Conference 2015 Program - Primary Care Networks Program … 2015... · 2016-01-04 · 4 Calgary, Alberta — Nov. 6–7 — POGA — 2015 Accelerating Primary Care Conference General

In collaboration with:

Hosted by:

November 6-7

2015Calgary, Alberta

ConferenceProgram

Calgary, Alberta — Nov. 6–7 — P R O G R A M — 2 0 1 5 Accelerating Primary Care Conference2

Conference OverviewLearning objectives:

Conference participants will be able to:

• Evaluate the current state of primary care teams in Alberta.

• Discover what it means to build a team’s internal capacity for change.

• Explain the challenges facing primary care teams in Alberta.

• Identify resources, programs, and supports in place for change management.

• Establish relationships with peers, share successes and best practices.

• Understand the benefits to patients supported by high functioning primary care teams.

• Describe options for improving health team effectiveness.

Program Accreditation:

Certificates of attendance will be displayed at the end of Friday, November 6, at the registration desk.

This program has been accredited by the College of Family Physicians of Canada and the Alberta Chapter for a maximum of 10.5 Mainpro-M1 credits.

Maintenance of Certification:

Attendance at this program entitles certified Canadian College of Health Leaders members (CHE / Fellow) to 6.25 Category II credits towards their maintenance of certification requirement.

Calgary, Alberta — Nov. 6–7 — P R O G R A M — 2 0 1 5 Accelerating Primary Care Conference 3

Steering Committee

Chair: Dr. Brad Bahler, Medical Director, PCN Evolution

Dr. Mike Donoff, Family Physician, Edmonton Oliver Primary Care Network

Dr. Charles Leduc, Head, Department of Family Medicine, Cumming School of Medicine, University of Calgary

Dr. Richard Lewanczuk, Senior Medical Director, Primary Health Care and Chronic Disease Management, Alberta Health Services

Shannon Berg, Executive Director, Primary Health Care, Addiction and Mental Health, Alberta Health

Luke Brimmage, Executive Director, Aspen Primary Care Network

Alexis Caddy, Manager, Communications, Primary Care Networks Program Management Office

Soraya Haynes, Senior Director, Provincial Primary Health Care, Alberta Health Services

Denise Hill, Program Director, Primary Care Networks Program Management Office

Terri Potter, Executive Director, Alberta College of Family Physicians

Hailey Riendeau, Events Coordinator, Primary Care Networks Program Management Office

Speaker Committee

Dr. Brad Bahler, Medical Director, PCN Evolution

Arvelle Balon-Lyon, Assistant Program Director, Toward Optimized Practice

Shannon Berg, Executive Director, Primary Health Care, Addiction and Mental Health, Alberta Health


Carol Ellendt, Senior Consultant, Alberta AIM


Tony Mottershead, Program Manager, Alberta AIM

Kari Remington, Clinical Process Advisor and Health Consultant, Toward Optimized Practice


Joy Scott, Leadership Portfolio Manager, Engaged Leadership Secretariat

Scientific Committee

Dr. Brad Bahler, Medical Director, PCN Evolution

Dr. Mike Donoff, Family Physician, Edmonton Oliver Primary Care Network

Dr. Charles Leduc, Head, Department of Family Medicine, Cumming School of Medicine, University of Calgary

Lorraine Bucholtz, Executive Director, Calgary Foothills Primary Care Network



Sponsorship Committee


Soraya Haynes, Senior Director, Provincial Primary Health Care, Alberta Health Services



Susan Wong-Armstrong, Manager, Events and Communications, Alberta College of Family Physicians

CONFERENCE OVERVIEW


General InformationPassports – a fun way to navigate the conference!

Enclosed in your conference bag is the conference passport – a way to make the most of APCC! Request an initial for every section on the passport you visit. When your card is full, drop it into the draw box at the registration desk to win a selection of prizes including Eduardo Salas’ book, Team Training Essentials. The winners will be drawn during the closing remarks on Saturday.

Posters and Exhibits

Visit Imperial 1, 2, 3 Ballroom to view the abstract posters and meet the authors. Coffee breaks, as well as the evening reception on Friday, November 6, will be held in this room.

A digital copy of the abstracts will be available online at pcnpmo.ca.

Team Wall

Wondering how the rest of Alberta views team challenges and successes in primary care? Visit the team wall in the Imperial 1, 2, 3 Ballroom to see what others are saying and share your thoughts!

Best Poster Award

The best poster award will be presented on Saturday, November 7, before the conference closing remarks.

Speaker Presentations

Speaker presentations will be posted on the conference website, www.pcnpmo.ca the week of November 16-20.

Conference Evaluation Form

We value your feedback and encourage you to fill out the short evaluation form found at the back of this program. When complete, please drop it off at the registration desk or email it to [email protected].

Social Media

Join the conversation on Twitter by using hashtag #2015APCC

WiFi Access

Wireless access at the Hyatt Regency is available to attendees using the code APCC.

Certificate of Attendance

Certificates of attendance will be ready for pick up at the registration desk at the end of Friday, November 6.


