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Red Deer Primary Care Network Impact on the Health of our Community
Primary Care Networks (PCNs) 1
Red Deer Primary Care Network (RDPCN) 2
Our Community 2
Our Organization 3
Impacting Lifestyle 8
Health Cafés 8
Health Basics: Lifestyle Group 9
Preventing Falls 10
Improving Sleep 11
Tobacco Free Life 12
Tools for Promoting a Healthy Lifestyle 13
A Healthier Community 14
A Healthy Workplace 17
Impacting Mental Health 18
Empowering People to Face Life’s Challenges 18
Managing Anxiety 19
Happier People 20
Strengthening Relationships 22
Reconnecting People 22
Improved Access to Psychiatry 23
Supporting Youth 24
Impacting Vulnerable People 26
Partnering with the RCMP to help people in time of crisis 26
Primary Care for Vulnerable People 27
Impacting Pregnancy and Babies 29
Pregnancy & Babies Program 29
Access for all Pregnant Women 29
Impacting People with Chronic Disease and Complex Conditions 30
Managing Diabetes and High Blood Pressure 30
Navigating the System 31
Assisting with Medication Concerns 32
Hospice Rounds 33
Testing Memory 33
Impacting Access to Continuous and Comprehensive Health Care 34
Supporting the Medical Home 34
Finding a Family Doctor 34
Educating the Public 35
Impacting the Future 41
2015 – 2018 Business Plan 41
2015 – 2016 Plan 41
Evaluation Tools Used 43
Connecting with the RDPCN 44
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Primary Care Networks (PCNs)
Primary Care is the first point of contact a person has with the health system. Most
Albertans receive their primary care through PCNs. PCNs were established starting in
2005 to provide better access, greater health promotion and chronic disease management,
improved care co-ordination, and increased use of teams of health professionals. Since that
time 42 PCNs have been established. Alberta Health determines the overarching objectives
of PCNs. Alberta Health is the provincial government ministry that sets policy, legislation
and standards for the health system in Alberta. If your family doctor is a member of a PCN
you are a part of that PCN.
Each PCN is unique — developed by local family doctors with the local health region.
This allows and encourages the PCN to focus on the needs of the local patient population.
A joint venture agreement between the Doctors’ Not for Profit Corporation and Alberta
Health Services forms the PCN. For more information on Alberta Primary Care Networks
go to pcnpmo.ca.
Alberta Health introduced Alberta’s Primary Health Care Strategy in 2014. This strategy
sets out a long term plan for transformation of our primary care system to improve the
health of Albertans.
1 Alberta’s Primary Health Care Strategy Page 11.
“In Alberta, when we think about
healthcare, we often think of our
doctors and hospitals working to
help patients, who are ill, regain their
health. Working together, through
the RDPCN, doctors and staff
are working with citizens/patients
to address health issues before they
appear in the emergency room at the
hospital. The RDPCN is engaging
individuals in taking care of, and
responsibility for, their personal health
and wellness.”
– Cindy Jefferies, RDPCN Community Board Member“This transformation will make primary health care more efficient; by focusing on prevention
and health promotion, more people can receive care in the community rather than from
hospitals and emergency rooms. This reduces costs for the system, and for families and
individuals dealing with the personal costs of being ill.”1
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Red Deer Primary Care Network (RDPCN)
But we are aging: by 2040 one in four will be 65 and over
across Canada.
Our CommunityThe RDPCN serves a population of approximately 120,000 people living in
Red Deer, Blackfalds, Penhold, Delburne and Red Deer County.
Red Deer Primary Care Network (RDPCN), established in 2006, is the 8th largest of 42
Primary Care Networks in Alberta. Primary Care Networks range in size from serving a
population of 5000 people to over 300,000 people.
We have a young population: 29 is the median age
Median age is the age where half of the people are younger and half are older. In the
2014 Red Deer Municipal Census2 the median age in Red Deer was 29 years while the
median age was a litte higher in the surrounding communities. This compares to 36 years
of age for Alberta and 40 for Canada.3
Red Deer has fewer seniors than the rest of the country. Eleven percent, or approximately
1 in 10 people were 65 and over in 2011. This compares to 14% for Canada in 2011.
High Level
Fort MacMurray
Grande Prairie
Edmonton
Red Deer
Lake Louise
Banff
Calgary
Medicine HatLethbridge
Jasper
The community of Red Deer stands out for its community spirit. We would like to thank the
champions, The City of Red Deer, other organizations and volunteers who have collaborated
with RDPCN to create a culture of active and healthy living.
2 City of Red Deer (August 2014) Municipal Census.
3 Statistics Canada. Focus on Geography Series, 2011 Census.
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This illustration is our visual identity that signifies a vital, healthy community. It encourages
people to be healthy using community assets such as the beautiful Red Deer pathways.
The RDPCN is known for:
People centred care.
Doctors who are committed to
improving the health of their
patients and the community.
Award winning workplace wellness.
Innovative and enthusiastic staff.
A holistic approach to
patient care.
Skills based leading edge
programs that achieve
significant results.
Sharing our programs locally,
provincially and nationally.
Health promotion activities in
the community.
Dynamic community partnerships.
Being a learning organization,
committed to quality
improvement.
Our Organization
Our Philosophy
We are in the business of health not illness. We empower people to be the healthiest they
can be. We use a positive approach and know that people can make the most progress by
focusing on what they are moving toward, not on what they are moving away from. Our
holistic approach considers the mental, physical and spiritual needs of an individual to
achieve their optimum level of wellness.
4 Alberta’s Primary Health Care Strategy, page 24.
“One of the necessary major cultural shifts is engaging individuals as active
participants in managing and making decisions about their own health.”4
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Weaving a Web of Care
Patients are fi rst able to access the
services of the Primary Care Network
through their family doctor. Once a
person is referred to the team they are in
a web of care and can access the other
RDPCN services. Locating other health
care professionals such as family nurses
and mental health counsellors within the
RDPCN doctors’ offi ces enables direct
communication, collaborative practice,
and joint case management of patients.
Patients can access education and group
appointments in the centralized RDPCN
offi ce. Patients are linked with AHS
and other community organizations and
resources as needed in order to enhance
the delivery of primary care services.
In 2014 – 2015 there were 8,875
referrals to our programs. This
was a 2.6% increase from the
year before.
Pharmacist
Pregnancy
& Babies
Nurse
Mental
Health
Counsellor
PATIENTPATIENT
DoctorFamily
Nurse
AHS and
Community
Based Service
Programs
RDPCN
Community
Programs:
Street Clinic
PACT Team
RDPCN
Group
Programs
Multidisciplinary
Doctor’s Offi ce
Team
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Our Accountability
Our vision: Innovative comprehensive and continuous
care for all patients in our community.
We receive our funding from Alberta Health. In the 2014 – 2015
year we received seven and one half million dollars to provide
Primary Health Care to our patients. We chose our priorities guided
by our vision, through a collaborative process that included RDPCN
patients, doctors, staff, Alberta Health Services representatives
and community organization representatives. Within the priorities
chosen, RDPCN considers innovative strategies to treat present
health issues and broader strategies to engage the community to
decrease future health risks. In the community we are a catalyst to
improve individual and community health.
We evaluate our programs and services using a continuous quality
improvement process to ensure they are effective, meeting the
needs of the community, and are using our resources wisely. Each
year we provide Alberta Health reports on these results. We also
will post this report on our website: reddeerpcn.com.
The board of the RDPCN consists of Family Doctors and Community
Members. Alberta Health Services (AHS) representatives sit on
our governance committee. AHS is the provincial health authority
responsible for overseeing the planning and delivery of health
supports and services to Albertans. We added community members
to our board at the beginning of this year to gain a broader
community perspective for RDPCN decisions and strategic planning.
