The Fairmont Banff Springs Hotel

Transcription

FINAL PROGRAM
The Fairmont Banff Springs Hotel
Hosted by:
In collaboration with:
Sponsors
Thank you to our sponsors for their unrestricted educational grants in support of this
conference program. We are grateful for your support of Accelerating Primary Care!
Gold
Silver
Bronze
Supporter
Accelerating Primar y Care 2012 Conference — F I N A L P R O G R A M — Nov. 18 - 2 0 — Banf f, Alber ta
Table of Contents
Welcome
2 Conference Overview
P A G E 4 General Information
P A G E 5 Schedule at a Glance
P A G E 6 Pre-Conference Workshops
P A G E 9 Conference Program
P A G E 14Speakers
P A G E 21 Conference Posters
PA G E
AT THE BACK OF THIS BOOKLET
Note Pages &
Evaluation Form
We are delighted to welcome you to the beautiful town of Banff and to the
Accelerating Primary Care 2012 Conference, hosted by Primary Care Initiative, a
trilateral partnership of Alberta Health, Alberta Health Services and Alberta Medical
Association, in collaboration with the University of Alberta and University of Calgary.
The conference begins with three excellent workshops that capture key elements of
the conference themes – team work, measurement and evaluation. These workshops
are followed by two days filled with sessions chaired by primary care experts who
will focus closely on the conference themes. Much of the information being shared
is practical knowledge that participants will be able to apply in their daily working
environments. We’re confident you will be inspired and motivated by the speakers
and discussions of the next few days.
It’s no secret that positive, long‑term health outcomes result from an effective
and accessible primary care system. Research and practical application prove
that consistent, available care by a dedicated team of multi‑disciplinary health
professionals, as evidenced in Alberta’s Primary Care Networks, means patients get
the best care from the most appropriate care provider at the optimal time.
Over the course of this conference, you will hear about the efforts to target, measure
and account for these health system improvements. You will have the opportunity
to hear examples of how teams meet and overcome challenges through innovative
service delivery and real community engagement, and you will gain a greater
understanding of the role of the patient in team‑based primary care.
Alberta continues to be a leader in primary care innovation in Canada; the sharing
of ideas, information and solutions paves the way for an even brighter future for our
health system. We hope you enjoy the conference and once again, welcome to Banff!
Sincerely,
Lee Hall
Conference Chair
Program Director, Primary Care Initiative PMO
Accelerating Primary Care 2012 Conference
Banf f, Alber ta — N o v. 18 - 20 — F I N A L P R O G R A M — Accelerating Primar y Care 2012 Conference
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Conference Overview
Conference Objectives
At the conclusion of this conference, participants will be able to:
1. Describe international, national, provincial and regional initiatives that demonstrate the
progress of primary care
2. Discuss key issues affecting primary care
3. Challenge existing thinking and articulate the factors that are critical for primary care to be successful
4. Describe the various methods of payment for primary care and how they affect performance
5. Describe what should be measured in primary care to demonstrate effectiveness
6. Outline creative achievable strategies to address the issues facing primary care
7. Identify steps that can be taken to improve the performance of primary care
8. Describe the vision for the future of primary care in Canada
Program Accreditation
A certificate of attendance is in your conference package. Additional copies are available at
the registration desk.
REVIEWED: This program has been reviewed by
The College of Family Physicians of Canada and is awaiting
final accreditation by the College’s Alberta Chapter.
APPROVED: The Division of Continuous Professional
Learning at the University of Alberta has approved
this as an Accredited Group Learning Activity under
Section 1 of the Framework of Continuing Professional
Development options for the Maintenance of
Certification Program of the Royal College of Physicians
and Surgeons of Canada.
MAINTENANCE OF CERTIFICATION:
Attendance at this program entitles certified members
of the Canadian College of Health Leaders (CHE / Fellow)
to 2.75 for Workshop #1, 2.75 for Workshop #2 and
2.0 for Workshop #3 and 6.75 Category II credits
for the Conference toward their maintenance of
certification requirement.
SOCIAL MEDIA: Join the conversation on Twitter by using
hashtags #apcc12 #primarycare.
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Disclosures
Conference speakers and committee members have been asked to declare conflicts of interest.
The following disclosures were received:
1. Donna Manca has disclosed that the CPCSSN project is funded by the Public Health
Agency of Canada (PHAC).
2. Robert Wedel has disclosed that he has been paid as the member of a speakers’ bureau
to address group patient visits, and has received funding from AstraZeneca to develop
an educational package about group patient visits.
Program Advisory Committee
Chair: Lee Hall, Program Director, Primary Care
Initiative Program Management Office
June Bergman, Associate Professor, Department
of Family Medicine, University of Calgary
Jewel Buksa, President, BUKSA Strategic
Conference Services
Lee Green Professor and Chair, Department of
Family Medicine, Faculty of Medicine and Dentistry,
University of Alberta
Dennis Kreptul, Professor and Deputy
Department Head, Department of Family Medicine,
Faculty of Medicine, University of Calgary
Roger Palmer, President, LEAD Consulting Ltd.
Stephanie Donaldson Kelly, Director, Primary
Care and Chronic Disease Management,
Edmonton Zone, Alberta Health Services
Anne-Marie Stacey, Knowledge Transfer Facilitator,
Primary Care Initiative Program Management Office
Tobias Gelber, Family Physician, The Associate
Clinic, Pincher Creek
Richard Alan Ward, Medical Lead, Crowfoot
Village Family Practice
Yolanda Lackie, Executive Director, Innovative
Compensation, Alberta Health
Judy Wry, Program Developer, BUKSA Strategic
Conference Services
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General Information
Daily Summaries of Conference Proceedings
A daily summary will be prepared and will be available each morning of the conference. The daily
summary for Tuesday, November 20 will be emailed to conference participants; all daily summaries
will be available on the conference website in both English and French.
Posters and Exhibits
Visit the Van Horne Ballroom C to view the posters and meet the exhibitors; refreshments are available
in this room throughout the conference. The listing of posters is in the back of your program booklet.
Poster Award
The ‘best poster’ award will be presented at 1:15 pm on Tuesday, November 20 (first session after lunch).
Speaker Presentations
Copies of speaker presentations available to the organizers in advance of the conference will be
distributed in the meeting rooms. All presentations that we receive and for which we have permission
to distribute will be posted on the conference website shortly following the conference.
Conference Evaluation Form
We value your feedback and encourage you to complete the evaluation form in your program package.
You may leave it at the registration desk or fax / email it to the Conference Secretariat by Tuesday,
November 27, 2012.
About the Alberta Primary Care Initiative
Alberta Health (formerly Alberta Health and Wellness), Alberta Health Services
(formerly Alberta’s Regional Health Authorities) and the Alberta Medical
Association created the Primary Care Initiative (PCI) in 2003 for the purpose of
improving patient access to family physicians and other frontline health care
providers. The PCI Program Management Office supports the development of
Primary Care Networks (PCNs) meeting the objectives of the program.
In the 2003 PCI Master Agreement, the three partners set a number of key
objectives to:
• Increase the number of Albertans with access
to primary care services
• Manage access to appropriate
round‑the‑clock primary care services
•
• Increase the emphasis on:
- Health promotion
- Disease and injury prevention
•
For more information
about the Alberta
Primary Care Initiative
and Primary Care
Networks, visit: www.albertapci.ca.
- Care of patients with medically
complex problems
- Care of patients with chronic disease
Improve coordination of primary health
services with other health care services
including hospitals, long‑term care and
specialty care services
Foster a team approach to providing
primary health care.
Each network determines how to best meet the needs of patients in a geographical area while working
within the provincial PCI framework. In PCNs, health care professionals such as pharmacists, dieticians,
exercise specialists, mental health professionals and others work closely with family doctors to enhance
primary health services for patients.
Currently, there are 40 PCNs operating throughout Alberta and more in development.
Over 2,500 Alberta family physicians and hundreds of allied healthcare professionals are
now working in PCNs.
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Schedule at a Glance
Sunday, November 18, 2012
8 am – 1 pmRegistration . . . . . .
9 am – 4:30 pm
Pre‑Conference Workshop A .
9 am – 4:30 pm
Pre‑Conference Workshop B .
12 noon – 4:30 pm
Pre‑Conference Workshop C .
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5:30 – 9 pmRegistration
6:45 – 7:30 pm
Conference Opening / Minister of Health.
7:30 – 8:30 pm
Opening Keynote . . . . . . . .
8:30 – 9:30 pm
Welcome Reception . . . . . . .
