1. Rhoda Viray, RN BSN Public Health Nursing Program Manager, Rural Northern Interior Stephanie Cardinal, RN BSN Public Health Nurse, Vanderhoof Jesse Horita, LPN Omineca Medical Clinic, Vanderhoof Integration of Primary Care and a Multidisciplinary Team in the Perinatal Period Quality Forum 2015: February 19, 2015

2. Context: The state of affairs … Patient Primary care home Public Health Nurse Mental Health & Addictions Diabetic Educator Dietician Maternity Nurse Community services

3. Problem/Issue: Opportunities for Improvement

4. Interventions

5. Intervention Strategies Increased information sharing & documentation Confirmation of pregnancy One assessment/intake form Standard Referral to Public Health Providers at top scope & full functions Standard Prenatal Information Package Improved appointment capacity Shared Scheduling

6. Prenatal Client Primary care home PHN MHAS Diabetic Educator Dietician Acute Care Communit y services What it looks like now

7. Do StudyAct Plan Performance Indicators & Measures

8. Evidence of Improvement: Public Health

9. Increased Capacity – Impact for Primary Care Home □ Physical & Medical Assessment

10. How it fits… Healthy Families BC Framework Provincial Healthy Start Initiative BC’s Guiding Framework for Public Health Healthy Minds, Healthy People Provincial Perinatal Depression Framework BC Baby Friendly Initiative Patients as Partners

11. DocumentationCommunicationShared Vision Challenges & Lessons Learned

12. Key Messages The purpose of the integrated approach is to provide seamless, client-centered, team-based perinatal care Creative collaboration and relationships support positive change Every door is the right door for accessing care

13. Questions? ? ?