Schedule at a GlanceTIME

IMPERIAL BALLROOM 4, 5, 6, 7, 8, 9

STEPHEN A STEPHEN B HERALD DOLL BANNERMAN WALKER

FRIDAY, NOVEMBER 6, 2015

7:00am Breakfast and Registration | Imperial 4-9 Ballroom

8:00am Opening Remarks | Imperial 4-9 Ballroom

8:15amWhat matters in teamwork: enabling health care team effectiveness for the delivery of high-quality primary care Eduardo Salas, PhD

9:30am CONCURRENT SESSIONS

Enabling a team of primary care experts to be an expert team

Eduardo Salas, PhD

The art of integrating several teams into ONE enhanced interdisciplinary team

Joe Kwan, BScPharm

Yolanda Martens Van Hilst, RN

Calgary Foothills PCN

Transitions from acute care to primary care

Heather Neumann, RN, BScN

St. Albert and Sturgeon PCN

Physician engagement: The first step for guiding patient medical home transformation

David MacDonald, BSc.PT, MBA

Nandini Raj, BSc., MPH

Calgary West Central PCN

Opening the doors: A collaborative transition process to assist stable complex mental health patients back to patient medical home for mental health management

Sarah Willis, RN

Central Family Medicine Teaching Centre

Richard Alarie, M.A., R. Psych

Addiction and Mental Health Central Clinic

10:30am Coffee break and poster viewing | Imperial 1, 2, 3 Ballroom

11:00am CONCURRENT SESSIONS


Eduardo Salas, PhD


Joe Kwan, BScPharm

Yolanda Martens Van Hilst, RN

Calgary Foothills PCN


Heather Neumann, RN, BScN

St. Albert and Sturgeon PCN

Physician engagement: The first step for guiding patient medical home transformation

David MacDonald, BSc.PT, MBA

Nandini Raj, BSc., MPH

Calgary West Central PCN


Sarah Willis, RN

Central Family Medicine Teaching Centre

Richard Alarie, M.A., R. Psych

Addiction and Mental Health Central Clinic

12:00pm Lunch | Imperial 4-9 Ballroom

1:15pmBuilding the internal muscle for change required to transform primary care in Alberta Chris Wise, MHSA, PhD

2:30pm Coffee break and poster viewing | Imperial 4-9 Ballroom

2:45pm CONCURRENT SESSIONS

Getting started with practice-level medical home implementation

Chris Wise, MHSA, PhD

Managing large scale change in a primary care, multi-clinic environment

Mirella Chiodo

Department of Family Medicine, University of Alberta

CHANGE ALBERTA: Expanding diet and exercise interventions in primary care in Alberta

Dr. Doug Klein, MD, CCFP

Edmonton Oliver PCN

Using EQ5D5L for optimal multidisciplinary team composition

Bonnie Lynn Wright, PhD, MScN, BA, RN, CE

Sophie Piroozfar MSc, BSc

South Calgary PCN

3:45pm - 5:00pm

Networking reception and poster viewing | Imperial 1, 2, 3 BallroomCash Bar


TIMEIMPERIAL

BALLROOM 4, 5, 6, 7, 8, 9

STEPHEN A STEPHEN B HERALD DOLL BANNERMAN WALKER

SATURDAY, NOVEMBER 7, 2015

7:30am Breakfast and Registration | Imperial 4-9 Ballroom

8:00am“Beyond Minimal Standards” How can the College promote quality initiatives like the medical home? Imperial 4-9 Ballroom, Dr. Ernst Schuster, Colege of Physicians and Surgeons of Alberta

8:15am Measuring and monitoring: a multi-level activity

Dr. Donald Chan, MD, CCFP, FCFP

Lori Apostal, MBA, BScN, RN

Shannon Berg, PhD

Workshop: Leading social systems: a focus on partnership in organizational life

(Sign up required at registration desk for this full morning session)

9:30am CONCURRENT SESSIONS CONCURRENT SESSIONS

Improvement café: practical measuring and monitoring tactics



Shannon Berg, PhD

Managing large scale change in a primary care, multi-clinic environment

Mirella Chiodo

Department of Family Medicine, University of Alberta

CHANGE ALBERTA: Expanding diet and exercise interventions in primary care in Alberta

Dr. Doug Klein, MD, CCFP

Edmonton Oliver PCN


Bonnie Lynn Wright, PhD, MScN, BA, RN, CE

Sophie Piroozfar MSc, BSc

South Calgary PCN

10:30am Coffee break and poster viewing | Imperial 1, 2, 3 Ballroom

10:45am Improvement café: practical measuring and monitoring tactics



Shannon Berg, PhD

Workshop Continued Time2Talk (T2T): 2 years and thriving!

Patrick C. Griffin, MS, RSW

Martha Nystrom, BSP, MBA

South Calgary PCN

9 Caregivers - an integral part of the care team

Debra Paches BScN, RN, GNCC

Alberta Caregivers Association

11:45am Lunch | Imperial 4-9 Ballroom

1:00pm Getting started with practice-level medical home implementation

Chris Wise, MHSA, PhD

8 Time2Talk (T2T): 2 years and thriving!

Patrick C. Griffin, MS, RSW

Martha Nystrom, BSP, MBA

South Calgary PCN

9 Caregivers - an Integral Part of the Care Team

Debra Paches BScN, RN, GNCC

Alberta Caregivers Association

2:00pm Coffee break and poster viewing | Imperial 1, 2, 3 Ballroom

2:15pm - 3:30pm

“Cultural transformation: what does this really mean?” Closing Remarks Best Poster Award

SCHEDULE AT A GLANCE


Session DescriptionsWhat matters in teamwork: enhancing health care team effectiveness for the delivery of high- quality primary care

Eduardo Salas, PhD

Curious about the science of teamwork? The evidence behind teamwork tells us that in today’s complex and interdependent clinical work that teamwork is vital to support quality patient care. Join Eduardo Salas, PhD from Rice University, leading expert in team science, as he walk us through the evidence-based value of investing in team performance and the link between team performance and patient outcomes. By highlighting key competencies and the seven Cs of teamwork, he will demonstrate what we can do to strengthen and engage Alberta’s primary health care teams.


Eduardo Salas, PhD

Today’s primary health care teams face an unprecedented range of opportunities and challenges. Join Eduardo Salas, PhD to continue the conversation in a workshop highlighting what matters in teamwork and hear his recommendations for getting started in developing and sustaining high performing teams in your clinics and organizations.


Yolanda Martens Van Hilst, RNJoe Kwan, BScPhmCalgary Foothills Primary Care Network

How can you align several programs into one comprehensive team that is dedicated to improving access for patients and care coordination between primary and specialty care? That is what the team at Calgary Foothills PCN asked themselves.

