Welcome Gillian Bartlett, ED of the SPOR PIHCI Network Coordinating Office

We are delighted to announce that Gillian Bartlett will be the new Primary and Integrated Health Care Innovation Network Coordinating Office Executive Director. Dr. Bartlett is a full professor at McGill University in Montreal as well as the Research and Graduate Programs Director and the Associate Chair in the Department of Family Medicine.

She received her PhD in epidemiology from McGill in 2001. Dr. Bartlett specializes in primary care research and knowledge translation. She will start March 1, 2019.

Sabrina Wong and Onil Bhattacharyya
Co-chairs, National Coordinating Office

gillian bartlettDr. Gillian Bartlett is a tenured Professor as well as the Research and Graduate Programs Director and the Associate Chair in the Department of Family Medicine at McGill University. She received her PhD in epidemiology from McGill in 2001 and her MSc in 1996. In 2014, she was awarded the Carrie M. Derick Award for Excellence in Graduate Teaching and Supervision for McGill University and the Faculty of Medicine Honour List for Educational Excellence. Dr. Bartlett specializes in primary care research and knowledge translation. Her current concentration is on knowledge translation and stakeholder engagement around health care utilization and outcomes for vulnerable populations; implementation of precision medicine using patient-oriented strategies; and the use of education innovations to advance the discipline of family medicine and primary care.

CBPHC 12 Teams and PIHCIN Joint Meeting

The joint meeting of the Community-Based Primary Health Care (CBPHC) 12-Teams
and the SPOR PIHCI network will be held December 6-7, 2018 in Montreal, Quebec.

The 12 CBPHC 12-Teams were funded by CIHR in 2012 to conduct programmatic cross-jurisdictional innovative research. As the funding is now coming to an end, the 12-Teams are gathering for a final meeting to share their findings and discuss the future of primary health care research in Canada. PIHCI is a network of networks focused on fostering an alliance between research, policy, and practice in primary health care. There are currently 11 PIHCI networks across Canada (BC-PHCRN is one). PIHCIN will be working to continue the work of the 12-Teams.

Webinar Jan 14: The PREFeR (PRioritiEs For Research) project: Identifying patient priorities for primary care research in British Columbia

The BC SUPPORT unit is hosting a webinar on January 14, 2019 at noon on the PREFeR project:

Patients need to be part of the very early stages of research when ideas are identified and prioritized, but this doesn’t often happen. The PREFeR project team includes members of the BC-Primary Care Research Network Patient Advisory along with researcher partners. Together we took a structured approach to identify topics for future primary care research from the patient perspective, as well as explore how patient and primary care provider ratings of the importance of these topics compared.

This webinar will describe the process we used to identify topics, survey broader groups of patients as well as providers, and collaboratively interpret results. We will discuss the topics identified and how these can inform future research questions.

Presented by: Ruth Lavergne

Details: https://bcsupportunit.ca/events-training/prefer-priorities-research-project-identifying-patient-priorities-primary-care

Report from September 2018 BC-PHCRN Strategic Planning Session

BC-PHCRN held a strategic planning meeting on September 7, 2018. BC-PHCRN began operations in June 2015, and its initial grant period is five years. Summer 2018 marks halfway through the grant period (funding expires May 2020), so it was prudent for the BC-PHCRN to take its mid-term pulse and revise its strategic plan and operational priorities.

The purpose of the meeting was to identify strategic priorities on which to focus BC-PHCRN resources for the remaining 2.5 years of the grant period, and to develop specific goals and methods to address these priorities.

Download the report detailing the results of the meeting.

Seeking members for the BC-PHCRN Patient Advisory

The BC-PHCRN Patient Advisory is made up of approximately 10 patient partners from across the province who assist with the operations, development and leadership of the BC-PHCRN. The Patient Advisory has also been 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.

For 2019, the Patient Advisory Group will be assisting the network with passing on the results of BC-PHCRN funded research projects. This may include editing project results summaries, sending results to your networks, participating in conferences etc. There may also be some engagement with outside research projects as opportunities arise. We are seeking three new patient partners from the Lower Mainland and Fraser Valley.

