1. Change Agent
Panel
Team Awards 2015

2. Dr. Savoia Clinic Calgary Foothills PCN
The Nominees (L to R ) Dr Kathy Savoia – Physician, Barb Strother - Clinic Manager/Panel Coordinator
Nominated by: Julia Vanden Heuvel & Terri Gilson (Improvement Facilitators, Calgary Foothills PCN)
Why Nominated:
New category – spirit award!
2 woman team; Dr. Savoia describes Barb as the yin to her yang; Barb has played a key role in the panel clean up – super organized
Together they took on Alberta Screening and Prevention - they quickly realized that panel clean-up was important and it wasn’t as overwhelming as it appeared in the beginning (this is one of their key messages they share at the Physician Led Workshops for PMH and Panel - sponsored by CFPCN)
Dr. Savoia really reaped the benefits of a clean panel when she wanted to do a mental health screening project this year to more easily identify her patients in need of mental health screening - It was a much smoother process with a clean panel!
Like their colleagues Dr. Bland/Nicole (Family Health Clinic - Calgary Foothills PCN), Dr Savoia/Barb have led by example and have inspired other physicians and clinic teams to engage in the work of panel
For all her hard work Dr. Savoia took Barb to Las Vegas!
Dr. Savoia Clinic Calgary Foothills PCN

3. Family Health Clinic Calgary Foothills PCN
The Nominees (L to R ) Nicole McAuley - Clinic Manager/ Panel Coordinator, Dr. Elaine Bland – Physician
Nominated by: Julia Vanden Heuvel & Terri Gilson (Improvement Facilitators, Calgary Foothills PCN)
Why Nominated:
In a 10 physician clinic, Dr. Bland was willing to be the “guinea pig” for the work of panel and Alberta Screening and Prevention (ASaP) - she’s not only a leader for this work in her clinic, along with Nicole she’s also inspired other CFPCN physicians to reap the benefits of an identified and clean panel (via the PCN sponsored Physician Led Workshops for PMH and Panel)
Cleaning up her panel was a team effort (back to the front)
Her fellow colleagues (at least 4) agreed to do panel work and to join ASaP based on her example
Having a clean panel has created a strong foundation to engage in other initiatives to improve the way she and her team deliver patient care (Choosing Wisely is next)
Behind the scenes – Nicole has played a key role in driving this work forward. She’s an organizer supreme and keeps the team motivated
Also like their colleagues Dr Savoia/Barb at the Savoia Clinic - panel clean-up was a big a-ha moment for Dr. Bland and Nicole
Family Health Clinic Calgary Foothills PCN

4. Drs. Gohill, Millar, Siauw & Singh Clinic Calgary Foothills PCN
The Nominees (L to R ) Carla Mazur – RN, Dr.Lori Gohill, Skende Huskic - Office Manager/Panel Manager, Dr.Harjot Singh, Dr.Christina Siauw, Dzemila Hasific, MOA, Lisa Gooliaff, MOA (missing Dr. Cassandra Millar)
Nominated by: Skende Huskic – Office/Panel Manager
Why Nominated:
Skende shares the work of panel (identification, maintenance and management) has been a team effort at her clinic – front to Dr. Singh - everyone engaged b/c they could see the value it would add to patient care – they were all willing to invest the time.
Skende is very proud of the team’s willingness to participate in the work and above all the fact that it’s improved the quality of their patient care (patients don’t get missed)
In conjunction with their EMR provider (Med Access) the team invested into harnessing the power of their EMR – starting with complex care plans.
Dr. Singh herself invested non clinic time to clean up each patient profile for complex care plans.
The team worked on a plan for 1 year recalls of CCPs
Dr. Singh had done great work in cleaning her profiles, seeing patients for CCPs – she presented her work at a Conference in Banff (last year)
The work of panel has opened the door for the team to work on sub panels (mammogram recalls, pap tests, prostate screening)
Next steps: standardization amongst the physician panels (data input)
Drs. Gohill, Millar, Siauw & Singh Clinic Calgary Foothills PCN

