Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this...

36
November 28–29 2016 EDMONTON, ALBERTA Conference Program HOSTED BY IN COLLABORATION WITH:

Transcript of Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this...

Page 1: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

November 28–29

2016EDMONTON, ALBERTA

ConferenceProgram

HOSTED BY

IN COLLABORATION WITH:

Page 2: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference2

Conference OverviewLearning Objectives

At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating the public’s perspective into service delivery systems and processes. To do this, we will look at a multitude of models and partnerships in primary care while focusing on the social determinants of health and the broader definition of patient (person) to increase the effectiveness of person-provider interventions.

At the end of this program, the attendees will be equipped to:

• Describe ways to include the public voice and perspective into program design and governance structures.

• Consider and plan approaches to effectively work in cross-discipline, cross-institutional, or community partnerships.

• Describe what the next steps are to including patients as partners.

• Explain the challenges facing primary care teams in Alberta.

• Identify resources, programs, and supports in place for change management.

• Establish relationships with peers and share best practices.

• Evaluate the current state of community engagement in primary care in Alberta.

• Understand the benefit to the patient when they are included as a team member in a medical home.

Program Accreditation

Certificates of attendance will be displayed at the end of Monday, November 28, at the registration desk. This program has been reviewed by the College of Family Physicians of Canada and is awaiting final certification by the College’s Alberta Chapter.

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and has been approved by the Division of Continuous Medical Education and Professional Development at the University of Calgary for a maximum of 11.5 hours of MOC Section 1 credit for the conference.

Disclosure

Conference speakers and committee members have been asked to declare conflicts of interest.

The following disclosures were received:

• Dr. Heidi Fell, Cecilia Gordillo and Dr. Narpinder Hans have received honoraria to speak on behalf of the Alberta Peer-to-Peer EMR Network Program. Canada Health Infoway is the federal investor for the Network Program in partnership with Toward Optimized Practice and the Alberta Medical Association.

• Anmol and Raman Kapoor have received sponsorship funds from Abbot, Bayer, Merck, Servier, Amgen, and Mylan that went toward various events held by the DIL Walk Foundation.

• Sue Miller purchased shares for The Litebook Company in 2003.

Page 3: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 3

Steering Committee

Chair: Dr. Brad Bahler, Medical Director, PCN Evolution

Dr. Charles Leduc, Head, Department of Family Medicine, Cumming School of Medicine, University of Calgary

Dr. Justin Balko, Co-Chair, PCN Physician Lead Executive, Edmonton Zone

Dr. Murtaza Amirali, Resident, Rural Family Medicine

Debbie Anderson, Acting Executive Director, Edmonton Oliver Primary Care Network

Thia Anthony, Administrative Assistant, Events & Training, Primary Care Networks Program Management Office

Leslie Ayre-Jaschke, IMAGINE Citizens Collaborating for Health

Shannon Berg, Executive Director, Primary Health Care, Addiction and Mental Health, Alberta Health

Alexis Caddy, Manager, Communications, Primary Care Networks Program Management Office

Denise Hill, Program Director, Primary Care Networks Program Management Office

Graham Kitson, Executive Director, Alberta Heartland PCN

Gail MacKean, IMAGINE Citizens Collaborating for Health

Gwen Moncayo, Nurse Practitioner, Calgary Urban Project Society

Tony Mottershead, Program Manager, AIM Alberta

Eileen Patterson, Development Lead, Choosing Wisely Alberta

Terri Potter, Executive Director, Alberta College of Family Physicians

Hailey Riendeau, Events Coordinator, Primary Care Networks Program Management Office

Margie Sills-Maerov, Manager, Knowledge Innovation, Primary Health Care

Lindsay Smylie, Consultant, Practice Management Program

Janet Stadnyk, Director, Primary Care and Chronic Disease Management Strategy, Nutrition Services, Alberta Health Services

Speaker Committee

Dr. Brad Bahler, Medical Director, PCN Evolution

Dr. Justin Balko, Co-Chair, PCN Physician Lead Executive, Edmonton Zone

Dr. Murtaza Amirali, Resident, Rural Family Medicine

Debbie Anderson, Acting Executive Director, Edmonton Oliver Primary Care Network

Thia Anthony, Administrative Assistant, Events & Training, Primary Care Networks Program Management Office

Alexis Caddy, Manager, Communications, Primary Care Networks Program Management Office

Gail MacKean, IMAGINE Citizens Collaborating for Health

Gwen Moncayo, Nurse Practitioner, Calgary Urban Project Society

Eileen Patterson, Development Lead, Choosing Wisely Alberta

Hailey Riendeau, Events Coordinator, Primary Care Networks Program Management Office

Margie Sills-Maerov, Manager, Knowledge Innovation, Primary Health Care

Lindsay Smylie, Consultant, Practice Management Program

Janet Stadnyk, Director, Primary Care and Chronic Disease Management Strategy, Nutrition Services, Alberta Health Services

Scientific Committee

Dr. Brad Bahler, Medical Director, PCN Evolution

Dr. Charles Leduc, Head, Department of Family Medicine, Cumming School of Medicine, University of Calgary

Thia Anthony, Administrative Assistant, Events & Training, Primary Care Networks Program Management Office

Leslie Ayre-Jaschke, IMAGINE Citizens Collaborating for Health

Alexis Caddy, Manager, Communications, Primary Care Networks Program Management Office

Graham Kitson, Executive Director, Alberta Heartland PCN

Tony Mottershead, Program Manager, AIM Alberta

Terri Potter, Executive Director, Alberta College of Family Physicians

Hailey Riendeau, Events Coordinator, Primary Care Networks Program Management Office

CONFERENCE OVERVIEW

Page 4: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference4

Posters and ExhibitsVisit the Alpine Lakes Room to view the abstract posters and meet the authors. Coffee breaks as well as the evening reception on Monday, November 28, will be held in this room.

A digital copy of the abstracts will be available online at www.pcnpmo.ca.

Best Poster AwardCheer on your colleagues by casting your vote for the best poster award. You can vote based on content, design, verbal presentation – anything! Just make sure you’re ready at the 2:00 p.m. coffee break on Tuesday, November 29, as we’ll be asking you to text the code of your choice to ‘37607’.

The six-digit codes can be found next to the poster presentations on page 25.

Speaker PresentationsSpeaker presentations will be posted on the conference website, www.pcnpmo.ca the week of December 5 - 9.

Conference Evaluation FormWe value your feedback and encourage you to fill out the short evaluation form that is found at the back of this program. When complete, please drop it off at the registration desk or email it to [email protected].

Social MediaJoin the conversation on Twitter by using hashtag #2016APCC.

WiFi AccessWireless access at the DoubleTree by Hilton is available to attendees using the code ‘2016APCC’.

General Information

Page 5: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 5

There are two ways to joinWeb Browser

1) In a web browser on your phone or laptop, respond at pollev.com/apcc

2) As polls show up throughout the two-days, watch the screens for your cue to participate.

3) Submit your responses.

4) Watch the screen as the results are collected instantly.

5) New polls will be showing up throughout the conference so keep your eyes peeled!

Text Messaging

1) To start, join the group by texting ‘APCC’ to 37607 (You only have to do this once!)

2) As polls show up throughout the two-days, watch the screens for your cue to participate.

3) Text your responses to 37607.

4) Watch the screen as the results are collected instantly.

5) New polls will be showing up throughout the conference so keep your eyes peeled!

FAQs

1. Fees. Standard text messaging rates apply, so it may be free for you, or up to twenty cents on some carriers if you do not have a text messaging plan.

2. Privacy. Phone numbers are not displayed or shared with conference organizers.

3. Typing. Capitalization doesn’t matter, but spelling and spaces do.

4. Downloading another app. You can participate without downloading any additional apps.

New this year! Live Polling. Keep your cellphones handy this year as we’re going to be asking you to participate in a variety of polls, including one that will determine the best poster recipient as well as your closing plenary session.

Page 6: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference6

Maps

PALLISADES

#1

#2#3

#4

#6 #7

#5

CONNECTIONS CAFE

WOMENS

MENS

AMETHYST

EMERALD

MORRAINE

MALIGNE

LOGAN

ROBSON

REGISTRATION

FRONT DESK

PARKING

PARKING

RUNDLE

CONFERENCE ROOMS

POSTER PRESENTATIONS

62616059585756

27

36 38 240 41 42

25 23 21 19 17 15 13 11 9

53 51 49 47 45 435555

28

35 37 139

29 8

30 7

31 6

32 5

33 4

34 3

26 24 22 20 18 16 14 12 10

54 52 50 48 46 44

Page 7: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 7

Schedule at a GlanceTIME ROBSON 2,3,4

BALLROOM RUNDLE

BALLROOM SBCC #3 SBCC #5 SBCC #6 SBCC #7

MONDAY, NOVEMBER 28, 2016

7:00 am Breakfast and Registration

8:00 am Opening Remarks

8:15 am Minister’s Address — Honourable Sarah Hoffman, Minister of Health, Government of Alberta

8:30 am Health Tapestry (HT): Making It Better For Patients, Providers, Volunteers and The System

9:30 am CONCURRENT SESSIONS

HT: A Confidential Deeper Dive into the Results and Discussion about how to Implement in Diverse Communities

Seniors’ Community Hub – Enhancing Primary Care Collaboration for Frail Seniors Living in the Community

Health Home Community Approach to Low Back Care

Exploring Practice Level Perspectives and Experiences of Collaboration Across Diverse Health and Wellness Services

Transforming Systems to Better Serve the Health Needs of the Chronically Homeless

Worksite Screening and the Unknown Burden of Risk

10:30 am Coffee break and Poster Viewing

11:00 am CONCURRENT SESSIONS

HT: A Confidential Deeper Dive into the Results and Discussion about how to Implement in Diverse Communities

(Please note this session will run until 11:40 a.m.)