2014 – 15 Board of Directors
Dr. Tony Williams BOARD CHAIR
Dr. Peter Bouch PAST CHAIR
Dr. Nav Rattan CHAIR ELECT
Dr. Peter Mah SECRETARY TREASURER
Dr. Morné Odendaal
Dr. Erin Thompson
Dr. Maureen McCall
Dr. James McIntyre
Dr. Jack Bromley
Dr. Charles Metcalfe
Cindy Jefferies COMMUNITY BOARD MEMBER
Mark Jones COMMUNITY BOARD MEMBER
Executive Director
Lorna Milkovich RN, BN, MBA
AHS Governance Representatives
Andrea Thain Liptak DIRECTOR, PRIMARY CARE AND CHRONIC DISEASE MANAGEMENT
Allan Sinclair EXECUTIVE DIRECTOR, RED DEER
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Our People
The RDPCN teams include family doctors and other health care
professionals. Our people are encouraged to make healthy lifestyle
choices and act as role models. We all work together to help people
be as healthy as possible. Patient Care is our bottom line.
82 Family Doctors in 18 family medical clinics:
16 in Red Deer, 1 in Sylvan Lake and 1 in Blackfalds
42 Professional Staff including Registered Nurses,
Licensed Practical Nurses, Psychologists, Social Workers,
Pharmacists, Kinesiologists, Dietitian, Nurse Practitioner
and Recreation Therapist
16 Support Staff including Evaluation, Communication,
Management, Information Technology, Administration
Support, and Clinical Support Staff
“You must be the change you wish
to see in the world.” – Gandhi
Dr. Tony Williams
Board Chair
Lorna MilkovichLorna Milkovich
Executive Director
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Impacting Lifestyle
5 Statistics Canada. The Daily: Canadian Health Measures Survey, 2013.
6 2015 Alberta Survey on Physical Activity
The Facts
Overweight, physical inactivity and sedentary behavior are risk
factors for many chronic physical and mental health conditions,
such as heart disease, stroke, high blood pressure, colon cancer,
breast cancer, diabetes, depression and anxiety. Getting moving
and active is associated with as much as a 30% decrease in all
causes of death. Maintaining a healthy body weight can protect
people from up to 22 other illnesses.
Approximately two thirds of Canadian adult men (62%)
and almost half of women (45%) are classified as
overweight or obese.5
The average Albertan sits 9 hours per weekday and
8.25 hours on weekend days. Only 60% of Albertans
(self-reported) are physically active enough to get
health benefits.6
Health CafésWith so much health care information available from many different
sources people want to hear the basics and have an opportunity to
ask questions. Health Cafés are discussions of current and relevant
health topics for the public. Family doctors and other health
professionals provide key information and then open up the floor
to questions on topics such as The Best Diet for a Healthy Weight,
Exercise: the Fountain of Youth, The Hot Flash Bash, and Five
Ways of Creating More Comfort and Joy for the Holidays.
12 cafés with over 750 attendees were hosted over the
past two years.
Over 95% of the attendees found the cafés helpful and
would attend another.
“Casual and inviting atmosphere. Knowledgeable speaker.”
– Attendee
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One year later, she is 36 pounds lighter!
Donna knew she was overweight and, when she saw a brochure
for the RDPCN’s Health Basics program in her Doctor’s offi ce, she
asked him about it. He referred her to the program and she started
in March 2013. Right from the start, she embraced Health Basics
and worked very hard at applying the information she learned in the
classes to her own life. One year later, she is 36 pounds lighter!
“The biggest thing for me has been the portion control,” says Donna.
She also stopped snacking in the evenings and started walking
every day. Her success has motivated her to maintain her
new healthy habits. “I’m
breathing much better and
can walk longer now,” says
Donna. Donna regularly
attends the follow up
sessions and says they have
helped keep her on track
through her ups and downs.
Donna’s advice to anyone
considering making a change
in their life:
Health Basics: Lifestyle GroupHealth Basics is an action based group for people who want to
embrace healthy living through mindset, nutrition and activity.
Participants learn simple and effective ways to make positive
lifestyle changes. One other Alberta PCN has received training on
the Health Basics program this year.
Small Steps Lead to Big Changes. Your choices reveal
your priorities.
In 2014 – 2015, 256 people participated in Health Basics.
At the end of the 8 week group results show:
Increased activity, healthy eating and positive mindset.
Increased quality of life – more vitality, less pain,
better mental health and increased ability to do
daily tasks.
Weight loss, decreased BMI and waist circumference.
“Through the encouragement and support I received, I lost
18 pounds and 3 inches in 8 weeks and most of all, I’m learning
to have a positive mindset on a daily basis. Health Basics has
taught me to make healthier choices. The cravings used to
control me and I now control the cravings.” – Health Basics participant
“Do it and don’t give up!
Every small step you take
makes a change.” – DonnaDonnaDonna
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Preventing Falls
The Facts
According to the Alberta Injury Prevention Centre in 2011, falls
were the leading cause of hospital admission.
Strong and Steady
Strong and Steady is an exercise and falls prevention education
group (4 week) targeted to older adults who have a fear of falling,
may have problems getting out of a chair, are able to walk and are
able to participate in a group setting. The focus is on exercise,
safety in the home, and introduction to a community activity class.
146 people attended the group this year, double the
number from last year.
Participants reported over 80% improvement in:
Confidence in walking – malls, to the mailbox, gardening
Balance
“I feel better in my life and have more fun.” – Participant
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Improving Sleep
The Facts
Insomnia is the most common sleep disorder across all stages of
adulthood. National Sleep Foundation surveys reveal that 60% of
adults report having sleep problems a few nights a week or more.
Sleep plays a vital role in every aspect of health and well being.
Return2Sleep
In order to address insomnia, RDPCN offers an online Return2Sleep
program developed at the University of Winnipeg.
In 2014 – 2015, 42 people completed the sleep
program. A sample of participants who completed the
program reported approximately 3 hours more sleep per
week; significantly improved sleep quality and efficiency;
adherence to sleep improvement techniques and that
they used sleeping pills significantly less often.
“Hey, Jonah, just wanted to again thank your organization
for running the sleep program. I was in the program a year
ago, and since taking it, I have been able to actually regain a
normal sleep routine, and regain back my life... There are very
few nights anymore that I am tossing and turning, and not
getting a fitful sleep. I tell everyone I meet who indicates
a sleep issue about my experience with the program and
that they should contact your organization and look into
participating, as it really could change their quality of life.
Never in a million years did I think an online program would
be so impactful, or that I would give a written endorsement
without being asked...amazing...” – MJ
“I gained knowledge about sleep that I wasn’t aware of
before, giving me a greater understanding of insomnia.
Some of my habits changed, but also my attitude towards
sleep shifted, which together have improved the quantity
and quality of sleep.” – Patient
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Tobacco Free Life
The Facts
Quitting smoking is the single best thing
that you can do to improve your health
and quality of life. 21% of people in
Central Zone smoke, which compares to
17% for Alberta.
Tobacco Free Program
RDPCN’s Tobacco Free program, offered
by Family Nurses in clinics, is based
on the Mayo Clinic program and uses
motivational interviewing techniques.
In 2014 – 2015, there were
350 referrals. 51% of patients had
smoked over 30 years. The program
quit rate was 27% for the year.
Karen smoked for 45 years. In March
2014, she celebrated her one year smoke
free anniversary. She had thought about
quitting smoking before, but it was
her doctor, suspecting she might have
hypertension, who really encouraged
her to go for it. Karen signed a quitting
contract with the RDPCN nurse she worked
with to stay accountable. The contract
reinforced her commitment to quit, but
there were still struggles including some
weight gain. Fortunately, Karen did not
have hypertension and now her health is
better than ever. She is able to take a deep
breath without coughing, has noticed her
skin has regained a healthy colour, and is
working to return to her previous weight.
