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Shared Care Workshop Highlights Value of Relationships

“Relationships are at the heart of our work.”

This was a consistent theme and sentiment expressed during the many presentations and conversations at Shared Care’s recent Physician and Project Leads’ workshop. A theme that forms the basis of this yearly gathering, with the Committee welcoming the opportunity to connect with Family Physicians, Specialists, and project teams engaged in Shared Care work. The purpose of the workshop is not just to share and learn, but to inspire the spread of innovative ideas to other communities. It’s also the forum for participants to voice opinions on how to improve, and on committee direction moving forward.

who was there?

Maybe it was the ease of attending virtually, but more attended than ever this year, with 97 members of project teams participating from across the province – including:

  • 54 Project Leads
  • 5 Division Executive Directors
  • 6 Specialists
  • 25 Family Physicians (FPs).

It was a full agenda over three mornings – condensed from two full days – but it worked. Multiple presentations demonstrated how FPs and Specialists are working together across a wide range of issues to tackle gaps in care locally and provincially - some starting before COVID, others that had to change course dramatically, and those that continue but with modifications.

Strengthening FP/Specialist Collaboration

The common factor and key to success across them all, was collaboration. Developing a COVID response was a nimble process for communities with established relationships between FPs and Specialists through Shared Care work. Other communities fared well with new support to engage physicians to address new challenges in providing care.

adapting & Inspiring others

Participants learned how projects such asCommunity of Physicians Prove Together is Better (Ridge Meadows), ‘Holding Space for Clinicians to Come Together (Victoria), and Emergency Preparedness (Thompson Region) – originally preparing for wildfires – engaged all physicians and built networks to develop and implement solutions.  

Projects showed how the pandemic accelerated virtual care, online platforms, and prompted pop-up clinics and new team models.

“Consolidated clinics show you don’t need much space to provide shared care”, stated one physician.

A moving presentation on an East Kootenay Palliative Care project, highlighted the importance of meaningfully engaging patients, families and caregivers as part of the team, and how storytelling personalized the journey and increased success. 

Participants  also heard how Cultural Safety in Health Care is a “journey not a destination’ with an insightful session by Indigenous Cultural Safety Coordinator, Len Pierre from the Katzie First Nation.

Measuring success

Shared Care work is  extensive and far-reaching, but how do we measure impact consistently and deliberately? A new framework of ‘Shared Measures’ introduced at the workshop aims to simplify and standardize evaluation. A number of communities volunteered to join a pilot to test and refine the process.

Other key themes emerging from the three days focused on:

  • sustaining outcomes;
  • engaging with Indigenous communities; and
  • complementing the work of Primary Care Networks.

The work will be ongoing, but a major outcome from the workshop was the obvious enthusiasm of participants to connect with like-minded providers and teams, and the desire to continue conversations around engaging and spreading the work.

For those who missed the workshop, or want to learn more, all videos and presentations from the workshop are available below.


For details about opportunities to get involved in Shared Care work click here.

Workshop Presentations & Resources

Monday, October 26

 

Rapid Fire Project Presentation (Video) (click this link to access the following 3 presentations and Q&As, with specific timings below)

Holding Space for Physicians to Come Together (Start Time: 03:18)

What happens when you prioritize relationship-building and allow connections to form? The Victoria Division of Family Practice describes their engagement process through the “Improving Connections for ‘Familiar Faces’ in the Royal Jubilee Hospital Emergency Department” project that proved key to its success.

Presented by: Dr. Laura Phillips, Dr. Lisa Veres, & Kristin Atwood

Presentation Slides

 

Provincial BOOST Collaborative (Start Time: 0:26:40)

The BOOST (Best Practices in Oral Opioid agonist Therapy) Collaborative aims at improving outcomes for people living with opioid use disorder (OUD) and fostering better linkages within and between substance use disorder services in British Columbia. The project team describes the history and need for this provincial project; the work to date utilizing a breakthrough series model; and the future of this important project.

Presented by: Dr. Cole Stanley & Valeria Gal

 

Community of Physicians Prove Together is Better (Start Time: 0:58:46)

When the COVID-19 pandemic began in March 2020, the Ridge Meadows Division of Family Practice moved at rapid speed to help community family practices, specialty clinics and walk-in clinics practice safely. Soon after, local specialists also sought help and the Division adapted its support strategies to include their needs and perspectives. It quickly learned what “better together” meant in a new reality as its community of physicians came together to develop creative and urgent response strategies for patients and the medical community at large.

Presented by: Dr. Kami Dhillon, Dr. Frank Ervin, & Treena Innes

Presentation Slides


 

Cultural Safety in Health Care with Len Pierre (30 mins)

Len Pierre discusses the purpose and significance of cultural safety in health care, makes clear linkages between colonialism, trauma, and Indigenous social determinants of health, and describes emerging resources around culturally safe community engagement. 

Presented by: Len Pierre, Katzie First Nation, Indigenous Cultural Safety Coordinator for Fraser Health

 

Tuesday, October 27

 

Adapting in a Changing World.  (60 mins)

How are project leads adapting to unexpected circumstances?

This is an interactive session with a panel discussion centring on three projects that needed to change course due to a variety of reasons - from a lack of specialists at the table, to a shift in priorities, to the onset of a worldwide pandemic.

Presented by: Susan Papadionissiou, Danielle Edwards, & Sanjam Jhawar

 

Meaningful Engagement with Patients and Family Caregivers (60 mins)

How do we truly engage with patient and family caregivers beyond surveys and initial meetings?

Presenters discuss the person and family-centered approach they took in their project “Open Conversations: A Person & Family Centered-Approach to Transitions in End of Life Care”. Participants learn about the value of developing relationships with patients and families, and including their stories; how they captured and maintained the patient and family voice throughout the life cycle of their project, and how the robust patient and family involvement contributed to the success of their work.

Presented by: Dr. Greg Andreas & Shannon Girling-Hebert

Presentation Slides

Examples of storytelling & the patient journey: Dick's Story - Ken's Story - Rod's Story

 

Emergency Preparedness (60 mins)

Thompson Region Emergency Response sooner rather than later

This presentation describes how this Emergency Preparedness project adapted to respond to the COVID pandemic, including the building of networks and systems to include family physicians in emergency planning, and to ensure patient access to physicians in the case of patient or physician displacement during the public health emergency. 

Presented by: Dr. Graham Dodd & Rhonda Eden

Presentation Slides

 

Shared Measurement for Success (60 mins) 

How do we know our work is making an impact?

This session presented an overview, and a Q&A, describing an approach to developing shared measures for Shared Care projects, and a roadmap to creating effective local evaluation methods moving forward. 

Presented by Valerie Nicol & Tracy Elke

Presentation Slides

 

 

 

 

 
 
 
 
 

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