5. Moose & Squirrel Medical Clinic Peaks to Prairies PCN
The Nominees (L to R ) Dr. Simon Warwick – Physician, Shayla MacDonald - LPN-Nursing Lead, Dr. Carly Crewe – Physician, Leah Hayes - LPN-Physician Assistant, Dr. Jena Smith – Physician, Jen McKinstry - Administrative Assistant , Dr. Rob Warren – Physician, Stacey Johnson - Clinic Manager, Cheryl Lindberg - Administrative Assistant, Dr. Michelle Warren - Physician , Leah Jensen - Panel Coordinator/ Improvement Facilitator
Nominated by: Dr. Robert Warren & Dr. Michelle Warren (Clinic Owners) 
Why Nominated:
Clinic was founded in from the initial planning stages the vision of the clinic was to create a model of primary care that was highly patient centred using a team-based multidisciplinary approach
Doctors Rob and Michelle Warren have empowered this team to create and modify the processes they currently follow. "There is no perfect system so do not fear change"
All members of the team participate in QI, we proceed from "plan" to "do" so quickly that often new ideas are preceded by the statement "I'm not saying we need to do this right away, but …“
Leah Jensen, Stacey Johnson, Shayla MacDonald
They identify issues early and come to the physicians with both the issues and proposed solutions
They have become facilitators for Alberta Screening and Prevention and AIM and have served as a resource to other clinics both within our PCN and other communities that are just beginning the process
They have worked with our EMR vendor, Telin systems, in detail to publish training videos on panel management, the periodic office encounter manager (POEM) and use for ASaP maneuvers
They each bring strengths to the team and work in an amazing collaborative manner that has set the clinic up as being an exemplary medical home for their patients
“This is a highly motivated team that obviously takes pride in the service we provide to our community and the reputation we have built in a very short time. We are fortunate to be surrounded by a group of people who 'take ownership' in the service and take pride in seeing patients receive the highest level of care. We are told very often how our team seems to go 'above and beyond' and how much their care is appreciated by our community. “
Moose & Squirrel Medical Clinic Peaks to Prairies PCN

6. Associate Medical Clinic Peace River PCN
The Nominees (L to R ) Janyce Tookey – Improvement (Panel) Coordinator, Angie Weston - Assistant Manager, Lana deBoon - PRPCN Executive Director * Input from all staff
Nominated by: Lana deBoon Executive Director, Peace River PCN
Why Nominated:
The physicians at Peace River Associate Medical Clinic put their trust in the team, led by the PRPCN Executive Director, in taking the first steps towards Panel Management.
Core team received Panel Management and Improvement Facilitator training
This team cleaned up their panel up (from 66,000 to 10,000 patients), Lana estimates she spent a total of 6 hours (including meetings with the improvement team)...
Core team requested input from everyone at weekly staff meetings. Lana reflects – “I believe this is why the implementation went so smoothly, as all staff were involved from the beginning and they had time to ask questions and understand why panel management was important for our patients”
We have a very small, rural team and yet we feel like we have made a difference for our physicians, staff and especially our patients
Associate Medical Clinic Peace River PCN