She cites many other positives that have
come as a result of her accomplishment.
“The new me doesn’t have to go outside
after meals, or break away from social
situations to smoke. My clothes don’t smell
bad and I’ve saved a lot of money, too!”
she says. The combined support of the Red
Deer Primary Care Network, her husband
and her own determination were the keys
to her success.“The future looks good because my
health is good.” – Karen
KarenKaren
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Lifestyle Planner
A lifestyle planner has been produced since 2010.
The planner provides
tools to record
information such
as blood pressure,
exercise type and
times as well as set
health goals. It is
designed to motivate
and engage people
in self-management. Patients use it to set their goals, monitor
their progress and review it at appointments with their health
care providers. The template has been shared with three other
PCNs in Alberta.
Educational Television in 10 Doctors’ Offices
Televisions in clinic waiting rooms provide patients with interesting
health focused programs as well as information on RDPCN
programs and activities such as the trek or upcoming Health Cafés
therefore using the opportunity to engage people in healthier living
while they wait.
Treks in virtual locations
Having a goal doubles the
chance of making successful
changes. RDPCN treks are one
resource to encourage people
to participate in regular activity
in a fun way. To date 11
treks have been sponsored
by the RDPCN with over
6200 participants including
individuals, groups, corporations
and schools.These included treks at virtual locations such as the
Hawaiian Islands and Mount Everest. People register and join the
trek on the website rdpcn.com. Activity is converted to steps by the
online program. In order to complete a trek on schedule one needs
to take approximately 10,000 to 11,000 steps every day. Studies
indicate 10,000 steps/day is necessary for health benefits.7
my lifestyle planner 22010155
Annual
Checks and
Screening Tests
See pages
19 and 20
7 10,000 Steps a Day to Health, American Public Health Association
“I got your brochure, got a pedometer – started a week late
but kept going. I got to 728,242 steps. I even walked while
I leaned on the cupboard to read the newspaper! Finally got in
two fitness classes. I try to park as far away as I can in parking
lots. I walk faster! The trek did motivate me.” – Participant
Tools for Promoting a Healthy Lifestyle
Start
50,000
150,000
250,000
350,000
450,000
550,000
750,000
700,000
600,000
650,000
850,000
500,000400,000
300,000
200,000
100,000
800,000
900,000
Paauilo
Hilo
Volcano
KahaluuKealakekua
Puako
Honokaa
Alenu
ihah
a Cha
nnel
Hana
HaikuKahuluiHonokowaiKaiw
i Cha
nnel
Waipahu
Makaha
Pacific
Ocean
Hawaii
Pacific Ocean
Hawi
Kahoolawe
MauiLanai
Molokai
Oahu
Honolulu
Lihue
Lanai City
Pahala
Naalehu
Kauai
Hawaiian Islands
Hawaiian Island TrekSTARTS February 23, 2015
ENDS May 23, 2015
Track your steps and activity on this map or
sign up online by visiting www.redeerpcn.com.
You can register as an individual or create a team!
Aim for 10,000 steps a day for good health and
to tour the islands in 90 days!
Mark your trail
Use your pedometer to keep track of your steps or
convert 1 and ½ hours of any moderate physical
activity to 10,000 steps.
HawaiianIslands
Trek
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A Healthier Community
The Built Environment
Canadians of all ages aren’t moving their bodies enough to reap
all of the good things that come from being active: reduced risk
of disease like type 2 diabetes and some cancers, better scores in
reading and math, better fitness, more fun, healthy body weight,
self-confidence, new skills, better mental health.8
The RDPCN worked with the City of Red Deer to build
10 outdoor gyms in Red Deer communities in 2009
and 2010 making workouts free and convenient while
offering people an opportunity to build community
by getting to know their neighbors. Red Deer has the
highest number of outdoor gyms per capita in Canada.
People like the multiple locations as they can choose a different gym
while walking or biking. A grandmother over the age of 80 brought
her daughters and grandchildren to try it. People were eager to share
their gym experience with their spouses, family and friends.
8 Participaction. Moving Canadians to Move More. Impact Report 2014.
“It is easy, fun, convenient and affordable; provides a great
workout for circuit and strength training.”
– Community member who uses the outdoor gym
Ten gyms are located within Red Deer communities:
• Barrett Park – 4725 – 43 St. (next to Kinex Arena)
• Bower Place – 460 Barrett Dr.
• Glendale Park – Glendale Blvd. at Greig Dr.
• Johnstone Crossing Community Health Centre –
105 Jennings Cres.
• Mountainview Sunnybrook Community Activity Centre –
4316 – 32 St.
• Oriole Park – 5204 Kerrywood Dr.
• Red Deer Primary Care Network – 5130 – 47 St.
• Riverside Meadows Community Activity Centre –
5616 Kerry Wood Dr.
• Rosedale Community Activity Centre – 2 Rowland St.
• Victoria Park – Allan St. at Ayers Dr.
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Disc Golf
Two disc golf courses, a 9-hole beginner course in Kentwood and an intermediate
course in Victoria Park were built in partnership with the City of Red Deer for
the use by the general public in 2011 and 2012. Over 1,000 people of all
ages have attended community disc golf coaching sessions since that time.
Portable disc golf sets can be borrowed from the RDPCN for local events.
RDPCN also offers outdoor gym and disc golf training for small groups on
request. Score cards can be printed off at reddeerpcn.com or picked up at
the central RDPCN office.
Comments from the community:
In April 2014 RDPCN’s Executive Director presented on RDPCN’s involvement in Bike
Lanes, Outdoor Gyms and Disc Golf courses at the Chronic Disease Prevention Alliance of
Canada (CDPAC) Conference in Ottawa. She spoke about the RDPCN partnership with the
City of Red Deer for creating shared built and supportive environments (bike lanes, disc
golf and outdoor gyms) to promote health and prevent disease. The conference organizers
noted that this was the only place in Canada where they found doctors involved in the
built environment.
“Amazing game and one everybody can do. Just as addictive as real golf.”
“Disc golf is awesome and you don’t even know you are exercising.”
“Great family fun. Great fun for all ages.”
Disc Golf courses are located at:
Victoria Park (along Allan St.): a 9 hole,
2500 foot course in Central Red Deer.
The course is rated at par 28 and par 25
for professionals.
Kentwood (along Kent St. and Kendrew Dr.):
a 9 hole, 2226 foot course in North Red
Deer. The course is rated as par 37.
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RDPCN also supports biking to many City events by providing personnel to supervise bike racks.
In support of active living the RDPCN provided sponsorship, volunteers, the bike corral
staff and first aid to support Red Deer in hosting the Tour of Alberta for 2013 and 2014.
Farmer’s Market Bike Corral
Bike Corrals are hosted by RDPCN each Saturday from May through October at no charge
to the user. The Bike Corral has been available since 2012.
An average of 35 people use the bike corral each week.
“I went to the Market yesterday and it was the first time I actually enjoyed going
on my bike. The bike corral was a great idea. It was the first time I didn’t have
security or the Market Coordinator chasing after me or didn’t have to worry
about my bike being stolen. Cheers to those who came up with the idea!” – Cyclist
The City of Red Deer
Recreation Passes
RDPCN provides City of Red Deer recreation
passes to patients who are currently facing
some financial challenges and want to use
City-operated recreation facilities or take
part in City offered Recreation, Parks or
Culture programs or activities.
The RDPCN distributed 169
Recreation Passes as Fee Assistance
Program Approvers in 2014 – 2015.
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A Healthy WorkplaceRDPCN is a leader in healthy workplace. The policies and
operations of the RDPCN support staff work life balance and
physical and emotional wellbeing. RDPCN received the Alberta
Premier’s Award for Healthy Workplaces three years in a row.