ROOM
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VAN HORNE BALLROOM FOYER
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D.C. COLEMAN
SIR EDWARD BEAT T Y
VAN HORNE BALLROOM A/B
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Monday, November 19, 2012
7 am – 4 pmRegistration . . . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M F O Y E R
7 – 8 amBreakfast . . . . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
8 – 8:10 am
Conference Opening . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
8:10 – 9:30 am
Theme 1: Primary Care Teams. . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
9:30 – 10 am
Break and Poster / Exhibit Viewing . . . . . . . . . . . . . .
VAN HORNE BALLROOM C
10 – 11:10 am
Theme 2: Teams and Community . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
11:10 – 11:15 am
Room Change
11:15 – 12 noon
Concurrent Sessions A . . . V A N H O R N E B A L L R O O M A / B • B A R O N S H A U G H N E S S Y • D . C . C O L E M A N • S I R E D W A R D B E A T T Y
12 noon – 1 pmLunch . . . . . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
1 – 1:30 pm
Poster / Exhibit Viewing. . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M C
1:30 – 2:15 pm
Concurrent Sessions B . . . V A N H O R N E B A L L R O O M A / B • B A R O N S H A U G H N E S S Y • D . C . C O L E M A N • S I R E D W A R D B E A T T Y
2:15 – 2:20 pm
Room Change
2:20 – 3:20 pm
Theme 3: Involving Patients in Teams . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
3:20 – 3:45 pm
3:45 – 4:45 pm
Theme 3: Involving Patients in Teams (Continued). . . . . . . . . V A N H O R N E B A L L R O O M A / B
Free Evening
Tuesday, November 20, 2012
7:15 am – 1:15 pmRegistration . . . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M F O Y E R
7:15 – 8 am
Breakfast and Poster / Exhibit Viewing . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M
8 – 9:15 am
Theme 4: Accountability, Quality and Measurement . . . . . . . . V A N H O R N E B A L L R O O M A / B
9:15 – 9:45 am
9:45 – 10:15 am
Theme 4: Accountability, Quality and Measurement (Continued) . . . .
10:15 – 10:55 am
Discussion / Q&A. . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
10:55 – 11 am
Room Change
11 – 12 noon
Concurrent Sessions C . . . V A N H O R N E B A L L R O O M A / B • B A R O N S H A U G H N E S S Y • D . C . C O L E M A N • S I R E D W A R D B E A T T Y
12 noon – 12:30 pmLunch . . . . . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
12:30 – 1 pm
Poster / Exhibit Viewing. . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M C
1 – 2:15 pm
Theme 5: The Economics of Primary Care: What Works? . . . . . . . V A N H O R N E B A L L R O O M A / B
2:15 – 3:15 pm
Closing Keynote. . . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
3:15 – 3:30 pm
Conference Closing. . . . . . . . . . . . . . . . . . V A N H O R N E B A L L R O O M A / B
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Pre‑Conference Workshops
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9 am – 4:30 pm
Workshop A: Critical Appraisal 101: Evidence Appraisal
for Non‑researchers (Lunch Provided). . . . . . . . . . . .
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ROOM 1968
Presenters:
Gabrielle Zimmermann, Alberta Liaison Officer, Canadian Agency for Drugs and Technologies in Health (CADTH)
Paule Poulin, Research Scientist, Local HTA Decision Support Program, Alberta Health Services
“Clinical trials show…”
“Data suggests…”
“A clinical practice guideline recommends…”
“Statistically significant results demonstrate…”
Health care professionals and decision‑makers are bombarded with information and statements like this on a daily
basis. Without a research background, how can we make sense of it all? Do you turn to others’ interpretations of
the literature, but wonder if they are truly relevant to your setting? Do you wish you could assess clinical papers
for yourself, but don’t know where to start or what questions to ask?
Workshop Objectives
This introductory hands‑on workshop will enhance your knowledge and confidence to critically appraise a few
of the most common types of research found in published journals. Geared to clinicians, policy‑makers and
decision‑makers needing quick‑assessment skills to evaluate scientific papers, this workshop will highlight the
most important things to look for in:
• a systematic review or health technology assessment;
• a clinical practice guideline;
• a randomized controlled trial;
• a qualitative research article.
Who will this Workshop Benefit?
This session will appeal to policy‑ and decision‑makers, health care professionals, patient advocates, or anyone
who wants to gain introductory comfort in interpreting medical literature.
9 am – 4:30 pm
Workshop B: Improving Quality and Safety in Primary Care:
Learning from Each Other (Lunch Provided) . . . . . . . . . . . .
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D.C. COLEMAN
Presenters:
Neil Houston, General Practitioner and National Clinical Lead, Safety Improvement in Primary Care,
Healthcare Improvement Scotland
David Moores, Family Physician, Quality Health Services Lead, Department of Family Medicine, University of Alberta
Maeve O’Beirne, Family Physician, Chair QI Committee, Department of Family Medicine, University of Calgary
Mirella Chiodo, Informatics Coordinator and Administrative Quality Lead, Department of Family Medicine,
Quality and safety initiatives in health service delivery are dominated by the experiences of the institutional
secondary and tertiary care sectors, while the vast majority of clinical encounters occur in the primary care sector.
A focus on primary care quality and safety is the emerging initiative for primary care networks, family health
teams / groups / organizations / networks, divisions of family practice and like organizations.
Workshop Objectives
• Identify common efficiency / inefficiency challenges facing primary care practitioners;
• Identify system and systemic barriers to more efficient primary care practice;
• Identify common and uncommon quality and safety issues in primary care;
• Identify theoretical and successfully applied solutions;
• Provide participants with a summary document of identified issues, solutions and reference materials.
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Pre‑Conference Workshops
12 noon – 4:30 pm
( C O N T I N U E D ) . . .
Workshop C: The Development and Implementation
of a Provincial, Practice‑based, Primary Care Research
Network for Alberta (Lunch Provided). . . . . . . . . . . .
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Presenters:
Neil Drummond, Professor and Capital Health Research Chair in Primary Care, Department of
Family Medicine, University of Alberta
Lee Green, Professor and Chair, Department of Family Medicine, University of Alberta
Donna Manca, Associate Professor, Director of Research, Department of Family Medicine,
Scott Oddie, Rural Health Research Chair, Red Deer College and Alberta Health Services
Practice‑based Primary Care Research Networks are a growing phenomenon in Canada with around
10 known to exist across the country. Currently, two such networks are active in Alberta, the Southern
Alberta Primary Care Research Network (SAPCRN) and the Alberta Family Practice Research Network
(AFPRN). Both are relatively small in scope and limited in resources.
Following current trends in the US, Scotland and elsewhere, we propose to create a large provincial
research network which will incorporate SAPCRN and AFPRN as semi‑autonomous regional network
nodes and extend their work across Alberta. This would lead to the development of an interprofessional,
multidisciplinary, primary care research infrastructure capable of undertaking many large studies and
involving the full range of health services research methodologies. Examples of these studies include
literature reviews and meta analyses, qualitative research, public health surveillance, longitudinal designs
and various clinical trials designs (such as cluster randomised trials).
Impact and Expected Outcomes
• Sign up of network members from disciplines constituting or relevant to the ‘broad church’ of
community based primary care practice, management and policy development in Alberta. This would
include, for example: family physicians, nurse practitioners, registered nurses, licensed practical
nurses, pharmacists, social workers, psychologists, behavioural medicine specialists, physiotherapists,
dentists, dieticians and nutritionists, public health specialists and nurses, PCN and family care centre
executive directors and directors of research and evaluation, Alberta Health Services and Alberta Health
policy makers;
• Decision in principle concerning the expansion of CPCSSN sentinel family physicians throughout Alberta;
• Discussion concerning network organizational structure and processes;
• Decision concerning potential funding sources for network development over an initial five‑year term;
• Decision concerning the relationship between and Alberta practice‑based primary care network and
the Canadian Primary Health Care Research and Innovation Network.
Who will this Workshop Benefit?
This session will appeal to network members from disciplines constituting or relevant to the ‘broad church’
of community‑based primary care practice, management and policy development in Alberta (i.e., family
physicians, nurse practitioners, licensed practical nurses, pharmacists, social workers, psychologists,
behavioural medicine specialists, physiotherapists, dentists, dieticians and nutritionists, public health
specialists and nurses, PCN and family care centre executive directors of research and evaluation, AHS
and AH policy makers, etc.)
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Conference Program
Conference Moderator: Steven Lewis , Access Consulting
ROOM
5:30 pm – 9 pm
Registration .
