
7 | Care Planning for Continuity (and more!) with Dr. Sarah Smith
05/23/19 • 16 min
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]
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

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:
- PMH Implementation Element Graphic: http://www.topalbertadoctors.org/file/guide-to-implementation-elements-pmh.pdf
- IHI (Institute for Healthcare Improvement) website: http://www.ihi.org/
- University of Calgary Department of Family Medicine Resident Manual: https://www.calgaryfamilymedicine.ca/Research/Resources/QI%20handbook%202018.pdf
- TOP (Toward Optimized Practice) Quality Improvement Guide: https://www.topalbertadoctors.org/file/quality-improvement-guide.pdf
- TOP Improvement Facilitator Training: http://www.topalbertadoctors.org/events/improvementfacilitatortraining/
Questions? Ideas? Leave us a comment or send an email to [email protected]
Next Episode

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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