7. Wetaskiwin Family Medical Practice Wetaskiwin PCN
The Nominees (L to R ) Bottom Row :Dr. Christoff de Wet, Dr. Hannes Brand, Brenda McKinney – POET, Louise Forth – Referral Coordinator, Dr. Leanda Stassen, Dr. Bill Lee, Dr. Daniel Van Den Berg, Dr. Gunther Schlenther, Dr. Stiaan Van Der Walt, Dr. Bill Hendriks - Back Row : Nicole Lemky – Receptionist, Wendy Loov – MOA, Alisha Hamel – MOA, Shauna Lindahl – MOA, Pam Park – Receptionist, Renata Bezenus – MOA, Cheryl Dechaine – RN (PCN), Corry Coyne – Manager - Missing:  Christina Tomson – MOA, Holly Hetzner – Billing Clerk, LeAnn Elder – LPN (PCN), Lauren Stashko – Student, Katie Cowan – Student
Nominated by: Corry Coyne, Clinic Manager
Why Nominated:
The value of panel work – identification, maintenance and management – resonated strongly with this clinic team – i.e. knowing who we are responsible for and who is responsible to us
Once their panel was cleaned up which did take lots of teamwork, they had an excellent base to go forward with the Alberta Screening and Prevention program which has been a huge success in their opinion
Paneling will be never-ending but is one of the most important things a family practice can do to work its way to becoming a Medical Home
Leadership at Wetaskiwin Family Medical Practice:
has always encouraged teamwork, staff ownership and accolade
shows commitment to our staff by encouraging and recognizing the staff's extremely important role in the patients’ healthcare
has vision, passion and is trusting of the staff to do the best we can for our patients
We collaborate and everyone at the table had an equal say and we are open minded to all suggestions
would never ask anyone to do anything that they themselves would not be prepared to do; we use a lot of "we's" instead of "I's“ - We are a team.
Our team has grown since the time we first started doing paneling to include (in addition to the above):
Dr. Lee
Dr. Schlenther
Dr. Van Den Berg
Dr. Brand
Pam Park – Receptionist
Renata Buznius – MOA
Wendy Loov - MOA
Wetaskiwin Family Medical Practice Wetaskiwin PCN

8. Smith Clinic Camrose PCN
Nominated by: Stacey Strilohluk, Executive Director, Camrose PCN
Why Nominated:
Using Alberta Screening and Prevention as a guide this team has worked to maximize effective use of their EMR (Med Access) to optimize the physician visit, support patient paneling and improve preventative screening
Through their journey this team continued to challenge the process as and model the way
Together they inspired a shared vision and enabled other team members within the PCN and clinics to act in a collaborative manner
In support of enhancing panel management, screening and patient centered care, in general, this team has achieved excellent results and has inspired other clinics to follow
The Nominees (L to R) Amanda Sieben - MOA, Barb Stang - Reception, Jade Nickerson - MOA, Maya Rathnavalu – RN, Panel Coordinator, Eryn Petiot – MOA, Improvement Facilitator, Dr Chris Nichol - PCN & ASaP Physician Lead, Colleen McKinstry - RN, Clinical Director
Smith Clinic Camrose PCN

9. The Nominees MOA Photo (L to R) Back row: Jessica Fillmore, Niovy Herhenteris, Sandy Auclair and Carla Sandercock – also Panel Management Assistant/Improvement Facilitator) Front row: Amanpreet Aneja, Michelle Law and Allie Fraley – also Panel Management Assistant/Improvement Facilitator | RN Photo (L to R) Janice Abe, Jenna MacSween - also Improvement Facilitator and Marcella Dybaylo - also Clinical Coordinator/Panel Manager/Improvement Facilitator | LPN Photo (L to R) Allie Fraley – MOA/Panel Management Assistant/Improvement Facilitator and Amanda Winterhalt - Improvement Facilitator | Sari Faith - Mental Health Therapist/Improvement Team Member | NP Photo (L to R) Crystal Purves and Elaine Wall (missing Tricia Metz) |
Admin Photo - Paula Whynot - Executive Assistant/Office Coordinator/Improvement Facilitator | Executive Director - Sheryl McCormick
Admin ED
RNs
LPNs
MOAs
NPs MH
Nominated by: Sheryl McCormick, Executive Director, Cold Lake PCN
Why Nominated:
This PCN team is a Nurse Practitioner (NP) led, centralized clinic; each NP has a patient panel
With limited resources, the PCN team as part of their roles, have accomplished amazing results around panel identification and management and overall improvement in patient care
Sheryl McCormick (PCN Executive Director) is very proud of this team for their passion to improve primary care, for all they have achieved and for continuously striving for further improvement
They have invested in quality improvement (Improvement Facilitator training and Panel in Action training has been run for the PCN)
Marcella (Panel Manager/Lead) is instrumental in leading change, developing and motivating the team and ensuring all tasks are consistently completed accurately and in a timely manner. The team has my support to ensure these goals are met
The Improvement Team meets weekly to discuss initiatives, areas that are going well and areas for improvement
The Improvement Team and other PCN Team members are all very motivated toward making positive changes and ensuring the PCN patient panel is well identified as well as ensuring we provide consistent quality patient-centred care to improve clinical outcomes
Cold Lake PCN

