One Nail at a Time: Insights for Building Your Patient's Medical Home

Dr. Rick Ward joins us again to talk about how his clinic is managing team, patient and physician wellness the during this challenging time.

• AMA Physician and Family Support Program
• Well Doc Alberta
• AHS COVID-19 Information for AHS Staff & Health Professionals
• Specialist Link COVID-19 Resources
• AMA Covid-19 Resource Page

A PMH Culture of Joy with Kush Badshah

• Joy in work is not just about reducing burnout and increasing resilience
• How joy impacts primary care teams and also patients
• Simple tips for creating a culture of joy in your clinic

Be sure to check out IHI Framework for Improving Joy in Work.

Today’s podcast covers:

• Dr. Kim’s experience working with PCN CDM RN, Sharon Parmar, and how they worked together with patient Bill Olson to achieve great health outcomes
• The importance of introducing team members to patients with intention
• Communication strategies in a busy practice
• The impact and influence of care team relationships on patient engagement – a little fun goes a long way!

Resources:

Introducing team members with intention

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Dr. Janet Craig shares with us:

• Simple strategies for improving efficiency that lead to better access for patients
• The relationship between panel, continuity and access

Resources:

• Panel Size: How Many Patients Can One Doctor Manage?

This is just Part 1 of Enhanced Access!  Watch for Part 2, which will address issues like part time providers and locums.

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Today’s podcast covers:

• Supporting patients in self-management through an inclusive team approach
• Use of a patient portal and ‘virtual’ patient care through secure messaging
• Leveraging team to optimize patient care
• The importance of the team ‘huddle’ – formal or informal, virtual or in person

Resources:

• Team Huddles Guide – scroll to ‘Test Box 2: Sample Huddle Checklist’
• Health Service Code 03.01S: Physician to patient secure electronic communication

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Today’s podcast covers:

• The evolution of Dr. Ward’s practice from physician-based to team-based care
• How a practice facilitator can support the clinic in developing team processes
•  How sharing the burden of complex patients can impact physician and team morale
• How solo practitioners can practice a type of team-based care
• The unexpected benefits of dealing with conflict in a team 

Resources:

Training Opportunities for Practice Facilitators  https://top.albertadoctors.org/events/Pages/Core-Practice-Facilitator-Training-Sept-19-Oct-22-Oct-23.aspx

HQCA Panel Report https://www.hqca.ca/health-care-provider-resources/panel-reports

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Today’s podcast covers:

• The positive effects of relational continuity of care on patients, providers and healthcare systems, according to research – including the very significant reduction in patient mortality rates
• How continuity ‘weaves’ through and impacts the other Patient’s Medical Home implementation elements
• Ideas for getting started, including conversations with patients
• Beyond relational continuity – a description of informational and management continuity

Resources:

HQCA Primary Healthcare Panel Report https://www.hqca.ca/health-care-provider-resources/panel-reports

TOP Continuity Clinical Practice Guideline  http://www.topalbertadoctors.org/cpgs/15981166

Continuity posters for patients https://pcnpmo.ca/continuity/Pages/default.aspx

Community Information Integration (CII) and Central Patient Attachment Registry (CPAR) https://top.albertadoctors.org/PMH/panel-continuity/CII-CPAR/Pages/default.aspx

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Today’s Podcast Covers:

• The value of care planning with patients with complex health conditions and how it can enhance continuity of care
• Using the care plan document to share and receive information with other providers (e.g., pharmacist) about the patient and their conditions 
• Engaging the clinic team to help coordinate and manage care planning activities
• How care planning can lead to increased physician job satisfaction and improved health outcomes for the patient

Resource:

Care Planning – tools & resources: http://www.topalbertadoctors.org/pact/toolsresources/

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Today's Podcast Covers:

• Difference between research and QI
• Each person in the clinic has a part in improving
• Where do you start with your clinic team?
• Importance of measures
• Where do I get QI skills?

Quick Links:

• PMH Implementation Element Graphic: http://www.topalbertadoctors.org/file/guide-to-implementation-elements-pmh.pdf
• IHI (Institute for Healthcare Improvement) website: http://www.ihi.org/
• University of Calgary Department of Family Medicine Resident Manual: https://www.calgaryfamilymedicine.ca/Research/Resources/QI%20handbook%202018.pdf
• TOP (Toward Optimized Practice) Quality Improvement Guide: https://www.topalbertadoctors.org/file/quality-improvement-guide.pdf
• TOP Improvement Facilitator Training: http://www.topalbertadoctors.org/events/improvementfacilitatortraining/

Questions? Ideas?  Leave us a comment or send an email to [email protected]

Sit in as we discuss the opioid response with Dr. Christine Luelo. We discuss the role of primary care in Alberta’s opioid response, practical tips for primary care clinics to do this work effectively (using all of the team members), how to use non-judgmental language talking to patients and the importance of panel – knowing who your patients are.

Primary Health Care Opioid Response Initiative:  http://www.topalbertadoctors.org/phc-opioid-response/

Alberta College of Family Physicians: https://acfp.ca/tools-resources/tools-resources-opioid-response/

Questions? Ideas?  Leave us a comment or send an email to [email protected]