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The work underway consists of collaborative projects with various partners throughout each of the zones and the province. The PHC Integration Network is one of many partners involved in helping to co-design solutions to meet the needs of Albertans. Please take a look at some of the work underway featured below in each Zone and provincially.

Provincial

Provincial Community & Rural Maternity Care Plan: Corridor of care concept to create maternity service sustainability across the province.

Patients Collaborating with Teams (PaCT): Implementation of care plans within the Patient’s Medical Home, with a focus on patients with complex needs.

Edmonton

Gastroenterology Access – Central Intake for Fit + Test Results: Establish a central intake process for patients with a Fit + test result, not appropriate for the SCOPE Program.

Coalition to Address Obesity and Youth: Potential to expand the MEND Program across the Edmonton Zone in collaboration with the City of Edmonton.

Central

Foot Care: To determine current state of foot care screening /services to improve coordination of care.

COPD & HF: Quality improvement initiative underway with SCNs and Provincial PHC to implement an inpatient order set and discharge bundle at the Red Deer Regional Hospital.

Collaboration for Change Initiative (CCI) – Sylvan Family Health Centre: Has been led by Collaboration for Change Coalition, a group of healthcare provider organizations and the IMAGINE Citizens Collaborating for Health committed to improving primary care and advocating for patient-centred care. The Collaboration for Change Initiative endeavors to develop and test new ways of engaging citizens in order to improve primary healthcare delivery and services. The hope is that insights gained can be scaled upwards and outwards.

Primary Health Care Integrated Geriatric Services Initaitive (PHC IGSI): The purpose is to increase capacity across primary health care to provide ongoing care and support for those living in the community with mild cognitive impairment, dementia, frailty or other geriatric syndromes.  To successfully support these individuals and their care partners, it requires intentional efforts of health, social and community partners to work together to offer a seamless and integrated approach to care and support.  For additional information on the PHC IGSI work, please see the Primary Health Care Integrated Geriatric Services Initiative webpage.

Community Paramedicine Program: The Camrose PCN developed a proposal to establish a Community Paramedicine Program.  The proposal was submitted to Central Zone for Innovation Funding, but was declined.

Calgary

Specialist Link Evaluation: Evaluation support on integration work completed in Calgary Zone for Specialist Link. 

Collaboration for Change Initiative (CCI) – East Calgary Family Care Clinic: Has been led by Collaboration for Change Coalition, a group of healthcare provider organizations and the IMAGINE Citizens Collaborating for Health committed to improving primary care and advocating for patient-centred care. The Collaboration for Change Initiative endeavors to develop and test new ways of engaging citizens in order to improve primary healthcare delivery and services. The hope is that insights gained can be scaled upwards and outwards.