By sharing their experience with creating a holistic and biopsychosocial care model hear about how the PCN has delivered care by investing in team and relationship building.


Heather Neumann, RN, BScNSt Albert and Sturgeon Primary Care Network

Hear about the Transitions from Acute Care (TAC) strategy which focuses on moving toward the goal of establishing a truly patient-centered, collaborative health team approach. How will our patients experience primary care when we provide patient care seamlessly, while acknowledging the culture and community the patient lives in? The St. Albert and Sturgeon PCN has developed processes to support the transfer of information and knowledge to promote system-wide effective patient care planning.


Physician engagement: the first step for guiding patient medical home transformation

Nandini Raj, BSc, MPHDavid MacDonald, BSc.PT, MBACalgary West Central Primary Care Network

When surveyed, more than 50% of Calgary West Central PCN member physicians were unsure about the purpose of patient medical homes and where to begin. Given the complex nature and distribution of their member physician practices, the challenge was to determine how they can engage its member physicians to begin or continue their journey toward becoming a patient’s medical home.

Hear about the strategies and tactics used for change management that is helping the PCN move toward having 100% of their physician members engaged in medical home activities.


Sarah Willis, RN, BNCentral Family Medicine Teaching CentreRichard Alarie, MA, R. PsychAddiction and Mental Health Central Clinic

Learn about how the Addiction and Mental Health Central Clinic (AMHCC) partnered with the University of Calgary’s Central Family Medicine Teaching Centre (CFMTC) to create a process for handling complex mental health patients as they transition back to primary care for mental health management. This session demonstrates that family medicine clinics can manage patients with stable complex mental health problems by establishing good communication and working together to provide comprehensive care to patients.

Building the internal muscle for change required to transform primary care in Alberta

Christopher G. Wise, MHSA, PhD

In this session, Dr. Wise will present his experiences, observations and published findings related to health system and primary care practice redesign, patient-centered care implementation, process improvement, practice facilitation, and building a culture for continuous improvement. These findings are derived from work with more than 100 primary care practices and multiple health systems in the United States over the last decade, along with sponsored research of patient-centered medical home implementation. In addition, a brief overview of Lean Thinking process improvement techniques and their application in support of practice redesign will be provided.

Getting started with practice-level medical home implementation

Christopher G. Wise, MHSA, PhD

Join Dr. Wise for a workshop style conversation where he will walk through the successes and challenges experienced by primary care practices and interdisciplinary teams who have lead the way in implementing the patient’s medical home. What did they learn? How did they overcome barriers? What tools did they use to successfully implement new ideas into practice?

SESSION DESCRIPTIONS


Measuring and monitoring: a multi-level activity

Dr. Donald Chan, MD, CCFP, FCFPLori Apostal, MBA, BScN, RNShannon Berg, PhD

There are many levels when it comes to measurement, but how do they all relate? Hear the perspectives from a Physician, PCN Executive Director, and Alberta Health on how measuring for improvement evolves into accountability at the system level. Our panel will take a deeper dive into what measurement and evaluation means to them and what it means for the communities served by PCNs in Alberta.

Improvement café: practical measuring and monitoring

Dr. Donald Chan, MD, CCFP, FCFPLori Apostal, MBA, BScN, RNShannon Berg, PhD

Continue the conversation with our panel of special guests as they share lessons learned in measurement and evaluation. Engage with our panel in a practical discussion on guidance for overcoming barriers to engagement, as well as barriers to collecting, using, or reporting information at the provider, clinic, PCN or provincial level.

Leading social systems: a focus on partnership in organizational life

Phil Cady CD, BSW, MALT, DSocSci (Cand)

This two-hour workshop is a dynamic, yawn-free experience that focuses on the worlds of Tops, Middles, Bottoms and Customers (consumers/clients/patients) during turbulent times in organizations. We will get to the heart of partnership in organization life - what makes partnership so critical, what gets in the way of it developing, and what the role of leadership is in making it happen. This visceral approach enables the learning to get beyond the head level to where it really hits home and sticks.

Managing large scale change in a primary care, multi-clinic environment*

Mirella Chiodo, Department of Family Medicine, University of Alberta

Hear about how the Department of Family Medicine created a quality improvement infrastructure model that would support four very unique, autonomously run clinics through their journey of primary care evolution. By realizing the need for leadership support to lead the significant changes such as EMR implementation, office efficiency principles, and a culture shift to measurement and accountability, the role of the Quality and Informatics Manager was created.

Mirella will share about the creation of the Quality and Informatics team, strategies used and lessons learned in the management of large scale change using this model.

* This session requires sign-up at the registration desk on Friday, November 7

CHANGE ALBERTA: expanding diet and exercise interventions in primary care in Alberta

Doug Klein, MD, CCFPEdmonton Oliver Primary Care Network

Metabolic syndrome (MetS) is estimated to occur in 1 in 5 people and is the basis of cardiovascular disease, stroke, diabetes and their complications, which are major contributors to rising health care costs. Hear about the C.H.A.N.G.E. Program, an evidence-based lifestyle intervention that combines scientific evidence, the patient’s family doctor, and the expertise of team-based care to create a personalized plan that is monitored at regular intervals.




Sophie Piroozfar, MSc, BScBonnie Lynn Wright, PhD, MScN, BA, RN, CESouth Calgary Primary Care Network

A distinguishing feature of PCNs in Alberta is the provision of multidisciplinary healthcare. The question is what is the optimal number of types of disciplines over what number of visits to produce positive changes in overall health as measured by EQ-5D-5L?

The evaluation team at South Calgary PCN has begun to identify the combined impact of multiple providers and number of visits on EQ-5D-5L VAS Scores in four groups of chronic patients. Hear about the processes undertaken and first calculations made in this ongoing work.

Time2Talk (T2T): 2 years and thriving!

