“Booster Days”: An educational initiative to develop a community of practice of primary care collaborative memory clinics

Lee, Linda; Hillier, Loretta M.; Weston, W. Wayne

doi:10.1080/02701960.2017.1373350

Cited by 15 publications

(18 citation statements)

References 46 publications

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“…Communities of practice (CoP), groups of individuals with shared interests, represent a significant opportunity for healthcare improvements (Endsley et al 2005;Ranmuthugala et al 2011;Wenger et al 2002) and can break down silos of care. Regional implementation supported the development of CoP by having local teams train and attend "Booster Days" together, which are annual refresher days that provide an opportunity for PCCMC clinicians to network and learn from one another, further supporting cross-service and cross-sector collaboration (Lee et al 2017b). Relationships between clinic coordinators and local teams as well as the PCCMC model being endorsed as part of a regional dementia strategy served to foster the CoP connectedness.…”

Section: Discussionmentioning

confidence: 99%

Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions

Lee¹,

Hillier²,

Lumley-Leger³

et al. 2019

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Primary care collaborative memory clinics (PCCMCs) address existing challenges in dementia care by building capacity to meet the needs of persons living with dementia within primary care. This paper describes the strategic implementation of the PCCMC care model in two regions within Ontario. Evaluation of this initiative included the completion of individual interviews (N = 32) with key informants to identify impacts associated with the PCCMCs and tracking of all referrals and assessments completed in the first nine months of clinic implementation. The qualitative analysis of interview transcripts generated five major themes: (1) earlier identification of dementia and intervention; (2) increased capacity for dementia care within primary care; (3) better patient and caregiver experience with care; (4) improved continuity, integration and coordination and improved care; and (5) system efficiencies. Across both regions, 925 patients were referred to PCCMCs, of which 631 (68%) had been assessed during the evaluation period. Strategic, regional implementation of PCCMCs provides a significant opportunity to support better integrated and coordinated dementia care.

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Section: Discussionmentioning

confidence: 99%

Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions

Lee¹,

Hillier²,

Lumley-Leger³

et al. 2019

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“…Ethics approval for this study was obtained from the McMaster University Integrated Health Research Ethics Board. This study utilized a survey-based design involving the completion of a questionnaire by PCCMC practitioners, who were in attendance at 1 of 4 Primary Care Memory Clinic Booster Days, 16 a continuing education initiative for all memory clinic team members, which took place between September 21, 2015, and October 19, 2015. All Booster Day participants (N = 334), which included physicians, nurses, social workers, pharmacists, Alzheimer Society staff, and other allied health-care providers, were invited to participate in this study; participation was voluntary and anonymous.…”

Section: Methodsmentioning

confidence: 99%

Advanced Care Planning for Persons With Dementia in Primary Care: Attitudes and Barriers Among Health-Care Professionals

et al. 2018

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Background: Advance care planning (ACP) provides clarity on goals and preferences for future health-care decisions, the timeliness of which is critical for persons with dementia. Aim: This study assessed Primary Care Collaborative Memory Clinic (PCCMC) health-care practitioners’ desire for more education on ACP, capacity for and attitudes toward ACP, and current ACP practices in their regular family practice and in their PCCMC. Methods: Primary Care Collaborative Memory Clinic health-care professionals completed a questionnaire in which they rated their interest in learning various ACP-related topics (5-point scale: not at all to very much so), attitudes toward ACP, and the importance of and perceived degree of responsibility for ACP (5-point scale: not at all to extremely). Respondents estimated ACP completion in regular family practice and PCCMC. Results: Two hundred and sixty one surveys were completed. Mean knowledge ratings were moderate (M = 3.0) and mean ratings of interest in ACP topics were all high (median ≥ 4). Despite the perception that ACP is very important (M = 4.9) and the responsibility of PCCMCs (M = 3.7), the majority of respondents estimated that 40% or fewer patients have had ACP. Ratings of willingness to conduct ACP (M = 3.7) and comfort level (M = 3.4) were moderate but significantly exceeded ratings of ability (M = 2.9), comfort (M = 3.5), and confidence (M = 2.8). Conclusion: There was a striking disconnect between perceptions of the importance of completing ACP for persons with dementia and actual ACP completion rates. Primary Care Collaborative Memory Clinics may be in an ideal position to support ACP discussions; however, there is a need to improve health-care professionals’ knowledge and attitudes toward ACP.

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“…To address the need for improved dementia care, in 2006 the Primary Care Collaborative Memory Clinic (PCCMC) model of care was developed in Ontario, Canada, with the aim of building capacity for quality care at a primary level and making efficient use of limited specialist resources (Lee, Hillier, & Weston, ). There are currently over 100 PCCMCs across the province, located in urban, rural and remote settings.…”

Section: Introductionmentioning

confidence: 99%

Specialist and family physician collaboration: Insights from primary care‐based memory clinics

Lee

Hillier

Locklin

et al. 2019

Health Soc Care Community

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Given limited available geriatric specialists and complexity of dementia care, there is a need for greater collaboration between primary care and specialists to better meet the needs of persons with dementia. Meaningful family physician-specialist collaboration has the potential to improve health outcomes, timely access to care and more appropriate healthcare resource utilisation. Primary Care Collaborative Memory Clinics (PCCMCs), which include specialist support, provide a significant opportunity for studying the family physician-specialist interface. This study aimed to explore the nature of collaborative relationships between memory clinic family physicians and specialists caring for persons with memory concerns in PCCMCs across Ontario, Canada. Family physicians (N = 71) attending an education session and specialists (N = 21) completed a survey in the fall of 2017 that measured frequency and amount of collaboration, perceptions of their relationship and identified factors that enable and challenge collaboration. Descriptive statistics were generated for quantitative data and themes for responses to open-ended questions were explored using descriptive qualitative content analysis. Specialists and memory clinic family physicians valued their collaboration particularly as related to capacity building for dementia care and desired more time devoted to collaboration. Identified enablers and barriers to collaboration have implications for further integration of specialist support to potentially support improved patient care and further build capacity in primary care to manage dementia care. Opportunities exist for expanding and more intentionally supporting how family physicians and specialists interact with the creation of more formalised processes to support optimal collaboration, including a clear delineation of roles, responsibilities and expectations, more formally planned and structured relationship building and monitoring, identifying and addressing unique barriers to collaboration and use of a variety of methods of communication. Study findings have implications for how specialists and family physicians communicate and collaborate in other programmes for complex chronic conditions. K E Y W O R D S collaboration, dementia care, family physicians, memory clinics, primary care, specialists | e523 LEE Et aL.

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“Booster Days”: An educational initiative to develop a community of practice of primary care collaborative memory clinics

Cited by 15 publications

References 46 publications

Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions

Key Lessons Learned in the Strategic Implementation of the Primary Care Collaborative Memory Clinic Model: A Tale of Two Regions

Advanced Care Planning for Persons With Dementia in Primary Care: Attitudes and Barriers Among Health-Care Professionals

Specialist and family physician collaboration: Insights from primary care‐based memory clinics

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