Updated August 23 2023 Thank you for your interest in the After Hours Care Program pilot. By registering below, you will indicate your interest in: Using the service with your attached patients—for longitudinal Family Physicians (FPs) and Nurse Practitioners (NPs), Staffing the service—during the pilot, this option is only available for FPs. For the pilot period, which will launch September 19 and run for six months, we seek family physicians and nurse practitioners from the pilot regions of Langley, Victoria, South Island, Thompson Region and South Okanagan-Similkameen Divisions of Family Practice. After completing the form below, you will receive information from FPSC including an overview of the formal sign-up process. How your information will be used The information you provide on this form will only be used by FPSC, HealthLinkBC, and your division of family practice to help plan the after hours care service. Your information will not be shared with the College of Physicians and Surgeons of BC nor the BC Ministry of Health for any other purpose. Once you've returned the signed formal agreement to use the service with your patients, it takes us a few days to set everything up. The set up is key as it means that when your patients call, they can identify you as their family physician or nurse practitioner, and the service recognizes that you're participating in the pilot. When you receive the set up package from us, then everything is set up on our end for you to start using the service with your patients. What is your role * Family Physician Nurse Practitioner Are you a Division Member * Yes No Which Division do you belong to/practice in? * - Select -Shuswap North OkanaganVictoriaSouth IslandLangleyThompson RegionSouth Okanagan Which Division covers the area in which your practice is located * - Select -Shuswap North OkanaganVictoriaSouth IslandLangleyThompson RegionSouth Okanagan Which aspect(s) of the after hours care program would you like to use during the pilot: * I’d like to be able to have my patients call the after hours care program when my office is closed outside regular office hours I’d like to staff the after hours care program Check all that apply Note: we ask this question for communications and expansion planning purposes only. Your answer will NOT be shared with the College or Ministry.During the pilot, only attached, longitudinal patients are eligible to participate. Which of the following do you provide? * Longitudinal care to attached patients Longitudinal care to unattached patients Episodic care to unattached patients Sign up options * I will refer my patients to the after hours coverage program Does your clinic provide episodic care to unattached patients? * Yes No Note: your attached patients will be eligible for the pilot. This data assists the program in developing communications. Note: this information is collected to help us plan the service and materials to support you; it will not be shared with the College. How do your patients connect with care after hours? * Clinic/FP has a voice-menu that allows patients to press X to be connected with the on-call physician/answering service i.e. the number patients call for after hours care is hidden from patients Clinic/FP uses a forwarding number after hours that redirects all incoming calls to an answering service/a pager/shared cell/actual cell of whomever is on-call (i.e. the number patients call for after hours care is hidden from patients); Clinic/FP puts the number of the answering service/pager/shared cell phone on their website/voicemail/in-office (i.e. the number patients call for after hours care is published) Clinic/FP puts the number of whomever is on-call on their website or voicemail (i.e. the number patients call for after hours care is published) Patients call my cell/pager/direct number for care after hours Other Other Current panel size * Note: To estimate volume for pilot – may enter to nearest 100 Are you currently in a longitudinal call group? * Yes No To anticipate staffing, needs, how many shifts do you anticipate taking per month? * 1-5 5-10 10-15 15+ Are you interested in a refresher course on the top 10 topics that present in after hours care? * Yes No Do you have EMR experience? * Yes No Do you have eFax experience? * Yes No Have you previously used virtual visits? * Yes Video Telephone Both No Select all that apply. What is the operating system for the computer(s) you would use when staffing the After Hours Care Program (AHCP)? * Windows 10 Windows 11 macOS 10 macOS 11 macOS 12 Other I do not know the operating system of my computer(s). Your Contact Information First Name * Last Name * Email Address * Do not provide an email with a health authority domain (e.g. jane.doe@interiorhealth.ca) if you are an FP signing up to staff AHCP. Cell phone * MSP Practitioner Number * College ID (CPSID number) * BCCNM number * Clinic Clinic Name * Street Address * Town/City * Province * BC Postal Code * Clinic Phone * Clinic Fax * (If known) Facility ID MOA First Name MOA Last Name MOA Email Do you have any questions or comments? Leave this field blank Submit