10. The next 3 clinic teams were nominated together…
Nominated by: Nataliia Slobodianyk (PCN Evolution Project Manager, SCPCN)
Why Nominated:
In close partnership with South Calgary PCN these 3 clinic teams were willing to lead the way for others to follow and engage in the work of building PMH, starting with panel
After sharing their experiences at a PCNe Forum in September, 9 new clinic teams (16 physicians) agreed to engage in the work of panel
As teams each clinic has:
completed panel identification and validation
used patient feedback from patient satisfaction survey to improve patient care
done workflow assessment and management
participated in health team effectiveness activities
engaged in chronic disease management (EQ-5D-5L)
monitored access (TNA)
evolved proactive care - opportunistic screening
They all attribute the success they’ve experienced thus far largely to a team effort. Karen Beatty Panel Coordinator, Circle Medical put it best – “from the front to the back, everyone helps.”
PCNe Physician Leads (Dr. Luelo, Dr. Greyvenstein and Dr. Tung):
participate in PCNe Forums and PMH Roundtable discussions
have regular physician leads meetings to move PCNe forward
engage and inspire their teams to try new approaches
spread the idea of PCNe/Patient’s Medical Home as a new standard of care and that the first step of this journey is panel management
McKenzie Family Practice, New Brighton Medical, Circle Medical (South Calgary PCN )

11. McKenzie Family Practice South Calgary PCN
The Nominees (L to R ) Dr. Jeff Syrnyk – Physician, Margo McMillan – RN, Panel Manager, Theresa Marrinek - MOA/Clinical Coordinator, Maria Markley – Office Manager, Dr. Christine Luelo - Physician Lead, Rebecca Peters – MOA/Clinical Staff
McKenzie Family Practice South Calgary PCN

12. New Brighton Medical South Calgary PCN
The Nominees (L to R ) Back row: Dr. Paul Tung – Physician Lead, Dr. Chris Tam – Physician, Dr. Matt Linton – Physician - Front row: Lisa LaRose (Panel Coordinator) (MOA) - Panel Manager, Dr. Laura O’Neill – Physician, Dawn Bertalaine - Clinical Staff, Dr. Roisin Dempsey – Physician, Amanda Masters – Clinical Staff
New Brighton Medical South Calgary PCN

13. Circle Medical South Calgary PCN
The Nominees (L to R ) Pam Custer - Clinical Staff, Kim Eagles-Ramsay - Clinical Staff, Betty Muller - Clinical Staff, Geraldine Acierda – MOA, Dr. Cindy Landy – Physician, Dr. Vania Chandler – Physician - Front: Karen Beatty – MOA/Panel Coordinator/Change Facilitator, Dr. Ernst Greyvenstein - Physician Lead
Circle Medical South Calgary PCN

14. South Calgary PCN Evolution Team
Nominated by: Nataliia Slobodianyk (PCN Evolution Project Manager, SCPCN)
Why Nominated:
The South Calgary PCN Evolution team has been instrumental in supporting the teams who have chosen to engage in the work of panel and the Patient’s Medical Home thus far
They walk the talk of the PMH, exemplifying engaged leadership, team work and embrace the lifestyle of quality improvement
They are passionate for PCNe/Patient’s Medical Home work
Some of their key activities include:
establishing QI team meetings
spreading awareness about PCNe/PMH (e.g. forums, roundtable discussions)
close collaboration with TOP, AHS, CREST, CZEWG and other PCNs
participation in TOP training (panel management and improvement facilitation)
The Nominees (L to R ) Jennifer Vowels - QI Facilitator, Nataliia Slobodianyk - PCN Evolution Project Manager, Amanda Wilhelm- PCN Evolution Evaluator and QI Facilitator, Marny Conlon - SCPCN Executive Director/PCNe Lead
South Calgary PCN Evolution Team

15. Congratulations
Everyone!