Workplace Highlights:
Activity recess reduces sedentary activity and
boosts energy.
Community participation is supported: Tour of Alberta,
Ronald MacDonald House suppers, Berry Architecture
Wellness Ride.
Staff participated in the Canadian Commuter
Challenge at the beginning of June by walking or riding
to work rather than driving. 11 staff participating
travelled 517 km, saved 17 litres of fuel and 39 kg
of CO2 were avoided through active transportation.
Staff education contributed to our continuous
quality improvement process.
“The March Staff meeting review revealed how impressive our
Workplace Wellness plans are and how well they are implemented.
So many opportunities to engage and to be proud of being
an organization that walks the talk.” – RDPCN Staff
“RDPCN is a great place to work and have a career.” – RDPCN Staff
Ronald McDonald House dinner volunteers
RDPCN softball team
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9 Mental Health Commission of Canada (2012). Changing Directions, Changing Lives: The Mental Health Strategy for Canada.
10 Alberta Health 2009 Billings
11 Institute of Health Economics 2008
Impacting Mental Health
Empowering People to Face Life’s Challenges
Mental Health Counsellors
Mental health counsellors provide brief counselling for patients referred in every RDPCN
doctor’s clinic. Patients who require longer term counselling, specialized counselling, or
who are urgently in need of services are referred to AHS or community services.
Patients reported a 42% decrease in distress level after counselling sessions
in an evaluation done in 2013.
A Journey Back to Health
As a member of the Fire Department, Peter was used to dealing with extremely stressful
situations on a daily basis. After 35 years he retired and was surprised to find that the
anxiety and depression he had been experiencing for years was actually worsening. He was
retreating from life and his health and personal relationships were suffering. Peter was
aware of Post Traumatic Stress Disorder (PTSD) and he recognized that he needed help.
Peter reached out to his doctor who referred him to a Red Deer Primary Care Network
Mental Health Counsellor. Over the next three months, he began his journey back to health.
“One of the strategies I learned, that I continue to implement, is practicing mindfulness. Really
being aware of what’s happening and how it’s affecting me,” says Peter. Staying active, both
physically and mentally, is another important part of Peter’s life now. He has even picked up
old hobbies. “I started woodworking again,” he says. Peter encourages anyone dealing with
anxiety and/or depression to ask for help. “You can’t do it alone. It’s a good time to lean on your
friends,” he says. “The more I share with people, the more they share and they want to help.
I’ve been surprised how many people I know who are dealing with the same issues I have been.”
Today, he describes his future as looking very good!
“1 in 5 people in Canada live with a mental
illness each year.”9
At least 40% of visits to family doctors in
Alberta are mental health related.10 Every
day, 500,000 Canadians are absent from
work due to mental illness.11
In 2014 – 2015, there were
2,331 referrals to the Mental
Health Program. The top four
reasons for RDPCN mental health
referrals in 2014 – 2015 were
anxiety, depression, relationship
issues, and grief.
The Facts
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Managing Anxiety
The Facts
Anxiety can stop people from living their best life. Anxiety is the
most common mental health reason for patients seeing a family
doctor.12 Anxiety is also the most common reason for referral to
the RDPCN mental health program.
Anxiety to Calm Group
In 2014 – 2015, 159 people participated in the
anxiety group.
The RDPCN 8 week group program, Anxiety to Calm, is focused
on people learning more about anxiety, learning skills to manage
and reduce anxiety, and experiencing more calmness.
People attending this group had a 48% reduction in
anxiety symptoms on completion of the group.
People improved their ability to do daily tasks and work; had more
energy; better mental health and increased their likelihood of
socializing with family and friends.
The most helpful components of the group were reported as:
Knowing that one is not alone in dealing with anxiety.
Tools and techniques to deal with anxiety.
Understanding how anxiety works.
Learning from other group members.
12 Alberta Health Services website: http://www.albertahealthservices.ca/2774.asp
“I feel a high sense of
relief that my anxiety is
something I can conquer.
I have the tools and
knowledge. It doesn’t need
to take over my life. I’m
excited for the future and
what it holds for me.”
– Katarina, class participant
KatarinaKatarina
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Happier People
The Facts
Approximately 10% or one in ten Canadians have a
depressive disorder.
Depression was the second most common reason of all
referrals to RDPCN mental health in 2014 – 2015.
Happiness Basics
RDPCN offers a 7 week Happiness Basics group based in positive
psychology. Positive psychology focuses on the creation of positive
states of mind, positive emotions and positive experiences. It
focuses on what is going well with people, what is right, and what
is good. It studies why and how we excel and what makes us
great. Participants learn skills such as savoring and gratefulness.
RDPCN stands out as a leader in Alberta for using this fresh and
scientifically proven approach.
241 people participated in the
Happiness Group in 2014 – 2015.
Participants reported an average
26% increase in their happiness
after completing the group.
48 health care professionals working in various Alberta PCNs and
AHS were trained to deliver the Happiness Basics group. This
knowledge transfer shared an effective well-developed group.
Classes are running in several communities across the province.
One to two hour slices (workshops) of this program have been
offered to 23 organizations, schools and workplaces through
the community. The slices provide an introduction to positive
psychology and teach a few skills.
“Happiness Basics opened my mind and I am much less
angry and negative; I have new tools and goals to experience
happiness; I felt invigorated by the information and the
challenges; instructors were very personable with lots of
energy; I became more aware of what I have to be grateful
about; I think looking forward to Happiness class was the
best part of all – I was just happy thinking about class.”
– Happiness Basics participant
FLOURISHING/POSITIVE
LANGUISHING/NEUTRAL
DEPRESSED/NEGATIVE
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Vi
Recently I took the Happiness Course. The day after the
happiness class was fi nished I was in a car accident. The
happiness class helped me put things in perspective. Instead
of dwelling in self-pity or getting caught up in the stress of the
unknown future I have learned it is what it is and am dealing
with things one day at a time knowing things could’ve been a lot
worse. I have minor whiplash which I am being treated for with
daily physio and my van is a write off. I am seeing things as an
opportunity for learning and personal development as well as an
adventure (rather than a drudgery poor me syndrome).
I can’t change the circumstance but can change how I react to it.
I’ve always known this to be true but now I am practising it. The
course has helped me immensely and I highly recommend it to
everyone and anyone! It’s true that attitude really is everything. It’s
interesting how other things in my life lately have also related to
changing thought patterns and other skills I learned in the course.
Kathleen
Kathleen has battled depression throughout her life and now
experiences Seasonal Affective Disorder (SAD), a type of depression
that occurs in the fall and winter months. This past winter was
especially hard and Kathleen’s doctor recommended the Red Deer
Primary Care Network program Happiness.
Mindfulness was only one of the strategies
Kathleen learned during the six week
program where she felt a sense of
community. “It was uplifting on the dull gray
days and provided tools to use to stay out of
depression,” she says. In addition, Kathleen
knew she had to get active. Through the
encouragement of the Red Deer Primary Care
Network, she started taking yoga classes and
has discovered a real love for it. Her advice
for anyone considering trying the program is
to keep an open mind and try to be available
to change. “It has been awesome for me.”
“I came to the group with no real expectations, or idea of how
Happiness classes would help me; however, after a couple weeks,
I did begin to practice mindfulness and it was quite a surprise to
see how important it is to be present and in the moment.”
“Thank you so much for an awesome learning experience.
Wish I took this course years ago!” – Vi
KathleenKathleen
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Strengthening Relationships
The Facts
Unhealthy relationships can take a toll on mental
health and quality of life. Relationship concerns are the
third most common reason for referral to the mental
health program.
Relationships that Work
The RDPCN 4 week Relationships that Work group
enhances personal, work and family relationships.
The group focuses on what the participant can change
as a person cannot change others.
In 2014 – 2015, 64 people participated in
the program.