6:45 – 7:30 pm
Conference Opening .
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Welcome
Lee Hall, Program Director, Primary Care Initiative
Opening Presentation
Fred Horne, Minister of Health, Government of Alberta
7:30 – 8:30 pm
Opening Keynote .
23 and ½ Hours: What is the single most important thing you can do for
your health and how do you get others to do it?
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Michael Evans, Associate Professor, Family Medicine and Public Health, University of Toronto
In this talk Michael Evans draws on the breadth of his experience, from seeing patients in a busy urban practice,
to founding the Mini‑Med School at the University of Toronto, to his role as chief editor of the provincial health
portal, health columnist for the Globe and Mail newspaper and health advocate, influencing federal and
provincial policy and research initiatives. These experiences are now fusing with the launch of the Health Media &
Innovation Lab (HMIL) at the new Li Ka Shing Knowledge Institute where Michael is leading a “collaboratory”
to revolutionize the way people make health decisions. By bringing together media companies, designers,
filmmakers, expert patients, policy makers, researchers, marketers and clinicians, the HMIL will create and evaluate
knowledge therapy. Participants will learn how web 2.0 makes a difference, how stories trump data AND how
relationships trump stories.
8:30 – 9:30 pm
Welcome Reception.
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Monday, November 19, 2012
7 am – 4 pmRegistration.
7 – 8 amBreakfast .
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. V A N H O R N E B A L L R O O M F O Y E R
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8 – 8:10 am
Opening of Day 2 .
8:10 – 9:30 am
Theme 1: Primary Care Teams.
Primary Care Teams in Canada and Abroad: An update
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Our speakers will provide a survey of primary care reform and delivery across Alberta, Canada and
internationally, discussing what is new, what is working and what needs to be changed.
Neil Houston, General Practitioner and National Clinical Lead, Safety Improvement in Primary Care,
Healthcare Improvement Scotland
Brian Hutchison, Professor Emeritus, Department of Family Medicine, McMaster University
Rob Wedel, Physician Lead, Chinook Primary Care Network
9:30 – 10 am
Break and Poster / Exhibit Viewing .
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ROOM
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Theme 2: Teams and Community.
Involving the Community to Maximize Health: An international perspective
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Jami Brown, Manager, Healthy Living / Healthier Communities, Fraser Health Primary Health Care
People & Communities Working Together to Raise Happy, Healthy Children:
The Foothills Children’s Wellness Network
Lise Brisebois Blouin, Director – Central Community & Rural Facilities, Alberta Health Services – Calgary Zone
The Foothills Children’s Wellness Network is a collective of many of the early childhood services available to
parents and communities. This includes agencies, individuals, businesses and institutions. When it comes to
influencing early childhood development, we all have a role to play. It is about giving our children the best
possible start in life by coordinating and maximizing resources for parents, caregivers and communities.
The participation of Lise Brisebois Blouin is supported through a grant from the Norlien Foundation.
Partnering With Our Community to Promote Active Living
Lorna Milkovich, Executive Director, Red Deer Primary Care Network
The Red Deer Primary Care Network has just completed an evaluation of their community programming which
includes activities such as placing exercise equipment into outdoor parks and providing instruction on how
to use them. Our speaker will discuss their collaboration with the local community, outcomes achieved and
opportunities for the future.
11:10 – 11:15 am Room Change
11:15 am – 12 noon Concurrent
Sessions A
1. Tools for Practice: Clinical Pearls for Primary Care .
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. V A N H O R N E B A L L R O O M A / B
G. Michael Allan, Associate Professor and Director of EBM, Department of Family Medicine, University of Alberta;
Director, Evidence and CPD Program, Alberta College of Family Physicians
Tools for Practice are brief, evidence‑based summaries of common clinical problems in primary care.
It is sponsored by the Alberta College of Family Physicians and coordinated by the evidence‑team of Academic
Family Physicians. In this session we will introduce Tools for Practice then run rapid‑fire through popular tools,
providing new insights for managing chronic diseases such as diabetes and cholesterol and urgent care visits
(fever in pediatrics, lacerations etc.).
2. Oral Presentation of Select Abstracts
Room 1
Room 2
BARON SHAUGHNESSY
Inventory of CDM (Chronic Disease
Management) Programs in Canada in
PHC (Primary Health Care) settings
Room 3
D.C. COLEMAN
VCH Primary and Community Care
Integration: Leading from behind
Care Gap Analysis and Improving
Outcomes for Patients with
Type 2 Diabetes in Primary Care
Yogeeta Dosanjh, Vancouver
Coastal Health
Bachir Belhadji, Health Canada
SIR EDWARD BEATT Y
Nina Hirvi, Copeman Healthcare Centre
Jordan Sauer, Health Canada
Joanne Douglas, Vancouver
Coastal Health
The Impact of Panel Management on
Patient Access to Care
Enhancing Primary Care Access:
Improving access and reducing
unnecessary emergency visits
Orthopedic Triage at the Primary
Care Level at the Edmonton North
Primary Care Network
Brandi Engbert, Palliser Primary
Care Network
Lindsay Steward, Edmonton North
David Letourneau, Alberta AIM
Shivonne Berger, Palliser Primary
Care Network
The Art of Persuasion:
Engaging physicians in primary
care integration
Primary Health Care and Housing
First: Interdisciplinary teamwork
yields successful outcomes
Street Clinic: Working together to
meet the health needs of vulnerable
population in a primary care setting
Pauline Pariser, University
Health Network
Robert A. Haubrich, Boyle McCauley
Health Centre, Pathways to
Housing Program
Marlee MacDonald, Red Deer Primary
Care Network
12 noon – 1 pmLunch .
1 – 1:30 pm
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Poster / Exhibit Viewing .
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ROOM
1:30 – 2:15 pm
Concurrent Sessions B
Changing Practices to Incorporate New Knowledge on Early Brain
Development, Mental Health and Addiction . . . . . . . .
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V A N H O R N E B A L L R O O M A / B Bev Stich, Child and Adolescent Psychiatrist, Edmonton Oliver Primary Care Network
Lisa Cook, Information Specialist, Chinook Primary Care Network
The developing architecture of neural networks in the young brain is shaped and strengthened by relationships
with parents who are actively attuned to the needs of infants and young children. Changing practices in Primary
Care Networks to include early identification of and intervention with at risk parents and their young children will
have a lasting impact on the children’s developing brains and their future mental and physical health.
The participation of Bev Stich and Lisa Cook is supported through a grant from the Norlien Foundation.
2. Oral Presentation of Select Abstracts
Room 1
BARON SHAUGHNESSY
Room 2
Room 3
D.C. COLEMAN
SIR EDWARD BEATT Y
Primary Healthcare in Alberta:
A HQCA perspective
The Continuous Improvement
Journey at the Taber Clinic
Markus Lahtinen, Health Quality
Council of Alberta
Michael Brand, The Taber Clinic
The Impact of Alberta AIM at the
PCN Level
Within the S.C.O.P.E. of Patient Care:
A primary care integration project
Bonnie Lakusta, Alberta AIM
Pauline Pariser, University
Health Network
The BETTER Project:
Qualitative study
Allison Larsen, Alberta Health Services
Building on the Effective Integration
of Mental Health Services: New
opportunities and better care
Christopher Carvalho, TELUS Health
Nick Kates, McMaster University
Integrated Hospice Palliative Care:
Bringing family physicians back into
the team
Ross Kirkconnell, Guelph Family
Health Team
Rethinking Self‑Monitoring of
Blood Glucose in Non‑Insulin
Treated Type 2 Diabetes
Scott Klarenbach, University of Alberta
Provincial Primary Care Clinical
Pathway for Adult Depression
2:15 – 2:20 pm
Room Change
2:20 – 3:20 pm
Theme 3: Involving Patients in Teams.
Making the Patient’s Voice the Heart of Improvement
Donna Manca, University of Alberta,
Department of Family Medicine
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Cheryl Rivard, Patients as Partners Coordinator, Primary Health Care, Vancouver Coastal Health
Barbara Greenlaw, Patient / Public Representative, Vancouver Coastal Health
In this session, you will hear about a patient’s experience with the health care system and the difference
having an opportunity to work WITH the health care team has made. In addition, you will learn about ways
to involve patients with the team to improve not only their own experiences, but also the health care system.
Integrating the patient voice is putting the patient’s experience at the forefront of quality improvement and
bringing patients into the decision‑making process.
