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One Nail at a Time: Insights for Building Your Patient's Medical Home - 7 | Care Planning for Continuity (and more!) with Dr. Sarah Smith

7 | Care Planning for Continuity (and more!) with Dr. Sarah Smith

05/23/19 • 16 min

One Nail at a Time: Insights for Building Your Patient's Medical Home

Today’s Podcast Covers:

  • The value of care planning with patients with complex health conditions and how it can enhance continuity of care
  • Using the care plan document to share and receive information with other providers (e.g., pharmacist) about the patient and their conditions
  • Engaging the clinic team to help coordinate and manage care planning activities
  • How care planning can lead to increased physician job satisfaction and improved health outcomes for the patient

Resource:

Care Planning – tools & resources: http://www.topalbertadoctors.org/pact/toolsresources/
Questions? Ideas? Leave us a comment or send an email to [email protected]

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Today’s Podcast Covers:

  • The value of care planning with patients with complex health conditions and how it can enhance continuity of care
  • Using the care plan document to share and receive information with other providers (e.g., pharmacist) about the patient and their conditions
  • Engaging the clinic team to help coordinate and manage care planning activities
  • How care planning can lead to increased physician job satisfaction and improved health outcomes for the patient

Resource:

Care Planning – tools & resources: http://www.topalbertadoctors.org/pact/toolsresources/
Questions? Ideas? Leave us a comment or send an email to [email protected]

Previous Episode

undefined - 6 | Quality Improvement in the Patient's Medical Home with Dr. Maeve O'Beirne

6 | Quality Improvement in the Patient's Medical Home with Dr. Maeve O'Beirne

Today's Podcast Covers:

  • Difference between research and QI
  • Each person in the clinic has a part in improving
  • Where do you start with your clinic team?
  • Importance of measures
  • Where do I get QI skills?

Quick Links:

Questions? Ideas? Leave us a comment or send an email to [email protected]

Next Episode

undefined - 8 | The Power of Continuity with Dr. Richard Lewanczuk

8 | The Power of Continuity with Dr. Richard Lewanczuk

Today’s podcast covers:

  • The positive effects of relational continuity of care on patients, providers and healthcare systems, according to research – including the very significant reduction in patient mortality rates
  • How continuity ‘weaves’ through and impacts the other Patient’s Medical Home implementation elements
  • Ideas for getting started, including conversations with patients
  • Beyond relational continuity – a description of informational and management continuity

Resources:

HQCA Primary Healthcare Panel Report https://www.hqca.ca/health-care-provider-resources/panel-reports

TOP Continuity Clinical Practice Guideline http://www.topalbertadoctors.org/cpgs/15981166

Continuity posters for patients https://pcnpmo.ca/continuity/Pages/default.aspx

Community Information Integration (CII) and Central Patient Attachment Registry (CPAR) https://top.albertadoctors.org/PMH/panel-continuity/CII-CPAR/Pages/default.aspx
Questions? Ideas? Leave us a comment or send an email to [email protected]

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