Episodios
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In episode 9 of TeamUP!, the focus is on exploring the integral role nurses play in medication management within primary care teams.
We will hear interview clips from Kacey, a registered nurse, who explains the responsibilities nurses hold, including taking comprehensive medical histories, assessing medication impacts, advocating for patients, and educating them about their medications. The discussion highlights the value nurses add during transitions of care and their ability to address sensitive topics, such as financial challenges, which may affect medication adherence. Nurses build patient trust, provide follow-up education, and work collaboratively within the team to enhance patient care.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In episode eight of TeamUP!, we learn about the benefits of shared visits with a primary care provider and a nurse.
Morgan and Sarah discuss how these shared visits can enhance team capacity, improve care for complex illnesses, foster team building, and create immediate capacity in the moment. With insights from nurses, the episode highlights the importance of synchronized care plans, trust-building, and efficient multitasking, all while encouraging you to incorporate a shared visit in your practice to fully understand the benefits.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
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In this TeamUP! teamBIT Morgan is on his own again. This time he's talking about how to plan and promote a dedicated ânurse clinicâ in your primary care practice to boost the presence of new nursing staff in your practice. The discussion includes selecting a focus area for the clinic, organizing appointments, and effectively promoting the clinic through various channels.
Examples given include clinics for blood pressure, immunizations, well-baby checks, diabetic foot checks, and STI screenings. The episode also emphasizes the importance of teamwork and patient engagement, with insights on making nurse clinics an accessible and valuable addition to practice.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student. -
In this episode of TeamUP!, Morgan and Sarah discuss promoting a new nurse to patients in your practice.
Our hosts discuss the integration of nurses into primary care teams and highlight the importance of effective communication with patients regarding team-based care transitions. The conversation includes examples and scenarios for promoting new nursing staff within clinics, individual patient engagement strategies, and addressing patient concerns about seeing new team members. The episode also emphasizes understanding patient apprehensions and providing tangible benefits and personal introductions as a way to build trust and comfort.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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The Communication to Patient Checklist aims to equip your clinic with easy to follow, and categorized, ideas of when and how you can bring up team-based care to your patients. https://teambasedcarebc.ca/resources/tbc-communication-to-patient-checklist/#details
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In this mini teamBIT of an episode, Morgan is podcasting solo and looks into what a certified practice means in nursing, specifically in the context of British Columbia. There are five distinct areas of certified practice for nurses in BC, and they allow for autonomous diagnosis and treatment within specific scopes.
Morgan goes into detail for each certified practice: reproductive health, STI treatment, opioid use disorder management, RN first call, and remote practice. Emphasis is placed on the benefits of certified practice for primary care teams and the importance of integrating these certifications into practice.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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BCCNM Certified Practice website details the five certified practice designations available for nurses in BC along with their scope: https://www.bccnm.ca/RN/learning/certified-practice/Pages/Default.aspx
BCCNM Section 8: Restricted activities for certified practice gives more detail on the 5 certified practice designations: https://www.bccnm.ca/RN/ScopePractice/part4/section8/Pages/Default.aspx
Canadian Nursing Association - Advanced Practice Nursing webpage provides detailed information on both the clinical nurse specialist and nurse practitioner role and how they help meet the complex health needs of Canadians: https://www.cna-aiic.ca/en/nursing/advanced-nursing-practice
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In this episode of TeamUP! we learn about the complexities of being an employer of a primary care nurse within smaller private clinics.
Our hosts, Morgan and Sarah, discuss the complexity of being both a clinical team member and an employer, emphasizing the need for clear clinical policies and role definitions. Major topics include the challenges of holding multiple roles, the impact of power dynamics in teams, and the importance of transparent organizational policies. They also provide practical advice on creating clinical workflows, drafting policies, and leveraging nurses' skills for better team integration and patient care.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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BCCNM Controls on Nursing Practice:
This is an infographic that highlights the four levels of controls on a registered nursesâ practice. https://www.bccnm.ca/RN/ScopePractice/part1/Pages/controls.aspx
RN Suturing Decision Support Tool for BC:
This document is a detailed decision support tool to assist registered nurses working in British Columbia.https://www.clwk.ca/get-resource/treating-minor-uncomplicated-lacerations-adults-guideline/
BC Guideline (just updates July 2024) on COPD:
A scope-guide document that provides recommendations for how to interact with a person with chronic obstructive pulmonary disease.