For more details, please view this opportunity on the
Patient Voices Network.

Introducing two international visiting scholars

UBC and the BC-PHCRN are currently hosting two international scholars studying primary health care reform.

Janise Braga Barros Ferreira is a Professor in the Department of Social Medicine of the Medical School of Ribeirão Preto, University of São Paulo (FMRP-USP). Before entering academia, she worked as a public health physician for twelve years, primarily in health management for the implementation of the Brazilian national public health system, the Unified Health System.

Currently, her research group at FMRP-USP is studying vulnerable populations in the context of primary care (rural settlements, vulnerable communities, small cities and prison health) and issues related to health planning, evaluation, and management, with an emphasis on primary care and chronic diseases. The main objective of the research is to support decision-makers to include the specific needs of vulnerable populations in public health policies, guided by principles of universality, integrality, equity and social participation.

At UBC, Janise plans to learn more about addressing health inequalities, assessing primary care performance, and the organization of primary care in BC. Contact her at janise.ferreira@ubc.ca.

Ruimei Liang is Director of the Nursing Humanities Teaching and Research Section at Foshan University in China. In recent years, a People-Centered Integrated Care (PCIC) model for primary care provision has been adopted in China, and her research addresses how to establish family doctor teams and community-based medical alliances, and how to evaluate and improve their performance.

At UBC, Ruimei is studying Patient Medical Home (PMH) and other primary health care (PHC) models in Canada, and analyzing the differences and similarities in PHC between Canada and China, hoping to find new and better ways to promote PHC reform in China. She plans to survey family doctors in Canada to better understand how they think about PMH and the barriers they face in PMH implementation.

Ruimei also interested in physical and mental health of children and adolescents. Her research involves community and family care, children and adolescents’ health literacy, post-traumatic stress disorder, and the quality of life of children and adolescents with cancer. She works to promote the integration of mental health care into PHC, and has studied simple and effective tools for mental health screening, especially for younger children.

Contact her at ruimei.liang@ubc.ca.

Seminar April 25: Towards better integration of care for people with chronic conditions and complex care needs at risk of frequent use of healthcare services

Catherine Hudon, Université de Sherbrooke
Wednesday, April 25, 2018
219 (within 201), 2206 East Mall
School of Population and Public Health
University of British Columbia

Dr. Catherine Hudon will present pieces of her research program describing complex patients and how we can improve care integration, especially through case management programs.

Dr. Hudon is a family physician, and professor and research director at the Department of Family Medicine and Emergency Medicine at the Université de Sherbrooke. As a CIHR embedded clinician-researcher, her research expertise focuses on self-management support and care coordination for people with chronic conditions and complex care needs at risk of becoming frequent users of healthcare services.

This seminar is sponsored by the UBC Centre for Health Services and Policy Research. A light lunch is included in this seminar. Please contact Joyce (joyce.huang@ubc.ca) to RSVP for lunch by Monday, April 23. 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.

March 2018 BC-PHCRN Update

It is finally spring and the BC-PHCRN has been busy in the months since our last update. Highlights from this period include facilitating the submission of a number of Canadian Institute for Health Research (CIHR) Strategy for Patient-Oriented Research (SPOR) Primary Integrated Health Care Innovations Network (PIHCIN) grant applications; hosting an exhibitor table at the Centre for Health Services and Policy Research (CHSPR) conference on March 8 and 9; releasing the Priorities for Research (PREFeR) survey to patients, providers and researchers; moving forward with some exciting work with the Canadian Primary Care Sentinel Surveillance Network (CPCSSN); and hiring a new BC-PHCRN Research Network Manager.

We look forward to telling you all about it below.

Please share this Update with interested colleagues, and get in touch with us with any questions.

