Workshop Recap and Resources: Moving towards a learning health care system in primary care in BC

BC-PHCRN hosted a post-conference workshop at the 2020 UBC Centre for Health Services and Policy Research annual health policy conference, March 5-6, in Vancouver. The workshop provided a forum for learning and discussion about the infrastructure, tools, and initiatives currently underway in BC to support a primary care learning health system, and discussed the progress BC has made towards developing such a system. Speakers and participants shared reflections on these developments in their context. The workshop was sponsored by the BC General Practice Services Committee.

The workshop objectives were for participants to be able to:

  • Identify structures and supports involved in a learning health care system including:
    1. Building the infrastructure for secure and ethical use of primary care data,
    2. Developing tools and measures (i.e. patient and primary care surveys),
    3. Promoting learning and quality improvement initiatives for clinicians,
    4. Creating an iterative learning system.
  • Provide their reflections on these structures in the development of a learning health care system in primary care.

For further details about the workshop program and for access to selected speakers’ presentations please visit the CHSPR conference website.

Opportunity for Patients and Caregivers to Participate in a Primary Health Care Teams Policy Project

This study will be carried out in four provinces in Canada including British Columbia (BC), Alberta (AB), Ontario (ON), and Quebec (QC). The goal of the research is to study provincial and regional policy documents that support integration in health services through teams,where two or more providers work together in the community to care for the health and wellbeing of patients living with two or more chronic health conditions. These teams are called primary health care teams. We will also study if and how patients and caregivers are involved in building and applying policies related to these teams. The results will provide us with important data on primary health care teams to improve integrated health services.

We would like to invite you to take part in an interview to obtain the views of patients and caregivers. We would like to understand how you are involved or not in policy building and applying policies for primary health care teams, if you wish to be involved and how you wish to be involved. We are looking for 10 interview participants with varied locations of where they live, age, chronic conditions, and ethnicity. You can participate, if you:

  • Are a patient living in BC, AB, ON or QC
  • Are 19 years and over
  • Have two or more chronic health conditions
  • See two or more health care providers in the community that work together in a team
  • Are a caregiver (significant other, family member, friend) that lives in BC, AB, ON, or QC and provides care for a patient as described above living in these provinces

Note: You must be fluent in English or French; that is, you must be able to understand and communicate (speak and/or write) in English or French. If you do not understand or speak English or French, you can have a caregiver translate for you at the interview.

The interview will take about 45-60 minutes to complete. A copy of the consent form is attached with more information about the interview.

If you are interested in participating or receiving more information on the study, please contact:

Ashmita Rai
Research Assistant, School of Nursing, University of British Columbia, Okanagan
Telephone: 250-807-9948
Email: azmi@alumni.ubc.ca

Webinar Feb 6 2020, 1-2pm EST: Developing a multi-jurisdictional, comparable measure of osteoporosis screening performance from administrative health data

This webinar will demonstrate how a performance measure was created using health administrative data to compare osteoporosis screening rates across three Canadian provinces (British Columbia, Ontario and Nova Scotia). Challenges and solutions for operationalizing this multi-jurisdictional measure, whereby data are not standardized or pooled across jurisdictions, will be described.

Speakers:

  • Wasem Alsabbagh, School of Pharmacy, University of Waterloo
  • Jaky Kueper, PhD Candidate, Western University
  • Sabrina Wong, School of Nursing, University of British Columbia

Further information and registration available here

Workshop March 6: Moving towards a learning health care system in primary care in British Columbia

BC-PHCRN is hosting a post-conference workshop at the UBC Centre for Health Services and Policy Research (CHSPR) annual health policy conference, which is focused this year on the balance of public and private financing of health care. The workshop will be held at the Pinnacle Hotel Harbourfront in Vancouver on Friday, March 6, 2020, from 1:30 to 4 pm. Cost is $75 ($50 for students).

The workshop will be a forum to discuss BC’s progress towards a primary care learning health system. It will involve an update on structures being developed to support learning in primary care such as incorporating patient-reported experiences and outcomes of care, information sharing capabilities, and findings from the latest learning cycle meant to inform primary care network (PCN) evaluation. Participants will share reflections on these structures in their context.