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/copd
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In this episode, we dive into the differences between Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) within primary care settings.
Morgan and Sarah look at how each role fits into a primary care team, considering their distinct scopes of practice, training, and the types of patients they typically manage. Importantly the hosts give key clinical examples to highlight where one type of nurse may be better suited for a practice. The hosts emphasize how hiring a nurse that will be utilizing their full skillset in clinic is often better than hiring an overqualified nurse to work below their scope and recommend resources that are available to support integrating nurses into clinical teams.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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Nurse Compass:
An interactive learning tool created to help primary care providers, leaders, and teams get to know and improve their knowledge of the scopes of practice for nurses in British Columbia. https://teambasedcarebc.ca/nurse-compass/
FPSC has a virtual guide to support the Ministry of Healthâs Nurse in Practice Program https://fpscbc.ca/integrating-nurse-practice
In this episode Morgan and Sarah talked about blood pressure as an example when they were talking about diagnosis and management and nursing roles . See Hypertension - Diagnosis and Management for more information:
This document outlines recommendations on how to diagnose and manage hypertension in adults. https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/hypertension
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In this episode, Morgan and Sarah dive into the distinctions between doctors and nurses.
They explore the value nurses bring to primary care and discuss how autonomy shapes the role of a nurse. Morgan introduces the four domains of nursing: clinical practice, education, research, and leadership. There is an emphasis on the importance of interdisciplinary teamwork, the different approaches to patient care, and the cultural and social aspects that shape the nursing profession, along with examples of what a nursing diagnosis is compared to a medical diagnosis.
Special Thanks
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Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
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Nurse Compass:
An interactive learning tool created to help primary care providers, leaders, and teams get to know and improve their knowledge of the scopes of practice for nurses in British Columbia. https://teambasedcarebc.ca/nurse-compass/
BC Health Professions Act: Nurses and Nurse Practitioners Regulation:
The detailed act. An online reference with a comprehensive list of definitions, scope of practice information, and other regulations for nurses and nurse practitioners in British Columbia. https://www.bclaws.gov.bc.ca/civix/document/id/complete/statreg/284_2008
CanMEDS-FM:
Canadian family physician competency framework. In the 2017 document you can find the seven domains that a family physician is expected to be proficient in.
https://www.cfpc.ca/en/education-professional-development/educational-frameworks-and-reference-guides/canmeds-family-medicine
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In the first episode of Season 7 of TeamUP!, hosts Morgan and Sarah introduce the season's focus on the role of nurses in primary care. This season will feature interview insights from a range of nurses.
In this episode, Morgan and Sarah discuss the new Nurse in Practice program in BC and explore how nurses can enhance team-based care in primary care clinics. This first episode gives a brief overview of all the topics they aim to cover throughout the season, including: how to support a nurse in your practice, being an employer, and the differences among the nursing designations, along with focused episodes on common conditions like diabetes and anxiety. This episode also highlights a new tool called the Nurse Compass, designed as a learning tool to help primary care clinics understand the scope of nursing roles so that roles can be aligned with practice needs.
