1. Clay Barber Shared Care Committee Clay Barber Shared Care Committee Building relationships, improving quality

2. 2 2 Partners in Care Transitions in Care Teledermatology Practice Support Program Northern PiC (UNBC) Scholarships & ReDesign Polypharmacy Rapid Access to Psychiatry Youth Transitions Central Okanagan Richmond S. Vancouver Island & Victoria Providence South Okanagan many more locations…

3. 3 The Triple Aim ‣ Improve patient/provider experience. ‣ Improve population health outcomes (wellness). ‣ Demonstrate sustainable per capita costs. ‣ Demonstrate achievable, measurable outcomes. ‣ Address gaps in care.

4. 4 ‣ Knowledge transfer and relationship-building activities. ‣ Testing innovation. ‣ Promoting collaboration and fostering engagement. ‣ Building trust, dignity, and respect between providers and between providers and patients. ‣ Developing key requirements for expansion across BC. ‣ Ensuring sustainable system change. ‣ Fostering patient self-management mechanisms. Key deliverables/Scope of work

5. NHS 10 Principles of Large Scale Change 1.Movement towards a new vision that is better and fundamentally different from the status quo 2.Identification and communications of key themes that people can relate to and that will make a big difference 3.Multiples of things (lots of lots) 4.Framing and reframing issues in ways that engage and mobilize a lot of different people 5.Mutually reinforcing change across different parts of the system

6. NHS 10 Principles of Large Scale Change 6.Continually refreshing the story and attracting new active supporters 7.Emergent planning and design, based on monitoring progress and adapting as you go. 8.Enabling many people to contribute to the leadership of change, beyond organizational boundaries 9.Transforming mindsets, leading to inherently sustainable change 10.Maintaining and refreshing the leaders’ energy over the long haul

8. 8 Providence Health Care Shared Care Initiatives Central Okanagan Kootenay Boundary Salmon Arm South Okanagan South Vancouver Island Fraser North West a network of FPs in northern BC Abbotsford East Kootenay Fort St. John Langley Richmond North Shore Chilliwack Cowichan White Rock-South Surrey PIC Confirmed sites PIC Under development sites Over 1500 FPs Over 200 SPs Mission North Okanagan Other Shared care sites Kelowna Surrey Maple Ridge / Abbotsford Nanaimo Victoria Saltspring Kitimat Prince George Terrace Smithers Fort St. James Burns Lake Fraser Lake

9. 9 System alignment and integration ‣ …to gain broader adoption of Shared Care concepts, tools, and techniques. ‣ Divisions of Family Practice ‣ Health Authorities ‣ Practice Support Program/PITO ‣ NGOs ‣ SSC ‣ …leverage existing initiatives and improve alignment while reducing overlaps and redundancies.

10. 10 System improvements based on… ‣ Solutions developed with those who will be implementing ‣ Constant assessment of ability to implement ‣ Pace of spread ‣ Forces of resistance ‣ Ability to recognize success & failure - measurement ‣ Disciplined teamwork, humility ‣ NOT - independence/self-sufficiency/autonomy. ‣ Systems change is the great task. Complexity requires group success ‣ Community Development and viral spread.

11. 11 What is success? ‣ The patient’s journey is seamless, with appropriate and timely access and improved outcomes. ‣ Patients are supported to better manage their own care with fewer unnecessary medical interventions. ‣ Duplication of effort and utilization of resources are reduced on a per-capita basis. ‣ Hassles and frustrations of patients and providers are reduced. ‣ Relationships are enhanced.

12. For more information Shared Care Committee 115 - 1665 West Broadway Vancouver, BC V6J 5A4 Tel: 604 736-5551 www.bcma.org