Patrick Griffin, MS, RSWMartha Nystrom, BSP, MBA South Calgary Primary Care Network

The creation of a medical home within the PCN environment challenges us to serve the whole person – medically and psychologically. PCN’s are in a strategic place in a patient’s life to identify mental health issues and invite the patient to collaborative care so that we can address mental health concerns at the earliest possible opportunity.

The South Calgary Primary Care Network took on this commitment and created “T2T” (Time to Talk). Join us to hear about our journey in moving from creation to pilot project to a fully integrated mental health service located within the PCN.

Caregivers: an integral part of the care team

Debra Paches, BScN, RN, GNCCAlberta Caregivers Association

80-90% of community care is being provided by unpaid caregivers, who need support and resources to prevent depression, isolation and becoming overwhelmed. As the PCN teams work together to provide comprehensive care – the family caregivers need to be incorporated into the care plans. This session will look at caregiving in Alberta – the issues, impacts and concerns that effect the over 600,000 caregivers in our province. This session will also highlight the programs offered by the Alberta Caregivers Association, for both caregivers and care providers, to learn about resources, supports and developing self-care attitudes and practices.

Cultural transformation: what does this really mean?

Those who have implemented the Patient’s Medical Home will tell us this work is about cultural transformation. What does this really mean? How do we as interdisciplinary providers, health and community leaders affect cultural change? What role can each of us individually and as team members play to support this journey? Join this closing session to glean practical lessons that will support you and your team’s contribution to accelerating primary care in Alberta.



Presenter BiographiesRichard Alarie, MA, R. PsychRichard works as the clinical supervisor for the Addiction and Mental Health Central Clinic (A&MHCC). He is a registered psychologist and completed his post-secondary education at Lakehead University obtaining a Masters of Arts in Clinical Psychology. Over his career, he has worked in a number of community settings providing crisis, outreach and clinic-based mental health services. In his current role, Richard is involved in overseeing daily clinical operations, including intake, staff supervision and program development. Richard has been involved in the collaboration between A&MHCC and the Central Family Medicine Teaching Centre since October 2014.

Lori Apostal, MBA, BScN, RNLori is the Executive Director for the Wood Buffalo PCN. With over 25 years of nursing experience, Lori has worked in a variety of clinical, education and administrative positions in both acute care and primary care settings. In 2013 Lori returned to her home town of Fort McMurray to take on her role with the PCN. She is passionate about bringing health care resources into her community and has a special interest in providing access to the First Nation’s communities in the municipality of Wood Buffalo.

Shannon Berg, PhDShannon Berg is Executive Director, Primary Health Care, Addiction and Mental Health with Alberta Health. She has more than 30 years of experience in the health care industry in a variety of roles and settings. She is a registered occupational therapist, holds a PhD in Health Services Research, a clinical assistant professor at the University of British Columbia Department of Occupational Science and Occupational Therapy, an associate with Vancouver Coastal Health Research Institute’s Centre for Clinical Epidemiology and Evaluation, and adjunct faculty at University of Alberta’s Faculty of Rehabilitation Medicine.

Phil Cady CD, BSW, MALT, DSocSci (Cand)Phil Cady is President of Cognitive Leadership Strategies West (CLSWEST) and a founding partner of the LEADS Learning scholar practitioner network. He is an Associate Faculty member in the MA in Leadership (Health Care Specialization) and MBA programs at Royal Roads University, and the Conference Board of Canada’s Director’s College. Phil also serves on several organizational boards and frequently volunteers his services to non-profit and social-mission-driven organizations. He is an active Doctor of Social Sciences student at RRU and is studying and researching in the area of complexity science and social systems leadership in a health care context. Phil has brought leadership and learning opportunities to organizations of all sizes and complexity from across the world. His passion for studying and transforming human social systems has afforded him many incredible opportunities to study system leadership in many sectors and contexts.

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Don Chan, MD, CCFP, FCFPDr. Chan is a graduate of the University of Calgary’s Faculty of Medicine, and completed his Family Medicine residency at the University of Alberta. Since then, he has been in a community-based family practice in Edmonton since 1989. When he’s not practicing, he is a clinical lecturer with the University of Aberta’s Department of Family Medicine and is currently sits on the board of the Edmonton North Primary Care Network. Additionally, Dr. Chan has been a physician mentor with the Alberta Medical Association’s Physician Office System Program.

Mirella ChiodoMirella Chiodo is the Quality and Informatics Manager for the Department of Family Medicine at the University of Alberta. Her responsibilities include leading quality improvement and patient safety initiatives and electronic medical records meaningful use at the four Academic teaching clinics. In addition, she has maintained a role as Alberta AIM Faculty assisting physicians and their teams focus on access, efficiency and clinical care improvements for the past 7 years. Mirella is also certified in the Prosci change management methodology.

Patrick Griffin, MS, RSWPatrick Griffin is the Clinical Supervisor for “Time to Talk”, the mental health program for the South Calgary PCN. Patrick graduated from The Columbia University School of Social Work (NYC) and had done post-graduate training at the CG Jung Institute (Chicago) and the Psychosynthesis Center (WI). His career in adult mental health has included direct patient care, administration, clinical supervision and program consultation & design. Patrick is a Sessional Instructor in the Faculty of Social Work at the University of Calgary.

Doug Klein, MD, CCFPDr. Doug Klein is an Associate Professor with the Department of Family Medicine at the University of Alberta. His research experience has included both qualitative and quantitative research methods. He is the founder and the Director of the CHANGE ALBERTA Research team. He has been recruited for his experience in primary care research by provincial and national committees. Dr. Klein is a recognized expert on lifestyle interventions in primary care and has several ongoing projects based in primary care in Alberta, including the MOVE program, CHANGE ALBERTA, and a new blog for patients www.changehealth.ca.

Joe Kwan, BScPharmJoe Kwan is a pharmacist and Extended Team Manager for the Calgary Foothills PCN. He has worked in Manitoba, British Columbia, and Alberta in various practice settings including community pharmacy, long-term care, acute care and primary care. Facilitation and interdisciplinary team-based patient care are a passion of his, and he looks forward to sharing his learnings and experiences with all of you!

