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Prince George

Partners in Care Initiative

 

Northern Partners in Care (NPIC) Cancer Survivorship (completed)
NPiC is working with the Northern Radiation Oncologists, the Family Practice Oncology Network and others within the BC Cancer Agency, Northern Health and the Prince George Division of Family Practice to improve cancer survivorship. This work includes the development of clear and actionable end of treatment notes (see Referral and Consultation project below) and methods to embed the required information in family physicians' (FPs) electronic medical records (EMRs) in ways that support and prompt best practice care (see Electronic Care Plan and Secure Messaging projects below).


Clinical Outreach Visits (completed)

Clinical outreach visits advance the mission and vision of NPiC by supporting specialists' travel to communities in Northern BC, to better address patient needs and to connect with FPs locally.  Non-physicians can also be involved with such visits. Clinical Outreach Visits to date have included nephrology, pediatrics and internal medicine.  


Electronic Care Plans (completed)

The Care Plan allows family physicians (FPs) and other healthcare providers to more effectively and efficiently address the health needs of patients, particularly those with chronic and complex health issues.  It can help an individual FP, but is particularly helpful for patients who require health care from more than one provider. The Care Plan was developed with significant input from FPs, specialists (SPs), Northern Health IT, clinical staff, and the Prince George Division of Family Practice, and was guided by international best practices.  Plus, it was trialed by local FPs and other healthcare providers and is being further refined by the vendor (AIHS) for the pilot host electronic medical record (MOIS).


Mobile Messaging (completed)

The Mobile Messaging project enables the secure transfer of clinical information from mobile devices (iPhone, iPad, android) to the clinician's electronic medical record.  It has been trialed in MOIS.


Northern RACE (completed)

Northern RACE (NRACE) enables enhanced telephone access to Northern Specialists by northern family physicians (FPs), nurse practitioners, and other specialists throughout Northern BC. It has been functional since June 2012.  After the first year, and as a result of PDSA reviews, significant changes were made in how NRACE works in order to make it more useful for involved physicians. It has grown from enabling increased access to a single specialty area (Cardiology) to now enabling access to nine specialty areas. NRACE has benefited greatly from the knowledge and experience of the innovators of the Providence RACE line.


Referral and Consultation Letters (completed)

Written communication (referral letters) from family physicians (FPs) to specialists (SPs), and from SPs (consultation letters) is a critical enabler to the mission and vision of NPiC.  Work to date has focused on obtaining feedback regarding end of treatment (consultation) letters from Radiation Oncologists in Northern BC. This feedback will be collated with information obtained from non-oncology SPs, from other Shared Care and BC Cancer Agency projects, from FPs trialing the Care Plan (see Care Plan project) and from a literature review. This process will inform the creation of an improved end of treatment note (Plan of Care), which will be trialed and evaluated.  


Secure Messaging (completed)

Northern Health and Interior Health are largely driving the Secure Messaging project. The project involves creating standards and capability for the secure exchange of relatively granular elements of clinical information between different electronic platforms.


Videoconferencing (completed)

By providing a visual and verbal link between family physicians (FPs) in larger centers with FPs in the small communities throughout Northern BC, videoconferencing assists NPiC with achieving its mission and vision.  The advent of more flexible technology that can securely connect between PCs, laptops, notepads, etc. opens a wide range of new approaches to using such technology. NPiC is supporting changes in practice that enhance existing lines of communication. New lines of communication are supported if they add value to patient care, and they do not negatively impact required physician-patient relationships.