Contact number *

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There are physician Quality Improvement (QI) Consultants experienced in helping physicians with their QI projects.

I would like to be connected with a QI physician consultant to help with this project

5) Please identify all areas that the project will impact *

Acceptability (e.g.,decision-making, interpersonal communication)

Access (e.g., timely access, equitable access, accommodation/barriers)

Appropriate/Effectiveness(e.g., best practices, scope of practice, unnecessary care)

Efficiency (e.g., cost avoidance, practice/procedural efficiency)

Engagement & Collaboration (e.g., physician engagement and leadership, health system collaboration, alignment)

Quality Improvement(e.g., learning and quality improvement culture, improving existing internal processes, practices, costs or productivity)

Integration (e.g.,care coordination, information sharing, team functioning)

Safety (e.g., adverse events, infection prevention/control)

Spread & Sustainability

All of the above

None of the above

6) Identify which of the following Memorandum of Understanding objectives are most relevant to the activity: *

Issues of importance to the medical staff.

Consultation on significant decisions affecting physicians and the delivery of physician services.

To improve the working environment and relationships among the medical staff so that their views are more effectively represented.

Building a culture that supports physician advocacy for patients and changes to the health care system.

Building lines of communication with health administrators, other physicians and allied health professionals.

Consultation on Health Authority's planning, budgeting and resource allocation directly affecting the medical staff.

Physician access to processes and resources that provide timely feedback on quality levels and variations of clinical care.

Quality Improvement projects, including quality assurance projects, identified by the Health Authority, Local Medical Structure (ie Physician Society), Joint Clinical Committees or other.

Other quality and cost improving opportunities (ie not quality improvement projects).

7) Indicate how/if the HA has been/will be informed of the activity, consulted with, involved, and/or a collaborative partner, as applicable. *

This project would benefit from HA involvement as it requires input, data, implementation, financial or in-kind resources, etc.

I need help finding the appropriate HA contacts.

I am aware of the appropriate HA contacts and have included them below.

8) Does this project align with an identified HA strategic priority? If yes, please check from below: *

access to family physicians and primary care in many communities;

providing access to child and youth mental health services and effectively treating some adult patients with moderate to severe mental illnesses and/or addictions;

proactively responding to the needs of the frail elderly who may require complex medical supports and assistance with activities of daily living in order to remain living in the community;

addressing emergency department congestion in some large hospitals,

managing long wait times for some specialists;

increasing volumes of diagnostic imaging;

increasing elective surgeries;

improving access to inpatient beds in some hospitals;

responding to the needs of residential care residents requiring dementia care.