Seniors’ Community Hub – Enhancing Primary Care Collaboration for Frail Seniors Living in the Community

Health Home Community Approach to Low Back Care

Exploring Practice Level Perspectives and Experiences of Collaboration Across Diverse Health and Wellness Services

Transforming Systems to Better Serve the Health Needs of the Chronically Homeless

Worksite Screening and the Unknown Burden of Risk

12:00 pm Lunch

1:15 pm Changing The Game: Fragmentation Is Out, Integration Is In – A New Paradigm For Healthcare Delivery

2:30 pm Coffee break and Poster Viewing

2:45 pm CONCURRENT SESSIONS

Destination Integration: Roadmap for Integrating Behavioural Health Into Primary Care

Peer-Led Mental Health Group Program Partnership with SCPCN Accelerates Improved Mental Health Care Service Access and Client Outcomes

Use of EMR in the Patient-Centred Medical Home, Building from the Foundation of Panel Identification to Organized Evidence Based Care

A Multi-disciplinary Approach to Supporting Chronic Pain Patients

Experiences of Measuring Patient Experience

Championing Seniors Primary Health Care in a Rural Setting

3:45 pm – 5:00 pm

Networking Reception and Poster Viewing Cash Bar

Page 8: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference8

TIME ROBSON 2,3,4 BALLROOM

RUNDLE BALLROOM SBCC #2 SBCC #3 SBCC #5 SBCC #6 SBCC #7

TUESDAY, NOVEMBER 29, 2016

7:00 am Breakfast and Registration

8:00 am Opening Remarks

8:15 am Co-design with Patients, Family, and Community: What – Why – How

9:30 am CONCURRENT SESSIONS

Conversations and Actions for Co-Design

Peer-Led Mental Health Group Program partnership with SCPCN Accelerates Improved Mental Health Care Service Access And Client Outcomes

Use Of EMR In The Patient-Centred Medical Home, Building from the Foundation of Panel Identification to Organized Evidence Based Care

A Multi-disciplinary Approach to Supporting Chronic Pain Patients

Experiences of Measuring Patient Experience

Championing Seniors Primary Health Care in a Rural Setting

10:30 am Coffee break and Poster Viewing

11:00 am CONCURRENT SESSIONS

Planning for Patient and Community Engagement: from Behaviour Change to Policy Development

Patients as Part of the Healthy Governance Conversation

Prescription To Get Active: Engaging the Community

DIL Walk; A Story of Community Health Development in Action

Evaluation of a Community Driven, Physical Activity Based Wellness Program for Indigenous Women in Lloydminster, AB – The Women Warriors Program

Primary Care: Continuity of Care Hub

It’s Easy To Do The RIGHT Thing....Integrating Primary Health Care Through Realignment, Collaboration & Empowerment

11:45 am Lunch & Voting

1:00 pm CONCURRENT SESSIONS

Planning for Patient and Community Engagement: from Behaviour Change to Policy Development

Patients as Part of the Healthy Governance Conversation

Prescription to Get Active: Engaging the Community

DIL Walk; A Story of Community Health Development in Action

Evaluation of a Community Driven, Physical Activity Based Wellness Program for Indigenous Women in Lloydminster, AB – The Women Warriors Program

Primary Care: Continuity of Care Hub

It’s Easy To Do The RIGHT Thing....Integrating Primary Health Care Through Realignment, Collaboration & Empowerment

2:00 pm Coffee break & Best Poster Voting

2:15 pm Choose Your Own Adventure: The APCC Edition

3:15 pm – 3:30 pm Best Poster Award & Closing Remarks

Page 9: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 9

TIME ROBSON 2,3,4 BALLROOM

RUNDLE BALLROOM SBCC #2 SBCC #3 SBCC #5 SBCC #6 SBCC #7

TUESDAY, NOVEMBER 29, 2016

7:00 am Breakfast and Registration

8:00 am Opening Remarks

8:15 am Co-design with Patients, Family, and Community: What – Why – How

9:30 am CONCURRENT SESSIONS

Conversations and Actions for Co-Design

Peer-Led Mental Health Group Program partnership with SCPCN Accelerates Improved Mental Health Care Service Access And Client Outcomes

Use Of EMR In The Patient-Centred Medical Home, Building from the Foundation of Panel Identification to Organized Evidence Based Care

A Multi-disciplinary Approach to Supporting Chronic Pain Patients

Experiences of Measuring Patient Experience

Championing Seniors Primary Health Care in a Rural Setting

10:30 am Coffee break and Poster Viewing

11:00 am CONCURRENT SESSIONS

Planning for Patient and Community Engagement: from Behaviour Change to Policy Development

Patients as Part of the Healthy Governance Conversation

Prescription To Get Active: Engaging the Community

DIL Walk; A Story of Community Health Development in Action

Evaluation of a Community Driven, Physical Activity Based Wellness Program for Indigenous Women in Lloydminster, AB – The Women Warriors Program

Primary Care: Continuity of Care Hub

It’s Easy To Do The RIGHT Thing....Integrating Primary Health Care Through Realignment, Collaboration & Empowerment

11:45 am Lunch & Voting

1:00 pm CONCURRENT SESSIONS

Planning for Patient and Community Engagement: from Behaviour Change to Policy Development

Patients as Part of the Healthy Governance Conversation

Prescription to Get Active: Engaging the Community

DIL Walk; A Story of Community Health Development in Action

Evaluation of a Community Driven, Physical Activity Based Wellness Program for Indigenous Women in Lloydminster, AB – The Women Warriors Program

Primary Care: Continuity of Care Hub

It’s Easy To Do The RIGHT Thing....Integrating Primary Health Care Through Realignment, Collaboration & Empowerment

2:00 pm Coffee break & Best Poster Voting

2:15 pm Choose Your Own Adventure: The APCC Edition

3:15 pm – 3:30 pm Best Poster Award & Closing Remarks

Session DescriptionsHealth Tapestry: Making It Better for Patients, Providers, Volunteers and the System

David Price, BSC, MD, CCFP, FCFP

“Tapestry” is defined as a heavy woven cloth with detailed designs and as a word can be used in reference to an intricate or complex combination of things or events. In the healthcare context, the Health Tapestry project weaves together the complexities of moving primary healthcare from disease-centred to person-focused. It is designed to increase access to health and community-based programs that can help a person stay healthier for longer where they live. This process involves bringing together inter-professional health care teams, volunteers, community engagement elements and technology. Dr. David Price is instrumental in the creation of the Health Tapestry project and will share his experiences and some of our results from the first six months of the randomized trial and also give a hint of what they found at the one-year mark. This valuable session will enable attendees to: identify ways to engage the community in patient care through a volunteer program; articulate optimal team roles that meet the needs of a patient and list communication methods used between health teams and community volunteers.

Join him for his concurrent sessions where attendees will gain implementation techniques and discuss success and challenges of the program.

HT: A Confidential Deeper Dive Into the Results and Discussion About How to Implement in Diverse Communities

David Price, BSC, MD, CCFP, FCFP

Continuing the conversation from the morning plenary, Dr. Price will engage with you, the audience, to discuss the various challenges and tactics that you can apply in your local environment. Attendees will leave with practical techniques to apply to meet the needs in their community.

Seniors’ Community Hub: Enhancing Primary Care Collaboration for Frail Seniors Living in the Community

Sheny Khera, MD, CCFP, MPH | Marjan Abbasi, MD, CCFP, COE | Bobbi Junior | Edmonton Oliver Primary Care Network

Frailty is a state of vulnerability that places individuals at increased risk for adverse health outcomes. The Seniors’ Community Hub (SCH) focuses on holistic seniors’ care, health promotion, and patient-centred decision-making. In the SCH, a Geriatric Assessment Nurse (GAN) conducts a Comprehensive Geriatric Assessment with direct input from the patient. An individualized care and support plan is created using collaborative goal setting between the GAN, patient/caregiver, family physician, and PCN inter-professional team. In addition, patient and caregiver are partners that give input on all stages of the SCH project’s development/implementation. Attendees will be able to use partnerships with health professionals, patients, and families to create and improve individual care and support plans for seniors.

pollev.com/apcc 37607

Voting code:390877

Page 10: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference10

Health Home Community Approach to Low Back Care

Yolanda Martens van Hilst, RN | Marnie Gazankas, BScN, RN, BPE

Literature shows back pain is the world’s number one musculoskeletal disability. More than 85% of adults will experience back pain during their lives. Typically, patients seek care from various community care providers with little to no coordination and continuity at the primary care or tertiary care levels. The Calgary Foothills Primary Care Network (CFPCN) established a Health Home Community (HCC) model in the Cochrane area aiming to improve links, enhance communication and coordination of care between family physicians and local community services and providers. The HHC model enabled this low back pain collaborative to take shape by establishing a community team of local providers such as advanced practice chiropractors, physiotherapists and family physicians to address start to end low back care management. Program results are to align clinical pathways to support communication, education, relationships and provide enhanced patient centred care. Community model results are to strengthen linkages, promote trusting and credible relationships and collaboration in a sustainable fashion. Partners included Bone & Joint SCN, specialty care, and links to clinical best practice bodies such as Toward Optimized Practice, Choosing Wisely and other health and community resources. Attendees will be able to establish formal partnerships with allied organizations to enhance patient experience and support equitable access.

Exploring Practice Level Perspectives and Experiences of Collaboration Across Diverse Health and Wellness Services

Stephanie Cavers, BA, BHJ | Cheryl Whiting, RN, BSN, MN (candidate) CON(C) | Anda Dima, BEd IPMA-ACPLarry Oakes, Oskapewisk | Regina Qu’Appelle Health Region’s Eagle Moon Health Office and Primary Health Care Network Strategic Engagement and Decision Support

Regina Qu’Appelle Health Region’s Eagle Moon Health Office and Primary Health Care Network Strategic Engagement and Decision Support Saskatchewan’s large and growing Aboriginal population encouraged Regina Qu’Appelle Health Region (RQHR) to address disparities in health status of First Nations and Métis people which prevail despite great advancements within the health care continuum. RQHR created the Primary Health Care (PHC) strategic planning and development team as well as the Eagle Moon Health Office (EMHO) in 2002. RQHR PHC development consultants adopted the Canadian Inter-professional Health Collaborative National Inter-professional Competency Framework as one tool to support PHC team development within the region. Guided by the knowledge keepers and cultural teachers, EMHO assists RQHR Departments and partners to shift and change the way contemporary health services are delivered by engaging the voices of the First Nations and Métis communities. Our research on collaboration across diverse health services will assist attendees to identify enablers and barriers to collaboration that can be considered when assessing current systemic and organizational cultures.

