Primary Care Transformation

Description of Program

Primary Care Transformation is one of four priority initiatives included in the Grande Prairie PCN’s 2020-23 business plan renewal. This initiative addresses the need for focused engagement and facilitation support to enable practice and system level transformations that align with provincial PCN Objectives and North Zone (NZ) planning priorities. This initiative will address the continuing need to facilitate practice level changes in primary care delivery in line with the Patient’s Medical Home model of care. PCN staff will increase their focus on enhancing team-based care by supporting collaboration between physicians and PCN team members and working more directly with AHS on advancing NZ transitions of care initiatives at the local level. Four operational elements are included in this initiative:

PCN Transformation Team

A team of PCN staff including a Transformation Lead, Practice Facilitators and a Nurse Liaison who, together, support primary care transformation activity.

Physician Learning and Engagement

The PCN will coordinate and host touchpoint events focused on primary care transformation topics. The PCN also supports physician engagement in Family Medicine rounds through this element.

Practice Transformation Program

This program provides practice-specific support for transformation engagement and activity towards PMH implementation within member physician clinics. The program is comprised of three streams of support: Foundations; Projects; and Team-based Care Integration. Team-based Care Integration allows member physicians to choose to complement their clinical team with a PCN employed Licensed Practical Nurse, Registered Nurse, or other allied health professional based on a service plan that reflects identified service needs of the physicians’ panel of patients.

Primary Care Transformation Advisory Committee

This committee provides oversight and guidance respecting the implementation of the Primary Care Transformation initiative. The committee is comprised of physician members and other individuals appointed by the Board of Directors.