In this Update

Progress on Funded Quick Strike, Knowledge Synthesis, and Comparative Program and Policy Analysis SPOR PIHCI Grants in BC

The SPOR PIHCI initiative awarded funding in 2015 and 2016 through three types of grant competition: Quick Strike (QS), Knowledge Synthesis (KS), and Comparative Program and Policy Analysis (CPPA). Two QS, two KS, and three CPPA grants with BC investigators were funded. Click here for updates on these projects.

In 2017, CIHR released two calls for grant proposals. Funding decisions for the first round of two-year Programmatic grants were made a few weeks ago, and although the BC-PHCRN supported five applications, none of these five proposals were funded by CIHR. The BC-PHCRN is reviewing the funded proposals to determine whether there are ways we can more effectively support researchers applying from BC. The deadline for the second round of KS and CPPA grant was March 6, and the BC-PHCRN supported two CPPA and four KS applications. We are very excited about these proposals and will keep you updated on the CIHR funding decisions.

Canadian Primary Care Sentinel Surveillance Network (CPCSSN)

CPCSSN is a pan-Canadian project studying and tracking eight chronic conditions using data from primary care electronic medical records. Recently, two new case definitions were validated (for paediatric asthma and herpes zoster), and a new definition for diabetes mellitus was added (derived from a machine learning study), while several more are in the final stages of verification. BC-CPCSSN has just completed its latest extraction cycle and now contains data on over 77,000 de-identified patients from 47 clinicians in 11 clinics across the province.

BC-CPCSSN also provides participating clinicians a pair of complementary web-based quality improvement (QI) tools. InQuIRE is an intuitive graphical tool for exploring the characteristics of a clinician’s patient panel and investigating indicators related to hypertension, diabetes, and depression. It is possible to explore dozens of indicators with the filtering options provided.

The Data Presentation Tool (DPT) offers unparalleled exploration of patient data and detailed feedback capabilities along with the ability to identify patients in the clinic. We are currently setting up the DPT in BC and we are looking forward to rolling it out with the latest data very soon.

BC-CPCSSN will be taking part in an exciting new pilot project to investigate how CPCSSN tools can play a role in connecting the various nodes of patient care. In addition to incorporating new clinics into CPCSSN, this will be a first step in implementing infrastructure and supporting data governance for program evaluation in the primary care network context. This will be done via cross-linked and de-identified information aggregated from both community providers and the health authority.

CPCSSN data are being used in the Frailty project described above, and for many other projects. Rita McCracken, MD, a UBC PhD candidate, is using CPCSSN data to complete her dissertation. She will be able to describe how high blood pressure is being treated, in people aged 70 and older who receive their care from CPCSSN clinicians. Early results suggest that <10% have a mean systolic blood pressure ≤ 120 mmHg. This group of people is of special interest to many clinicians and policy makers since the release of the SPRINT hypertension treatment target trial results, and the subsequent addition of a ≤ 120 mmHg “target” in the latest Canadian hypertension guidelines. She looks forward to sharing complete results in her dissertation and forthcoming publications.

New BC-PHCRN Staff

The BC-PHCRN welcomed its new Research Network Manager, Alexandra Warren, in January of this year. Although we were sad to see Melody Monro go, we are thrilled to welcome Alex to the team. Alex brings years of public policy and grant administration experience to the BC-PHCRN, as well as a Master’s degree from the University of Edinburgh in Scotland and a Bachelor’s degree from Wellesley College in Boston, MA. Alex looks forward to working with decision-makers, researchers, patients, and clinicians to facilitate collaboration and help transform primary care, together.

If you have any questions for Alex about the BC-PHCRN and its activities, please do not hesitate to contact her at alexandra.warren@ubc.ca or 604.822.3226.

Priorities for Research Project (PREFeR)

UBC and SFU researchers were awarded a CIHR SPOR Patient-Oriented Research Collaboration grant in April 2017 to facilitate patient engagement in the research process. Despite the fact that much of primary care research focuses on studying patient needs and gaps in care, patients are not frequently included in prioritizing research ideas.