Transforming Systems to Better Serve the Health Needs of the Chronically Homeless

Abe Brown, MBA, MREd/C | Darryn Werth, MBA, BSc, BEd | Calgary Recovery Services Task Force

Imagine a place where even those who live without a home can have their health needs met. That’s the goal for members of the Calgary Recovery Services Taskforce. The taskforce, with representatives from 25 organizations and agencies across Calgary, used a collective impact model focused on collaboration, a common agenda, shared measurement, mutually reinforcing activities, and continuous communication to ensure the way forward. Despite available primary health care and social services for vulnerable patients, many have significant challenges accessing the care and services they need in the community. Use of the collective impact model has improved information about the experiences and needs of homeless Calgarians; in less than two years the taskforce has moved from identifying a need for better city-wide, multi-agency coordinated care for chronically homeless individuals to producing a set of seven concrete recommendations for action. Want to learn more? Attendees to this session will gain collaboration skills for shared decision-making and service delivery. They will be able to use this collective impact model to bring about system change in order to better serve the complex health needs of a vulnerable population.

SESSION DESCRIPTIONS

pollev.com/apcc 37607

Voting code:391017

Page 11: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 11

SESSION DESCRIPTIONS

Worksite Screening and the Unknown Burden of Risk

Agnes Lehman, BScOT, MScHP | Mohammad Rashead, BScKin, BEd | Carolyn Walker, RN, BN | Anthony Train, MBChB, LMCC, CCFPAlberta Health Services — Cardiovascular Health and Stroke Strategic Clinical Network™

Vascular diseases are the leading cause of death and disability in Alberta and in Canada with over 90% of Canadians having at least one vascular risk factor, unmanaged in many cases. The Cardiovascular and Stroke Strategic Clinic Network completed a pilot worksite vascular risk screening and case management program for Northern Albertan plant workers. The workers were screened on-site with point-of-care testing. Case management of high risk individuals was managed by community pharmacists with prescribing abilities working with the primary care physician if attached. Additional resources and tools were provided to assist workers in health lifestyle changes. Attendees will be able to use this patient-centered approach to proactively screen and inform at-risk individuals and discuss the applicability within primary care as the model used has wide applicability both in and out of the worksite.

Changing the Game: Fragmentation Is Out, Integration Is In — A New Paradigm for Healthcare Delivery

Emma Gilchrist, MPH | Kaile Ross, MA | Farley Health Policy Center | University of Colorado School of Medicine

Did you know that fragmentation in healthcare is the leading cause of poor outcomes, higher cost, and a lackluster patient and provider experience? Integrating care is an evidence-based solution that brings together pieces of our health in ways that can benefit us all. Consider that mental health, an often overlooked facet of our health, is one of the best examples of how fragmented our healthcare system has become. Did you know that 50% of people who committed suicide had visited their primary care clinic’s office within a month of their death? Primary care is often on the front line for better addressing mental health issues and combatting fragmentation. What would happen if we built a new approach, a new model that could bring mental health into the fabric of primary care teams? Emma Gilchrist and Kaile Ross have the evidence, stories, and thought-provoking ideas on how we can more seamlessly address mental health in our delivery, financing, and policy – to achieve truly comprehensive whole person healthcare.

Attendees to this session will be able to: identify ways to incorporate behavioural health in a primary care setting; indicate implementation methods for behavioural health interventions and describe outcomes of effective behavioural health implementation.

Destination Integration: Roadmap for Integrating Behavioural Health Into Primary Care

Emma Gilchrist, MPH | Kaile Ross, MA | Farley Health Policy Center | University of Colorado School of Medicine

Emma and Kaile will dive deeper into the process of integrating behavioural health by working through the roadmap required for successful implementation. Attendees of this session will gain practical application techniques and have the opportunity to discuss local challenges.

pollev.com/apcc 37607

Voting code:391018

Page 12: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference12

Peer-Led Mental Health Group Program Partnership with SCPCN Accelerates Improved Mental Health Care Service Access And Client Outcomes’

Sue Miller, CPS, ICD.D | Magda Czegledi, MD, CPS | The South Calgary Primary Care Network and Mental Wellness Recovery Group

How can you address unmet service needs for those patients with a mental health diagnosis? Wait lists to access counselling programs are common and growing. Peer support is one possible solution that is gaining traction in Alberta. The South Calgary Primary Care Network (PCN) has partnered with the Mental Wellness Recovery Group to offer a peer-led, interactive, recovery-based program facilitated by Certified Peer Specialists (CPS). The results? More than one hundred patients diagnosed with depression, anxiety and bipolar II, attended 10 peer group sessions of eight participants each. At the end of the sessions, participants’ self-reported ability to change unhelpful thinking and reduce negative self-talk improved by more than 100%, with similar improvements in four other key areas known to help recovery. 100% of graduates recommend the program with a 93% satisfaction rate. Want to know how this success was achieved? Attend this session to learn how to improve mental health services by utilizing peer-led mental health groups.

Use of EMR in the Patient-Centred Medical Home, Building from the Foundation of Panel Identification to Organized Evidence Based Care

Barbra McCaffrey, BSc | Heidi Fell, MD, CCFP | Narpinder Hans, MD, CCFP | Cecilia Gordillo | Toward Optimized Practice

The electronic medical record (EMR) is a key tool in the practice that enables proactive panel-based care. With physician and team optimizing the features of their EMR they are enabled to use the information to maximize the potential of person-provider interventions. PCN team members and practice users of EMRs have developed the foundations with patient panel identification and panel management in the form of preventive screening care. With identification of the activities that will support effective chronic disease management, it is possible to go beyond screening care to support readiness for chronic disease management improvement. Attendees will be able to identify the features of an EMR that enable effective screening care and work with other team members and their PCN to advance the usage of their EMR.

A Multi-disciplinary Approach to Supporting Chronic Pain Patients

Julia Vallance, RN, BScN | Jordan Wasdal, BSc (Pharm) | Margo Schmitt-Boshnick, BA, Med | Red Deer Primary Care Network

Family physicians in Red Deer Primary Care Network (RDPCN) identified the need for support for chronic pain patients. A six month pilot project was established that provided two workshops on chronic pain to physician referred patients, followed by connection to a family nurse, with access to pharmacists, mental health counsellors, a dietitian and a kinesiologist. A pre- and post-assessment using the Brief Pain Inventory determined that there was both statistically and clinically significant changes in pain interference, as well as with average pain. Attendees will be able to shift to the patient’s perspective with pain control and management, and incorporate patient feedback into decision-making regarding chronic pain management programs.

SESSION DESCRIPTIONS

pollev.com/apcc 37607

Voting code:391019

Voting code:391020

Voting code:391021

Page 13: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 13

SESSION DESCRIPTIONS

Experiences of Measuring Patient Experience

Shelby Corley, MA, CE | Three Hive Consulting, Inc.

Patient satisfaction is an important indicator in primary care, and is one of the indicators Alberta Health now requires from PCNs. How does a simple satisfaction measure provide the data needed to inform improvement efforts? The answer is that it doesn’t. A team of PCN evaluators developed a more robust tool to measure the six dimensions of patient experience as defined by Wong & Haggerty (2013). The authors will share their experiences in developing and deploying the tool, both electronically and on paper, and the lessons learned in the process. Looking to measure patient satisfaction, and act on results? Don’t miss this session where attendees will be able to identify the challenges of deploying a patient experience survey at the clinic and PCN level, and see opportunities to use results from a patient experience survey to inform ongoing development and quality improvement at the PCN level.

Championing Seniors Primary Health Care in a Rural Setting

Catriona Blythe, BScN(Hons), RN, MN, NP | Jennifer MacDonald, LPN | Kalyna Country Primary Care Network

How do you meet the primary healthcare needs of seniors, get them engaged in their health and build partnerships in the community? Kalyna Country Primary Care Network (PCN) took on this challenge because they have a greater proportion of seniors over 65 compared to the Alberta PCN average. They also have higher incidences of chronic disease, including significantly higher rates of diabetes. Combine this situation with the geographical challenges of a large rural PCN which makes traveling to find care an issue, and Kalyna Country PCN knew they had a problem to solve.

The solution was simple but ingenious. Look for ways to connect with seniors where they congregate in their community and find local “champions” to help link the PCN with seniors in new ways. The results have been impressive and continue to grow. Check out this session! Attendees will be able to use this approach to find champions in their communities to engage seniors in PCN programs and engage these champions to work to avoid costly acute care interventions.

Co-design with Patients, Family, and Community: What – Why – How

Barbara Balik, EdD, MS, RN

Involving patient perspectives in primary care has shown to improve care outcomes. Barbara Balik will show you three ways to take it from talk to reality. By focusing on three distinct themes: our patients; our partners; our people, she will demonstrate how to integrate patient perspectives into care delivery systems and processes.

Discover the opportunities, challenges and lessons-learned from the experiences of others using a co-design method and the positive impacts on patients, providers and outcomes. You don’t want to miss this session where participants will be able to: identify ways to effectively partner with patients in care, incorporate the citizen voice into program design; and use tactics to foster mutually beneficial partnerships.

Conversations And Actions For Co-Design

Barbara Balik, EdD, MS, RN

Heard the ‘what’ and the ‘why’ but want more of the ‘how’? Join the conversation as Barbara continues to uncover the number of ways you can engage patients in co-design by using your local challenges as a platform. Attendees will leave with actionable tools for program co-design.

pollev.com/apcc 37607

Voting code:391049

Voting code:391066

Page 14: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference14

Planning for Patient and Community Engagement: From Behaviour Change to Policy

Lorna Milkovich, RN, BN, MBA | Cindy Jeffries, BA | Red Deer Primary Care Network

Red Deer Primary Care Network (RDPCN) works toward a culture of healthy living by providing opportunities for patients to improve their health. Continually seeking a better understanding of the patient experience and providing space for patient/community voice has led the PCN to examine new ways of thinking about engagement. Drawing upon a variety of models, a continuum of engagement was developed that offered a coordinated approach to ensure patients, and the community are integrated appropriately. Attendees will develop an understanding of the Patient and Community Engagement Continuum and ways on how to implement it within their own organization.