Special Thanks
Throughout this season youâll hear from several amazing nurses:
Angela Wignall is a Registered Nurse who has worked in perinatal health and public health. Since recording this episode Angela has been promoted to the CEO of the Nurses and Nurse Practitioners of BC from her position as Senior Executive Director. Angela is also a board member at the Canadian Nurses Association.Diana Boateng is a Registered Nurse and is working on her dual masterâs degree in nursing and health informatics. In her Masters, she is a co-op student working with the Innovation Support Unit. Her background is mostly in acute care but she has been interested in exploring what it means to be a nurse in primary care.Hannah Roy works as a Registered Nurse in primary care and urgent primary care. She has certified practice in STI management and is completing her Masters degree to be a nurse practitioner.Jamie Duteil is a Registered Nurse and the Health System Improvement Director at Health Quality BC. She has managed urgent primary care centres and acute care centres.Kacey Wall is a Registered Nurse and a diabetes educator, she has worked in primary care networks and is a team member of the Innovation Support Unit.Nikki Kafal is a Registered Nurse and has spent her career working in emergency and critical care settings. She is completing a dual master degree in nursing and health informatics and joins the Innovation Support Unit as a co-op student.Links and Resources
Nurse Compass is an interactive learning tool created to help primary care providers, leaders, and teams get to know and improve their knowledge of the scopes of practice for nurses in British Columbia. https://teambasedcarebc.ca/nurse-compass/NNPBC Program Stay tuned - launching soon!FPSC has a virtual guide to support the Ministry of Healthâs Nurse in Practice Program. https://fpscbc.ca/integrating-nurse-practiceBC Nurse in Practice Program is BCâs primary care strategy designed to expand team-based primary care by integrating more nurses into family practices. https://www2.gov.bc.ca/gov/content/health/nurse-in-practice-program -
This episode focuses on Stage 5 of the Learning Pathway: Team Evaluation, and the importance of evaluation in the context of team based primary care. The hosts explore how evaluation acts as both the end and beginning of the cyclical process of enhancing primary care teams. Sarah and Morgan delve into the distinctions and overlaps between Quality Improvement and evaluation, methods of performing meaningful evaluations, and the introduction of evaluation tools aimed at measuring team effectiveness. The episode emphasizes that evaluation is not a linear process but a continuous circle that can commence at any stage of team development. Morgan highlights how it is often best to begin evaluating sooner than later because it is easy to spend far too long planning what to evaluate. You can always complete another evaluation cycle. The hosts then share the plan for a TBC evaluation project in BC that is going to engage 30 clinics in evaluation over the next few months.
The episode ends with a call to action focused on starting your evaluation journey by looking at available resources, reminding listeners to check back in the show notes of previous episodes periodically as more the learning pathway will continue to evolve. The season wraps up with a bit of a teaser for the next season of TeamUP!
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and ResourcesFor more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
Measurement Plan Worksheet
Small worksheet to help identify what to collect, when and how to measure.
https://teambasedcarebc.ca/resources/measurement-plan-worksheet/#details
Team Effectiveness ToolTaking us back to where we started with S06- check out the Team Effectiveness tool, a short multiple choice assessment to help huide your learning on team based care.
https://teambasedcarebc.ca/team-effectiveness-tool/
Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
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This episode focuses on Stage Four of the learning pathway, emphasizing team performance and quality improvement within primary care settings. The hosts discuss the continuous learning approach as a key element of a healthcare system â which aims to improve patient-centred and team-centred care by applying evidence to practice. Morgan and Sarah explore the concept of quality improvement as an iterative process, emphasizing the importance of starting with a good question and evolving from there. The episode highlights how accepting a trial-and-error style approach may be a culture shift within a clinic. However, in doing so, the practice will improve with each iteration, the roles within the practice will become solidified, and colleagues will become more comfortable utilizing team-based care methods. Practical strategies such as leveraging available resources, engaging with coaching supports, and time-boxing QI cycles are discussed to encourage teams to initiate and sustain quality improvement methods.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and Resources
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
Practice Support Program
The Family Practice Services Committee has a robust breadth of resources to help optimize your BC-based practice and delve further into team based care and if you have access to PSP or TBC Coaches, they are wonderful resources if you are thinking about QI in your team. Contact your local PSP team for support.
https://fpscbc.ca/psp
PSP also offer compensation and MainPRO+ credits for eligible primary care teams participating in PSP services.
Learning Pathway Resources
Check out the QI Team Member Matrix Worksheet
Through the TeamUp network we are working to advance supports for team based primary care.