Participants reported an average 72% increase in
relationship satisfaction scores after the group.
“I am more aware of myself and my contribution
or lack of in my relationship and I want to change
what I can to be more positive, less condemning
of the person. I will use the words I feel when
discussing issues.” – Participant
Reconnecting People People who attend the Recreation Therapy program have issues such as
finances, confidence, mental health, physical health, and awareness of
leisure activities that hold them back from being active and engaged in
the community. The Recreation Therapist works with the person in the
community to develop skills to increase their engagement in activities.
This leading edge program has moved recreation therapy out of the hospital
into the community. It is one of the only programs in Canada that is health
promotion based.
There were 133 new patients seen in the Recreation Therapy
program 2014 – 2015. There were 551 encounters with patients.
6 months after attending the program patients were 16% better
able to develop and maintain social relationships with family
and friends; experienced 20% better mental health; were less
downhearted and depressed and their risk of becoming depressed
decreased by 23%.
“My health has improved, both physical and mental health.
I look at activity in a different way; what was once a chore
is now an enjoyable experience.” – Patient
“I started going out and doing different things like going shopping
and dancing more.” – Patient
“I found new activities and became more comfortable in a group.” – Patient
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Improved Access to Psychiatry In addition to the 1 in 5 people with a mental illness each year,
Alberta’s Creating Connections: Addiction and Mental Health
Strategy (2011) noted that as many as 10% of the people
over age 15 may be dependent on alcohol or drugs13 and some
are experiencing both mental disorders and substance abuse
problems. When individuals have mental health and/or substance
abuse concerns, they often approach their family doctors fi rst.
Family doctors play a major role in the delivery of mental health
and/or substance abuse care. They may also need to consult
with specialists such as psychiatrists to help with diagnosis and
treatment plans for their patients. Referral to other community
agencies such as AHS Community Addiction & Mental Health
Services may also occur.
RDPCN has partnered with community psychiatrists by supporting
a psychiatric clinic located at the RDPCN offi ce three afternoons
a week. By doing so, psychiatrists without private offi ces of their
own now have a venue to direct referrals from the family doctors.
There were 213 referrals to a Psychiatrist at RDPCN in
2014 – 2015.
13 Centre for Addiction & Mental Health; Mental Health and Addiction Statistics 2010
Dr. Anton ValmanaDr. Anton Valmana
Psychiatrist
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Supporting Youth
Empathy Pilot Project
14 Mental Health Commission, May 2012.
15 Dr. Peter Silverstone, Medical Director, AHS Mental Health Strategic Clinical Network. Empathy Program Proposal
Approximately 5,000 students were screened for mental
health concerns in 2014 – 2015.
119 students were seen for mental health concerns by
RDPCN counsellors in 2014 – 2015.
Results after the online intervention:
Depression and Anxiety scores were significantly
decreased after the online intervention.
Rates of reported suicidality were significantly
decreased.
Students who participated in the program showed
significantly more improvement.
“Reducing the impact of mental health problems and illnesses and
improving the mental health of the population require promotion
and prevention efforts in everyday settings where the potential
impact is greatest.”14
“More specifically, there is strong evidence that appropriate
interventions in schools can have a dramatic impact on reducing
the frequency of youth addictions and mental health problems.”15
The Empathy Pilot Project (also known as the Resiliency Program)
is a partnership between Red Deer Public Schools, Alberta Health
Services, RDPCN and the University of Alberta. Grant funding is
provided by Alberta Health. Schools offer resiliency education
for students in grades 6 – 8. Students from grades 6 – 12 are
screened in the areas of emotional health and addiction issues.
Students identified at risk are then offered an online intervention
supported by Resiliency Coaches. If they need further assistance
RDPCN Mental Health counsellors assess risk, teach coping skills
and provide counselling. If the student is at higher risk they are
transferred to AHS counselling.
“In our school alone, the screening has identified a
significant number of students who were not on our radar
for having mental health issues. What’s really important to
me is students are recognizing they are not alone. That
others are also dealing with many of the challenges and
struggles associate with mental health and wellness.”
– Mark Jones, Central Middle School Principal and RDPCN Community Board Member
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“Very relevant to what our students are
going through at this age. Students
were entertained and focused –
humourous. I realized the pressure
adults put on kids without noticing
how it makes them feel – it’s too
much to handle at times (perfection).
I’m hoping after watching this play
that the kids reach out to others
who are struggling, that they’re more
understanding.” – Teacher
Under My Skin
Under My Skin uses social action drama to provide grade seven students with important
messages and information on body image promotion, healthy active living and positive
perspectives. Grade seven is a crucial time to deal with many of the issues associated
with body image including media messages, self-talk, risky behaviours, well being, and
positive choices. This is a project of the Foundation for Red Deer Public Schools which
has been supported by the Red Deer Primary Care Network for four years.
This year’s production ran for six days in November 2014 and was seen
by 1,164 grade seven students from eleven schools representing four area
school jurisdictions.
Students reported:
Positive self-talk was the biggest take away from the play – to accept
themselves for who they are and to be respectful and kind to others.
Students later thought about how their comments affect their peers.
Happiness Skills
Happiness skills were taught to 4 groups of elementary and middle school children
and to teachers at 2 progressional development days. Examples of skills the students
experienced in partners and small groups include thinking and writing about a positive
experience, savouring, good deeds and positive self-talk.
The goal was to have fun, experience positivity, interact with each other and experience
the benefits of these activities. They explored how they could use the skills moving
forward at school and at home.
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The Facts
The RCMP received approximately 1500 mental health related 911 calls in
2014 – 2015.
PACT
Red Deer’s Police and Crisis Team (PACT) is a two-person outreach team consisting of
a Registered Psychiatric Nurse (RPN) and a RCMP officer. PACT responds to incidents
involving individuals/families experiencing mental health, addiction, or psychosocial
crisis, especially when danger to the public is present. The team provides assessment,
street level intervention and connection to community resources. PACT diverts service
delivery away from the Emergency Room and the Criminal Justice system where possible.
PACT responded to 805 mental health crisis calls in 2014 – 2015 and
diverted 92% of the cases from Red Deer Regional Hospital – Emergency
Room. Social Return on Investment (SROI) of 6:1 was realized for this
program. For every dollar spent, 6 dollars of social value were created.
SROI is a tool for measuring value, taking into account social, economic and environmental
factors. For every dollar invested, social value is created and higher cost health care
services such as ER visits and hospitalization are avoided.
“They were really nice people and
treated me well and took me to get
the help I needed . . . I was really
grateful for them.” – PACT client
Impacting Vulnerable People
Partnering with the RCMP to help people in time of crisis
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Street Clinic
The Street Clinic provides primary care for vulnerable people.
A storefront Street Clinic has been operational for three years
to provide medical services and connect people to agencies for
further help and resources to support them becoming healthier.
The Nurse Practitioner works in consultation with a family doctor,
as needed. Based on the prevalence of mental health and addiction
concerns of many Street Clinic patients, a dedicated mental health
counsellor is assigned to the Street Clinic.
In 2014 – 2015, 131 new patients attended the clinic.
New and follow up patients had a total of 732 visits.
The Social Return on Investment is 3:1.
The top 4 reasons for a visit were:
1. Non-urgent medical care
2. Prescriptions
3. Lab tests
4. Wound care
16 Alberta Primary Health Care Strategy, page 8.
Primary Care for Vulnerable People
The Facts
Vulnerable populations are groups that are not well integrated into
the health care system because of ethnic, cultural, economic,
geographic, or health characteristics. This isolation puts members
of these groups at risk for not obtaining necessary medical care,
and thus constitutes a potential threat to their health.