Patients as Part of the Healthy Governance Conversation

Karla Wyld, RN, BScN | Bill Hnydyk, MD, BMedSc | Alberta Medical Association, Choosing Wisely Alberta

Up to 30% of healthcare is unnecessary. Too much medicine leads to harm, false positives, and incidental findings with no clinical value, wasting valuable health care resources. Choosing Wisely Alberta (CWA) plans and promotes changes with providers and patients as leaders. Patient representatives have been included in planning and governance to reframe the conversation since the initiative kick-off. CWA aims to uncover and address traditional cultural expectations and shift to a perspective of ‘More Is Not Always Better’. Attendees will be able to leverage the benefit of patient experience in every level of planning and implementation.

Prescription To Get Active: Engaging the Community

Melanie Fuller, BPE | Justin Balko, MSc, MD, CCFP | Various Primary Care Networks

What started as a straightforward project to encourage Primary Care Network (PCN) patients in one PCN to get moving has ballooned into an initiative involving 25 PCNs and dozens of recreation and fitness facilities across Alberta. The Prescription To Get Active Program (RxTGA) creates a bridge between primary care providers and community recreation partners to support a shared responsibility in addressing the physical inactivity crisis. The program objectives include: increasing the number of providers who are assessing, prescribing and counseling patients on physical activity; increasing the number of Canadians who meet Canadian Physical Activity Guidelines and exceed the Canadian Sedentary Behaviour Guidelines; encouraging and promoting the appropriate use of quality recreational opportunities to increase physical activity levels and support the prevention and treatment of chronic disease. Do you want to start a RxTGA program or strengthen the one you’re a part of now? Participants will learn strategies to: counsel patients who are physically inactive using the 3 A’s (Ask, Assess, Advise) and other teaching tools; create and develop strong partnerships within the community including both community recreation facilities and other low/no-cost alternatives.

DIL Walk; a Story of Community Health Development in Action

Raman Kapoor, BSc, RD | Anmol Kapoor, MD, FRCPC | DIL Walk Foundation

Driven by the mantra “nothing about me, without me” the DIL Walk Foundation found opportunities to involve the South East Asian community about their priorities and needs. The DIL Walk Foundation connected with community leaders, organizations (Mosaic PCN, Cardiologists, primary care physicians, Heart and Stroke Foundation, local temples, AHS Public Health) and businesses (for awareness and recruitment) and helped these partners understand the importance of mobilizing for the benefit of community health and wellness. Attendees will be able to connect to communities using existing community services to inform patients of services available and use community relationships to overcome barriers in communication with vulnerable communities.

SESSION DESCRIPTIONS

pollev.com/apcc 37607

Voting code:391053

Voting code:391054

Voting code:391065

Voting code:391022

Page 15: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 15

SESSION DESCRIPTIONS

Evaluation of a Community Driven, Physical Activity Based Wellness Program for Indigenous Women In Lloydminster, AB — The Women Warriors Program

Sonja Wicklum, MD, CCFP, FCFP | Shelley Wiart | University of Calgary

Overall, only 14% of Canadian women meet guideline levels of physical activity each week, an issue exacerbated among Indigenous communities facing added barriers to activity. The goals of the Women Warriors Program are to increase physical activity and to develop a support system and sense of community for participants. The program creates a safe environment for participants to explore and face their challenges in making and sustaining healthy lifestyle changes. The program seeks to provide a cost effective, scalable, proactive solution to obesity and diabetes prevention. Attendees will understand the development of wellness programming based on The Women Warriors Program and how to use community to help patients overcome barriers to change.

Primary Care: Continuity of Care Hub

Jeanette Jackson, PhD | Health Quality Council of Alberta

Since 2003, the Health Quality Council of Alberta (HQCA) has been monitoring patient experience with health care services through surveying Albertans. HQCA’s findings have consistently demonstrated a direct link between coordination of care, an important aspect of continuity of care, and healthcare outcomes. HQCA conducted an in-depth study to understand the factors that influence seamless and fragmented patient journey experiences. Attendees will be able to understand the critical elements of a ‘continuity of care’ hub and use them to support high quality patient-doctor relationships, information sharing, as well as communication and teamwork amongst members of the team including the patient.

It’s Easy to Do the RIGHT Thing.... Integrating Primary Health Care through Realignment, Collaboration and Empowerment

Sheila Anderson | Regina Qu’Appelle Health Region

The Regina Qu’Appelle Health Region was faced with increasing demand for services, a fragmented community care model and high reliance on acute care services. The integration of Primary Health Care services into networks began in January 2014 with significant success to date. Empowerment of direct care staff, physician leadership, CEO sponsorship, application of Lean tools and supported change management are key contributors to this success. Attendees will be able to use data to guide realignment when planning for integrated care and apply methodology used to lead, communicate and empower direct-care staff.

Choose Your Own Adventure: The APCC Edition

You’re the author of this story in this audience-designed approach to a panel presentation. You, the audience, will decide on a group of panelists from the conference’s concurrent sessions to share the tools or techniques that they use to advance the patient’s medical home. Moderated by the conference chair, Dr. Brad Bahler, attendees will have the opportunity to pose questions to the panel and direct the conversation while gaining a summary of practical tips from our presenters.

Didn’t get a chance to attend a certain session? Vote for them! Attended a session, but want more information? Cast your vote.

Have your say by voting during the lunch break on Tuesday, November 29! To participate, follow the instructions that will be projected on the screen.

pollev.com/apcc 37607

Voting code:391067

Voting code:391068

Voting code:391495

Page 16: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference16

Presenter BiographiesMarjan Abbasi, MD, CCFP, COE

Dr. Marjan Abbasi is a Care of the Elderly Physician. She is also the site lead for the Geriatric Program at the Misericordia Hospital and the Chair for the Alberta Senior Care Coalition. Her expertise lies in the care for frail seniors in a variety of settings including inpatient, outpatient, outreach and assisted living.

Sheila Anderson

Sheila Anderson is the Executive Director of Urban Primary Health Care services for the Regina Qu’Appelle Health Region. Sheila is presently leading a large urban primary health care team to realign more than 500 staff into primary health care networks. Her work is focused on ensuring services are community designed, client-centered, and team delivered. With a back ground in nursing and expertise in change management, Sheila is using her skills to redesign the system to increase capacity in community based care while decreasing reliance on emergency rooms, acute care facilities and specialty services.

Barbara Balik, RN, EdD

Barbara Balik is the Co-Founder of Aefina Partners, an organization committed to healthcare transformation through thriving partnerships among healthcare leaders, physicians, team members, patients, and families. She is a Senior Faculty at the Institute for Healthcare Improvement, a member of the National Patient Safety Foundation Board of Advisors and faculty for Arizona State University’s Fellowship in Healthcare Innovation Leadership. Using a human-centered co-design approach, she works with healthcare leaders to generate flourishing cultures and exceptional outcomes by integrating patient/family experience, quality, safety, and joy in work. Recent activities with leaders include developing skills and systems for patient/family partnerships in physician practices; culture strengthening that enhances joy in work and reduces burnout; physician leadership development; systems that assure reliable transitions in care; and effective infrastructure design for population health. Barbara has a BS and MS in nursing and a doctorate in educational leadership. Her previous roles include: Allina Hospitals and Clinics, MN – EVP of Quality, Safety, and Technology; CEO at United Hospital and Clinics; VP of Patient Care/CNO at United Hospital; System CNO Council Chair; Minneapolis Children’s Medical Center – VP of Patient Care/CNO. Her favorite clinical roles were pediatric nurse practitioner and labor/delivery nurse.

Justin Balko, MSc MD CCFP

Dr. Balko has a family practice in Leduc, Alberta and is an Emergency Room physician at the Leduc Community Hospital. He is the President of the Leduc Beaumont Devon Primary Care Network, the Physician Lead Executive for the Edmonton Zone PCN’s and is a co-chair for the PCN Physician Leads Executive. He is passionate about practicing all aspects of family medicine, particularly primary prevention. He is a physician spokesperson for the Prescription to Get Active program that was started in Leduc in 2011.

Catriona Blythe, BScN (Hons), RN, MN, NP

Catriona Blythe is a Nurse Practitioner covering a maternity leave with the Kalyna Country Primary Care Network in Vermilion. She completed her undergraduate honors nursing degree at the University of Alberta where she completed research into the family management of children with hypoplastic left heart syndrome. After working in medicine, surgery, day surgery and maternity wards as well as sexual health on-reserve, she returned to school at the University of Saskatchewan to complete her masters of nursing, nurse practitioner – primary health care program.

Since graduating in 2015 she has worked in an on-reserve diabetes program and currently runs the Well Women’s Clinic, the Diabetes Wellness Clinic and remote/outreach clinics to rural seniors through the Kalyna Country Primary Care Network. Her clinical interests include women’s health and chronic disease.

Page 17: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 17

PRESENTER BIOGRAPHIES

Abe Brown, MBA, MREd/c

Abe Brown is the Director of Programs for the Calgary Drop-In and Rehab Centre (The DI), and his association with The DI began in 1999. Abe has also held significant leadership and executive roles in both the for-profit sector, and the non-profit sector. He has been called a person of passion and compassion, bringing a thoughtful focus to complex issues.

Currently, Abe also serves as the Chair of the Calgary Recovery Services Task Force, which is a collaborative of over 25 homeless service providers and government focused on providing better health outcomes for chronically homeless Calgarians. Maintaining collaborative dialogue between 25 different organizations with different mandates and perspectives since February of 2015 has been a complex challenge. Using a collective impact model, our focus has consistently been collaboration, a common agenda, shared measurement, mutually reinforcing activities, and continuous communication. Every participant felt that their input was valued and discussed, and in the end, our collaboration has not only brought the sector together, but has put into place the backbone organization necessary for the vision of better health care for homeless Calgarians to be fully realized.

A key element to maintaining collaborative dialogue within the Taskforce has been our shared goal of improving medical supports and outcomes for vulnerable homeless individuals in Calgary through collaborative decision-making and service delivery that seeks to use public funds efficiently and aligns with government policy.

Abe earned a Master’s in Business Administration from the University of Calgary, and a Master’s in Education and

Counseling from California State Christian University.

Stephanie Cavers, BA, BHJ

Stephanie Cavers has 33 years background and experience in community, justice, social and health development efforts to address First Nations and Metis challenges within urban and rural settings supporting organizations efforts to shift and change the way they deliver services through meaningful inclusion and efforts to support Indigenous wellness ways returning to their rightful place.

