiatives
Central Okanagan
Kootenay Boundary
Salmon Arm
South Okanagan
South Vancouver Island
Fraser North West
a network of FPs
in northern BC
Abbotsford
East Kootenay
Fort St. John
Langley
Richmond
North Shore
Chilliwack Cowichan
White Rock-South Surrey
PIC Confirmed sites
PIC Under development sites
• Over 1500 FPs
• Over 200 SPs
Mission
North Okanagan
Other Shared care sites
Kelowna Surrey
Maple Ridge / Abbotsford
Nanaimo
Victoria
Saltspring
Kitimat Prince George
Terrace
Smithers Fort St. James
Burns Lake Fraser Lake
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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.
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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.
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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