3:20 – 3:45 pm
3:45 – 4:45 pm
The Magic of Engagement: Transformation strategies to create a
world class patient experience
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Brian Lee, Founder and Chief Executive Officer, Custom Learning Systems Group
Healthcare will not solve any of its clinical, financial and operational challenges without frontline and
management engagement and ownership.
This session will provide attendees with an exciting new team‑based leadership blueprint for sustainable
transformation. For culture change to work well leadership must occur at the top and on the frontline.
4:45 pm
End of Sessions
Free Evening
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ROOM
Tuesday, November 20, 2012
7:15 am – 1:15 pmRegistration.
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. V A N H O R N E B A L L R O O M F O Y E R
7:15 – 8 am
Breakfast and Poster / Exhibit Viewing.
8 – 9:15 am
Theme 4: Accountability, Quality and Measurement.
Building Better Systems for Measuring Performance: Preconditions for success
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Rob Skrypnek, Partner, KPMG
Increasingly, health care systems are adopting a performance‑based culture. But, do we have the basics in
place to measure performance and then use data to promote improvement and demonstrate accountability?
This discussion will highlight the preconditions that can promote effective performance measurement.
Panel: Primary Care Measurement
Donna Manca, Associate Professor and Director of Research, Department of Family Medicine, University
of Alberta; Canadian Primary Care Sentinel Surveillance Network (CPCSSN), Director for the Alberta Family
Practice Research Network (AFPRN)
Lacey Phillips, Manager, Program Development, Accreditation Canada
Greg Webster, Director, Primary Health Care Information, Canadian Institute for Health Information (CIHI)
This panel will describe performance measurement in primary care and the various ways primary care can be
measured, highlighting the indicators and the survey tools. Accreditation Canada will provide an overview
of the Primary Care Standards within Accreditation Canada’s program. CIHI will provide an overview of new
resources for clinicians, policy makers and researchers, including: pan‑Canadian primary health care indicators,
survey tools and the PHC Voluntary Reporting System (PHC VRS).
9:15 – 9:45 am
9:45 – 10:15 am
Integrated Health Care: The importance of measuring patient experience and outcomes
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Carole Stonebridge, Senior Research Associate, Conference Board of Canada
Integrated care is a hallmark of high‑performing health systems. Successfully integrating health systems will
require measuring and evaluating impact from the patient’s perspective and the engagement of primary
care leaders is critical. This session presents the findings of a review of evaluation and measurement efforts
in Canada and abroad, with a focus on three Canadian examples of integrated health care systems. Practical
tools and measures will be highlighted.
10:15 – 10:55 am Discussion / Q&A .
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10:55 – 11 am
Room Change
11 am – 12 noon
Concurrent Sessions C
1. The Accountability Factor: What gets measured gets treasured.
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Brian Lee, Founder and Chief Executive Officer, Custom Learning Systems Group
This session will provide attendees with proven best practices in the creation of team‑based ownership,
buy‑in and accountability for a successful patient‑centered clinic experience from providers, managers
and frontline staff.
2. Oral Presentation of Selected Abstracts
Room 1
BARON SHAUGHNESSY
Room 2
D.C. COLEMAN
Room 3
SIR EDWARD BEATT Y
Ambulatory Care Sensitive
Conditions Indicator as a Measure
for Primary Care Performance
Finding a BETTER Way: Facilitating
chronic disease prevention and
screening in primary care
A Framework for Transforming
Primary Care and Supporting
Quality Improvement
Lisa Cook, Chinook Primary
Care Network
Donna Manca, University of Alberta,
Department of Family Medicine
Nick Kates, McMaster University
Effort to Bridge the Gap Between
Emergency Department and Primary
Care Service in a Young Urban
Patient Population: Embedding
evaluative processes to guide
clinic development
Optimizing Chronic Disease
Management in Primary Care
through Program Integration
and Teamwork
Understanding our Practice to
Change our Practice
Danielle Tone, Chinook Primary
Care Network
Carol Maskowitz, Red Deer Primary
Care Network
Leanne McGeachy, Edmonton North
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ROOM
Room 1
Room 2
BARON SHAUGHNESSY
Room 3
D.C. COLEMAN
SIR EDWARD BEATT Y
Health Basics: An innovative team
approach to healthy lifestyle
promotion and management
It Takes a Team: An interdisciplinary
clinic to treat patients with
complex conditions
Shared Care: Specialist support
for community‑based patients –
Doing more for less
Lorna Milkovich, Red Deer Primary
Care Network
Pauline Pariser, Taddle Creek Family
Health Team
Margot Wilson, Providence Health Care
How Social, Political and Economic
Factors Shape Formation and
Integration of Interprofessional
Primary Healthcare Teams
What We Can Learn From Others:
A scan of primary health care service
delivery models
Evaluating Teamwork in Primary
Care: Edmonton North Primary
Care Network’s resources in clinics
pilot project
Marion Relf, Alberta Health Services
Gillian Mulvale, McMaster University
12 noon – 12:30 pmLunch .
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Donna Lien-Willcott, Edmonton North
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12:30 – 1 pm
Poster / Exhibit Viewing .
1 – 2:15 pm
Theme 5: The Economics of Primary Care: What works?. V A N H O R N E B A L L R O O M A / B
Strengthening Primary Care Through Nurse‑Led Solutions
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Tim Lenartowych, Nursing Policy Analyst, Registered Nurses’ Association of Ontario
Pam Delgaty, Nurse Practitioner, Lakehead Nurse Practitioner‑Led Clinic
In this presentation, the Registered Nurses’ Association of Ontario (RNAO) will discuss two cost‑effective models
to advance timely access to quality primary care services. The first focuses on Ontario’s Nurse Practitioner‑led
Clinics (NPLCs); the first in Canada. With 26 NPLCs already operational and providing cost‑effective primary care
to thousands of Ontarians, the time for national discussion is ripe. The second innovation highlights the urgent
need to maximize and expand the role of Registered Nurses (RNs) and Registered Practical Nurses (RPNs / LPNs)
in primary care. With both an RNAO Policy Analyst and a NPLC Clinical Lead as presenters, participants will
receive a systematic overview of the two innovations and the on‑the‑ground insight of developing a NPLC from
conception to full operation at maximum capacity, including NP, RN and RPN role maximization.
Do Physician Compensation Reforms Affect Patient Care and Outcomes?
Lessons from the Ontario primary care experience
Rick Glazier, Senior Scientist and Primary Care Program Leader, Institute for Clinical Evaluative Sciences
Over the past decade, the majority of Ontario primary care physicians have voluntarily moved into group
patient enrolment models and half of those physicians are now paid predominantly through capitation.
These models have included financial incentives for enrolling unattached patients, preventive health care,
retaining patients within the group and chronic disease management. This presentation will examine the
relationship between physician payment and patient care as well as outcomes with a focus on lessons learned.
2:15 – 3:15 pm
Closing Keynote.
It’s All About the Small Stuff
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Hugh Culver, Chief Ideas Officer, Marathon Communications Inc.
Discover why all great team success comes from excellent systems and habits that are repeated day after day.
Adventurer, entrepreneur and author Hugh Culver will share practical advice on how to shift your thinking from
“reasons why not” to “results you want.” Hugh will teach you the secret of the winner mindset, how to build
team‑trust and why you need to ask in order to get. This exciting keynote will provide ‘on the mark insight’ and
ideas that are immediately applicable.
3:15 – 3:30 pm
Conference Closing .
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Steven Lewis, Conference Moderator
Lee Hall, Program Director, Primary Care Initiative PMO
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Conference Moderator
Steven Lewis
Mr. Steven Lewis is a health policy and research consultant based in Saskatoon and Adjunct Professor of
Health Policy at Simon Fraser University. Prior to resuming a fulltime consulting practice, he headed a health
research granting agency and spent seven years as CEO of the Health Services Utilization and Research
Commission in Saskatchewan. He has served on various boards and committees including the Governing
Council of the Canadian Institutes of Health Research, the Saskatchewan Health Quality Council, the
Health Council of Canada, and the editorial boards of several journals including Open Medicine. He writes
frequently on topics such as reforming and strengthening Medicare, improving health care quality, primary
health care, regionalization and health policy and politics.
Speakers
G. Michael Allan
G. Michael Allan (Mike) is an Associate Professor in the Department of Family Medicine at U of A and
the Director of Evidence‑Based Medicine. He has been in practice approximately 15 years and presently
works at the Northeast Community Health Centre in Edmonton. He has given over 150 presentations and
published more than 50 articles. Mike is the director of the Alberta College of Family Physicians Evidence
and CPD Program including the provincial CME Roadshows. He participates in a weekly medical podcast
on ITunes and writes a regular evidence based update (called Tools for Practice) for the Alberta College of
Family Physicians and the journal “Canadian Family Physician.”
