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Shared System of Care (COPD) Prototype in Langley

Shared System of Care (COPD) Prototype in Langley. Fraser Health Authority. May 2011 to April 2012. Who are the team members?. Dr. Ritta Wittman Dr. Andre Van Wyk Joanne Terry (RT) Kathy Payne (LPN). What has been done?. Three initial team meetings to plan for the learning sessions

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Shared System of Care (COPD) Prototype in Langley

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  1. Shared System of Care (COPD) Prototype in Langley Fraser Health Authority May 2011 to April 2012

  2. Who are the team members? • Dr. Ritta Wittman • Dr. Andre Van Wyk • Joanne Terry (RT) • Kathy Payne (LPN)

  3. What has been done? • Three initial team meetings to plan for the learning sessions • COPD-6 devices were provided • Three 1 hour morning sessions were held at LMH with 23 physicians attending in total

  4. What has been done (cont’d)? • The sessions were delivered by Dr. Wittman and supported by Joanne and Dr. Van Wyk

  5. What did we do differently? • The sessions were only 1 hour long starting at 7:30am to minimize office disruption • Collaborated with GP Division in the invitation process • Invitation included WIC GPs & Hospitalists (subsequently in Burnaby and NW all WIC doctors and hospitalist were invited)

  6. What did we do differently (continued)? • To measure the progress of the shared care-COPD at the GP practices, an update form was created and used at the practice visits • Collaboration with other FH COPD initiative, BreatheWELL, in BBY and NW • To ensure that the two initiatives are aligned and minimize the duplication of the work • To engage GPs into both the PSP SC and BreatheWELL initiatives

  7. Successes • Established/enhanced local GP- Respirologist/RT relationship and improved their communication • Overall high satisfaction rate from the sessions (meeting their expectation, speakers, shared care, relevant info…)

  8. Successes (continued) • Updates were obtained from 15 GPs during the practice visits from Jan to April 2012). The following charts show a summary of the findings:

  9. Challenges Early Detection/Screening: • Using COPD-6 device is time consuming (n=7); “it is difficult to incorporate it into a visit”; there is no fee code to compensate the time • Need for more information regarding the validity of COPD-6 • Sustainability: need some mechanism to make sure that the changes made are sustainable & the suggested strategies will be carried out by stakeholders • Administration Support: Lack of an adaptable payment process for this prototype resulted in confusion and delay in the payments

  10. Q & A

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