Partners in Care Initiative

Vancouver

Improving access to psychiatric consultation through UrbanDoc

UrbanDoc is a website created by family physicians affliliated with St Paul's Hospital that coordinate activities and share information (www.urbandoc.net) to improve access to psychiatric consults.

With UrbanDoc, a psychiatrist may see referred patients either in hospital, private clinic, or in the family physician’s office.  A written consultation is provided with specific recommendations for the family physician. Patients continue treatment with their primary care physician, and the psychiatrist may provide further assistance over the phone or via a secure messaging system on the UrbanDoc website. In some cases, the psychiatrist may follow the patient jointly for a period of time. There are currently three psychiatrists involved with a total of 32 of the 60 UrbanDoc physicians. Thirty-one of them receive site visits and are practicing in multi-doctor clinics.

Rapid Access to Consultative Expertise (RACE)

Providing family physicians with rapid telephone access to a wide range of specialist services for patient consults.

Cardiology

Spreading shared care processes (e.g. referral acknowledgement) into VCH ambulatory clinics.

E-Mental Health

Creation of a web-based tool to assess the needs of patients, direct them to appropriate web-based resources, and provide psychiatry or psychology support if needed.

Group Medical Visits and Email - completed

To provide better access to care for Langara students with ADHD and increase the capacity of students with ADHD to manage their condition.