Shelby Corley, MA, CE

Shelby Corley is a Credentialed Evaluator and a partner in Three Hive Consulting, Inc. Three Hive is currently supporting seven Primary Care Networks in the Edmonton and North Zones, and works with other organizations in the health and community sectors. Shelby holds an MA in Anthropology from the University of Alberta and has worked in research and evaluation in several fields over the past twelve years. She is an ARECCI Second Opinion Reviewer and a board member with the Alberta & Northwest Territories Chapter of the Canadian Evaluation Society.

Magda Czegledi, MD, CPS

Magda Czegledi MD, Certified Peer Specialist (CPS) is the Senior Facilitator of the Mental Wellness Recovery Group, and also delivers other mental health recovery programs and speeches on depression. Magda formerly led a primary care practice and co-led an after-hours service for fifty primary care physicians.

Page 18: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference18

PRESENTER BIOGRAPHIES

Anda Dima, BEd, IPMA-ACP

Anda Dima received her undergraduate degree in Education from the University of Regina and holds an advanced certified professional designation in human resource management from the International Personnel Management Association where she has been co-chairing the Professional Development portfolio for the Saskatchewan Chapter. For over 20 years, Anda has worked within the Regina Qu’Appelle Health Region (RQHR) as an educator and facilitator in the field of Team and Organisational Development. Over the past five years, as a Development Consultant in Primary Health Care, Anda’s focus has been on engaging community representatives, health care professionals and family physicians in planning and developing various primary health care initiatives. Anda develops and implements group processes and educational sessions on inter-professional collaboration and team functioning for health professionals and community members. While various degrees of collaboration among healthcare professionals has been reached in parts of the region as a result of significant and specific team development efforts, the fact remains that there still is a lot of work to be done in terms of collaborative efforts between indigenous and traditional western care providers. RQHR supports individuals and communities to better manage their own health through the provision of coordinated client centered, community designed and team delivered care continuums. Anda is passionate about the work she does in Primary Health Care and enjoys talking about it whenever she has an opportunity.

Heidi Fell, MD, CCFP, FCFP

Dr. Heidi Fell is a family physician in Calgary, Alberta. She sits on the boards of Calgary Foothills Primary Care Network and has recently completed a 5-year term as chair of the CFPCN Physician Corporation Board. Dr. Fell is a Peer Leader with Toward Optimized Practice and was previously a long-time peer mentor with POSP. She is also involved with the Alberta Medical Association on representative forum and several IM/IT related committees.

Melanie Fuller, BPE

Melanie Fuller is the Project Manager for the Edmonton Zone Primary Care Networks and is responsible for the growth, promotion and management of the Prescription To Get Active and the Get Out, Get Active programs. Melanie holds a Bachelor of Physical Education from the University of Alberta and is a Clinical Exercise Specialist with the American College of Sports Medicine and a Clinical Exercise Physiologist with the Canadian Society of Exercise Physiology. Melanie brings a wealth of knowledge and experience specifically with community physical activity engagement strategies in public health and for individuals with complex chronic health conditions.

Marnie Gazankas, BPE, BScN, RN

Marnie Gazankas is a veteran Registered Nurse of 24 years and currently a Program Manager , Health Home Community Development at Calgary Foothills Primary Care Network, Calgary. Marnie has extensive experience in project development , in particular, the adoption of specialist delivered clinical videoconferencing for patient care. Marnie graduated from the University of British Columbia in 1992 with a Bachelors Degree in Nursing, and prior , The University of Manitoba , Bachelors Degree in Kinesiology. Marnie has worked in several clinical areas across Ontario, BC and Alberta , both in operations and management, including Maternity, Public Health, BC Nurseline, Clinical Telehealth, and Primary Care. Marnie has presented at provincial and national conferences on a variety of clinical telehealth applications and telehealth business processes. She is originally from Red Lake in North Western Ontario.

Emma Gilchrist, MPH

Emma Gilchrist is the deputy director of the Eugene S. Farley, Jr. Health Policy Center at the University of Colorado School of Medicine. The Farley Health Policy Center’s mission is to develop and translate evidence into policy to advance comprehensive, integrated strategies that improve individual, family, and population health. She is a project manager and researcher on federal, state, and foundation grants and contracts focused on integrating behavioral health and primary care, payment reform, and workforce development. She received her Master of Public Health from the University of Michigan and previously worked at the University of Michigan Center for Managing Chronic Disease.

Page 19: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 19

PRESENTER BIOGRAPHIES

Cecilia Gordillo, IMG

Cecilia Gordillo is an International Medical Graduate from Bolivia. She has completed her Post Graduate training in Family Medicine in Argentina.

Now, she works at Edmonton West Primary Care Network as a Clinical Electronic Medical Record (EMR) Coordinator.

Cecilia loves helping others and is passionate about finding ways for patients to have timely access to appointments, increased services, and overall better health care! Quality Improvement is one of her passions in healthcare.

William Hnydyk, MD, BMedSc

Dr. William Hnydyk received his MD from the University of Alberta and entered comprehensive rural general practice in Vegreville Alberta in 1975. In 2003 he joined the senior management team of the Alberta Medical Association and in 2005 became Assistant Executive Director of Professional Affairs with executive responsibility for quality improvement programs such as Toward Optimized Practice, Choosing Wisely Alberta and Physician Learning Program. In his role he worked to meet the organizations mission of advocacy and support for its members, while at the same time upholding the highest quality of care, professional standards and ethical behaviour. Following retirement from the AMA in March 2016, Dr. Hnydyk became a part time health care consultant and in this capacity has championed implementation of Choosing Wisely Canada recommendations in Alberta.

Jeanette Jackson, PhD

Jeanette Jackson joined the Health Quality Council of Alberta (HQCA) in 2013 as Health System Analytics Lead. Originally from Germany, she moved to Scotland in 2004 to complete her PhD in Public Health focusing on improving the measurement of health predictors and outcomes. Before joining the HQCA, Jeanette worked 5 years for the Scottish Patient Safety Research Network at the University of Aberdeen (UK) to provide methodological support and advice. She has been involved in various national and international studies in the field of Patient Safety, in collaboration with the National Health Services and the World Health Organization. Jeanette leads work to further elaborate survey methodology used to assess Albertan’s experiences of several aspects of their healthcare. The development of survey methodology enables capturing patient experiences regarding their journey through the health care system for the purpose of quality improvement (i.e., continuity of care).

Cindy Jefferies, BA

In May of 2014, with a desire to increase public accountability and improve communication with citizens, the Red Deer Primary Care Network (RDPCN) expanded its board membership to include two community members. As one of the community board memebers, Cindy has been working to bring a community perspective to the Primary Care Network Board of Directors’ decision making and strategic planning and improve community engagement.

Cindy is a community builder with a long history of working to make Red Deer a better place to live. In 2013, after 9 years as a member of Red Deer City Council, Cindy ran, unsuccessfully, to be Red Deer’s mayor. As a member of City Council she worked hard to improve the way we build our city, advocating for more focus on the connection between healthy people and improved infrastructure for pedestrians and bike travel. Since her ‘retirement’, in addition to her role with the RDPCN, she has been volunteering for several organizations. In January 2015, she co-founded a Red Deer chapter of the 100 Women Who Care movement. 100+ Women Who Care Red Deer held its inaugural meeting; over 200 women joined! The group has donated over $120,000 to community charities so far. In 2019 Red Deer will host the Canada Winter Games. Cindy is already involved as a volunteer, serving on the Governance and Policy Committee. In addition, she has recently joined the Alberta Jubilee Auditoria Society Board and the Safe Harbour Society Board. As the mother of three sons who have all competed in freestyle skiing (her youngest son is still competing) she has spent many hours volunteering in support of their sport.

Prior to running for City Council, Cindy developed her passion for public educations; she was first elected as a public school trustee in 1994, she served a total of 9 years, 6 of those years as the chairman of Red Deer Public School Board.

Together with her husband, Dan, Cindy has three sons (they are almost grown up!) and a new black lab named Finn. She loves to travel and explore cities. Cindy is also passionate about photography and being outside.

Cindy has a BA in Communication from the University of Calgary and recently started a Masters program with Taos Institute of Ohio to do her Master of Science degree in Relational Leading.

Page 20: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference20

PRESENTER BIOGRAPHIES

Bobbi Junior

Bobbi Junior writes and speaks about caregiving. Her book, The Reluctant Caregiver, tells of struggles and victories in supporting her mother who suffered from dementia. During that same period she assisted her 90-year-old father in navigating the health care system as his health deteriorated. Bobbi lives and works in Edmonton. Visit her blog at www.bobbijunior.com

Anmol Kapoor, MD, FRCPC

Anmol S. Kapoor, Cardiologist, completed his Internal Medicine training at the University of Alberta and his Cardiology training at the University of Manitoba. During this time, he came across data indicating increased risk of heart disease in the South Asian Canadians. There was lack of awareness among communities and health professionals led him to establishing DIL Walk Foundation. The DIL Walk foundation is a 100% volunteer run charity. DIL Walk is an acronym for Do It for Life (DIL) and is more than just a walk. DIL Walk is about Wellness, Access, Linkages and Knowledge (WALK).

Born and raised in India, Dr. Kapoor attended medical school at the St. Petersburg Medical Academy, Russia and learnt Carotid Ultrasounds at the Cleveland Clinic in the United States. He now works in Calgary at the Advanced Cardiology Clinic.

Dr. Kapoor has won many awards for his community work that includes prestigious Hind Rattan award (Jewel of India) in New Delhi, Pravasi Rattan award at Capitol Hill in Washington and the Mahatma Gandhi Award at the House of Lords in London. He was also nominated for the AMA award for Physician for Compassionate Care and many other awards bestowed upon on him by various community organizations for his work.

Raman Kapoor, BSc, RD

As a mother, a registered dietitian, a female and former heart patient, Raman Kapoor is passionate about the power of prevention. This passion fuelled her and her husband, Dr. Anmol Kapoor, to co-found a charity focusing on wellness, access, linkages and knowledge – DIL Walk. DIL Walk Foundation has touched the lives of over 15,000 people through educational activities, evidence-based local solutions to help community members of all generations enjoy healthier lives. This was achieved by getting them more active, more often, focusing on self management and eating healthy. Raman believes in practicing what she preaches, in all facets of her life. She has had the opportunity to work in a number of different capacities, and loves to speak publicly.

