Understanding their patient panel can help doctors manage the chronic and preventative care needs of their patients. The concept is simple: better information about patients leads to better care for patients.

Panel management can help doctors:

• Easily track billings.
• Improve efficiency of practice workflows.
• Identify and clarify roles and responsibilities of practice teams.
• Maintain a better work-life balance.
• Improve communications and relationships with patients.

Regional Support Teams can create and support manageable steps to help physicians optimize their EMR data as they work through the Phases of Panel Management and Panel Management Workbook.

PHASES OF PANEL MANAGEMENT

The three-phase approach to using panel information can help doctors:

• Improve practice workflow efficiencies.
• Identify others who can help GPs care for their patients.
• Inform and plan proactive care.

It is estimated that this panel management work may take up to 12 months with 25 hours of dedicated time. Time frames may vary depending on EMR, identified support needs of the clinic, or additional learning activities.

PANEL MANAGEMENT WORKBOOK

The Workbook is an online step-by-step guide that helps doctors and their practice teams complete the Phases of Panel Management and achieve the benefits of panel management listed above.

Family doctors can receive three MainPro+ credits per hour for up to 25 hours (maximum 75 MainPro+ credits) for completing the Panel Management Workbook, which is certified by the Canadian College of Family Physicians.

Once completed, the Workbook can serve as a clinic manual for current and future team members.

Doctors can also submit their completed online Workbook to receive the Panel Development Incentive. 

View sample questions and content from the online Workbook.

To access a unique URL to their online Workbook, doctors must complete payment claim form one of the Panel Development Incentive. 

To get started or to learn more, contact a PSP Regional Support Team: Fraser Health, Interior Health, Northern Health, Vancouver Coastal, Vancouver Island Health.

PSP offers a range of EMR services that help doctors and their practice teams optimize their use of EMRs and undertake quality improvement activities.

EMR Functionality Assessment

This electronic assessment helps doctors understand how optimizing their EMR functionality can improve office efficiency and clinical practice. A fully functional EMR can help doctors:

• Streamline referral processes. 
• Create automated clinical reminders. 
• Manage practice revenue. 
• Enhance patient access.

Group Sessions

These tailored learning opportunities enable doctors and MOAs who use the same EMR to come together to work toward improving their proficiency in EMR usage. Sessions focus on EMR workflow, access and efficiency, panel management, and practice improvement activities.

Clinical and Practice Management Tools

These EMR-enabled tools can help doctors improve clinical documentation and simplify practice workflows. Doctors and their teams can use these tools to apply learnings from clinical educational sessions and to identify and care for patients with underdiagnosed chronic conditions by:

• Linking to patient registries to simplify scheduling of recall appointments and periodic testing.
• Completing patient questionnaires directly in EMRs.
• Easily accessing patient handouts.

Tools are available in most BC EMRs, and can be used for the Phases of Panel Management and other clinical quality improvement activities supported by PSP.

To get started or to learn more, contact a PSP Regional Support Team: 

• Fraser Health
• Interior Health
• Northern Health
• Vancouver Coastal
• Vancouver Island Health

PSP's Regional Support Teams

Fraser Health: Joan Rabillard

Interior Health: Jaime Shipmaker 

Northern Health: Liana Doherty

Vancouver Coastal: Josefa Kontogiannis

Vancouver Island Health: Ryan Forsyth

Pain Management Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides

• Learning Session 3: Agenda | Slides

• Billing Slides

Musculoskeletal Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides | MOA Breakout 

• Learning Session 3: Agenda | Slides

• LBP Algorithm

• OA/RA Algorithm

• Core Back Tool

• eCASE FAQ

Group Medical Visits Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides

• Learning Session 3: Agenda | Slides

• Billing slides

• Sample Action Plan

• Letter to Patients

• Self Evaluation

• Group Visits

• Group Visits Step-by-Step

• Confidentiality Agreement

• An Invitation from Your Doctor

End-of-Life Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides | MOA Session

• Learning Session 3: Agenda | Slides

• Billing Slides 

• Introduction to MOST

• MOST Form Example

• Patient Death Self-Audit

COPD/Heart Failure Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides | MOA Breakout

• Learning Session 3: Agenda | Slides

• Billing Slides: COPD | Heart Failure

• Consult Report

• Referral Form

• Smoking Cessation

• The 5A’s of Brief 3-5 Minute Tobacco Intervention

Chronic Disease Management Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides

• Learning Session 3: Agenda | Slides

• Billing Slides: Complex Care | COPD | Diabetes | Heart Failure | Hypertension | Personal Health Risk Management

Child and Youth Mental Health Certified Core Content

This module core content (below) is certified by the College of Family Physicians of Canada (CFPC). PSP Regional Support Teams are responsible for delivery of the certified core content as is, with no modifications. For questions or comments, please contact PSP Central.

• Learning Plan

• Learning Session 1: Agenda | Slides

• Learning Session 2: Agenda | Slides

• Learning Session 3: Agenda | Slides

• Learning Session 4: Agenda | Slides

• Billing Slides