Although the overall standard of living is high, nearly 10%
of Albertans still live below the poverty line.16
The Point in Time Homeless count for the City of
Red Deer revealed a total of 137 people experiencing
homelessness on October 16, 2014. This result shows a
decrease of 51% from 2012 when the count was 279.
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Homeless but Hopeful
Garry had been homeless for a decade. When he came back
to Red Deer, friends on the street told him to go to the Red
Deer Primary Care Network’s Street Clinic where he could get
connected with the services and organizations he needed. He
was suffering with the skin condition psoriasis and battling panic
attacks. Through the Street Clinic, he found a family doctor to
treat his skin and the Canadian Mental Health Association, who
connected Garry with
a psychiatrist and
counsellor. “The street
nurse works with
you as an individual
and connects you to
others that can help
in areas she can’t,”
says Garry. Today,
Garry’s psoriasis is
under control, he
has found a place to
live and is working
with Employment
Placement & Support
Services to get back
into the work force.
“Getting my toe nails done, in a very gentle and painless manner,
has gotten me to a point where I can again walk and exercise
in comfort. The fact it is provided at no cost to me, as I’m
now on a fi xed pension income, is very much appreciated.” – Ray
Foot Care
As we grow older, three out of four Canadians will develop foot
problems that require medical attention. A Family Nurse provides
foot and nail care at the Street Clinic for those who can’t afford
such services. This is also an opportunity for the Nurse to identify
and address other health concerns.
In 2014 – 2015, there were 34 new patients with a total
of 246 patient encounters.
GarryGarry
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The Facts
The health and wellbeing of the mother during pregnancy and postpartum directly impacts
the long term health of her child.
There were 1,743 births in Red Deer in 2014. This is up 5% from 1,667 in
the previous year.
28 RDPCN Family Doctors deliver babies.
Pregnancy & Babies ProgramRegistered nurses meet with low medical risk women in pregnancy and following birth at 11
medical clinics. They facilitate discussion about prenatal care, nutrition, weight gain, activity,
tobacco and alcohol use, breastfeeding, emotional and social needs and postpartum adjustment.
Women in need of extra support are connected to community agencies. Some of these
agencies include the Family Services of Central Alberta Building Incredible Babies,
Central Alberta Women’s Outreach, Red Deer Housing Authority, AHS Mental Health,
Central Alberta Pregnancy Care Centre, as well as other RDPCN programs.
Impacting Pregnancy and Babies
“You have really been a help to me. I am a lot less anxious now than when I walked
in the door. You answered so many questions and I have been able to talk to you
about things that were worrying me.” – Patient
“Pregnancy can be so stressful and even though I am a googler I don’t know what to
do with some of the information I read or how to use it in my own situation.” – Patient
Access for all
Pregnant WomenPregnant women without a family doctor
can find one through the RDPCN website
where clinics accepting obstetrical patients
are listed. Connecting to a family doctor is
important for consistent prenatal care.
There were 684 patients seen in the Pregnancy & Babies program in 2014 – 2015.
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Impacting People with Chronic Disease and Complex Conditions
17 Report of the Auditor General of Alberta Chronic Disease Management September 2014
18 Report of the Auditor General of Alberta Chronic Disease Management September 2014
Managing Diabetes and High Blood Pressure
Family Nurse and self-management
This program provides information on medical and lifestyle choices to help manage blood
pressure, blood sugar and/or cholesterol. Learning to better manage chronic disease or
complex conditions can prevent and/or delay complications that can negatively affect
health. Lifestyle practices have consistently been shown to slash rates of chronic disease
and premature death by 80%.
There were over 1,292 new patients in 2014 – 2015 in the Diabetes,
Hypertension, Navigation, and Complex Care Planning programs.
The Facts
Chronic diseases are considered the largest
challenge facing our healthcare system.17
More than any other health problem,
chronic diseases shorten people’s lives and
make their lives more difficult.
30% of Albertans have at least one
chronic health condition and this
increases to 75% for those over 65 years.
About 25% of Albertans will develop
diabetes. More than 90% will have high
blood pressure by age 80.18
Insulin Start is a group provided by a Family Nurse who is a Certified Diabetes Educator (CDE).
The group provides information for diabetics on the early management and administration of
both mealtime and long acting insulin. All patients are encouraged to follow-up with their family
nurse for adjustment to reach target. The PCN CDE nurse provides consultation support to the
family nurses. AHS also provides a phone support service. Previously patients were referred to
AHS Diabetes specialty services, but moving it to the primary care level provided better access
and continuity of care, while freeing up AHS to see more complex patients.
In 2014 – 2015, 80 people attended this group.
“With the nurse’s help, my life has become so much better. I am rarely sick anymore, my
blood pressure and blood sugar levels are normal, and my liver enzymes have become normal
as well. I have started exercising almost every day and I’ve lost 30 pounds!” – Patient
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Navigating the SystemWe help to connect people to some of the excellent resources Alberta has to offer. It is
easy to get lost in the health system today, especially for seniors and those who fi nd it
hard to cope anyway.19
Navigation is the connection of patients to AHS or other community agencies for services
or resources such as fi nancial aid, housing, food and counselling. Navigation is a critical
component of complex care management in chronic conditions and pregnancy. Patients
with chronic conditions and their families have multiple health and social needs that are
not easily handled in a traditional doctor offi ce visit.
Barbara’s doctor referred her to Linda, a RDPCN family
nurse for help with her diabetes. Linda navigated her to
AHS Diabetes the Basics education class and then followed
up with her on making changes in her lifestyle. Barbara
noted that Linda gave her lots of information on managing
diabetes and “was persistent in pointing out how important
exercise is.” Barbara’s shoulder pain from a biking accident
limited her mobility. Linda helped her to make a plan to
increase her exercise, which included using an indoor
fi tness facility in bad weather. Barbara says, “I now have
good control of diabetes and am enjoying my life more and
meeting challenges a bit more easily. Linda had a way of
making be feel better about myself. I’m better and happier.
I’m looking forward to healthy 80’s and 90’s and beyond.”
19 Putting People First, Recommendations for an Alberta Health Act, Page 20.
Connections to
Community Resources –
All Programs 2014 – 2015
(Total Navigations = 1,749)
■ Canadian Diabetic Association, 6%
■ Employment/Housing 3%
■ Website/References: 19%
■ Alberta Health Services Chronic
Disease Management: 17%
■ Specialists (dentist, optometrist,
specialist physicians: 7%
■ Addictions and Mental Health: 18%
■ Community services: 11%
■ Other: 19%
BarbaraBarbara
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The Pharmacy program provides detailed
medication reviews for patients prescribed
fi ve or more medications and makes
recommendations to their doctors regarding
changes, if required. The pharmacist works
with patients and their doctors to ensure
optimal management of medications with
a common goal of good health.
30% of patients were on more
than 10 medications per day in
a 2013 survey.
Chronic pain, arthritis and elevated
cholesterol comprised the top three
chronic conditions for patients seen
by pharmacist.
In 2014 – 2015, 127 patients were
seen by a pharmacist.
The pharmacists also provide
unbiased education based on a
current literature review to the
doctors. They presented 46 education
sessions in doctors’ offi ces. The small
group setting facilitates discussion.
I didn’t realize how much a Pharmacist could do for me!
Two months ago Alma felt terrible. Her blood pressure was high and she thought she
might have a stroke. Her constant coughing was interfering with her sleep and she was
exhausted. In addition, she learned the pain medication she was taking for a separate
issue, wasn’t working with her blood pressure medication. Alma stopped taking the pain
meds, but then controlling her pain became a problem.
A Red Deer Primary Care Network pharmacist suggested an alternate form of her pain
medication, which worked as effectively and caused no contraindications. The Pharmacist
worked with Alma to explain all of her medications, answer her questions, and even saved
her money with generic alternatives. Today, Alma is feeling great. Her blood pressure and
pain are under control, she is sleeping through the night and she’s exercising daily. “I would
tell anyone to get a referral to see the Pharmacist immediately. There were a lot of things
I didn’t know!” says Alma.