Lise Brisebois Blouin
Over 30 years in health care in British Columbia and Alberta. Lise has held various roles within front line
nursing, education and administration. Her major focus has been Maternal Health low risk to tertiary
levels of Labour & Delivery, Antepartum, Postpartum, Public Health, Population Health, and Rural Nursing.
The last 10 years in administration has provided an opportunity for a broader perspective to include
hospital, community centers, community programs and community development. Passionate about
wellness of children, families, communities and people, Lise is presenting on behalf of the Foothills
Children’s Wellness Network. Lise has had the pleasure of being involved with the Network within the
various capacities of her roles as: Director, Central Communities & Rural Health in the Calgary Zone, Alberta
Health Services; AHS lead on 3 of the local Community PCNs in the Calgary Rural Primary Care Network;
Board Member & AHS representative on the Sheep River Health Trust; Board Member & AHS representative
on the High River Hospital & District Health Care Foundation; Steering Committee Chair of the Foothills
Children’s Wellness Network.
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Jami Brown
Jami Brown is the Manager for Healthy Living / Healthier Communities in Fraser Health. She joined Fraser
Health in 2004 after working for many years in Public Health on healthy living initiatives. She leads a
team of Community Health Specialists committed to working together with communities by joining
efforts in health promotion to create supportive environments for behaviour change. She is passionate
about providing opportunities for people to work together in creating action‑oriented partnerships
that recognize good health is a shared responsibility that involves a collective vision involving health,
community leaders and citizens.
Lisa Cook
Lisa Cook has a PhD in Physiology from the University of Western Ontario. She has been involved in several
medical and healthcare related research projects which span the areas of neuroscience, medical imaging,
metabolomics and primary health care. For the past three years, Lisa has been working as the Information
Specialist in the Chinook Primary Care Network where she conducts region‑wide PCN analysis.
Hugh Culver
Hugh Culver, MBA CSP, is an author of over 100 articles on personal success, master trainer, athlete and
a professional facilitator and speaker. He pioneered tourism flights to the South Pole, was a professional
adventure guide for 18 years in British Columbia, Antarctica and the Yukon, whitewater kayaking competitor,
mountain climber, endurance athlete and has even golfed at the North Pole!
Hugh’s presentations combine street‑smart advice with an engaging and often hilarious delivery style that
reaches over 25,000 people each year. He is a Certified Professional Speaker (one of only 40 in Canada) and
a Certified Facilitation Professional (one of 80 in Canada). In addition to his professional work, Hugh is the
founding director of Dare2Dream, a youth leadership sea kayaking program on the West Coast of British
Columbia. Hugh’s first book “Give me a Break: the art of making time work for you” was published in 2011.
Pam Delgaty
Pam is the Lead Nurse Practitioner for the Lakehead Nurse Practitioner‑Led Clinic. After obtaining her
Nursing Degree from Lakehead University in 1990, Pam travelled extensively across Europe and Asia.
Over the next ten years, Pam worked in the Canadian North, the U.S. Correctional System and as a Medical
Officer for the Canadian Coast Guard. Pam returned to school and graduated at the top of her class from
the Nurse Practitioner Program at Lakehead University in 2000. After graduation she worked at the Norwest
Community Health Centre for ten years. Pam has been with the Lakehead Nurse Practitioner‑Led Clinic
since February 2011.
Michael Evans
Michael Evans received his BA in English Literature from McGill University in 1985 and his MD from
McMaster University in 1993. He is a family physician and an Associate Professor in the Departments of
Family Medicine and Public Health at the University of Toronto and a staff physician at St. Michael’s Hospital.
Known internationally for innovation in how we engage and educate patients, Michael created “23 and
½ hours: What is the single most important thing you can do for your health.” This was mounted on
YouTube in Dec 2011 and has over 2 million views; outpacing any other evidence‑based YouTube health
messaging in history. His current focus is using designed media to better inform Canadians about health.
He is founding director of the Health Design Lab at the Li Ka Shing Knowledge Institute of St. Michael’s
Hospital. The lab fuses diverse skill sets that range from film‑makers and marketers to designers and media
experts, combining them with clinicians, researchers and patients. The lab incubates, prototypes and tests
health media that ranges from peer‑to‑peer digital storytelling to illustrated movies to medication hockey
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cards to 5 minute med schools. Many of these resources are being injected into the process of care at the
newly launched fifth family practice unit at St. Michael’s where Dr. Evans has an inner city practice and
teaches residents.
Michael also engages the public through his work with the common media whether through his
“Evidence‑Based Radio” show on CBC radio’s Fresh Air, his column in the Globe & Mail or other media.
Michael’s work in engaging the public has been profiled on The National, Canada AM, the ReCivilization
series on CBC and the top selling business book MacroWikiniomics this year. CTV profiled him as a
“Canadian Original” in 2012. His recently published kids’ book, the Adventures of Medical Man, was
chosen as one of the 2011 top non‑fiction health books for kids by the Canadian Children’s Book News.
Michael holds many past and current positions regarding knowledge translation to front line clinicians,
consumers and policy makers. He is a founding director of the Centre for Effective Practice, was Scientific
Officer for Knowledge Translation and Exchange at the Canadian Institute for Health Research, was a
member of the Canadian Expert Drug Advisory Committee and Vice‑Chair of the Canadian Optimal
Medication and Utilization Service. He is Chief Editor of the Mosby Family Practice Sourcebook, the
bestselling textbook for front‑line clinicians in Canada, and he is Chair of Patient Education for the College
of Family Physicians of Canada. Michael was founder of the renowned Mini‑Med School at the University
of Toronto, a medical school for the public that puts the public together with the University’s best
medical professors.
Rick Glazier
Rick Glazier is a Senior Scientist and Program Lead of Primary Care and Population Health at the Institute
for Clinical Evaluative Sciences (ICES) in Toronto. He is a Family Physician in the Department of Family and
Community Medicine at St. Michael’s Hospital, and a Scientist in its Centre for Research on Inner City Health
(CRICH). At the University of Toronto, Dr. Glazier is a Professor in the Department of Family and Community
Medicine (DFCM), and cross-appointed at the Dalla Lana School of Public Health and the Institute of Health
Policy, Management and Evaluation. Dr. Glazier’s research interests include primary care health services
delivery models, health of disadvantaged populations, management of chronic diseases, and populationbased and geographic methods for improving equity in health.
Barbara Greenlaw
Barbara Greenlaw is a health advocate residing in Vancouver, BC. Currently retired from a career as an
educator and health consultant, she has enjoyed the opportunity to work in many Canadian provinces as
well as overseas. She has served on a range of health care committees, including boards and community
networks. She is currently a patient / public representative on Vancouver Coastal Health’s Integrated Primary
and Community Care Project. She believes integration and collaboration of patients, families and health
care professionals will contribute to the wider goal of Health for All.
The Honourable Fred Horne
Mr. Horne was elected to his first term as a Member of the Legislative Assembly for Edmonton‑Rutherford
on March 3, 2008 and was sworn in as the Minister of Health and Wellness on October 12, 2011. Previous
appointments include Parliamentary Assistant to the Minister of Health and Wellness, Parliamentary
Assistant to the Minister of Seniors and Community Supports, Chair of the Standing Committee on Health,
and Deputy Chair of the Premier’s Council on the Status of Persons with Disabilities.
In 2009‑10, Mr. Horne served as Co‑Chair of the Minister’s Advisory Committee on Health. The Committee’s
final report, A Foundation for Alberta’s Health System¸ was released in January 2010. Recommendations
included a new principles‑based legislative framework for Alberta’s health system (the Alberta Health Act),
establishment of an independent entity to support evidence‑based decision‑making in the province, and
a commitment by government to ongoing engagement with Albertans with respect to priority‑setting
and changes to legislation, regulation and policy.
Upon government’s acceptance of the recommendations, Mr. Horne was subsequently appointed to lead
a province‑wide consultation on their implementation. His report, Putting People First, was submitted and
released in September 2010 and included 15 recommendations which were accepted by government.
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The report provided the foundation for the Alberta Health Act, recently passed by the Alberta Legislature.
This legislation formalizes guiding principles for decision making, mandates a Health Charter for Albertans
(now in development), establishes a Health Advocate for Alberta, and sets out requirements for public
notice and public consultation with respect to future changes. Future reviews of Alberta’s health statutes
and regulations will be guided by the framework set out in the Alberta Health Act.