Please reach out to [email protected] if you would like to learn more! -
In this episode, Morgan and Sarah move into Stage 3 of the Learning Pathway for Primary Care Teams. The focus here is on â after we have built a team, how do we develop it further and showcase the continuity of care to patients? The hosts discuss how patients may perceive team-based care as a disruption to their healthcare continuity, and they provide ways to think about communicating this positive change to patients. Morgan then breaks down continuity into four types: information, management, relational, and inter-provider. Sarah highlights key resources and shares an anecdote where she realized that her MOA was integral for her continuity of care. Morgan and Sarah emphasize the importance of communication within the clinic, and including patients in conversations that demonstrate HOW you are communicating and connecting as a team in practice.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and Resources
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
What Matters to YouThese resources helps us use conversations to understand more about our patients
https://teambasedcarebc.ca/resources/what-matters-to-you/
What matters to Patients with Virtual Care appointments
RN Virtual Virtual Primary Care Practice Guidehttps://isu.ubc.ca/registered-nurse-virtual-primary-care-practice-areas/
Relational Continuity Change Packagehttps://actt.albertadoctors.org/pmh/panel-and-continuity/continuity-posters/
Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more! -
Morgan and Sarah continue their discussion on Stage 2 of the Learning Pathway for Primary Care Teams. This episode is focused on Team Building, and specifically, seeing Patients as Team Members. The hosts make a point that patients are essential team members, and understanding the patient perspective when transitioning to team based care is important. If a practice is moving to team based care, patients likely wonât know what to expect, and may even be worried that their standard of care is lowering. Morgan and Sarah highlight the importance of exploring methods of communication to help explain this new care model. Furthermore, the discussion emphasizes how small communication changes in everyday practice can have a significant influence and help patients feel more supported. Finally, practical suggestions are made to help healthcare establishments in manifesting their teams via checklists, orientation activities for new patients, posters, and website representation.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and ResourcesFor more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
To get started check out the culture change toolbox and the âQuestions to consider before getting startedâ on P 12 of the toolbox.
Read over the AHRQ White Paper discussed in this episode âCreating patient Centred Team Based Careâ (2016). This includes a great list of strategies for providing patient centred team based care (p. 7-19)
Check out the activities laid out in the Patient Centred Teams âSetting the Stageâ handout
Past Podcast Episodes that may be of interest:
TeamUp podcast: S05 E02 Patients as team membersExplore more of the resources in Stage 2 of the Team Based Care Learning Pathway.Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
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Stage 2 of the Learning Pathway for Primary Care Teams is focused on Team Building. In this episode of Team Up, Sarah and Morgan focus on a key element within this stage: the importance of building relationships within a team. We explore the value of returning to shared purpose and shared goals as a tool to support effective team building and collaboration. We also provide practical tips and discuss some of the great resources that are highlighted in the Team Building Stage of the Team Based Care Learning Pathway.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/For more information about shared purpose and some the resources we highlight in this episode check out the Shared Purpose Facilitation GuideTake a look at this template for Team Agreements and this collection of resources focused on Team Huddles, all resources that are connected to the Learning Pathway.
Links and ResourcesPast Podcast Episodes that may be of interest:
TeamUp Webinar Feb 17 2022: Skill Building for Teams- HuddlesTeamUp Podcast: S03 E03: Distributed Teams and Team HuddlesTeamUp Podcast: S01 E07: Practical Tools for Virtual Team Based CareExplore more of the resources in Stage 2 of the Team Based Care Learning Pathway.
Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
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In this episode, Morgan and Sarah continue their discussion of the first stage of the learning pathway: Where to start with team based care. Our hosts focus on the importance of thinking about both service design and team readiness when transitioning to team-based care in primary care clinics. They emphasize the need to consider the existing services in the community when designing or redesigning a team. Sarah and Morgan also highlight a number of resources available for primary care teams in the first stage of the learning pathway, highlighting the Team Readiness Checklist as something for listeners to try out in practice.
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/For more information about Team Mapping, a tool to support teams working together on how they want to work together, in a patient centred way take a look at the following resources:Team Mapping MIROVERSE toolkitPrice M, Bellwood P, Hill TT, Fletcher S. Team Mapping: A Novel Method to Help Community Primary Healthcare Practices Transition to Team-Based Care. Healthc Q. 2020 Jan;22(4):33-39. doi: 10.12927/hcq.2020.26086. PMID: 32073389.
