The True North

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The True North

• Fort St John

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The True North

• Dr Paul Mackey MBBS, DRANZCOG, DA, CCFP
• Robin Lagadyn MOA
• Mary Marcellus Diabetes Educator

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Our Goal
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Our Goal
To be pioneers of Chronic Disease Management in
the North
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Our Goal
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Fort St John Medical Clinic
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Fort St John Medical Clinic
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Diabetes Collaborative

• 50 Patients
• Started Using Paper Flow Sheets Oct 03
• Baseline Data able to be Entered at beginning of
  Collaborative

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Diabetes Collaborative

• Realities

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Diabetes Collaborative

• Realities
• My Diabetes patients reflect just 0.4 of my life

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Diabetes Collaborative

• Realities
• My Diabetes patients reflect just 0.4 of my life
• My office practice is effectively part time

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Diabetes Collaborative

• Realities
• My Diabetes patients reflect just 0.4 of my life
• My office practice is effectively part time
• Long wait times for appointments

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Diabetes Collaborative

• Realities
• My Diabetes patients reflect just 0.4 of my life
• My office practice is effectively part time
• Long wait times for appointments
• Still many bugs in the system

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Diabetes Collaborative

• Some of our PDSAs

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Diabetes Collaborative

• Some of our PDSAs
• Monthly Team Meetings

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Diabetes Collaborative

• Some of our PDSAs
• Monthly Team Meetings
• Managed One so Far -)

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Diabetes Collaborative

• Some of our PDSAs
• More Open Access Appointment Schedule

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Diabetes Collaborative

• Some of our PDSAs
• Security certificate installed on my office
  computer, reception computer and computer in
  Diabetes Clinic

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Diabetes Collaborative

• Some of our PDSAs
• Security certificate installed on my office
  computer, reception computer and computer in
  Diabetes Clinic
• Allows all team members to access Registry, enter
  data and generate reports

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Diabetes Collaborative

• Some of our PDSAs
• Security certificate installed on my office
  computer, reception computer and computer in
  Diabetes Clinic
• Allows all team members to access Registry, enter
  data and generate reports
• Well Sort Of------

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Diabetes Collaborative
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Diabetes Collaborative
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Diabetes Collaborative

• Our Successes

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Diabetes Collaborative

• Our Successes
• MOA enhanced skills

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Diabetes Collaborative

• Our Successes
• MOA enhanced skillsRecall Reports improving
  follow up and data acquisition

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Diabetes Collaborative

• Our Successes
• MOA enhanced skillsRecall Reports improving
  follow up and data acquisitionBeing tricked into
  doing a better job

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Diabetes Collaborative

• Our Successes
• Mr RM
• 52y.o Type 2 Diabetes DX ? 1998
• Smoker, HT, Lipids
• Rx Metformin, Glyburide
• intolerant of Statins

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Diabetes Collaborative

• Our Successes

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Diabetes Collaborative
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Diabetes Collaborative
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Diabetes Collaborative
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Diabetes Collaborative
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Diabetes Collaborative
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Diabetes Collaborative

• Future Plans

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Diabetes Collaborative

• Future PlansTrick---

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Diabetes Collaborative

• Future PlansEncourage colleagues to use flow
  sheets

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Diabetes Collaborative

• Future PlansEncourage colleagues to use flow
  sheets
• The Money Does Matter!

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Diabetes Collaborative

• Future PlansExpanding Registry to whole clinic

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Diabetes Collaborative

• Future PlansExpanding Registry to whole clinic
• Grant from NHA

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