Pre-Conference Workshops

1. Provide input on the domains that ought to be used in evaluating the implementation and outcomes of team based primary care.
2. Discuss evaluation strategies to measure the impact and outcomes of team based primary care, according to fidelity to core principles, guidelines or standards, and equity considerations (e.g. LGBTQ+, racialized groups, language minorities).

More than six million people lacking regular access to a primary care provider who is either a family physician or nurse practitioner to address their health needs. Solutions for addressing primary care access challenges require fostering collaborative dialogues, strategies and associated coordinated activities, as no single provider or solution can meet all individual or jurisdictional needs. The development of team-based, interprofessional primary care supports a comprehensive, coordinated, person-centred care approach with a focus on ensuring continuity of care and health equity. It is characterized by interprofessional collaboration wherein all health care providers are working to optimal scope of practice and enabled by digital technology, continuous quality improvement and other professional practice supports required to meet diverse population health needs and healthcare disparities. While evaluation of team-based, interprofessional primary care has not yet begun in many provinces, program leads have been onboarded and there are early conversations about evaluating the implementation of team-based, interprofessional primary care. Each province and territory with bilateral agreements may be required to consider evaluation metrics for implementation of team-based care.

9:00 am | Welcome and Land Acknowledgement

Judith Krajnak

9:15 am | Team-based Care Draft Framework

Monica Bull and Sabrina Wong

9:35 am | Orientation to Interactive Activity

Sabrina Wong

9:45 am | Break

10:00 am | Identify Processes and Activities of Teams

Stations and Dotmocracy

11:00 am | Break

11:10 am | Identify Outputs and Immediate Outcomes Expected from Team-based Care

Stations and Dotmocracy

12:00 | Lunch

Team-based primary care: Learning how to evaluate the outcomes and implementation of team-based care. Summary Report (15 pp).

Monica Bull is a registered social worker and the Senior Manager of Primary Health Care with the Government of Newfoundland and Labrador (NL). Monica has over 30 years of health care system experience in NL and in Ontario where she spent ten years of her career. Monica has worked as a clinical social worker, and as a professional practice leader, in high functioning health care teams in the mental health and addictions sector. She understands firsthand the value of teams to both patients and providers and what is needed to help them reach full potential and be successful. For the past 19 years Monica has worked in health care policy and program development. In 2021-22 she was a member of the Health Accord NL Community Care Committee which recommended a team-based primary care model for the province and went on to lead the development of Family Care Teams: A Health Policy Framework for NL which was released in fall of 2023. Monica continues to have a key role in the implementation of this Framework wherein evaluation of team-based primary care is a current priority.

Judith Krajnak is Program Lead, Evaluation and Analytics, at Primary Care Alberta. She brings over twenty years of evaluation experience working in diverse settings, including fifteen years working in primary health care in Alberta. After immigrating to Canada in 2002, Judith was accepted into the inaugural Canadian Institutes of Health Research post-doctoral fellow cohort (2002-2004) and completed a training program that aligned trainees with decisions makers at Vancouver Coastal Health Authority. In 2010, Judith worked to create Alberta’s Primary Care Network Evaluator Community of Practice, a provincial forum to discuss primary care measurement, evaluation and reporting and continues to co-chair it today. Provincially, she contributed to Alberta’s PHC Evaluation Framework (2013) and worked to ensure its use to guide business planning, measurement and reporting in primary care and chronic disease programming. More recently, she led the provincial evaluation of the Primary Health Care Opioid Response Initiative as well contributing to the conceptualization and advancement of the Alberta Health Services Virtual Care Evaluation Framework. Judith is passionate about advancing data literacy, evaluation capacity building, knowledge mobilization and collegiality to ensure that efforts to advance shared work across organizations are done with the multifaceted interests of those we serve in mind.

Sabrina Wong is Faculty at CHSPR and a professor at the UBC School of Nursing. Her research examines the organization and delivery of health care services within the context of primary health care. A recognized leader in research involving patient-reported quality of care, her work contributes to informing practice and system level interventions that seek to decrease health inequalities among Canadian residents, including people who face multiple disadvantages in accessing and using the health care system such as those who have language barriers and live in poverty. Her long-standing commitment to research has significantly contributed to further understanding and application of primary health care in helping to reduce health and health care inequalities.