PRESENTER BIOGRAPHIES


David MacDonald, BScPT, MBADavid MacDonald oversees the Department of Practice Effectiveness at the Calgary West Central PCN that supports physician members with medical home activities such as panel validation, maintenance, enhanced access strategies, use of disease registries, and screening. David has worked as a physical therapist for 25 years and has been a credited surveyor for CARF as well as surveying organizations in Canada, United States, England and Sweden. He attended Queens University where he received his Bachelor of Science degree in Physical Therapy and his MBA.

Yolanda Martens Van Hilst, RNYolanda Martens Van Hilst is a Registered Nurse and Program Manager for the Calgary Foothills PCN. She has extensive experience in leading interdisciplinary teams and working with a variety of specialty services to improve care for the family physicians and their patients.

Yolanda graduated from nursing in 1993 and moved from the Netherlands to Canada in 1996. She had the opportunity to work in northern BC, North West Territories and Alberta. She has a passion for exploring new and innovative ways of designing and delivering health care services in primary care.

Heather Neumann, RN, BScN The St. Albert and Sturgeon PCN welcomed Heather as their Clinical Manager in February 2015. Throughout most of her nursing career, she has focused on the development of community case managers and facilitating collaboration within health care partners and inter-professional teams. While providing leadership to clinical practice and program development at the PCN, Heather seeks to answer this question: “How will our health system and the care we provide look different when we truly provide patient-centred, collaborative care?” She is a graduate of Foothills School of Nursing (1980) and the University of Alberta (1984).

Martha Nystrom, BSP, MBA Martha Nystrom is the South Calgary PCN Program Manager for the Mental Health programs including “Time to Talk.” Martha graduated from the University of Saskatchewan with a Bachelor of Science in Pharmacy and from the University of Calgary with a Master’s in Business Administration. Her career has involved providing and developing clinical pharmacy services for mental health patients in both hospital and community pharmacy practice settings. She joined the SCPCN following the completion of the pilot phase for the Time to Talk program.

Debra Paches, BScN, RN, GNCCDebra has been a Registered Nurse since 1977, with experience in neurosurgery and medicine. From 1983 to 2014, Debra worked in geriatric rehabilitation at the Edmonton General and Glenrose Rehabilitation Hospital. Debra worked as a staff nurse, charge nurse, unit manager, clinical educator and case coordinator. Debra also worked delivering education programs to introduce the Seniors Delirium Protocol to hospitals in the Edmonton region and developing/delivering education programs for staff (e.g.: N.I.C.H.E.).

Debra joined the Alberta Caregivers Association in 2014 as the Caregiver Navigator Coordinator, charged with developing and delivering the Navigator workshop for Health Providers and facilitating the Caregiver Support Team.




Sophie Piroozfar, MSc, BScSophie Piroozfar works as an Information Analyst in the Evaluation and Business Informatics team in South Calgary PCN. She received her Master’s degrees in Mathematics from Uppsala University (Sweden) and in Economics from KTH Royal Institute of Technology (Sweden). She has completed her Bachelor’s degree in Mathematics as well.

Nandini Raj, BSc., MPHNandini Raj leads the Sustainable Family Practice program at the Calgary West Central PCN which provides member physicians the learning and knowledge transfer to support them with panel and practice effectiveness work in their clinical practices. She also previously led the Alberta Screening and Prevention (ASaP) Initiative for the CWC PCN. Nandini has previously worked in Quality Improvement with Cancer Screening Programs at the Alberta Health Services. She has a Master of Public Health from Boston University, Massachusetts.

Eduardo Salas, PhD Eduardo Salas is a Professor and Allyn R. & Gladys M. Cline Chair in Psychology at Rice University. Previously, he was a Trustee Chair and Pegasus Professor of Psychology at the University of Central Florida where he also held an appointment as Program Director for the Human Systems Integration Research Department at the Institute for Simulation and Training. Before joining IST, he was a senior research psychologist and Head of the Training Technology Development Branch of NAWC-TSD for 15 years. During this period, Dr. Salas served as a principal investigator for numerous R&D programs that focused on teamwork, team training, simulation-based training, decision-making under stress, safety culture and performance assessment.

Dr. Salas has co-authored over 450 journal articles & book chapters and has co-edited 27 books. His expertise includes assisting organizations in how to foster teamwork, design and implement team training strategies, facilitate training effectiveness, manage decision making under stress, develop performance measurement tools and create a safety culture. Dr. Salas is a Past President of the Society for Industrial/Organizational Psychology and the Human Factors and Ergonomics Society, a Fellow of the American Psychological Association and a recipient of the Meritorious Civil Service Award from the Department of the Navy. He is also the recipient of the 2012 Society for Human Resource Management Losey Lifetime Achievement Award, and the 2012 Joseph E. McGrath Award for Lifetime Achievement.

Ernst Schuster, MD, CCFP, FCFP, CCPEDr. Schuster is a full service, hospital based family physician and Clinical Professor for the Department of Family Medicine, University of Alberta and a Senior Medical Advisor and Project Lead for the Practice Review Pilot for the College of Physicians & Surgeons of Alberta.

Dr. Schuster has been clinical faculty of AIM Alberta and an Associate Zone Medical Director for primary care and the rural hospitals in the Edmonton Zone. As a founding Co-Chair, he contributed to the development of Alberta’s primary care networks (PCNs). He has been a Board Member and Speaker of the Representative



Forum for the Alberta Medical Association and was most recently elected Deputy Speaker of General Council for the Canadian Medical Association.

Dr. Schuster is dedicated to help improve access, clinical care and process improvement in primary care.

