Team-based care is an integral part of the PCN model. Below are some resources for PCNs on team-based care models. We’ll continue adding to this page as our team-based care library grows.
Transitioning to Team-Based Care
Patient's Medical Home: Team-Based Care
The Accelerating Change Transformation Team (ACTT) has curated resources to assist with the daily interaction and smooth transitions necessary for team-based care. These resources include a customizable daily huddle checklist, recommendations for introducing team members to patients, and tips for group medical visits. It also links to an implementation guide and toolkit developed by the Cambridge Health Alliance.
Primary Care Nursing
Teamwork Package
The Edmonton West Primary Care Network has done extensive work to develop and pilot resources to assist teams in effectively integrating primary care nurses.
- onboarding checklist
- tools to assess team effectiveness, primary care nurse role description and role matrix tool
- info to support communications, billing and workflows
- considerations for workspace set up
Nursing Role Guides
Role guides provide support in navigating conversations about team member roles and sharing patient care within the medical home. These documents may be used to guide orientation in a PCN nursing program, open discussions about shared care, or as a resource for Primary Care Nurses to guide their appointment structure.
Scheduling Guidelines
Scheduling guidelines can help with booking appointments and support conversations around optimizing clinic flow.
Source: Alberta Primary Care Nurses Association