Prior to his election to the Legislative Assembly, Mr. Horne worked as a health policy consultant for over
25 years. He has led many initiatives to improve access and quality in Canadian public health care and has
worked extensively with organizations such as the Conference Board of Canada, the Alberta government,
and Mayo Clinic.
Mr. Horne holds a Master of Business Administration degree from Royal Roads University and post‑graduate
certification in Dispute Resolution from York University. An avid volunteer, he has served on numerous
boards including the Alberta Mental Health Board, Athabasca University, the Mediation and Restorative
Justice Centre of Edmonton and the Canadian Student Debating Federation.
Mr. Horne is a former debater and coached Team Canada at the World Schools Debating Championships.
For his continued contributions to the development of debate and speech programs, Mr. Horne received
the Queen Elizabeth II Golden Jubilee Medal in 2002. Mr. Horne and his wife, Jennifer, moved to Edmonton
in 1992.
Neil Houston
Neil Houston has been a GP Principal in a semi‑rural practice in Central Scotland for 19 years. He has
previously been involved in undergraduate education, teaching at the University of Dundee and has
worked with NHS Education Scotland to support improvement within primary care teams. He piloted the
use of protected learning time in Scotland to allow practices to close for half a day to enable teams to meet
and learn together. Neil has been an NHS Scotland Patient Safety Fellow and led development work in
approaches to making care safer in Primary care funded by the Health Foundation. He is currently National
Clinical Lead for Patient Safety in Primary Care with Healthcare Improvement Scotland and is leading the
development and implementation of a patient safety programme across primary care in NHS Scotland. He
is generalist by nature and an outdoor enthusiast, pursuing a range of interests with limited skill!
Brian Hutchison
Brian Hutchison is a Professor Emeritus in the Departments of Family Medicine and Clinical Epidemiology
and Biostatistics at McMaster University, Co‑Chair of the Canadian Working Group for Primary Healthcare
Improvement and Senior Advisor for Primary Care to Health Quality Ontario He is a past Director (2002‑05)
of the McMaster University Centre for Health Economics and Policy Analysis (CHEPA) and served as
founding Editor‑in‑Chief of Healthcare Policy (2004‑2009) and President of the Canadian Association for
Health Services and Policy Research (2010‑2011). He practiced comprehensive family medicine for five years
in a fee‑for‑service group practice, followed by 25 years in a McMaster University academic family practice.
Brian held a National Health Research Scholar award from Health Canada from 1994 to 1999. He was the
2004 recipient of the Health Services Research Advancement Award presented by the Canadian Health
Services Research Foundation. Brian received a Lifetime Achievement Award in Family Medicine Research
from the College of Family Physicians of Canada in 2008. His areas of research and policy interest include
organization, funding and delivery of primary and community care, needs‑based health care resource
allocation and funding methods, provider payment methods, quality improvement and preventive care.
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Brian Lee
Brian Lee is one of North America’s leading experts in the field of Healthcare Patient Satisfaction and Staff
Engagement. For two consecutive years, the International Customer Service Association Conference has
evaluated him as the number one rated Customer Service Speaker in the World. Brian has been awarded
the designation CSP, Certified Speaking Professional, by the National Speakers Association. Of the tens of
thousands of speakers in North America, few have been recognized as a CSP.
Brian is the founder of Custom Learning Systems (CLS) and the HealthCare Service Excellence Institute.
With headquarters in Calgary, Canada, CLS has been in business for 28 years, with the past 12 years devoted
exclusively to hospitals and healthcare organizations. Many CLS clients have earned regional and national
awards for world‑class customer and employee loyalty achievements. Brian is the author of 6 books
including “Essential Strategies to Become the Healthcare Employer of Choice” and “Keep Your Nurses &
Healthcare Professionals for Life: The four imperatives of how to inspire, retain, motivate and empower
patient‑focused nurses (and everybody else!).”
He travels 150,000 miles per year, has spoken in every state and province in North America and in
12 countries worldwide.
As a culture change implementation authority, Brian leads a team of 12 world class speakers / implementation
specialists who turbo‑charge their clients’ efforts to simultaneously enhance the patient experience, inspire
staff engagement and retention and increase physician satisfaction.
Tim Lenartowych
Tim Lenartowych is a Registered Nurse based out of Toronto, Ontario and is currently the Special Projects
Manager in the Office of the CEO at the Registered Nurses’ Association of Ontario, the professional
association representing Registered Nurses in all roles and settings across the province. In this role Tim is
working directly with Doris Grinspun, CEO, on several innovative health system transformation strategies
rooted directly in primary care. Tim’s previous roles include working at the staff and management level
within a rural public health unit and serving as a Senior Policy Analyst within Ontario’s Ministry of Health
and Long‑Term Care. As a Senior Policy Analyst, Tim provided strategic advice to Ontario’s Provincial Chief
Nursing Officer and contributed to the ongoing evolution of Ontario’s Comprehensive Nursing Strategy and
key government nursing human resources priorities. While at the Ministry, Tim was the recipient of an ACE
Award for his work on a team supporting a key government initiative of creating new nursing positions in
the province. Tim holds a Bachelor of Science in Nursing degree from the University of Western Ontario and
is currently studying towards his Master of Law degree with a specialization in health law from Osgoode
Hall Law School, York University.
Donna Manca
Donna Manca has been a family doctor for over 25 years and practices at the Grey Nuns Family Medicine
Centre. She is the Director of Research in the Department of Family Medicine, University of Alberta, and the
Clinical Director of the Alberta Family Practice Research Network (AFPRN). While in practice, she became
acutely aware that family physicians need to seek answers to their questions to improve their practice;
however they are isolated in their practices and lack the infrastructure to do so. Research networks address
this problem. In 1993 she joined the steering committee of the AFPRN and became Clinical Director in 2001.
Donna joined the Department of Family Medicine in 2003 to further the development of linkages between
community and academia. Since 2004 she has been collaborating with network directors across Canada to
seek infrastructure support to develop a network of networks project, the Canadian Primary Care Sentinel
Surveillance Network (CPCSSN).
Donna’s research interests have included: impact of nutrition on mothers and infants; physician workplace
safety; and physicians’ working relationships. Her present research focus is on chronic disease prevention,
screening and management in primary care. She is a Co‑Principal Investigator on the BETTER project
(Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Family Practice), a
project that aims to improve chronic disease prevention and screening by transforming practice through
the use of internal and external practice facilitation. As a network director in the CPCSSN project Donna
also works with sentinel practices to improve the meaningful use of the Electronic Medical Record in
chronic disease prevention, screening and management. Donna is in a unique position as a clinician and
a researcher to translate findings between research and practice, transforming both in the process.
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Lorna Milkovich
Lorna Milkovich is Executive Director of the Red Deer Primary Care Network. She graduated from
Foothills School of Nursing, received a Bachelor in Nursing from the University of Calgary and a
Masters in Business Administration from Royal Roads University. Her nursing career spanned rural
nursing, intensive care, outpatient hypertension clinic to psychiatry. She has led The Red Deer Primary
Care Networks for over six years. Lorna is passionate about empowering people to take great care of
themselves in order to live high quality lives and contain the costs of healthcare. She has co‑authored
two books: Taking Control of Your Blood Pressure: Steps to a healthier lifestyle and Vitality and Vitals:
My Health and Lifestyle Journal. She is an avid tennis player and yoga practitioner.
Lacey Phillips
Lacey Phillips is the Manager of the Program Development team at Accreditation Canada. In this role,
Lacey manages the research, development, and evaluation of the accreditation program components
including standards and performance measures. This includes overseeing the coordination of
working groups and advisory committees, and liaising with stakeholders to support the effective
development and implementation of new and revised accreditation products and processes for
national and international markets.
Lacey was the lead researcher and developer for the Primary Care Services project. In addition to her
work on primary care, she has led the research and development of accreditation standards for health
care Leadership, Organ and Tissue Donation and Transplant, Obstetrics Services, and Transfusion
Services. Lacey also manages the components of the Stroke Services Distinction program. She holds
a Master of Applied Health Services Research from Dalhousie University and a Bachelor of Journalism
from Carleton University.
