Saskatoon Community Clinic Student Orientation

Saskatoon Community Clinic
Saskatoon Health Region Presentation
October 6, 2010
Welcome to the
Saskatoon Community Clinic
Our Vision:
 Healthy Individuals in a healthy
community
Our Mission:
 Excellence in Co-operative Primary Health
Care
Co-operative Health Care
2009-2010 Fast Facts:
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New Clients: 1,318
Clients Serviced: 14,000/year
Client Encounters: 141,888
Annual Budget: $11 Million
Staff: 151
Members: 10,098
Operate two sites :Down Town Clinic and Westside Clinic
Students: 188
Volunteers: 92
Our new Westside Clinic
1528 20th Street West
Funding
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Core funding is provided by the provincial government
with some services funded through districts and other
levels of government
Use “alternative payment models,” salary, rather than
fee for service model
Generally funding is “global” meaning the Boards and
staff have considerable flexibility in designing programs
to meet their members’ needs
The provincial government has generally supported
these clinics but have provided little leadership in
promoting the model; in recent years have left primary
health care developmental decisions to the District
Health Boards
United through the Community Health Co-operative
Federation.
Primary Health Care
Our Fundamental Goal is to
Provide Excellence in Primary
Health Care
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Evidence-based whole-person quality care
Collaborative interdisciplinary team
approach
Accessibility to our services for all clients
Services that are tailored to respond to
our unique demographic groups
Client involvement in planning, delivery
and evaluation of care
Saskatoon Community Clinic
Examples of Services and Programs
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Family Physicians and
Nurse Practitioners
Primary care and
Community Outreach
Nursing
Occupational Therapy
Physical Therapy
24 hour emergency call
services
Pharmacy
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Mental Health
Nursing
Individual
Counselling
, family, seniors and
Aboriginal
counsellors
Lab and X-ray
technicians
Nutritionists
Diabetes Outreach
Workers
Group Programs
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Sailing with Healthy Vessels
Diabetes Education – Conversation Maps
Pre-diabetes Class
LiveWell With Chronic Conditions
Integrative Medicine –Health and Healing Series
Fitness, Food and Fun (FFF) / Aboriginal
Diabetes Outreach Program
Strengthening the Circle
Seniors Groups (Happy Gang and Silver
Threads)
Women’s Cooking Group
Westside Clinic Profile
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Located on 20th Street in core neighbourhood of
Saskatoon
Approximately 5000 clients; Aboriginal
background, many single parents, low income
90% of client group is <50 years of age
Clinical as well as health promotion and
community development programming
Some staff shared with Main Clinic; others work
just at Westside
Affirmative action program for the hiring of staff
Westside Clinic Services
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Physicians/Nurse Practitioner
Primary Care Nursing
Aboriginal Health Worker
Aboriginal Counsellor
Nutritionist/cooking programs
SWITCH (health science students clinic)
Kids Clinic/Parenting programs
Chronic Disease Management programs
Advocacy and outreach
Physical Therapy
Pre-natal and post-natal visits and follow-up
Special clinics organized and run by specialists such as
HIV/AIDS care
Membership Engagement
Students at the Community Clinic
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Student experiences, practicums and internships in
counselling, community mental health nursing,
medical students/residents, nutrition, nurse
practitioner, physical therapy.
Clinic tours and group presentations are available.
Advocacy and Outreach
Partnering in new ventures at our
expanded Westside Clinic
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Introduction of visiting midwifery
Co-location of chronic disease
management staff from SHR including HIV
case managers
Co-location of mental health and
addictions staff
Introduction of Pan Canadian Primary
Health Care Outcome Indicators
We align our standards of service
performance expectation and our
measures of success in the delivery of
primary health care with the Pan Canadian
Primary Health Care Outcome Indicators
except where our articulation is more
progressive.
“Best Practice” Protocols
• Introduce “Best practice protocols” that
would benefit our clients particularly in the
area of the prevention and management
of chronic diseases such as diabetes,
cardio vascular disease and HIV/AIDES.
“Best Practice” Protocols
• We have 700 clients at our main clinic and 90 at
our Westside Clinic participating in the three
collaborative “best practice” initiatives.
• We measure our progress by comparing our
improvement on key outcome measures. Our
improvement on these measures (e.g., blood
pressure or overall blood sugar control at
target) range from a 10% to 300%
improvement. Great progress!
Ensuring High Quality
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Put the Pursuit of High Quality Primary Health Care in our
Mission.
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Establish Goals for it in our long term plan.
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Board works out with management what the annual
objectives will be: specific and measurable.
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Board asks management’s plans to achieve objectives.
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Board asks management for regular reports on progress –
positive and negative.
Keys to Ensuring High Quality
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Use international, national or provincial measures of
high quality primary health care that are
understandable to you.
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Start with a few manageable and measurable
objectives.
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Board makes the demonstration of constant
improvement in quality a performance expectation of
their manager.
Keys to Ensuring High Quality
• Celebrate Success.
• Ensure Interdisciplinary team based
approaches to the pursuit of high
quality.