Sheny Khera, MD CCFP, COE, FCFP, MPH

Sheny Khera is a Teaching Faculty Officer for the Department of Family Medicine, University of Alberta. She is a practicing family physician and Site Director of the Misericordia Family Medicine Centre.

Agnes Lehman, BScOT, MScHP

For the past 23 years, Agnes Lehman has focused her career and education on the assessment and treatment of chronic conditions and the maintenance of health, with a major focus on understanding stroke and cardiac issues. With a Bachelor of Science degree in Occupational Therapy (OT) she worked in both rural and urban hospitals in Alberta, planning and implementing stroke services to improve the access for all Albertans to appropriate stroke care. She managed the OT department at the Glenrose Rehabilitation Hospital in 2005/06 and then turned to supporting provincial work for the Alberta Provincial Stroke Strategy as a service coordinator and manager for the Edmonton Zone Stroke Program. In 2006, she also obtained a Master of Science in Health Promotion and used these skills as the former Clincial Network Officer for the Cardiac Clincial Network and in her current position as the Strategic Clinical Network™ Manager for Cardiovascular Health and Stroke SCN™.

Page 21: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 21

Jennifer MacDonald, LPN

Jennifer MacDonald is a Licensed Practical Nurse with the Kalyna Country Primary Care Network in Vermilion. She graduated from the Practical Nursing Program in 1993 and following graduation, worked in several rural hospitals getting a wide variety of nursing experience from medical to maternity. Jennifer is trained as an Operating Room technician and has her certificate in Advanced foot care. She also worked for the Northern Alberta Renal Program for ten years as a dialysis nurse in Red Deer. Her experience has developed her passion for geriatric nursing and working with seniors. Jennifer started with the Kalyna Country PCN in 2016, she assists with the Diabetic Wellness Clinic and also does foot care for seniors and diabetics.

Barbra McCaffrey, BSc, DipEd

Barbra McCaffrey is the EMR Lead for Toward Optimized Practice. With 19 years work experience in healthcare she is Prosci change management certified and a professional facilitator. Since 2008 she has worked with care providers and team members on EMR optimization. In her current role she is identifying leading practices in the use of EMR for panel identification and proactive panel-based care. Barbra is a member of Canada Health Infoway’s Change Management Reference Group and the Pan-Canadian Change Management Network.

Lorna Milkovich, BN, MBA

Lorna Milkovich is the Executive Director of the Red Deer Primary Care Network (RDPCN). Her nursing background has spanned the continuum from Health Promotion to Intensive Care. Her health care background combined with her business education is foundational to her bigger picture view of primary care and its potential to transform the health system. Lorna has been pivotal in facilitating RDPCN community partnerships and leading the development of innovative programs that empower people. She has presented at provincial, national and international conferences on community partnerships, patient programs, workplace wellness and leadership. She has written two books: Taking Control of Your Blood Pressure Steps to a Healthier Lifestyle, and Vitality & Vitals: A health and lifestyle journal.

Sue Miller, CPS

Sue Miller, Certified Peer Specialist (CPS), CPS Trainer is the Founder of the Mental Wellness Recovery Group, a multi-week, peer-facilitated group program, that has delivered over 240 sessions of evidence-based mental health recovery practices, to groups of 8-12 people for the South Calgary PCN, The Carnat Day Hospital for Psychosis, Candian Mental Health Association and community groups. Sue is also a leadership coach, board member, and former President of two billion dollar companies.

Larry Oakes

Hired as an Oskapewisk, Larry was asked to perform Elders work as a ceremonial leader within the Eagle Moon Health Office (EMHO) of the Regina Qu’Appelle Health Region. Supporting traditional practices, as instructed by Elders locally, Larry works in partnership with the EMHO Director to recommend pathways for traditional health care and enhanced/adapted Primary Health Care continuums. Larry has been a ceremonial leader and advisor for the past 35 years and is a former political leader from the Nekaneet First Nation in Saskatchewan.

PRESENTER BIOGRAPHIES

Page 22: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference22

David Price, BSc, MD, CCFP, FCFP

Dr. David Price is a Professor and Chair of the Department of Family Medicine at McMaster University since 2006, and Chief of Family Medicine at Hamilton Health Sciences since 2004. While most of his career has been as a comprehensive family physician in major urban centres, he is proud of the fact that he gained much clinical experience in a number of rural and northern communities.

Through his leadership roles at the University and Hospital, and his involvement with local, regional and provincial government bodies where he acts as a consultant and advisor, he has developed expertise in primary care reform and healthcare policy development. As the Chair of the Provincial (Ontario) Expert Advisory Panel on Primary Care (2013-2014) he was instrumental in helping produce “ Patient Care Groups: A new model of population based primary health care for Ontario” (“Price Report”).

Locally, he was the founding director of the Maternity Centre of Hamilton, a multidisciplinary centre that cares for prenatal and intrapartum patients. Dr. Price was also instrumental in helping to create the academic Family Health Team at McMaster University, an interprofessional team, currently serving over 35,000 patients in the Hamilton area. He was a key player in the development of the David Braley Health Sciences Centre, a six story, 185,000sq.ft. home

for Family Medicine and Hamilton Public Health in the downtown core.

Mohammad Rashead, BScKin, BEd

Mohammad Rashead is the Lead for Vascular Risk Reduction with the Cardiovascular Health and Stroke Strategic Clinical Network ™ of Alberta Health Services. He graduated from the University of Calgary as well as Lakehead University, completed degrees in Science (Kinesiology & Health) and Education, respectively. He has worked in British Columbia, Ontario, and Alberta and is passionate about upstream health. Mohammad is excited to share his learnings from The Vascular Risk Reduction Worksite Project.

Kaile Ross, MA

Kaile Ross has been working in the field of medical psychology for approximately 10 years. Her role within the Farley Center includes data synthesis, conducting qualitative data analysis, and research publication and dissemination. In addition to her research expertise, she bring to the Farley Center a real-world knowledge of behavioral health and health psychology. She has worked as a behavioral health clinician in an integrated behavioral health and primary care clinic as well as a primary care clinic integrated into a mental health center. She received her Master Degree in Clinical Health Psychology from the University of Colorado Denver and previously worked as a Research Coordinator at the University of Washington in the Department of Allergy and Infectious Disease. She is currently pursuing her PhD in clinical psychology with an emphasis in management of chronic illness and promotion of health behaviors.

Margo Schmitt-Boshnick, BA, MEd

Margo Schmitt-Boshnick has over twenty years of experience as a Researcher, Evaluator and Adult Educator. She has been involved in primary care evaluation since 2011, working with Rocky Mountain House and Wolf Creek PCNs, as well as Toward Optimized Practice. She is currently the Program Evaluator at Red Deer Primary Care Network. Beyond primary care, she has provided evaluation services in the areas of health promotion, addictions, as well as in the post-secondary and non-profit sectors. Margo draws on her qualitative and quantitative experience to bring a mix of methods to projects. Her adult education background provides her with the skills in participatory approaches, and her philosophy of evaluation as learning is the cornerstone of her practice. An avid lifelong learner, Margo frequently takes courses and workshops on a variety of research and evaluation topics, and holds professional memberships in both the Canadian Evaluation Society and the American Evaluation Association.

PRESENTER BIOGRAPHIES

Page 23: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 23

Anthony Train, MBChB, LMCC, CCFP

Dr. Anthony Train emigrated to rural Alberta in 2011 from Cape Town, South Africa and currently practices in a multi-disciplinary urban clinic in Calgary as well as Urgent Care part-time. His interest in a ‘healthy lifestyle’ has lead him to Co-Chair Alberta’s Vascular Risk Reduction Project since 2013. He currently is appointed to the Board of the Alberta College of Family Physicians and South Calgary PCN. He has been involved in building capacity for Choosing Wisely initiatives in Alberta as a provincial leader since early 2015.

Outside of work he can be found in Kananaskis Country, snowboarding Sunshine or cruising the streets of Calgary on his 3-speed.

Julia Vallance, RN, BScN

Julia Vallance is a Registered Nurse with a Bachelor of Science in Nursing. She has ten years of nursing experience, eight of which have been spent with the Red Deer Primary Care Network as a Family Nurse. In this role she has been doing chronic disease management, tobacco cessation counselling and general navigation. She has also been a part of several working groups involved in the development of programs for diabetes, hypertension, smoking cessation, Happiness Basics and chronic pain. She is currently working in a Program Manager role within the PCN where she continues to work at program development, evaluation and program delivery with the mental health team.

Yolanda Martens Van Hilst, RN

Yolanda Martens Van Hilst is a Program Manager, Service Delivery for the Calgary Foothills PCN. She has extensive experience with the design and development of innovative health programs. Working with a variety of specialty services to improve care for the family physicians and their patients. Yolanda graduated from nursing in 1993, received her pediatric specialty degree in 1995 and moved from the Netherlands to Canada in 1996. She had the opportunity to work in northern BC, Northwest Territories and Alberta.

Carolyn Walker, RN, BN

Carolyn Walker leads Knowledge Translation efforts for the Cardiovascular Health and Stroke Strategic Clinical Network. She has been an RN for over 30 years with experience and expertise as a clinical educator, researcher, clinical nurse specialist and KT lead within critical care, acute care, stroke prevention, clinical pathway and vascular risk reduction programs. She is a well-known educator who served as the Albert Provincial Stroke Strategy Education Coordinator and has shared her knowledge at various provincial, national and international events. You may see Carolyn waterskiing, barefooting or hiking the trails of our beautiful province when not on the job!

Jordan Wasdal, BSc (Pharm)

Jordan Wasdal graduated from the University of Alberta Faculty of Pharmacy and Pharmaceutical Sciences in 2011. She had a keen interest in joining a Primary Care Network team after first learning about them in her second year of university. She worked for two years in community pharmacy in Edmonton, with a focus on supporting patients living in group homes, before getting the opportunity to become part of the Red Deer Primary Care Network in 2013. She has been involved in developing the multi-disciplinary chronic pain self-management program and has been one of the main facilitators in the program. Jordan is also involved in providing Evidence Based Education sessions to the physicians and staff within the RDPCN, and works one-on-one with patients requiring medication reviews.

PRESENTER BIOGRAPHIES

Page 24: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference24

Darryn Werth, BSc, BEd, MBA

Darryn Werth is the Senior Director of Program Strategies at CUPS (Calgary Urban Project Society). Darryn has a BSc and BEd from the University of Alberta and an MBA from Athabasca University.