Cheryl Rivard
Cheryl Rivard is the Patients as Partners Coordinator for Vancouver Coastal Health (VCH). She has
worked in Primary Health Care for the last 12 years in various roles. Her current focus is the Integrated
Primary and Community Care work that is currently taking place in British Columbia. Cheryl’s role
is to ensure the patient voice is included during the priority setting and implementation phases
within individual communities. She has participated in many quality improvement projects such as
the Institute for Health Care Improvement’s “Reducing Avoidable Emergency Department Visits” and
the British Columbia Provincial Health Literacy Prototype. Rob Skrypnek
Rob Skrypnek is a Partner with KPMG’s Advisory practice and leads the firm’s healthcare team in
Alberta. He is a management consultant with extensive experience in the areas of strategic and
operational planning, organizational transformation and alignment of strategy with performance,
and program and project evaluation. Rob has completed assignments for a wide range of public
sector clients, with a particular focus on organizations in the healthcare and social services
sectors. In recent years, his work has included supporting the design and implementation of a
family physician compensation program that provides payment for demonstration of high quality
clinical care and practice management, and conducting reviews of several government programs
related to measurement, improvement and accountability. Rob is currently working with Alberta
Human Services to develop a Social Policy Framework and to conduct Results‑based Budgeting;
an initiative designed to review the relevance, effectiveness and efficiency of each program in the
Government of Alberta.
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Bev Stich
Bev Stich is a child and adolescent psychiatrist who currently practices within the Edmonton Oliver Primary
Care Network. She works with PCN physicians, staff and families in the planning and delivery of child and
adolescent psychiatric services for the PCN. Bev is also an associate clinical professor in the Department of
Psychiatry at the University of Alberta, where she has focused on providing training and education in child
and family psychotherapy. She has had numerous clinical administrative positions throughout her career
and was most recently the Medical Director of CASA Child, Adolescent and Family Mental Health. Bev
completed her psychiatry training at the University of Manitoba and her fellowship in child and adolescent
psychiatry at Cornell University.
Carole Stonebridge
Carole is a Senior Research Associate with the Organizational Effectiveness and Learning division at the
Conference Board of Canada. Since joining the Board in 2004 Carole has worked on a variety of projects
such as interdisciplinary collaboration in primary health care, horizon scanning, the role of business in
addressing chronic disease and measuring integration from the patient perspective. She has collaborated
with Board economists on economic analyses of the Canadian Heart Health Strategy, the National Lung
Framework and, most recently, Home and Community Care in Canada.
Prior to joining the Board, Carole worked as a Registered Nurse in Ontario, Alberta and British Columbia,
in the acute care, home care and palliative care sectors.
Carole has an MBA from the University of Ottawa, a Bachelor of Nursing from the University of Calgary and
a Diploma in Nursing from Ryerson University.
Greg Webster
Greg Webster is the Director of Primary Health Care Information and Clinical Registries at the Canadian
Institute for Health Information (CIHI). In this role, Greg leads the development and implementation of CIHI’s
primary health care data and information strategy and program of work. He also oversees CIHI’s clinical
registries which include the Canadian Organ Replacement Register, Canadian Joint Replacement Registry
and the National and Ontario trauma registries. Greg has also served as CIHI’s Director of Research and
Indicator Development and is a member of CIHI’s senior management team.
Greg has more than 20 years of experience using health data, information and evidence to improve
health and health care. He has extensive experience achieving results through networks and partnerships.
Greg has a master of science in epidemiology from the University of Toronto and executive‑level business
training from the Ivey School of Business.
Robert Wedel
Robert Wedel is a family physician in Taber, Alberta and is currently the Medical Director of the Chinook
Primary Care Network. He has maintained an active family practice in Taber for over 30 years and has been
the Medical Director for the Chinook Palliative Care Program in southern Alberta as well.
Rob is an Associate Clinical Professor of the Departments of Family Medicine, University of Calgary and
Alberta. He is a Past President of the College of Family Physicians of Canada and a Fellow of the College of
Family Physicians of Canada. He chairs the national Advisory Committee on Family Practice and is Vice Chair
of the national Steering Committee on the Implementation of the Patients Medical Home. He co‑chairs
Alberta AIM, an Alberta Quality Improvement provincial initiative.
Rob has received the University of Calgary Faculty of Medicine Award of Excellence in Clinical Research
and the Alberta Heritage Foundation for Medical Research Award for Organizational Vision and Leadership.
He is the recipient of the 2010 Alberta Rural Physician Award of Distinction and the 2010 W. Victor Johnson
Award of the College of Family Physicians of Canada.
20
Conference Posters
NOTE: The abstracts for the posters and oral presentations of abstracts can be found on the conference
website at www.buksa.com/apcc.
1
Sabrina Akhtar MD, CCFP, Toronto Western Hospital
Integrated Home‑Based Primary Care: Improving access to care for a complex
elderly population
Stephanie Baker BA, Calgary Foothills Primary Care Network
2
Improving Access to Primary Care: Pan‑PCN Calgary and Area unattached patient registry
Misty Bath BSN, RN, MPH, Vancouver Coastal Health Authority
3
Integrated Care for High Users of the Emergency Department
4
Jacqueline Chaisson BA, RN, BN, Palliser Primary Care Network
Palliser Primary Care Network: A learning organization
Elaine Chow Baker MSc, MBA, Physician Learning Program, Continuing Medical Education and Professional
5
Development, University of Calgary
‘You and Your Patients’: Using billing data to facilitate reflective thinking
6
Shagnaz Davachi PhD, Alberta Health Services
Patient Centred Care Through a Diversity Lens: Alberta Health Services approach
Rebecca Dunne MCS, Wood Buffalo Primary Care Network
7
Collaborative Practice in the Development of Organizational Team Covenants:
Creating a foundation and an environment for interdisciplinary team openness
and responsiveness to change
Judith Dyck BA, MA Student (MACT), University of Alberta
8
eHealth and Chronic Disease Management: The patient perspective
Jim Fleming, Palliser Primary Care Network
9
Visualizing the Team
Jodeme Goldhar MSW, RSW, MHSc, Toronto Central CCAC
10
Advancing an Integrated System of Care: Integrated client care for older adults with
complex needs
Jodeme Goldhar MSW, RSW, MHSc, Toronto Central CCAC
11
Creating a Primary Care Integration Strategy: Working hand‑in‑hand with primary care
Michele Hannay BSc, Toward Optimized Practice
12
Group Medical Visits: An innovative approach to clinical care
Sarah Hassall RN, IBCLC, Bow Valley Primary Care Network
13
The Growing Need for Breastfeeding Support and Education in the Bow Valley
14
M. Janet Kasperski RN, MHSc, CHE, The Ontario College of Family Physicians
Evaluating Measurements in Primary Care
David Keegan MD, CCFP(EM), FCFP, University of Calgary
15
Making Change Happen: Increasing the percentage of students choosing family medicine
as a career
Holly Kennedy‑Symonds RN, MHSc, Copeman Healthcare
16
Optimizing Quality of the Patient Experience in Primary Care: The Copeman Healthcare way
Holly Knight RD, MEd, PhD, Alberta Health Services
17
Health Coaching as a Self‑Management Support: Introducing a paradigm shift in patient care
Louise Lapierre MA, Mental Health Commission of Canada
18
Supporting Collaborative Care for Mental Health Using KT Strategies: The CHEER Project
Anthony Levinson MD, MSc, McMaster University
19
Online Quality Improvement and Innovation Programs for Family Physicians in Ontario
Shariq Lodhi MD, CCFP, William Osler Health System
20
Bridging the Gap: An innovative collaboration between Brampton’s family physicians and
Brampton Civic Hospital
21
Sharon Macklin RD, Edmonton Oliver Primary Care Network
21
Transformational Change: Measurement of patient satisfaction with dietitian
supports in a primary care network setting
Bev Madrick RD, CDE, Endocrinology & Metabolism Program, Alberta Health Services, Calgary Zone
22
Online and Email Diabetes Education Increases Knowledge, Confidence and Reach
Ann Makin BPE, Bow Valley Primary Care Network
23
Get Smart with Panel Management: From chaos to control
Raelene Marceau MN, NP, Peace River Primary Care Network
24
Evaluation of a Nurse Practitioner in a Rural Alberta Primary Care Network
Yolanda Martens vanHilst RN, Calgary Foothills Primary Care Network
25
An Integrated Shared Referral Model with Specialty Partners Within Primary Care
Bev Matthiessen, Alberta Committee of Citizens with Disabilities
26
Barrier‑Free Health and Medical Services in Alberta: Communicating need
Sharon Nelson RN, BScN, Edmonton West Primary Care Network
27
Shared Mental Health Care
Pauline Pariser MD, CCFP, FCFP, Taddle Creek Family Health Team
28
WRAP: A self‑management recovery program for and by patients with mental
health challenges
Sandra Pelchat BSc Kin, CEP, Edmonton Southside Primary Care Network
29
Moving for Health: Bridging the exercise gap between primary care and community
Thuy‑Nga Pham MD, MSc, CCFP, South East Toronto Family Health Team
30
Supporting the Patient with Complex Needs in a Virtual Ward Program:
A collaborative to improve the patient experience
Paul Philbrook MD, CCFP, Credit Valley Hospital and Trillium Health Centre
31
Peel Regional Primary Care and Cancer Network
Paul Philbrook MD, CCFP, Credit Valley Hospital and Trillium Health Centre
32
“Do What You Know” Cancer Screening Toolkit for Primary Care Providers:
A quality improvement initiative
Michele Poirier BKin, CAT c, MPAS, CCPA, University of Calgary
33
Physician Assistants: Adding value To primary care In Alberta
Julie Shemanchuk BA, Alberta AIM
34
Alberta AIM: Continuing the access and efficiency journey
Lisa Halma M.Ed, University of Lethbridge
35
Back to the future: What Taber has to teach us 10 years on
Tamara Stecyk, Edmonton Southside Primary Care Network
36
Improving Access to Primary Care Physicians for Unattached Patients
Jennifer Tilbury Registered Psychologist, Red Deer Primary Care Network
37
Coping with Anxiety: An innovative and responsive group method
38
David Topps MD, University of Calgary
Data Informed Self‑Evaluation and Collaborative Knowledge Translation (DISECKT):
Primary care on the cutting edge
Christine Vandenberghe MEd, University of Alberta
39
Uptake of Addiction Assessment Resources by Primary Care Physicians
40
Lorna Warkentin RN, Edmonton Oliver Primary Care Network
Review of INR Protocols for Registered Nurses at the Edmonton Oliver PCN
Sasha Wiens RN, BN, Alberta Health Services, Calgary Zone
41
Online and Email Obesity Education Increases Knowledge, Confidence and Reach
Shea Wilks BESc, Palliser Primary Care Network
42
Improving and Evaluating Physical Examination Attendance Through Use of
Recall Letters and EMR Data Extraction
Lisa Wozniak MA, University of Alberta, ACHORD
43
Importance of Patient Registries for Implementing Quality Improvement Interventions
in Primary Care
22
Notes
23
Notes
24
Notes
25
Notes
26
Conference Evaluation Form
Please return your completed evaluation to the registration desk or fax to 780.437.5984 by November 27, 2012.