Links and ResourcesPast Podcast Episodes that may be of interest:
S03 E07: A Quick intro to Team MappingS03 E09: Clearer Roles in Distributed Primary Care TeamsFor links to the job descriptions and role material described in this episode explore stage 1 of the team based care learning pathway
Role DescriptionsSample RN postingFind the Team Readiness checklist here to try it out in practice
Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
https://teambasedcarebc.ca/team-based-care-pathway/where-to-start-with-team-based-care/
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In this episode, Morgan and Sarah introduce the first stage of the Team Based Care Learning Pathway and focus on the importance of getting to know your patients. Morgan and Sarah explore two ideas related to getting to know patients,
Utilizing EMR data for demographic insights and chronic condition trends andConducting patient surveys to uncover needs.Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and Resources
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
Here are a few of the highlighted patient experience survey tools from a recent review by the ISU:
Patient-Perceptions of Team Effectiveness (PTE) questionnaire (43 item survey- Canadian)Kilpatrick K, Tchouaket Ă, Paquette L, Guillemette C, Jabbour M, Desmeules F, Landry V, Fernandez N. Measuring patient and family perceptions of team processes and outcomes in healthcare teams: questionnaire development and psychometric evaluation. BMC Health Serv Res. 2019 Jan 6;19(1):9. doi: 10.1186/s12913-018-3808-0. PMID: 30612571; PMCID: PMC6322340.(Demonstrates strong reliability and validity in assessing healthcare team functioning, covers critical dimensions of integrated care such as role clarity, boundary work, perceptions of team effectiveness, and outcome of care. It is easy to administer and aligns well with the primary care context)**Patient Reported Indicators Survey (PaRIS) (121 item survey that can be broken up into sections- International)**Slawomirski, L., van den Berg, M., & Karmakar-Hore, S. (2018). Patient-Reported indicator survey (Paris): aligning practice and policy for better health outcomes. World Medical Journal, 64(3), 8-14.The Innovation Support Unit is currently working on a comprehensive review of patient surveys to recommend a survey for use as part of the TBC evaluation. Watch this space for updates!Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more!
https://teambasedcarebc.ca/team-based-care-pathway/where-to-start-with-team-based-care/
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In this episode, Morgan and Sarah introduce Season 6 of Team Up and discuss the new team-based care pathway. They highlight the motivation behind creating the pathway and how the pathway will structure the season. The episode also includes a tangible takeaway for listeners, as Morgan and Sarah suggest trying out the team effectiveness tool available on the teambasedcarebc.ca website as a place to start!
Special thanks to Amie Hough, a Leader in Health System Improvement for Primary and Community Care with Health Quality BC, and one of the creators of the learning pathway, who we will be hearing from throughout the season.
Links and Resources
For more information on the Team Based Care Learning Pathway check out https://teambasedcarebc.ca/team-based-care-pathway/
The Team Effectiveness Tool is a short, multiple-choice assessment that gathers information about your teamâs values, communication, roles, and existing supports to help guide your learning on team-based care. https://teambasedcarebc.ca/team-effectiveness-tool/
Through the TeamUp network we are working to advance supports for team based primary care. Please reach out to [email protected] if you would like to learn more! -
The transition to a post-pandemic world has drawn increased attention to the tensions, pressures and capacity challenges that are experienced by health care providers and patients in primary care systems around the world. In the face of these challenges, in British Columbia, policy makers, funders, providers, and patients are working through another transition- the transition to team based primary care. The Innovation Support Unit, in the Department of Family Practice at the University of British Columbia, has been working to develop a series of implementation supports for communities, teams, providers and patients engaged in this transformation of Primary Care. Designed to accelerate planning and implementation, the mapping methods support inclusive, patient-centred and equity focused discussion and decsion-making.
This podcast episode tells the story of the evolution and iteration of the mapping tools and supports that have been co-developed by the ISU and communities across BC engaged in the implementation of team based care in primary care.
Drawing on the experiences of the ISU team as well as community interviews, the episode highlights the challenges, opportunities and potential new directions in the transition spaces of primary care transformation. Please see the resources below for more information about the primary care supports highlighted in this story.
Thanks to our guests!
Megan Sloan is the manager of the Qathet Primary Care Network, the regional district that surrounds the city of Powell River. Over the last 13 years, Megan has very engaged with the local community of physicians and nurse practitioners in Qathet and has taken on a variety of roles supporting primary care practices and planning.