Sarah Willis, RN, BNSarah works for the Central Family Medicine Teaching Centre (CFMTC). Sarah has attained her Bachelor of Nursing with great distinction from Athabasca University at Mount Royal College. She has a diverse nursing career working in family medicine, travel health, postoperative care, occupational health, and community health. Sarah is part of the Leadership Support Team for the CFMTC. She assists with quality improvements and staff education. Sarah has been involved in the collaboration between the Addiction and Mental Health Central Clinic (A&MHCC) and CFMTC, since December 2014.

Christopher G. Wise, MHSA, PhDDr. Wise’s career has been devoted to working with healthcare providers, payers and purchasers to develop, implement and evaluate new models of healthcare delivery that lead to lower population-based healthcare costs and improved quality outcomes. This includes work with Ford Motor Company and General Motors for innovative insurance products with strong medical and disease management foundations, Blue Cross/Blue Shield of Michigan in support of their nationally recognized ‘Physician Group Incentive Program’, and with more than 200 physician practices from 28 separate physician organizations to facilitate their process redesign using the principles and tools of Lean Thinking process improvement.

Dr. Wise is also a co-investigator on several studies to evaluate the limitations and successes of these newer models of care delivery, resulting in several recent publications in peer-reviewed journals. In 2012, Dr. Wise began working with a Michigan health plan, HealthPlus of Michigan, to develop and offer a Practice Facilitation Program to providers in the HealthPlus network, and support those practices in implementing Patient-centered Medical Home capabilities and improving outcomes of the Triple Aim regarding cost, quality and patient experience; during this same time frame, Dr. Wise has been a consultant to the Lahey Health System in Burlington, MA, as the lead facilitator for a year-long “Lean for PCMH Learning Collaborative” to support practice transformation in the Lahey provider network.

Bonnie Lynn Wright, PhD, MScN, BA, RN, CEBonnie Lynn Wright is a nurse, consultant, senior administrator, author, professor, and researcher. In primary care, she has been an evaluator since 2007 for Chinook, Mosaic and currently South Calgary PCNs. She has and does serve on a variety of local and Provincial Committees and Advisory Groups, including the Toward Optimized Practice Evaluation Advisory Group. Bonnie is credentialed with the Canadian Evaluation Society.


Conference AbstractsHear about exciting advances in primary care over coffee in the Imperial 1, 2, 3 Ballroom. To find the topics that interest you most, visit the floor plans located inside the ballroom. Each poster is numbered according to the following:

CAPACITY FOR IMPROVEMENT

1 Shelby Corley, MA, CE PCN Evaluator Collaboration: Development of a Patient Experience Survey POSTER PRESENTATION

2 Mirella Chiodo, Quality and Informatics Manager, Department of Family MedicineManaging Large Scale Change in a Primary Care, Multi-Clinic Environment ORAL PRESENTATION

3 James A Dickinson, MBBS, CFP, PhD Better measurements for primary care improvement POSTER PRESENTATION

4 Tobias Gelber, MD A Platform for Population Health Analytics POSTER PRESENTATION

5 Allison Mirotchnik, MSc Accountability Framework Development POSTER PRESENTATION

6 Dave Jackson, BComm Optimization Through Consolidation: The Medicus Project POSTER PRESENTATION

7 Charisa Flach, BSc, MA, Project Lead, Primary Health Care Information Practice Improvements through Data Standardization: Piloting Primary Health Care EMR Content Standard in Team-based Organizations POSTER PRESENTATION

8 Shea Wilks, BESc Patient lists/registries: a help or a hindrance to effective clinical practice improvement? POSTER PRESENTATION

9 Allison Mirotchnik, MSc Third Next Available - Reporting differing levels of access with a single measure POSTER PRESENTATION

10 Sophie Piroozfar, MSc, BSc, Information Analyst Using EQ5D5L for Optimal Multidisciplinary Team Composition ORAL PRESENTATION

11 Dr. Linda Watson, RN, PhD, CON(c) The Future is Now: Collaborating to Improve Care Transitions Post Cancer Treatment in Alberta POSTER PRESENTATION

12 David G. Moores, MD, MSc, CCFP, FCFP AIMing for the PITs: Impact of the Royal Alexandra Family Medicine Centre Practice Improvement Team Meetings POSTER PRESENTATION

13 Alvin Yapp, BSc Our Journey to a Medical Home Model POSTER PRESENTATION

14 Shashank Garg, MD Screening for diabetic neuropathy and prevention of foot ulcers - Use of EMR as a tool POSTER PRESENTATION

15 Tony Mottershead, MScGood teams and actively improving teams achieve better access outcomesPOSTER PRESENTATION


CARE COORDINATION

16 Dan Drummond, RN, Director, Touchwood Qu’Appelle PHC Network Regina Qu’Appelle Health Region Building a Multi-Community Primary Healthcare Model using Out of the Box Strategies POSTER PRESENTATION

17 Jeff Kopp, RecT, R.KIN (AKA), Recreation Therapist, RDPCN Community Recreation Therapy in the PCN: A Health Promotion Approach POSTER PRESENTATION

18 Sarah Willis, RN BN A collaborative transition process to assist stable complex mental health patients back to patient medical home for mental health managementORAL PRESENTATION

19 Sudha Koppula, BSc (Hons), MD, MClSc, CCFP Clinical Pharmacist Services at the Royal Alexandra Family Medicine Centre POSTER PRESENTATION

20 David G. Moores, MD, MSc, CCFP, FCFP People are Suffering and Dying from the Quality of the Consultation/Referral Process: “It’s Time for a QuRE (Cure)!” POSTER PRESENTATION

21 Heather Neumann, RN BScN Transitions from Acute Care to Primary CareORAL PRESENTATION

22 Hani Abushomar, BSc Pharm, MSc, Senior Analyst Physician Follow-Up After Hospital Discharge: Progress in Meeting Best Practices POSTER PRESENTATION

23 David G. Moores, MD, MSc, CCFP, FCFP Delays in patient care: Are your referrals helping or hindering your patients? POSTER PRESENTATION

24 Nancy Hermann, RN Incorporating Procedural Medical Education Into the Medical Home in Academic Family Medicine POSTER PRESENTATION