The goals of the project are to:

  1. Identify patient priorities for primary care research in BC;
  2. Build new projects and collaborations based on these priorities; and
  3. Help primary care researchers involve patients more actively in research.

To date, the researchers have undertaken the following activities:

  1. Built a panel of engaged patients, the BC-PHCRN Patient Advisory, to provide ongoing input on primary care research in BC;
  2. In partnership with the BC-PHCRN Patient Advisory, led the development of 10 patient-identified priority issues in primary health care;
  3. Created and disseminated surveys asking patients and primary care providers to rank those 10 priorities in terms of importance. The team also created a survey for researchers, asking about their upcoming research themes in primary care. The surveys were launched in February and the deadline for submissions is May 2018.

If you are interested in primary care research and you would like to fill out our surveys, please see the links below:

Are you a primary health care provider? If so, please fill out the provider survey.

If you are a resident of BC and have been to your doctor or walk-in clinic, please fill out the patient survey.

If you are a primary health care researcher in BC, please fill out the researcher survey.

In recent news, co-PIs Dr. Louisa Edwards and Dr. Ruth Lavergne have been selected to present orally on the PREFeR project at the 2018 CASHPR conference in Montréal. Congratulations Ruth, Louisa, the BC-PHCRN Patient Advisory and everyone else helping with this project!

In addition to its work with the PREFeR project, the BC-PHCRN Patient Advisory has also reviewed and ranked letters of intent requesting BC-PHCRN support for last fall’s SPOR PIHCI Programmatic grant competition, as well as this year’s Knowledge Synthesis and Comparative Program and Policy Analysis grants.

CHSPR Conference 2018

On March 7, 8 and 9, 2018 the Centre for Health Services and Policy Research (CHSPR) held its 30th annual health policy conference, “The System Awakens: Building Learning Health Systems in Canada,” with opening keynote speaker Charles Friedman from the University of Michigan. It was a great success, with hundreds of attendees, great speakers, and many opportunities for knowledge exchange and learning.

The BC-PHCRN held an exhibitor table at the conference, manned by the BC-PHCRN Network Manager, Alex, and the CPCSSN Data Manager, Andy. Alex and Andy served mandarin oranges and spoke to passers-by about the exciting ventures of CPCSSN and the BC-PHCRN.

The Research Lead for the BC-PHCRN, Dr. Sabrina Wong, facilitated a pre-conference workshop, “Using an Upstream Approach to Frailty in Seniors”. This workshop stemmed from the BC-PHCRN supported Quick Strike project, funded in 2015. The workshop was well-attended and included presentations by Dr. Tyler Williamson (University of Calgary), Annette Garm (Fraser Health Authority), and Dr. Rita McCracken (Providence Health Care).

The BC-PHCRN also supported five members from our Patient Advisory to attend the conference. One of these patient-partners also served as a panelist on a post-conference workshop where he and others had a rich discussion about the evolving ethics of research with Indigenous peoples in Canada.

For more information about the CHSPR 2018 conference visit the website, and check out the hashtags #CHSPR2018 or #CHSPRStarWars on Twitter!

About the BC-PHCRN

The BC Primary Health Care Research Network (BC-PHCRN) is one of 11 Strategy for Patient-Oriented Research (SPOR) Primary and Integrated Health Care Innovations (PIHCI) networks in Canadian jurisdictions designed to support evidence-informed transformation of the delivery of primary and integrated health care.

The goal of the BC-PHCRN is to encourage, facilitate, and support collaborations between government, health authorities, health professionals, patients and researchers. The BC-PHCRN aims to seek out, develop, and facilitate adoption of health care innovations to improve BC’s health care delivery system.

The BC-PHCRN is funded by the Canadian Institutes of Health Research and the Michael Smith Foundation for Health Research.

BC-PHCRN is an open network and welcomes individuals from all sectors involved in primary health care – researchers, patients, health care providers and policy makers. To join, visit our website.

Follow us on Twitter @BC_PHCRN.