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Blueprint for Change Agents Supporting PMH and Integration of the HN in Alberta

‚ÄčThe Blueprint is adapted from Alberta research on physician champions.  Among the findings was the journey of support for physician champions.  The journey was overlaid on multiple groups of change agents and it was determined it could serve as the model, not just for physician champions, but for all change agent groups.  The model is depicted below:


The blueprint has 5 categories or steps:

  1. AMA Commitment to Build PCN Capacity for Health System Transformation
  2. Identify & Recruit
  3. Develop
  4. Deploy
  5. Progress & Retain

Within these 5 steps are the content and methods developed and used by the AMA to support change agents on their journey. 

AMA Commitment to Build PCN Capacity for Health System Transformation

The AMA Accelerating Care Transformation Team (ACTT) has six strategic priorities that guide their work.  The first four are aligned to the PCN Objectives and they are rounded out with two additional priorities to support the system transformation work.  The strategic priorities are:

  • Accountable and Effective Governance
  • Patient's Medical Home
  • Strong Partnerships and Transitions of Care
  • Health Needs of the Population and Community
  • PCN Zonal and Provincial Structures and Priorities
  • Medical Neighbourhood

These strategic priorities are achieved by the team through three main methods:

  • Building content appropriate to the goal
  • Building capacity in the appropriate stakeholders and staff
  • Supporting relevant stakeholders in the PCN or zone in activities related to the goal

The picture of the blueprint shows this first step as weaving through the remaining four steps.  The commitment is required throughout to maintain the support of change agents.

Identify & Recruit

This section of the blueprint outlines the content and methods used by the AMA to identify and recruit various change agent groups.

The AMA is involved in the identification and recruitment of change agents to varying degrees; for some physician champions the AMA is the recruiting organization, while for other change agents such as communicators, the AMA is not involved at all.  In other cases such as with Practice Facilitators and Panel Managers, evidence and job descriptions are available.

Develop

This section of the blueprint outlines the content and methods developed and/or used by the AMA to assist change agents in their development as it specifically relates to their functional role (e.g., clinic level physician champion, practice facilitator).  This section does not cover the specific competencies of being a change agent.  (Change agent competencies coming soon!) 

The development activities represent areas where it makes sense for there to be a provincial approach such as with training a panel manager or supporting a network of practice.  These activities are not meant to take the place of PCN or other organizational development activities.  All AMA offerings are optional. 

Deployment

This section of the blueprint outlines the approaches and methods to support the deployment of the change agent into the field.  As with the other steps in the blueprint, the AMA is involved in the deployment of the change agent to varying degrees.  The deployment content is intended to provide consistent tools and approaches to the work of implementing the Patient's Medical Home and Health Neighbourhood.

Progress & Retain

This section of the blueprint overlaps with development content in that the progression of the change agent often includes training and networking opportunities.  The focus in this section is on opportunities that stretch beyond the borders of the change agent's usual role, providing zonal, provincial, and national/international opportunities for learning and growth.