25 Sandra Kennett, BScN, MN, CDE, PhD Student Chronic disease management in community settings through interprofessional teams: A scoping review of theoretical approaches.POSTER PRESENTATION

ENGAGED LEADERSHIP

26 David MacDonald, BScPT, MBA Physician Engagement: The first step for guiding patient medical home transformation ORAL PRESENTATION

27 Laura Ewatski, Evaluation Lead Determining Edmonton West Primary Care Physician Priorities: A Collaborative ProcessPOSTER PRESENTATION

ENHANCED ACCESS

28 Denise Watt, MD, CCFP(EM) Working with Health Link to Support Continuity of Care for Patients After-hours POSTER PRESENTATION

29 Ron Garnett, MD, CCFP(EM), FCFP Site Medical Lead Beyond the TNA - what do patients value in access? POSTER PRESENTATION

30 Alvin Yapp, BSc Overview of the Primary Care Network Complex High Needs Patient Working Group POSTER PRESENTATION

CONFERENCE ABSTRACTS


ORGANIZED EVIDENCE-BASED CARE

31 Doug Klein, MD, CCFP CHANGE ALBERTA: Expanding diet and exercise interventions in primary care in Alberta ORAL PRESENTATION

32 Carolyn Walker, RN, BN Senior Advisor, Knowledge Translation What’s Your ‘Prescription for Healthy Living’? POSTER PRESENTATION

33 Dr Kulwinder Singh Virk, MD Screening for chronic kidney disease in adult patients with diabetes; a pilot study. POSTER PRESENTATION

34 Melina McArthur, RN, BN Developing a Systematic Approach to Health Screening in a Community Academic SettingPOSTER PRESENTATION

35 Doug Stich, BSc, Program Director ASaP: Foundational Element of the PMH (cleverly disguised as a screening initiative) POSTER PRESENTATION

36 Doug Stich, BSc, Program Director Alberta Screening and Prevention: One Year Later POSTER PRESENTATION

37 Maeve O’Beirne, PhD, MD, FCFP IMPORTTEN, a network to study and support integration of complementary therapies into medical care: a needs assessment POSTER PRESENTATION

38 Sheny Khera, MD, CCFP, MPH Seniors Community Hub --- Edmonton Oliver Primary Care Network POSTER PRESENTATION

39 Ian Johnston, MBChB, Bsc (Hons) Sentinel Surveillance of Viral Illness by Primary Care in Alberta POSTER PRESENTATION

40 Allan L. Bailey, MD, CCFP, Clinical Professor - Department of Family Medicine, University of AlbertaThe Westview Screening Report Tool – an EMR-generated “Screening and Prevention” Performance Reporting System POSTER PRESENTATION

41 Diane Duncan, BSc Pharm, BA, PMP Manager, Physician Learning Program Continuing Medical Education and Professional Development Cumming School of Medicine, University of CalgaryEngaging Physicians in a Discussion about Variances, Practice Issues and Knowledge Translation StrategiesPOSTER PRESENTATION

PANEL AND CONTINUITY

42 Yvonne Rosehart, Program Lead, Physician Information Continuity of Care With Family Medicine Physicians: Why It Matters POSTER PRESENTATION

43 Lisa L. Cook, PhD A Collaborative Approach Towards the Identification of Unattached Patients POSTER PRESENTATION

44 Oliver SchmidCollaborative use of Web Technologies to Reduce Unattached Population POSTER PRESENTATION

45 Lisa L. Cook, PhD Conscious Coupling: The Physician-Patient Relationship at the Chinook Primary Care Network POSTER PRESENTATION



46 Lisa L. Cook, PhD Measuring Longitudinal Continuity in Primary Care: Where Are Your Patients Going? POSTER PRESENTATION

47 Shauna Wilkinson, Executive Director, BMgt“A decade of ‘panelling’ - the challenges, joys and rewards of creating and maintaining a patient panel”POSTER PRESENTATION

PATIENT-CENTERED INTERACTIONS

48 Lee A. Green, MD MPH Imaging for Low Back Pain: Patient and Physician Perspectives POSTER PRESENTATION

49 Debra Paches, BScN, RN, GNCC Caregivers - an Integral Part of the Care Team ORAL PRESENTATION

50 Savannah Melnyk, Communications & Public Relations Manager Nourishing the Minds of Alberta’s Future: The Real Impact of Interdisciplinary Collaboration in Primary Care POSTER PRESENTATION

51 Shera McConnell, LPN, Certified Foot Care Nurse Healthy Foot Clinic POSTER PRESENTATION

52 Pierrette Elias, BSc, RD Cooking Up a Healthier Lifestyle POSTER PRESENTATION

53 Sharon Macklin, BSc, RD Preparing Adolescents to be Healthy 4 Life: A Nutrition and Exercise Education Program POSTER PRESENTATION

54 Jon LeMessurier, CSEP-CPT, NASM Corrective Exercise Specialist“Forever Young” Older Adult Fitness Class POSTER PRESENTATION

TEAM-BASED CARE

55 Shelby Corley, MA, CE Behavioural Health Consultants at the St. Albert & Sturgeon Primary Care Network: A Mental Health Team’s Transition to a BHC Model POSTER PRESENTATION

56 Patrick Griffin, MS, RSW Time to Talk (T2T) It Up - The South Calgary PCN’s Centralized Mental Health Program ORAL PRESENTATION

57 Sue Perry, RSW Behavioral Health Consultant, Edmonton Southside Primary Care Network Improving Access to Behavioral Health Supports POSTER PRESENTATION

58 Andrea Rushfeldt, BSc Pharm, Clinical Pharmacist-Multidisciplinary Care Multidisciplinary Pain Management for Primary Care - A Model to Tackle the Growing Chronic Pain Burden POSTER PRESENTATION