This workshop will be of interest to a variety of stakeholders, including those engaged in PCN operations, primary care clinicians, and researchers with an interest in learning health care systems and team-based primary health care.

Objectives

At the end of this session, participants will:

  1. Identify structures and supports involved in a learning health care system;
  2. Provide their reflections on these structures in the development of a learning health care system in primary care.

Registration

Registration for this workshop is separate from the main conference registration. Please visit http://chspr.ubc.ca/conference/workshops/.

Questions? Please contact Allison Ezzat at allison.ezzat@ubc.ca

BC-PHCRN Patient Advisory recruiting new members for 2020

Who we are
A group of 10 diverse patient partners from across the province who work together with researchers, decision makers, and clinicians. Our goal is to improve the delivery of primary health care to British Columbians though collaboration and implementation of evidence-based innovations.

What we do
The Patient Advisory is a key stakeholder group in our Network made of 10 diverse patient partners who assist with the operations, development and leadership of the BC-PHCRN. Patients provide key perspectives that inform our Network direction and decisions. For example, the Patient Advisory was instrumental in the PRioritiEs For Research (PREFeR) project, which isolated patient-identified priorities for future primary care research in BC, and compared the importance rankings of these priorities between patients and primary care providers. Currently, the Patient Advisory will be assisting the network with passing on the results of BC-PHCRN funded research projects as well as providing input and perspective on new projects. This may include editing project results summaries, sending results to your networks/communities, participating in conferences, etc. There may also be some engagement with outside research projects as opportunities arise. Further details are here.

What we are looking for

  • Individuals interested in sharing their expertise and experiences with primary health care in British Columbia (as caregiver or patient)
  • English second language welcome (our communications will be in English)
  • New Canadians welcome
  • Urban, rural or remote location
  • Comfortable attending meetings via computer or phone call

The commitment
The time commitment fluctuates throughout the year as projects/conferences begin and wrap up. On average, the commitment will be 1-2 hours/month. We meet virtually by computer or phone call. We ask that you commit to joining for a 1-year term.

The compensation
All out of pocket expenses will be covered, such as mileage, parking, bus fares, conference registrations, etc. Honorariums are considered based on a case by case basis. Once the patient partner shows interest, we would like to have a conversation on individual preference and honorariums.

Who to contact
Dr. Allison Ezzat, manager of the BC-PHCRN, is the key contact for the Patient Advisory. We schedule monthly meetings well in advance and these are guided by an agenda and summarized with minutes. Dr. Ezzat is accessible and open to regular communication with all members of the Patient Advisory.

If you are interested in this opportunity, please email Allison at info@spor-bcphcrn.ca with your brief responses to the following questions:

  • Can you tell us a bit about your patient experience with primary care?
  • What appeals to you about this opportunity?
  • Do you have any experience sitting on advisory committees? If yes, can you tell us about it?
  • What do you think is important for primary care research?

Postdoctoral Research Fellow opportunity improving care for children, youth, and young adults living with diabetes

The UBC Department of Pediatrics, Division of Endocrinology invites applications for a Postdoctoral Research Fellow to join a multidisciplinary translational research program with specific goals to improve the care of children, youth and young adults living with diabetes.

The successful candidate will have been awarded the doctoral degree (e.g., PhD, ScD) degree in Epidemiology, Biostatistics or related field within the past five years. They will also have expertise in the field of health services research and, in particular, working with linked administrative health data (via PopData BC), clinical registry data and other large data sets. Research experience with conducting advanced statistical analysis using large population-based datasets is desirable. The applicant should also demonstrate the ability to work independently, supervise graduate and undergraduate students, conceive, initiate, organize and manage projects. Excellent verbal and written communication skills are a necessity as well as the ability to work in a team environment. Management experience with large, multi-center projects is an asset. Substantial experience and expertise in using SAS, R, or Stata statistical software is essential.

The position will begin ASAP. This is a one-year term appointment subject to annual renewal. Salary will be commensurate with qualifications and experience.

