Clay Barber

Shared Care Committee

Building relationships, improving quality

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Partners

in Care

Transitions

in CareTeledermatology

Practice Support

Program

Northern PiC

(UNBC)

Scholarships &

ReDesignPolypharmacy

Rapid Access to PsychiatryYouth

Transitions

Central

Okanagan

RichmondS. Vancouver

Island

& Victoria

Providence South

Okanagan

many more

locations…

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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

8Providence 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

ChilliwackCowichan

White Rock-South Surrey

PIC Confirmed sites

PIC Under development sites

• Over 1500 FPs

• Over 200 SPs

Mission

North Okanagan

Other Shared care sites

KelownaSurrey

Maple Ridge / Abbotsford

Nanaimo

Victoria

Saltspring

Kitimat Prince GeorgeTerrace

Smithers Fort St. James

Burns LakeFraser 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 informationShared Care Committee

115 - 1665 West Broadway

Vancouver, BC V6J 5A4

Tel: 604 736-5551

www.bcma.org