59 Shelanne Hepp, MEd Utilizing the Physician Assistant Role in Five Alberta Primary Care Settings POSTER PRESENTATION

60 Afsheen Islam, HBSc, MPH candidateVascular Risk Reduction (VRR) Clinics at Slave Lake Family Care Clinic POSTER PRESENTATION



61 Tanya Knorren, BA, BN, MN The Physician Assistant Demonstration Project: Introducing a new health care provider POSTER PRESENTATION

62 Joe Kwan, BSc Pharm, Extended Team Manager The Art of Integrating Several Teams into ONE Enhanced Interdisciplinary Team ORAL PRESENTATION

63 Dr. C. Joe Tabler, BSc Pharm, PharmD Collaborative Education in a Patient Centered Medical Home POSTER PRESENTATION

64 Kathy Stewart, RN, BN Health Management Program POSTER PRESENTATION

65 Sandra Kennett, BScN, MN, CDE, PhD Student Facilitators and Barriers to Interprofessional Teamwork within Family Medicine Practices: Physicians’ PerspectivesPOSTER PRESENTATION



APCC EvaluationTake a few minutes to share your opinions with us (all submissions are confidential). Please return completed evaluation to the Registration Desk or email it to [email protected] by November 14, 2015.

OVERALL CONFERENCE EVALUATION 1 - Poor 5 - Excellent

Overall quality of the conference 1 2 3 4 5

Overall quality of the program (theme, topics and speakers) 1 2 3 4 5

Timeliness of the program (theme, topics and speakers) 1 2 3 4 5

Relevance of the program to your professional practice 1 2 3 4 5

Conference organization 1 2 3 4 5

Registration and payment process 1 2 3 4 5

Conference website 1 2 3 4 5

Overall venue quality 1 2 3 4 5

Quality of audiovisual materials 1 2 3 4 5

Overall catering quality 1 2 3 4 5

Value of the conference relative to price paid to attend 1 2 3 4 5

OPPORTUNITIES FOR INTERACTION

There were adequate opportunities for interaction with speakers Yes No

There were adequate opportunities for interaction with delegates Yes No

PRACTICAL APPROACH TO LEARNING

The conference provided a practical approach to learning Yes No

DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST/COMMERCIAL BIAS

Disclosure of potential conflicts of interest was clearly communicated Yes No

Was there any evidence of commercial bias in this program? Yes No

LEARNING OBJECTIVES 1 - Strongly Disagree 5 - Strongly Agree

Has this conference met the following learning objectives? 1 2 3 4 5

Describe the vision for the future of primary care in Alberta 1 2 3 4 5

Articulate the key issues facing primary care, including challenges and opportunities for accelerating primary care

1 2 3 4 5

Understand the complexities of change and articulate how to initiate and manage it 1 2 3 4 5

Challenge existing thinking and articulate the factors that are critical for continuous innovation to accelerate primary care

1 2 3 4 5

Describe how improving communication can improve patient satisfaction and outcomes 1 2 3 4 5


APCC EVALUATION

PLENARY 1 - Below Expectations 5 - Excellent

What matters in teamwork: enhancing health care team effectiveness for the delivery of high-quality primary care Eduardo Salas, PhD

Provided Disclosure Yes No

Met Session Objectives Yes No

Free of Commercial Bias Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Enabling a team of primary care experts to be an expert team Eduardo Salas, PhD








The art of integrating several teams into ONE enhanced interdisciplinary team Yolanda Martens Van Hilst, RN, and Joe Kwan, BScPhm








Transitions from acute care to primary care Heather Neumann, RN, BScN









APCC EVALUATION


Physician engagement: the first step for guiding patient medical home transformation Nandini Raj, BSc, MPH, and David MacDonald, BScPT, MBA








Opening the doors: A collaborative transition process to assist stable complex mental health patients back to patient medical home for mental health management Sarah Willis, RN, BN, and Richard Alarie, MA, R. Psych








Building the internal muscle for change required to transform primary care in Alberta Chris Wise, MHSA, PhD








Getting started with practice-level medical home implementation Chris Wise, MHSA, PhD










Measuring and monitoring: a multi-level activity Dr. Donald Chan, MD, CCFP, FCFP, Lori Apostal, MBA, BScN, RN, and Shannon Berg, PhD








Improvement café: practical measuring and monitoring tactics Dr. Donald Chan, MD, CCFP, FCFP, Lori Apostal, MBA, BScN, RN, and Shannon Berg, PhD








Leading social systems: a focus on partnership in organizational life Phil Cady CD, BSW, MALT, DSocSci (Cand)








Managing large scale change in a primary care, multi-clinic environment Mirella Chiodo








APCC EVALUATION


APCC EVALUATION


CHANGE ALBERTA: expanding diet and exercise interventions in primary care in Alberta Doug Klein, MD, CCFP








Using EQ5D5L for optimal multidisciplinary team composition Sophie Piroozfar, MSc, BSc, and Bonnie Lynn Wright, PhD, MScN, BA, RN, CE








Time2Talk (T2T): 2 years and thriving! Patrick Griffin, MS, RSW, and Martha Nystrom, BSP, MBA








Caregivers: an integral part of the care team Debra Paches, BScN, RN, GNCC









APCC EVALUATION

OVERALL

What was the most valuable part of the program? Why?

What was the Least Valuable part of the program? Why?

What is one thing you will do differently on Monday morning as a result of the conference?

Please list any topics you would like to see addressed in the future programs.

General comments?

SponsorsThank you to the organizations who are devoted to the innovation of primary care.

Your generous contributions to the conference are appreciated.

ARISE LEVEL

ADVANCE LEVEL

ASCEND LEVEL

For more information on how to collaborate about accelerating primary care through PCN Evolution activities, please visit www.pcnevolution.ca/medicalhome.

Documents

Conference 2015 Program - Primary Care Networks Program … 2015... · 2016-01-04 · 4 Calgary, Alberta — Nov. 6–7 — POGA — 2015 Accelerating Primary Care Conference General