Patient Navigator 

Patient Navigator (runs from April 20, 2015 to March 31, 2017) 
 

Attachment Assessment Clinic

• This program has now ended. 

Cultural Competency

Team-based Incentives

Activites

• Vulnerable unattached patients wanting a GP assessed & attached on priority basis as new GPs hired and as current GP capacity allows
• Mobile support for high needs patients to help navigate the health system
• Experiential training workshop for physicians
• Monetary incentives to support GP recruitment

Short-term Outcomes

• Improved care for vulnerable unattached patients
• Improved experience of care for patients requiring extra supports
• More coordinated care
• Better supports for GPs
• Increased competency when working with First Nations patients
• Increased capacity of the physician team; ability to take on AAC priority patients and reduce impact of retiring GPs

Medium & Long-term Impacts

• Better health outcomes
• Reduced admissions and readmissions to ER
• Increased cultural competency among GPs and improved care for First Nations populations
• Increased primary care capacity
• Increased patient satisfaction
• Increased system sustainability
• Supports the Triple Aim

Target populations

• Unattached patients
• Vulnerable/high-needs patients
• First Nations patients
• Family physicians
• New family physicians
• Community