As a Senior Director at CUPS, Darryn is responsible for program initiatives that integrate Health, Education, and Housing services to assist low-income and homeless Calgarians overcome the adversity of poverty and trauma. Prior to this, Darryn worked extensively in Alberta’s education system as a teacher and administrator for several public, private, and charter schools. Additionally, Darryn was the Director of Promotions and Ministry Development for Impact Ministries, supporting development in rural communities in Guatemala.

Darryn has been married to his wife Bobbie for 30+ years, is dad to three daughters, a son and two son-in-laws, and is enjoying the new frontier of being a grandfather. Darryn volunteers his time in children’s programming with Centre Street Church, and with New West Symphony and Chorus as a tenor.

Darryn is an avid swimmer, cyclist and runner, and enjoys reading. He is also known for making great pizza from scratch!

Cheryl Whiting, RN, BSN, MN, CON(C)

Cheryl Whiting has been a registered nurse for over 40 years working in both rural and urban Saskatchewan in a number of health care settings. Cheryl has been with the Saskatchewan Cancer Agency for more than 20 years in various clinical, education, and administrative positions. Presently as Director of Cancer Prevention, Cheryl provides strategic direction and leadership toward a comprehensive population health promotion approach to cancer prevention. Cheryl supports a collaborative approach to health promotion to improve population health and well-being and reduce the incidence of preventable cancers intended for a more cost effective and sustainable health system in Saskatchewan. A key focus of Cheryl’s work and research interest is in strengthening partnerships with Indigenous populations and enhancing collaboration across diverse health services.

Shelley Wiart

Shelley Wiart is Metis and a member of the North Slave Metis Alliance, Yellowknife, Northwest Territories. As a former overweight smoker with an intergenerational history of type II diabetes, Shelley understands the struggle to achieve a healthy lifestyle. After her father became an insulin dependent type II diabetic, she completed a half-marathon for Team Diabetes and started on her mission of type II diabetes awareness and prevention. She founded Women Warriors to help smokers quit, gain access to a variety of free physical activity, and provide nutrition education to women and their children in Lloydminster, Saskatchewan. She is a certified Urban Poling (Nordic walking) instructor and loves to share her passion for getting women active. Her mission is to help women reclaim their health and self-esteem through an active lifestyle, and holistic health approach. Her focus is on prevention through physical activity, raising awareness of the type II diabetes epidemic amongst Canadians, and educating people on how lifestyle, nutrition and genetics contribute to inter-generational incidences. She is passionate about decreasing the inter-generational cycle of type II diabetes in families.

Sonja Wicklum, MD, CCFP, FCFP

Dr. Sonja Wicklum is a Clinical Assistant Professor at the Cumming School of Medicine, University of Calgary in the Department of Family Medicine. She has a teaching family practice in downtown Calgary. Her research focuses on medical education, chronic disease prevention and management programming, and Indigenous health. Prior to her arrival in Calgary she practiced rural family medicine in Montana and Ontario, along with part-time consultant work at The Ottawa Civic Hospital Weight Management Clinic.

Karla Wyld, RN, BScN

Karla Wyld resides on an acreage near Gull Lake. As a registered nurse, she has worked in a variety of hospital settings, with a special interest in renal medicine. She has been involved in nursing education, teaching in all four years of the degree program and will complete her research-focused Masters of Nursing in December. While she does remain active in various health care interests, she is currently a full time stay-at-home mom for her three daughters. As a patient representative currently in the last and sixth year with the Health Quality Council of Alberta’s Patient/Family Safety Advisory Panel (which led to her being a patient representative on the Alberta Medical Association’s Choosing Wisely Alberta Steering Committee), she is passionate about influencing healthcare from both a health care professional’s standpoint, as well as from the perspective of a patient and family member.

PRESENTER BIOGRAPHIES

Page 25: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 25

PEOPLE Voting code:

1Carolyn Nowry, MD CCFP“Quality Street” – Using a Process Improvement Approach to Maximize the Value Of Patients’ Time During Attendance at an Academic Family Medicine clinic

326154

2Sudha Koppula, BSc (Hons), MD, MClSc, CCFP, FCFPWhere Are We Now? Using Health Quality Council of Alberta Data for Improvement Work at an Academic Clinic

326169

3 Debra Paches, BScN, RN, GNCC The Caregiver Experience – Recognizing Caregiver Needs to Support Them in Their Journey 326170

4Jasneet Parmar, MBBS, DipCOE Discovery Toolkit for Family Caregivers of Seniors: Facilitating Conversations and Scholarship

331232

5 Jasneet Parmar, MBBS, DipCOE Screening for Stress and Burden in Caregivers of Seniors: Screening Assessment Tools 331233

6 Jasneet Parmar, MBBS, DipCOE Inventories of Resources and Supports for Caregivers in Alberta 331236

7Peter Rymkiewicz, MSc, Bcomm Partnering with Member Physicians to Improve Equity in Patient Care Through the Medical Home

335910

8Peter Rymkiewicz, MSc, Bcomm, Director of Measurement and Evaluation, Mosaic PCN We Care for Our Patients but do We Understand Them: Impact of Patient Activation on Program Evaluation

335913

9Shannon Sim, (4th Honors Undergraduate Student) Balancing Perspectives: An Exploration of Patient and Team Perception of Clinical Service Quality

335920

10 Sophie Piroozfar, MSc, BSc, Information Analyst The South Calgary PCN’s Happiness Project – The Next Chapter 336016

11 Ping Mason-Lai, BA, MA Engaging the Voices That Matter: Depression Research Priority Setting 336017

12 Oliver Schmid, PhD Using Information to Gain Better Insights Into Our Patients 336668

13Oliver Schmid, PhD Time 2 Doc: Engaging with Our Patients through Mobile Apps to Keep Them Out of Emergency Rooms

340849

14Elaine Wilson, Eimear Ryan and Dr Van NguyenCUPS Coordinated Care Team: Transitional Support for Vulnerable Calgarians with Complex Needs

350194

PATIENTS Voting code:

15 Jane Schlosser MPHEvaluation of the Frail Elderly Outreach Program 350293

16Marsha Kucera, BSc, MD, CCFPImplementation of the Alberta Screening and Prevention Program at Sunridge Family Medicine Teaching Centre

350296

17 Jeff Decker, Tobias Gelber, MD Providing Primary Care Clinics with User Friendly Access to Comprehensive Patient Data 350297

Poster PresentationsCheer on your colleagues by casting your vote for the best poster award. You can vote based on content, design, verbal presentation — anything! Just make sure you’re ready at the 2:00 p.m. coffee break on Tuesday, November 29, as we’ll be asking you to text the code of your choice to ‘37607’.

Page 26: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference26

Voting code:

18 Tasha Stainbrook, LPN Implementation of Alberta Screening and Prevention project: Preliminary Report 350497

19 Lawrence J. Lee Assessing Panel Size in Academic Teaching Clinics 362146

20Maeve O’Beirne, PhD, MD, FCFP Developing a PREM for Primary Care: cognitive interviewing 363632

21 Maeve O’Beirne, PhD, MD, FCFPImplementing Quarterly Clinical Metrics in the Department of Family Medicine 363633

22 Cheryl Andres, BN, MScRelational Continuity: A Concept Analysis 363635

23Sonika Kainth, R2, Anna Zhang, R2Advance Care Planning in Primary Care: Examining Barriers and Facilitators at Sunridge Medical Teaching Centre

363637

24 Alvin Yapp, BSc Clinician Activity Tracking: Lessons for Improvement 363640

25 Alvin Yapp, BSc Experiences of Measuring Patient Experience 363687

26 Margo Schmitt-Boshnick, BA, MEd, Moving to the Medical Home: Patients, Physicians and Panel Managers 363714

27 Lisa L. Cook, PhD The Value of Measuring Access from the Perspective of Early Adoptersp 363720

28Agnes Dallison, MSc, CE Measuring the Impact of Research Support Services in an Academic Medicine Department Using the Boyer Model of Scholarship

363721

29Agnes Dallison, MSc, CEMaking Scholarly Activity Accessible to the Public: Moving the Importance of Public Availability from “Nah” to “Now”

363728

30 Carol Cullingham, MA, BA, BSc Making Mosaic PCN Accountable to its Member Physicians and their Patients 363729

31 Michael Kolber, BSc, MD, CCFP, MSc Alberta Family Physician Electronic Endoscopy (AFPEE) Study 363730

32 Ceara Tess Cunningham, PhD Exploring Processes That Link Patients To Primary Care Providers: The Alberta Context 363731

33 Scott Jalbert, RN, BScN Tackling Panel Identification in an Academic Teaching Centre 363732

34 Charisa Flach, MA Steps Toward Comparable Reporting: Using EMR Data for Performance Measurement 363749

35 Sarah Rogers Primary Care Initiatives: Continuity and Transitions in the Urban Calgary Zone 363750

36 Ron Garnet, MD, CCFP(EM), The Application of Change Management Principles in Initiative Adoption 363764

37Ashi MehtaImplementation of a Primary Care Network Targeted Educational Session Combining Data with Feedback and Choosing Wisely Recommendations

363767

38 Darrel Melvin, RRT, CRE, CTETobacco as a Vital Sign in Primary Health Care Settings 363862

39 Scott Jalbert, RN, BScN Initiating a Site Level Quality Management Framework: Clinical Improvement Team (CIT) 363863

40 Scott Jalbert, RN, BScN Panel Identification and Improvements – The Big Clean 363864

pollev.com/apcc 37607

Page 27: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 27

41 Tasha Stainbrook, LPN Alberta Screening and Prevention (ASaP) 363873

42 Lee A Green, MD, MPH Local Data for Evidence Based Decision Making 363874

43Lee A Green, MD, MPH How Best to Help Patients with Obesity? Examining Mental Models of Clinicians to Optimize Obesity Prevention

363875

44 Lee A. Green, MD, MPH Scaling Up Chronic Disease Management in Alberta 363876

PARTNERS Voting code:

45Lee A. Green, MD, MPH Bridging the Valley of Death in Health System Innovation: Taking Innovation to Scale in Alberta