Overall Rating
This conference continues to be relevant, and
should be held again in the future.
Timely 54321 Not Timely
Relevant 54321 Not Relevant
Program Quality (Theme, Topics, and Speakers):
Strongly agree 54321 Strongly disagree
The conference was practical and non‑biased.
Excellent 54321 Poor
Yes No
How relevant and valuable were the themes to you?
• 5 = E xcellent • 1 = Po or •
Relevance
Theme 1: Primary Care Teams
Theme 2: Teams and Community
Theme 3: Involving Patients in Teams
Theme 4: Accountability, Quality and Measurement
Theme 5: The Economics of Primary Care: What Works?
5
5
5
5
5
Plenary Speakers – Evaluation
3
3
3
3
3
2
2
2
2
2
1
1
1
1
1
5
5
5
5
5
4
4
4
4
4
3
3
3
3
3
2
2
2
2
2
1
1
1
1
1
• 5 = Strongly Agre e • 1 = Strongly Dis agre e •
Skills were
excellent
Michael Evans
Hugh Culver
4
4
4
4
4
Educational Value
5
5
4
4
3
3
2
2
Material
was excellent
1
1
5
5
4
4
3
3
2
2
Will lead to a
change in practice
1
1
5
5
4
4
3
3
2
2
1
1
Was unbiased
5
5
4
4
3
3
2
2
1
1
Comments:
Theme One: Primary Care Teams • 5 = Strongly Agre e • 1 = Strongly Dis agre e •
Skills were
excellent
Brian Hutchison
Neil Houston
Rob Wedel
5
5
5
4
4
4
3
3
3
2
2
2
Material
was excellent
1
1
1
5
5
5
4
4
4
3
3
3
2
2
2
Will lead to a
change in practice
1
1
1
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
Was unbiased
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
Comments:
2 0 1 2 C O N F E R E N C E E V A L U A T I O N F O R M — Accelerating Primar y Care
Continued on Nex t Page >>
Theme Two: Teams and Community
Skills were
excellent
Jami Brown
Lise Brisebois Blouin
Lorna Milkovich
G. Michael Allan
Bev Stich
Lisa Cook
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
Material
was excellent
1
1
1
1
1
1
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
Will lead to a
change in practice
1
1
1
1
1
1
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
1
1
1
1
1
1
Was unbiased
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
1
1
1
1
1
1
Comments:
Theme Three: Involving Patients in Teams
Skills were
excellent
Cheryl Rivard
Barbara Greenlaw
Brian Lee
5
5
5
4
4
4
3
3
3
2
2
2
Material
was excellent
1
1
1
5
5
5
4
4
4
3
3
3
2
2
2
Will lead to a
change in practice
1
1
1
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
Was unbiased
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
Comments:
Theme Four: Accountability, Quality and Measurement
Skills were
excellent
Rob Skrypnek
Donna Manca
Lacey Phillips
Greg Webster
Carole Stonebridge
Brian Lee
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
Material
was excellent
1
1
1
1
1
1
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
Will lead to a
change in practice
1
1
1
1
1
1
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
1
1
1
1
1
1
Was unbiased
5
5
5
5
5
5
4
4
4
4
4
4
3
3
3
3
3
3
2
2
2
2
2
2
1
1
1
1
1
1
Comments:
Accelerating Primar y Care — 2 0 1 2 C O N F E R E N C E E V A L U A T I O N F O R M
Theme Five: The Economics of Primary Care – What Works? • 5 = Strongly Agre e • 1 = Strongly Dis agre e •
Skills were
excellent
Tim Lenartowych
Pam Delgaty
Rick Glazier
5
5
5
4
4
4
3
3
3
2
2
2
Material
was excellent
1
1
1
5
5
5
4
4
4
3
3
3
2
2
2
Will lead to a
change in practice
1
1
1
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
Was unbiased
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
Comments:
Rate your satisfaction with:
Opportunities to network with other delegates.
Very satisfied 54321 Not satisfied
Conference Facilities:
Meeting room was comfortable.
Opportunities to interact with the speakers.
Conference registration process.
Audiovisual component of the program was of
good quality.
Conference information / promotions.
Catering provided was excellent.
Your overall on‑site conference experience.
To what extent did the conference achieve the following objectives?
Participants will be able to describe
international, national, provincial and
regional initiatives that demonstrate
the progress of primary care.
Objective met 54321 Objective not met
Participants will be able to discuss key
issues affecting primary care.
Participants will be able to challenge
existing thinking and articulate the
factors that are critical for primary care
to be successful.
Participants will understand the various
methods of payment for primary care
and how they affect performance.
Participants will be able to describe
what should be measured in primary
care to demonstrate effectiveness.
Participants will be able to outline
creative achievable strategies to
address the issues facing primary care.
Participants will be able to identify
steps that can be taken to improve the
performance of primary care.
Participants will be able to describe the
vision for future primary care in Canada
for the future.
2 0 1 2 C O N F E R E N C E E V A L U A T I O N F O R M — Accelerating Primar y Care
Continued on Back >>
As a result of this conference, what will you do differently when you return to your office?
What topics or speakers would you like to see at the next Accelerating Primary Care Conference?
Additional comments:
Please return your completed evaluation to the registration desk or fax to 780.437.5984 by November 27, 2012.
Accelerating Primary Care Conference Secretariat
BUKSA Strategic Conference Services
Suite 307, 10328 - 81 Ave. NW
Edmonton, Alberta T6E 1X2
Phone: 780.436.0983 Ext. 234
Fax: 780.437.5984
Email: primarycare@buksa.com
Accelerating Primar y Care — 2 0 1 2 C O N F E R E N C E E V A L U A T I O N F O R M
For More Information
Accelerating Primary Care Conference
Conference Secretariat:
BUKSA Strategic Conference Services
Suite 307, 10328 - 81 Avenue NW
Edmonton, AB T6E 1X2
Phone: 780.436.0983 ext. 234
Fax: 780.437.5984
Email: primarycare@buksa.com
Conference website: www.buksa.com/apcc 
Primary Care Initiative
10411 ‑ 125 Street NW
Edmonton, AB T5N 4A2
Phone: 780.488.4350
Toll free: 1.866.714.5724
Fax: 780.451.5074

The Fairmont Banff Springs Hotel

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