B1 Clay Barber - Building relationships, improving quality

Clay Barber

Shared Care Committee

Building relationships,

improving quality

2 2

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.

4

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

8

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

9

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.

10

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.

11

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