Leslie Keenan: is the Executive Director of the South Island Division of Family Practice. Leslie has a long history of supporting primary care in communities, prior to her time with South Island she was the ED of the Nanaimo Division of family practice.
Amanda Frazer is the Strategic Lead of Primary Care Implementation Supports with the Innovation Support Unit. We are so grateful she was able to join us from her maternity leave! Amanda is passionate about the intersection between community engagement and system change. Prior to joining the ISU Amanda worked with the Campbell River Division of Family Practice.
Aleah Ross is the Primary and Community Care Mapping Lead with the Innovation Support Unit and is currently a PhD student at the University of Victoria in clinical psychology.
Morgan Price is the director of the ISU. He is an Associate Professor at UBC and affiliate faculty at UVic Division of Medical Sciences, Computer Science, and Health Information Science. Morgan is a family physician and practices in a Community Health Centre where he provides team-based care to underserved populations in the inner-city in Victoria. His research is in health systems change and clinical information system design and adoption.
Resources
Read Team Mapping: A Novel Method to Help Primary Care Teams in Transitionvisit teammapping.cacheck out our MIROVERSE template at https://miro.com/miroverse/team-mapping/
For more information about Team Mapping:For more information about PACC mapping:
Read Primary and Community Care Mapping: Helping Communities Collaboratively Plan Health Services in a Patient-Centred Mannerplease check out our MIROVERSE template at https://miro.com/miroverse/isu-pacc-mapping/You may also be interested in checking out some of the material related to TEAL organizations through the Re-Inventing Organizations WIKI based on the work of Fredrick LaLoux.
If you would like to learn more about the ISU or if you have any ideas for future podcasts please email [email protected]
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Itâs the end of Season five! In this wrap-up episode Morgan and Sarah reflect on the variety of roles that were showcased this season, share some season highlights and key recommendations for action and give a with a sneak peak at whatâs to come- first a break, then SEASON 6!
Exciting plans are already in the works for Season 6, which will be focused on PRIMARY CARE CLINIC STORIES and (spoiler alert!) may include more in-person conversations and in-the-field reflections! Reach out to [email protected] you know of a clinic whose team story should be shared!
Thanks to our Guests and to the ISU Team
No guests this episode but a huge thank you to all the wonderful people who connected with us this season. Thanks to the over 30 providers who helped us create season five - we are so grateful to everyone who agreed to talk with our team!Special thanks goes out our amazing ISU team who were behind the scenes making this season a reality! Thanks to Josephine Lam and Erza Mjekiqi who both jumped in to interviews, reviewing transcripts and coordinating and connecting with guests and special thanks to Tlell Elviss who did all that AND joined our script writing and production team!
Resources
If you are interested in learning about resources and supports available to primary care teams, try out the new Team Effectiveness Tool , part of www.teambasedcarebc.ca
As we take a break over the next few months take a listen to some our favourite episodes of Season 5 or spend some time listening to our earlier seasons! -
In this episode Morgan and Sarah explore the Physician role in Primary Care. Physicians are the foundation of the primary care system and support cradle to grave care for a wide range of patient needs in a variety of care models. They provide care in rural and urban settings, in clinical settings that range from UPCCs to community health centres and FNPCIs. Team-based care is an opportunity for physicians to practice with the support of other healthcare professionals which can impact their wellbeing and adaptive capacity. We hear from physicians who practice in different settings about what they do, how TBC has impacted their wellbeing, and
The key takeaways from this episode include:
Family Physician roles can vary considerably depending on the model of care. This impacts how they connect, in person or virtually, with a team.Second, teams can enhance the adaptive capacity of the overall primary care system which in turn can enhance the wellbeing of family doctors.The best place to start is to just start! Take a small step towards team based care by hiring a single role, doing a few shifts with a primary care team in your area, or start working with the team already in your clinic slightly differently.Guests:
A huge thank-you to our guests from this episode for sharing their knowledge and experience with us. In this episode you heard from:
Terri Aldred: Dr. Aldred is Carrier from the Tl'azt'en territory located north of Fort St. James. She is a member of the Lysiloo (Frog) Clan. Dr Aldred is the medical director for primary care for BCâs First Nations Health Authority, the site director for the UBC Indigenous family medicine program, a clinical instructor with UBC and UNBC, a family physician for the Carrier Sekani Family Services primary care team, which serves 12 communities in north-central BC, and the Indigenous lead for the Rural Coordination Centre of BC.Daphne Green: Dr. Green is a family doctor who works with a team of professionals at the Kelowna Urgent and Primary Care Centre.Rahul Gupta: Dr. Gupta work as an integrative medical physician, professional coach, trauma-sensitive mindfulness instructor, and advocate for physician wellness. He is currently a coaching consultant for the Physician Health Program of BC, a clinical Assistant Professor for the Department of Family Medicine, UBC, and a facilitator for Quality Team Coaching for Rural BC.Dana Hubler: Dr. Hubler is a Family Physician with the FNHA, the UBC Rural CPD Medical Director and Physician Advisor with the Physician Quality Improvement Island Health program.Anne Nguyen: Dr. Nguyen is a Victoria Primary Care and Addiction Medicine physician who worked for a number of years with Victoria Cool Aid Society. She also works for Doctors of BC as the Physician Lead for the Physician Health Program.Christie Newton: Dr. Christie Newton as Associate Vice-President, Health, pro tem, an associate professor and the Associate Head, Education and Engagement in the Department of Family Practice in the Faculty of Medicine. In this role, she is working on a province-wide project funded by the Ministry of Health, aimed at supporting the design and evaluation of teaching within team-based models of care embedded in Primary Care Network communities. She is also the Medical Director of the UBC Health Clinic.Carolyn Canfield: Carolyn is the ISUâs in house patient-disruptor and adjunct faculty member in the Department of Family Practice at UBC. Carolyn is very involved in the Department of Family Practice and shares her expertise by teaching medical residents about patient experience and engagement. She also teaches in the undergraduate medical program, serves on the medical school admissions subcommittee and contributes on a number of provincial, national and international project teams on topics ranging from partnership evaluation to understanding systems resilience to advance patient safety.Resources and Links :
To learn more about the Centre for Resilience in Healthcare visit: https://www.uis.no/en/research/share-centre-for-resilience-in-healthcare. Some of their recent publications include:Lyng, Hilda Bø, Carl Macrae, Veslemøy Guise, Cecilie Haraldseid-Driftland, Birte Fagerdal, Lene Schibevaag, Janne Gro Alsvik, and Siri Wiig. âExploring the Nature of Adaptive Capacity for Resilience in Healthcare across Different Healthcare Contexts; a Metasynthesis of Narratives.â Applied Ergonomics 104 (October 2022): 103810. https://doi.org/10.1016/j.apergo.2022.103810.Lyng, Hilda Bø, Carl Macrae, Veslemøy Guise, Cecilie Haraldseid-Driftland, Birte Fagerdal, Lene Schibevaag, and Siri Wiig. âCapacities for Resilience in Healthcare; a Qualitative Study across Different Healthcare Contexts.â BMC Health Services Research 22, no. 1 (December 2022): 474. https://doi.org/10.1186/s12913-022-07887-6.Fagerdal, Birte, Hilda Bø Lyng, Veslemøy Guise, Janet E. Anderson, Petter Lave Thornam, and Siri Wiig. âExploring the Role of Leaders in Enabling Adaptive Capacity in Hospital Teams â a Multiple Case Study.â BMC Health Services Research 22, no. 1 (December 2022): 908. https://doi.org/10.1186/s12913-022-08296-5.To learn more about the Quality Team Coaching for Rural BC program: https://rccbc.ca/initiatives/qtc4rbc/.To learn more about the Physician Wellbeing Program visit: https://www.physicianhealth.com/To assess the effectiveness of your team, try the new Team Effectiveness Tool on the Team-based Care BC website: https://teambasedcarebc.ca/team-effectiveness-tool/#gf_6To dig into a whole bunch of team-based care resources see: https://teambasedcarebc.ca/If you are interested in listening to Season 2, the episodes on resilience you can find that here: https://teamuppod.com/season-2/ - Mostrar más