Applications, accompanied by a detailed curriculum vitae, teaching dossier and three letters of reference addressing scholarly, professional and creative work, teaching, and administrative service, should be directed to: Shazhan Amed MD FRCPC MSc.PH email: samed@cw.bc.ca

TUTOR-PHC program accepting applicants

The Transdisciplinary Understandings and Training on Research – Primary Health Care (TUTOR-PHC) online training program is currently accepting applicants for its one-year certificate program. TUTOR-PHC is open to graduate students, post-doctoral fellows, mid-career clinicians, and decision-makers in primary health care.

TUTOR-PHC is a one-year, pan-Canadian, interdisciplinary research capacity building program that has been training primary and integrated health care researchers and decision-makers from family medicine, nursing, psychology, epidemiology, social work, occupational therapy, education, policy and many other disciplines since 2003.

TUTOR-PHC trainees gain enhanced evidence-informed decision making and leadership skills to help them become the primary health care leaders of tomorrow. Participants of TUTOR-PHC will receive:

  • Primary health care interdisciplinary research training
  • University Credit and CME credits
  • Valuable feedback on your own primary health care research
  • Mentorship from experienced interdisciplinary primary health care researchers and decision-makers
  • Networking experiences with research mentors & 200+ pan-Canadian/international alumni
  • Interdisciplinary team experience

The deadline to apply for TUTOR-PHC is December 2, 2019. More details

Upcoming seminar on practice patterns among early-career primary care physicians

Ruth Lavergne, Assistant Professor in the SFU Faculty of Health Sciences, is giving a seminar on Nov. 12 at noon, hosted by the UBC Centre for Health Services and Policy Research.

Practice patterns among early-career primary care physicians: Is avocado toast ruining primary care in Canada?
Ruth Lavergne, Simon Fraser University
Tuesday, Nov 12, 2019
12-1 pm
Room 219 (within 201), 2206 East Mall
UBC School of Population and Public Health

There are more primary care physicians in Canada than ever before, but Canadians report persistent problems accessing primary care. There is speculation that primary care physicians today are making different choices than previous cohorts. They may now be working less and/or choosing to practice in focused clinical areas rather than comprehensive family medicine, but there is little evidence to support or refute this. This seminar will describe a mixed-methods project now underway that is comparing practice patterns of early-career and established primary care physicians and exploring values and preferences shaping career intentions and choices.

Ruth Lavergne is a quantitative researcher who uses observational methods and linked administrative databases to study health care. She leads research in the areas of primary care delivery and physician workforce planning. She is an Assistant Professor at Simon Fraser University and completed her PhD at CHSPR in 2015.

A light lunch is included in this seminar. Please contact Joyce (chspr.reception@ubc.ca) to RSVP for lunch by Friday Nov. 8. You may also join remotely via GoToMeeting: https://global.gotomeeting.com/join/297740069. Please let Joyce know if you would like to join this way.

BC AHSN Learning Health Systems Webinar Oct 16

The BC Academic Health Sciences Network is presenting a Learning Health Systems Webinar
October 16 @ 10:00 am – 11:30 am
Presented by: Professor Jean-François Ethier

Learning Health Systems require common, connecting infrastructure in order to operate at scale. This talk will describe the development of technology in Quebec that puts the patient at the centre of integrated research, knowledge transfer and care delivery. Fundamental features of this federated approach include semantic interoperability between health and research infrastructures, supports for complex health data queries, and formal models (ontologies) to link care, research and connected personal devices.

Dr. Jean-François Ethier is a clinician-scientist and associate professor in the departments of Medicine as well as Computer Science of the Université de Sherbrooke and is an attending physician at the Sherbrooke University Health Center. He is also the co-director of the Groupe de recherche interdisciplinaire en informatique de la santé (GRIIS.ca). Professor Ethier has extensive collaborations in Europe and is an associate researcher at the INSERM UMRS 1138 in Paris. He received his medical training from McGill University where he graduated MD CM in 2006 and completed his residency in internal medicine in 2011. He subsequently completed a Master STS (public health) and a PhD in health informatics in Paris at Paris IV (Université Pierre-Marie Curie). His research duties include the direction of the Data Access Group of the Quebec SPOR Support Unit and of the development of health information technologies in the SPOR Canadian Data Platform funded by CIHR.

Details at: https://bcahsn.ca/event/learning-health-systems-webinar/