AlmaAlma
Assisting with Medication Concerns
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Hospice RoundsA pilot project integrated family doctors into the weekly rounds at the Red Deer Hospice.
Rounds are the weekly meeting at the hospice where the Hospice Care Team reviews palliative
patients’ care plans. Since the program was found to be very valuable the program will continue.
12 RDPCN Doctors and 1 RDPCN Pharmacist participate in this program.
“Overall better symptom management and comfort care for all residents. Bedside
rounds demonstrate individual attention to residents.” – Hospice Staff Member
“Interdisciplinary team dialogue around end of life care that otherwise wouldn’t happen.
This has contributed to: increased staff learning and better patient care; better
communication between doctors and staff; increased understanding and appreciation
of different staff roles at hospice which contribute to end of life care; open, thoughtful
and insightful discussions among staff and doctors regarding care.” – RDPCN Doctor
Testing MemoryPeople often go to see their family doctor
when they are concerned about their
memory. The doctor might refer the
patient to the family nurse to carry out
memory testing to help to sort out whether
this is normal aging or whether there is a
cognitive impairment such as dementia.
The Family Nurse uses 3 screening tests
(MoCA, MMSE, SIMARD MD) to assess
changes in memory, reasoning, perception
or functioning. Patients and caregivers
are given resources and navigated to
appropriate community supports.
188 patients were seen for cognitive
screening. 19 of those patients
were connected to First Link for
help with dementia.
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Supporting the Medical HomeThe Patient’s Medical Home (PMH), or Health Home, is a family practice where a person
feels most at home to discuss their personal and family health and medical concerns.
People who have a family doctor have been shown to have fewer hospitalizations and
better health outcomes. The most cost effective care and best outcomes for patients
with chronic diseases occur when family doctors provide and coordinate their care.20
The community of family doctors provide cradle to grave care. RDPCN helped
19 doctors to identify their patient panels with the support of Towards
Optimized Practice.
A panel is a list of patients that have an established relationship with a family doctor. Evidence
shows that patients who consistently see the same doctor or medical home use signifi cantly
fewer health care services, have better outcomes and save the healthcare system money.
Health screening was promoted through
posters in clinics, clinic educational
TV and in our Lifestyle Planner.
20 College of Family Physicians of Canada. September 2011 A Vision for Canada Family Practice – The Patient’s Medical Home
Impacting Access to Continuous and Comprehensive Health Care
Finding a
Family Doctor
RDPCN Website
People who need a family doctor can visit
the RDPCN website for a list of clinics in
Red Deer.
There were over 13,000 hits on this
part of the website in 2014 – 2015.
We do not have a record of the number of
people attached through the website.
Attachment Lists
Attachment Lists were available for
people in Long Term Care, with Mental
Health disorders or requiring Palliative
care. They ensure that these people have
a dedicated family doctor.
About 100 patients were attached in
the past year through this process.
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Educating the Public
Attaching to a family doctor
A slide show by the Towards Optimized
Practice group of Alberta Medical
Association explains the benefits of being
attached to a family doctor and is available
on the RDPCN website and on clinic TVs.
… aspartof
your
Shows…
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Catchesproblems
And,helps
keep youout of
the
Looks at the
Helpsyou
Horizon Family
Medical Clinic
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Is someoneyou can
Who
about you …
… and a
friends andfamily…
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For goodhealth, see
yourregular
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RDPCN Website
RDPCN has a user friendly Website that
informs people of the various programs
and activities of the RDPCN.
The website had over 117,000 hits
this year.
RDPCN Pamphlets and Posters
Pamphlets are given to each patient
to explain programs. Starting in 2015,
the pamphlets and posters added the
following text to explain patients are a
part of RDPCN:
Your Family Doctor is a member of
the Red Deer Primary Care Network
(RDPCN). This means you are a part
of the RDPCN, and these Programs
are for You.
In the RDPCN,
local family
doctors work with
other health
professionals and
Alberta Health
Services to
coordinate the
delivery of primary
health services for
their patients.
Posters are displayed in waiting rooms and
exam rooms. People can ask their Family
Doctor to be referred to the programs.
ProgramsYour Family Doctor is a member of the
Red Deer Primary Care Network (RDPCN).
This means you are a part of the RDPCN,
and these Programs are for You.
In the RDPCN, local family doctors work with other health
professionals and Alberta Health Services to coordinate
the delivery of primary health services for their patients.
Your Family Doctor is a member of the Red Deer Primary Care Network (RDPCN). This means you are part of the RDPCN, and these Programs are for You.
One-on-One in your Doctor’s Office
If you need help with Program Description
Mental Health
Concerns
Mental Health
Counsellor
Brief therapy on effective ways to cope with prolonged stress, relationship issues, grief and loss
and maintaining mental health. Find solutions that are right for you and build on your strengths.
Quitting Smoking or
other tobacco products
Family Nurse Individual support to help you to reduce tobacco use or be tobacco free.
Diabetes, High Blood
Pressure, Cholesterol
Family Nurse Individualized support to help you manage your blood pressure, blood sugar, and cholesterol.
Housing, Finances or
Meals
Family Nurse Help with finding community agencies that best support your needs or concerns such as
housing, finances or meals.
Pregnancy and Babies Family Nurse An opportunity to meet with a registered nurse to discuss your questions and concerns. Learn
about having a healthy pregnancy and baby.
Identifying your interests
and getting active
Recreation
Therapist
Receive education and support to get active in your home and in the community.
Medication Concerns Pharmacist The pharmacist will review your medications, explain how they work, and answer your
questions. The pharmacist will also provide recommendations to your family doctor.
Sleep Health Basics
Coach
This program is for you if poor sleep is affecting your quality of life; you have a persistent
inability to get to sleep, stay asleep or experience refreshing sleep. 1 hour information session
and 6 week online program.
Memory Concerns Family Nurse Screening for significant changes in memory, reasoning, perception or ability to perform tasks.
Nail Care Family Nurse Basic toenail trimming for those with chronic conditions, and/or limited financial resources.
Groups to Empower You
If you need help with Program Description
Choosing healthy living,
losing weight and
becoming more active
Health Basics
Group
Health Basics is an action based program where you will practice making small steps that lead
to big changes. You will learn simple and effective skills to make positive lifestyle choices. The
program holistically includes mindset, activity and nutrition.
Being Happier Happiness
Basics Group
A group for people who want to be happier. Learn skills to make positive changes in your
thoughts, actions, relationships and health, and create more happiness for yourself. Learn what
happy people do, how they think, and purposefully create happiness for themselves.
Reducing Anxiety Anxiety to
Calm Group
This group may be for you if anxiety has stopped you from doing your usual activities and living
your best life. Learn skills to find calm, challenge yourself and live well.
Relationships Relationships
that Work Group
This group may be for you if you are ready to take personal responsibility and learn strategies to
enhance relationships in your life. This includes personal, work and family relationships. Learn
skills to increase communication, better yourself, focus on the positive and take responsibility
for your role in the relationship.
Becoming steadier on
your feet
Strong & Steady
Group
A group for older people who want to become more active, stronger and steadier on their feet.
You will learn 10 exercises to increase your strength, flexibility and balance.
Managing Insulin Insulin Class Learn how different types of insulin work, how to manage insulin and tips on the proper way to
give insulin.
Other Services
If you need help with Program Description
Medical Services for
Vulnerable People
Street Clinic
at Bay 160,
5017 –
49 Street
No Alberta Health care number needed. This program is for vulnerable people in Red Deer’s
downtown core. Services include: prescriptions, birth control planning and medication, blood
work, wound care, high blood pressure and diabetes care, sexually transmitted infection testing
and treatment, mental health counselling and referral to specialists.