1. Identify and agree upon knowledge translation and mobilization of conference learnings that would be most interesting to persons with lived experience (PWLE)/public.
2. Engage in dialogue on increasing PWLE participation in practice-based research and learning network projects.

This workshop will bring together BC Primary Health Care Research Network, Canadian Primary Care Research Network, and Canadian Primary Care Trials Network patient advisories to co-design publicly available knowledge products that could arise from the CHSPR conference (e.g. investigator/patient blog, podcast) in addition to kicking off discussions about strategies to increase underrepresented populations’ participation in primary care clinical trials. This second discussion item is expected to carry on past the CHSPR conference through a series of discussions through 2025. The deliverable will be strategies and recommendations for increasing participation in primary care clinical trials.

Tobacco

Brenda Andreas, Steve Wolinsky, and Joanie Cranston

Land Acknowledgement

Steve Wolinsky

Opening in a Good Way

Norma Rabbitskin

Presentation

Brenda Andreas, Ghislaine Rouly, Vivian R Ramsden

Sharing Circle

Brenda Andreas

Questions to be reflected upon during the Sharing Circle:

1. What is one take away that you can implement into practice?
2. How do you see yourself involved in engaged education and research?

Presentation

Marilyn Parker

Bringing it all Together

Brenda Andreas

Closing in a Good Way

Norma Rabbitskin

Brenda Andreas has been an embedded patient partner for 14 years. She has been instrumental in bringing the voice and visibility of the patient and family to her roles on the Saskatchewan Health Authority (SHA) Patient and Family Leadership Council, the Accreditation Oversight Committee, the Networks Oversight Committee, the SHA Board Quality and Safety Committee as well as the Ministry of Health Primary Care Renewal Committee. In addition, she is a member of the People Centered Measurement working group. Brenda’s experience as a research collaborator in patient-oriented research in primary care started in 2014 in her role as a peer reviewer of grant applications. She is a member of three nationally funded learning collaboratives focusing on Youth Mental Health and Addictions with Health Standards Organization, IPC simulation curriculum in long term care with Health Standards Organization and with Health Care Excellence Canada Virtual Care Collaborative. Currently, she is the co-chair of the Canadian Primary Care Research Network (CPCRN) Patient Council and was a co-applicant on a CPCRN grant application. Brenda is also a patient surveyor with Accreditation Canada and is a member of the PaCE (Patient and Clinician Experience) committee of the North American Primary Care Research Group.

Marilyn Parker is a retired banker residing in Kelowna with a varied career that spans Western Canada. Marilyn was an active member of the BC Primary Health Care Research Network Patient Advisory as well as the BC SUPPORT Unit and was recently involved in a research project reviewing patient-reported outcome and experience measures. She previously worked with McGill/UBC/SFU on a research project reviewing doctor/ patient relationships. She has also contributed to various committees including the Patient Engagement in Research for Interior Health and the Calgary Urban Aboriginal Initiative. She has participated in conferences across Canada as a patient partner, including as a speaker at the Canadian Association for Health Services and Policy Research in Halifax and the Family Medicine Review in Vancouver.

Vivian Ramsden, a Registered Nurse, is a Distinguished Professor and Director of the Research Division in the Department of Academic Family Medicine, College of Medicine, University of Saskatchewan. She teaches in the areas of clinical research methods and primary care/family medicine research. As a participatory researcher, she is a passionate advocate for authentic engagement, co-creation and transformative action research which involves strategies to engage individuals and communities in identifying and addressing locally relevant issues that impact health and wellness. She is an Honorary Member of the College of Family Physicians of Canada and a Fellow in the Canadian Academy of Health Sciences.

After retirement, Steve Wolinsky pursued his interest as a patient experience partner with North York General Hospital in Toronto. He is a Professional Engineer with expertise and leadership roles in regulatory affairs in Canada and the US, and a patient, caregiver and a family member of patients; several family members work in the health care sector. He brings his lived experiences and those of his loved ones to promote better care and better health by incorporating patient’s voices in health research. He feels very strongly that primary care is a core aspect of overall health care and that research by and for our communities is important to support sustainable and equitable improvements. He believes we need the voice of the patient right from the beginning, on what research projects are being developed, and how they are carried out. This will only lead to better outcomes.