363889

46Lee A. Green, MD, MPH Building Partnerships to Improve Care of Early Knee Osteoarthritis (KOA) Patients: Co-Developing a Mobile-Health Prediction Tool for KOA Progression

364039

47 Eileen Patterson, BA, MCE, PMP Low Back Pain Care Physician Decisions and Patient Experiences 364046

48 Marion Relf, RN, MHSA Engaging Patients in Improvement – “Nothing about us, without us” 364057

49 Kathy Stewart, RN, BNHealth Management Program 364058

50 Jasneet Parmar, MBBS, DipCOE Facilitating Resident and Family Engagement in Alberta Continuing Care Facilities 364059

51 Kara Patterson, MSc, MHSc Pan PCN Collaboration to provide After-Hours Medical Coverage to Long Term Care Facilities 364219

52Douglas Strilchuk, MD Multidisciplinary Teams approach to Quality Improvement Measures for Better Patient Outcome

364235

53 Alvin Yapp, BSc Transitioning to Adult Autism Care 364236

54 Andrew KennedyGuide to Patient Level Data Sharing Standards in Primary Care 364238

55 Scott Garrison, MD, PhDPragmatic Trials Collaborative – Measuring What Matters 364239

56Nicole Olivier, RVT Patient & Public Engagement in Primary Care Research – A Collaboration Between the BedMed Initiative and Alberta SPOR SUPPORT Unit (AbSPORU) Patient Engagement (PE) Platform

366659

57 Krystin Minns, LPN, CDE, Team Lead – Clinical Programs Breaking Down Barriers: Benefits of Our Medical Health Home 366660

58 Jon LeMessurier, CSEP-CPT, (NASM Corrective Exercise Specialist)Aspen PCN Wellness Program Partnerships 366927

59 Jessica Law, MPH Primary Care Immunization Integration Project (PCIIP): Partnering to Make Immunization 366929

60C. Joe Tabler, BScPharm, PharmD, BCPS Does Embedding a Pharmacist in a Primary Care Clinic Make Sense: An Alberta Take On an International Initiative

367004

61Mary V. Modayil, MSPH, PhD Supporting Health Provider Practice Changes to Embed HealthChange® Methodology within a Team Environment

367027

62 Sylvia So, MED PROMs in Primary Care Networks (PCNs) 367028

Page 28: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference28

APCC EvaluationTake a few minutes to share your opinions with us (all submissions are confidential). Please return completed evaluation to the Registration Desk or email it to [email protected] by December 2, 2016.

OVERALL CONFERENCE EVALUATION 1 - Poor 5 - Excellent

Overall quality of the conference 1 2 3 4 5

The conference met the stated learning objectives Yes No

Overall quality of the program (theme, topics and speakers) 1 2 3 4 5

Timeliness of the program (theme, topics and speakers) 1 2 3 4 5

This program content enhanced my knowledge 1 2 3 4 5

Conference organization 1 2 3 4 5

Registration and payment process 1 2 3 4 5

Invitation and event details 1 2 3 4 5

Overall venue quality 1 2 3 4 5

Quality of audiovisual materials 1 2 3 4 5

Overall catering quality 1 2 3 4 5

Value of the conference relative to price paid to attend 1 2 3 4 5

Sufficient time was allocated for interactive learning Yes No

Did you perceive any degree of bias in any part of the program? Yes No

If yes, please comment

OPPORTUNITIES FOR INTERACTION

There were adequate opportunities for interaction with speakers Yes No

There were adequate opportunities for interaction with delegates Yes No

PRACTICAL APPROACH TO LEARNING

The conference provided a practical approach to learning Yes No

Please indicate which Can MEDS-FM roles you felt were addressed in this educational activity Family Medicine Expert

Communicator

Collaborator

Manager

Health Advocate

Scholar

Professional

DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST/COMMERCIAL BIAS

Disclosure of potential conflicts of interest was clearly communicated Yes No

Page 29: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 29

APCC EvaluationHealth Tapestry: Making It Better for Patients, Providers, Volunteers and the System David Price, BSC, MD, CCFP, FCFP

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

HT: A Confidential Deeper Dive Into the Results and Discussion About How to Implement in Diverse CommunitiesDavid Price, BSC, MD, CCFP, FCFP

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Seniors’ Community Hub: Enhancing Primary Care Collaboration for Frail Seniors Living in the CommunitySheny Khera, MD, CCFP, MPH | Marjan Abbasi, MD, CCFP, COE | Bobbi Junior | Edmonton Oliver Primary Care Network

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Health Home Community Approach to Low Back CareYolanda Martens Van Hilst, RN | Marnie Gazankas, BScN, RN, BPE

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Exploring Practice Level Perspectives and Experiences of Collaboration Across Diverse Health and Wellness ServicesStephanie Cavers, BA, BHJ | Cheryl Whiting, RN, BSN, MN (candidate) CON(C) | Anda Dima, BEd, IPMA-ACP | Larry Oakes, OskapewiskRegina Qu’Appelle Health Region’s Eagle Moon Health Office and Primary Health Care Network Strategic Engagement and Decision Support

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

APCC EVALUATION 1 - BELOW EXPECTATIONS 5 - EXCELLENT

Page 30: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference30

APCC – PRESENTATION EVALUATION 1 - BELOW EXPECTATIONS 5 - EXCELLENT

Transforming Systems to Better Serve the Health Needs of the Chronically HomelessAbe Brown, MBA, M.R.Ed/C | Darryn Werth, MBA, BSc, BEd | Calgary Recovery Services Task Force

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Worksite Screening and the Unknown Burden of Risk Agnes Lehman, BScOT, MScHP | Mohammad Rashead, BScKin, BEd | Carolyn Walker, RN, BN | Anthony Train, MBChB, LMCC, CCFPAlberta Health Services — Cardiovascular Health and Stroke Strategic Clinical Network™

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Changing the Game: Fragmentation Is Out, Integration Is In — A New Paradigm for Healthcare Delivery Emma Gilchrist, MPH | Kaile Ross, MA | Farley Health Policy Center | University of Colorado School of Medicine

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Destination Integration: Roadmap for Integrating Behavioural Health Into Primary CareEmma Gilchrist, MPH | Kaile Ross, MA | Farley Health Policy Center | University of Colorado School of Medicine

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Peer-Led Mental Health Group Program partnership with SCPCN Accelerates Improved Mental Health Care Service Access and Client

Outcomes’Sue Miller, CPS, ICD.D | Magda Czegledi, MD, CPS | The South Calgary Primary Care Network and Mental Wellness Recovery Group

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Page 31: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 31

APCC EVALUATION 1 - BELOW EXPECTATIONS 5 - EXCELLENT

Use of EMR in the Patient-Centred Medical Home, Building from the Foundation of Panel Identification to Organized Evidence

Based CareBarbra McCaffrey, BSc | Heidi Fell, MD, CCFP | Narpinder Hans, MD, CCFP | Cecilia Gordillo | Toward Optimized Practice

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

A Multi-disciplinary Approach to Supporting Chronic Pain PatientsJulia Vallance, RN, BScN | Jordan Wasdal, BSc (Pharm) | Margo Schmitt-Boshnick, BA, Med | Red Deer Primary Care Network

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Experiences of Measuring Patient Experience

Shelby Corley, MA, CE | Three Hive Consulting, Inc.

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Championing Seniors Primary Health Care in a Rural SettingCatriona Blythe, BScN(Hons), RN, MN, NP | Jennifer MacDonald, LPN | Kalyna Country Primary Care Network

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Co-design with Patients, Family, and Community: What – Why – How

Barbara Balik, EdD, MS, RN

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Page 32: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference32

APCC – PRESENTATION EVALUATION 1 - BELOW EXPECTATIONS 5 - EXCELLENT

Conversations And Actions For Co-DesignBarbara Balik, EdD, MS, RN

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Planning for Patient and Community Engagement: From Behaviour Change to Policy Lorna Milkovich, RN, BN, MBA | Cindy Jeffries, BA | Red Deer Primary Care Network

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Patients as Part of the Healthy Governance ConversationKarla Wyld, RN, BScN | Bill Hnydyk, MD, BMedSc | Alberta Medical Association, Choosing Wisely Alberta

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Prescription To Get Active: Engaging the CommunityMelanie Fuller, BPE | Justin Balko, MSc, MD, CCFP | Various Primary Care Networks

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

DIL Walk; a Story of Community Health Development in ActionRaman Kapoor, BSc, RD | Anmol Kapoor, MD, FRCPC | DIL Walk Foundation

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Page 33: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference 33

APCC EVALUATION 1 - BELOW EXPECTATIONS 5 - EXCELLENT

Primary Care: Continuity of Care HubJeanette Jackson, PhD | Health Quality Council of Alberta

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Evaluation of a Community Driven, Physicial Activity Based Wellness Program for Indigenous Women in Lloydminster, AB – The Women Warriors ProgramSonja Wicklum, MD, CCFP, FCFP | Shelley Wiart | University of Calgary

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

It’s Easy to Do the RIGHT Thing.... Integrating Primary Health Care through Realignment, Collaboration and Empowerment Sheila Anderson | Regina Qu’Appelle Health Region

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

Choose Your Own Adventure: The APCC Edition

Provided Disclosure Yes No Comments:

Met Session Objectives Yes No

Did you perceive commercial bias in this session? If yes, please comment Yes No

Expertise of Speaker 1 2 3 4 5

Educational Value 1 2 3 4 5

Presentation Skills 1 2 3 4 5

Quality of Presented Material 1 2 3 4 5

OVERALL

General comments?

Page 34: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Edmonton, Alberta — Nov. 28-29 — P R O G R A M — 2 0 1 6 Accelerating Primary Care Conference34

APCC EVALUATION

OVERALL

What was the most valuable part of the program? Why?

What was the Least Valuable part of the program? Why?

Describe at least two ways you intend to change your practice as a result of this conference.

Please list any topics you would like to see addressed in the future programs.

Page 35: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

SponsorsThank you to the organizations who are devoted to the innovation of primary care.

Your generous contributions to the conference are appreciated.

ARISE LEVEL

ADVANCE LEVEL

ASCEND LEVEL

Page 36: Conference Program APCC/APCC16ProgramFINAL.pdfConference Overview Learning Objectives At this year’s APCC we will expand on the concept of multi-disciplinary teams by integrating

Presentations will be available online at pcnpmo.ca/events-news