Mental Health Crisis Police & Crisis
Team
403.406.2505
Red Deer’s Police and Crisis Team is a two person outreach team of a Registered Psychiatric
Nurse (RPN) and a RCMP Officer. The team responds to calls involving individuals/families
experiencing a mental health, addiction, or psychosocial crisis, especially when danger to
themselves or the public is present. PACT helps people in time of crisis. It connects them with
resources for the longer term. PACT follows up to see that people are doing okay and connected
to resources.
Speak to your family doctor, visit www.reddeerpcn.com or call 403.343.9100 for details about any of these programs.
In the RDPCN, local family doctors work with other health professionals and Alberta Health Services to coordinate the delivery of primary health services for their patients.
March 2015
reddeerpcn.com
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Real People.
Real Success.
Real People Real success is a
public education campaign using
billboards throughout the city and
the RDPCN website to showcase
real people who have made
signifi cant health improvements
and shared their story in order to
inspire others.
I lost 50 pounds and gained a whole new attitude
I attended the Red Deer Primary Care Network’s Health Basics program in the fall of 2011.
I attended all 8 weeks faithfully but it wasn’t my time. My defi ning moment came almost a year
after taking Health Basics. “Mom, come down the slide with me”. My youngest is pulling on my
hand. I am frozen with fear. Fear that I will get stuck on the slide. I knew I couldn’t carry on
the way I had been. I went home that day and I knew my life needed to change, but how?
The next day at work, a co-worker challenged me to sign up for a Spartan Race. I watched
a video and agreed...reluctantly. All the things that I had learned in Health Basics played in
my head and started to click. I started making small changes. I stopped making the morning
muffi n stop and I slowly stopped eating out so much. I began journaling my food. This was a
huge eye opener for me to actually see how easily I could eat double what I should. I started
making larger meals and packing leftovers for lunch. The crock pot became my best friend. I
also started running and those fi rst few weeks nearly killed me, but I kept on going. I surrounded
myself with likeminded people who encouraged me to meet my goals, and made me accountable
for the activity I was, or wasn’t doing. Setting small realistic goals kept me accountable and
motivated. Whether it was to do 5 push-ups or run for 20 minutes, I kept moving forward. I
found focusing on fi tness goals worked and the scale just naturally followed suit. So almost
a year later, I ran the 5km Spartan race that I had signed up for 50 lbs lighter. It was the
most amazing feeling in the world to cross the fi nish line. Within weeks of the fi rst race, I
also completed a 13 km Spartan race and 21 km Spartan race called ‘The Beast’. And yes,
the name says it all! I really did feel, and still do now, that I can do anything I set my mind
to. I can easily say this is a way for life for me now and it’s defi nitely for the better. – Melanie
MelanieMelanie
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91708 PCN Community Impact Report.indd 40 2015-06-03 1:02 PM
2015 – 2016 Plan
Engaging Patients and the Community
• Implement program prescriptions to highlight the importance of RDPCN program referrals.
• Expand community engagement through community partnerships, community board
members and community activities.
• Improve integration with local partners and develop other partnerships as appropriate.
Impacting Lifestyle
• Continue with programs available in 2014 – 2015.
• Community partnerships with the City of Red Deer and community groups will
continue to leverage local resources and champions in creating a sustainable culture
of active living.
• Our Community Plan will build toward the 2019 Canada Winter Games.
• We plan to offer group programs and Health Cafés to organizations in the community.
• Initiate exercise prescriptions for RDPCN, City of Red Deer and community resources.
Impacting Mental Health
• Continue with programs available in 2014 – 2015.
• The Empathy Pilot Program will continue if funding is secured.
• Offer Anxiety to Calm facilitation training for other organizations in the province.
• Develop a Grief program for people coping with loss.
21 Significant references include:
• PCN Evolution Vision and Framework: Report to the
Minister of Health
• The Expanded Chronic Care Model
• AHW philosophy “Recognize that health is
a partnership among individuals, families,
communities, health professionals and organizations
that deliver health care and services – things need to
be seamless to patients.”
• Alberta’s Primary Health Care Strategy
2015 – 2018
Business PlanThis year we developed our 2015 to 2018
business plan21 through a collaborative
process that included RDPCN patients,
doctors, staff, AHS representatives and
community organization representatives.
We are guided by Alberta Health’s
Provincial Objectives for PCNs, Alberta’s
Primary Health Care Strategy and the PCN
Evolution Vision and Framework: Report
to the Minister of Health. The plan builds
on the work done in the previous plans
and the continuous quality improvement
process which is shaped by our evaluation.
Impacting the Future
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Impacting people with Chronic and
Complex Conditions
• Continue with programs available in 2014 – 2015.
• A dementia strategy will be developed through collaboration
with the AHS Seniors Health Strategic Clinical Network.
• A Chronic Pain Program will launch in September 2015 to
help people who experience chronic pain to live a better
quality life.
Impacting Pregnancy and Babies
• Continue with programs available in 2014 – 2015.
Impacting Vulnerable People
• Continue with programs available in 2014 – 2015.
Impacting Access to Continuous and
Comprehensive Care
• Continue with programs available in 2014 – 2015.
• Provide support for the health home.
• Educate the public on the importance of attaching to a family
doctor and health home.
• Establish and manage patient panels or rosters. A panel is a
list of patients that have an established relationship with a
doctor. Once a doctor has a list of his/her patients they can
better manage their care for example with screening.
• PCN Support Nurses will be placed into the clinics to
establish panel management including the development of
disease registries and establishing new clinical operational
processes for prevention and treatment.
• Improve timely access to a family doctor and team.
• Improve patient experience.
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Evaluation Tools Used
SF12-v2®
The SF12-v2® tool is utilized to assess
health and wellbeing, including physical
and mental health. It is used for evaluation
in a variety of programs in the RDPCN.
Social Return on
Investment (SROI)SROI is a tool that measures the social,
environmental and economic value of
an activity or program.22 It calculates
the cost savings for avoiding higher
cost systems such as the Emergency
Department, Hospital Inpatient and
Justice System. It is used in the Street
Clinic and PACT programs.
Happiness ScaleThis instrument is used in the Happiness
Basics Program. Patients determine their
level of happiness on a scale of -10 to
+10 at the beginning and at the end of
the program.
Burns Anxiety
InventoryA 33 question tool that assesses
anxious feelings, thoughts and physical
symptoms. It is used in the Anxiety to
Calm programs.23
Burns Relationship
Satisfaction Test®
This is a tool based on seven relationship
indicators which measure a person’s
relationship satisfaction.24 It is used in
the Relationships That Work program.
22 SROI Canada Network, 2011
23 David Burns (1993). Ten Days to Self-Esteem.
New York, NY: Harper Collins.
24 David Burns (1993). Ten Days to Self-Esteem.
New York, NY: Harper Collins.
Donna ThompsonDonna Thompson
Program Evaluator
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Connecting with the RDPCNIf you are looking for a family doctor
• Go to our website to see the list of family doctors: reddeerpcn.com
If you are a patient of an RDPCN family doctor and would like to get
connected with our programs
• Ask your family doctor for a referral
If you would like more information about RDPCN programs:
• Go to our website: reddeerpcn.com
• Pick up a RDPCN pamphlet at your doctor’s office
• Read the RDPCN poster at your doctor’s office
If you would like to give us feedback or ideas you can:
• Go to the discussion board on the Home Page of our website: reddeerpcn.com
• Call Lorna Milkovich, Executive Director at 403.343.9100
• Email us at info@rdpcn.com
• Visit us at 5120 – 47 Street, Red Deer
Real People. Real People.
Real Successes.Real Successes.
Read their stories
at reddeerpcn.com.
Thank you for
inspiring others!
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