South Okanagan Similkameen Primary Care Network Issues Paper 

September 21, 2019

The South Okanagan Similkameen (SOS) Primary Care Network (PCN) encompasses the entire SOS region. It serves approximately 90,000 residents in 8 communities.
The following paper contains an environmental scan of issues that have surfaced in our region. Input was given by physicians, Nurse Practitioners, Interior Health, indigenous partners, local government, and patient voices. 
Similar concerns were echoed by other Wave 1 communities.

  • There has been no interest in GP contracts.
  • Expectations around NPs overheads shifted after our funding was approved, without consultation or additional funds..
  • Allied Health professional (AH) and Registered Nurse (RN) and Pharmacist overhead is not adequate to cover overhead costs.
  • In our experience, NPs need support to transition into full-service family practice.
  • Data infra structure is not being co-designed with local PCNs.
  • At steady state, access to 11 sources of data is required for PCN reporting.
    There is an overall lack of a standardized approach in operationalizing data infra structure PCNs from various sources.
  • Reporting time frames don’t allow adequate time for data collection and vetting.
  • Number of unattached patients calculated by MOH for rural SOS communities isn’t reflective of local experience.
  • In the SOS rural communities, emergency rooms serve as the default location for urgent, after hours and unattached patient care.
  • PCN mandated panel sizes don’t reflect full-service family practice.
  • The initial SOS PCN service plan outlines a regional governance and change management approach, with regional representation, that is now operational.
  • One of the main strengths of the Primary Care Network initiative is that it rests on the responsibility for outcomes on a partnership, not just one entity.
  • As a Wave 1A community, we knew that we would be building and adapting as we built our way forward.
  • From the beginning of the PCN process, we have collectively identified an unrealistic expectation on the pace of change.To read the full paper, please click on the link below
    SOS Primary Care Network Issues Paper – Sept 2019

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