t er What We Heard: Community Conversations About Collaborative Family Practice Teams

Transcription

1 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams Nova Scoians manage heir healh and wellness every day. When hey need help wih managing heir healh, hey receive mos of heir care hrough heir family pracice. Family pracices are par of he primary healh care sysem; i s where you go firs and regularly o access he care you need. Primary care is he advice and services you receive from family docors, nurse praciioners, family pracice nurses and oher healh care providers in your communiy. The demands on he healh care sysem are changing in our province, and we need o change wih i. There is more chronic disease, our populaion is growing as well as aging, and healh care professionals are reiring. Accessing a family pracice can someimes be a challenge. I is ime o do hings differenly. Nova Scoia Healh Auhoriy is working o creae more collaboraive family pracice eams and srenghen exising eams across he province. There are close o 80 collaboraive family pracice eams in various sages of developmen. We know ha many newer docors, nurse praciioners, and oher primary healh care providers have been rained in eam-based care. Having hese eams in Nova Scoia helps us o recrui new primary healh care providers. I also encourages hem o say in our communiies. There is srong evidence for eam-based primary healh care.* Collaboraive family pracice eams are designed o mee he healh needs of a pracice s paiens, from birh o end of life. Teams have been shown o provide a full range of ongoing and coordinaed care for individuals and families ha is accessible and communiy-focused. You can find more informaion abou collaboraive family pracice eams in he appendix secion of his repor, as well as on our websie:

2 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Communiy Conversaions Abou Collaboraive Family Pracice Teams Beween February and November 2018, Nova Scoia Healh Auhoriy hosed 25 communiy conversaions abou collaboraive family pracice eams. These conversaions were held in each couny across he province. More han 600 Nova Scoians aended. The purpose of he communiy conversaions was o hear from Nova Scoians abou collaboraive family pracice eams. We also waned o find ou wha we need o know abou communiies o help suppor eams o be successful. During he sessions, we provided a shor presenaion abou collaboraive family pracice eams; mos of he wo hours was spen in small group discussions. During he presenaion, we showed a video ha explained eam-based care. We hen read a sory ha described a paien s experience as par of a collaboraive family pracice eam. Informaion on he roles of various eam members and how eams can improve access o care was shared. We also shared informaion on he number of primary care providers in he area, along wih he number of people on he Need a Family Pracice Regisry. Online Paricipaion For hose who could no ake par in person, here was an opion o conribue online in English, French and Arabic. There were hree videos o wach; wrien informaion was also available for hose who are hearing impaired. Over five housand people visied he alkaboufamilypraciceeams.ca websie, wih 165 people aking par in he online conversaion. In small groups, paricipans were asked o discuss and hen share: 1. Wha hey liked abou collaboraive family pracice eams, 2. Their concerns abou collaboraive family pracice eams, and 3. Wha hey would like us o know abou heir communiy o help inform hese eams. This is a summary repor of wha we heard during he communiy conversaions, and from hose who paricipaed online. A snapsho of wha paricipans shared, by communiy, is also available on alkaboufamilypraciceeams.ca. * From he fron cover: See Srenghening he Primary Healh Care Sysem in Nova Scoia, available a We moved here from Onario. They never had communiy meeings abou healh care here. I really like ha you are doing his. 2 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

3 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Even more conversaions Wha we heard from Nova Scoians during he communiy conversaions aligns wih oher discussions and meeings ha have aken place across he province over he pas hree years. In he fall of 2016, Nova Scoia Healh Auhoriy s Deparmen of Family Pracice held 14 nework meeings and a webinar on he collaboraive family pracice eam model. Approximaely 200 family docors aended in person, and anoher 60 paricipaed online. A he same ime, discussions began wih saff who work in Primary Healh Care, along wih ohers in he healh care sysem. Beween November 2017 and January 2018, municipal, own and Firs Naions eleced leaders were invied o conversaions abou collaboraive family pracice eams. A oal of 95 paricipans aended 11 sessions. Similar one-on-one conversaions wih MLAs have occurred. Conversaions wih family pracices, healh sysem parners, and eleced leaders abou collaboraive family pracice eams and access o primary care are ongoing. How he communiy conversaions were promoed We used several mehods o invie Nova Scoians o paricipae in he communiy conversaions abou collaboraive family pracice eams: Prin adverisemens were placed in communiy newspapers Geo-argeed (couny-wide) adverisemens appeared on Facebook Public service announcemens were sen o local media (radio, newspaper, TV) Informaion was sen o eleced leaders, communiy healh boards, and communiy groups o share in heir communiies Posers were disribued in communiy locaions such as: collaboraive family pracice eam locaions and healh care sies communiy cenres fire halls libraries pharmacies places of worship pos offices schools The number one hing is ha we are here ogeher addressing he issue of access his is a posiive direcion. I m hopeful ha his will work in his area, and ha my family pracice will paricipae. Wha can we do as ciizens o help he healh care siuaion in our communiy? Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 3

4 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Communiy Conversaions Snapsho Locaions and paricipaion Bridgewaer (11) Digby (39) Lawrenceown (26) Liverpool (50) New Minas (41) Shelburne (11) Yarmouh (18) Wesern Zone Norhern Zone Amhers (26) Lanz (9) New Glasgow (28) Springhill (22) Truro (48) Cenral Zone 614 oal paricipans Easern Zone Darmouh (34) Halifax (23) Lower Sackville (14) Musquodoboi Harbour (36) Spryfield (23) Windsor (9) Anigonish (8) Inverness (12) Norh Sydney (19) Queenspor (18) S. Peer s (27) Sydney (24) Wagmacook (38) Paricipan overview Age Gender 10% 22% 49% 19% 70% 29% 1% 4 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

5 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Online paricipaion 165 oal online paricipans 33 Wesern Zone 23 Norhern Zone Cenral Zone 60 Easern Zone online paricipans, unknown locaion 5,216 websie visis 701 downloads 343 views 165 online paricipans The alkaboufamilypraciceeams.ca websie was visied more han 5,000 imes. This included 95 visis o he French version of he websie and 68 visis o he Arabic version of he websie. The snapshos of wha we heard from paricipans during each communiy conversaion were downloaded approximaely 700 imes. Three videos on he websie were wached almos 350 imes. We received submissions from 165 Nova Scoians who paricipaed online o share heir houghs on collaboraive family pracice eams. Two of he submissions were compleed in French. Paricipan overview Age % Gender of online paricipans idenified as a person wih disabiliies 1% 13% 23% 48% 15% 88% 11% 1% Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 5

6 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Wha We Heard The following is a summary of wha we heard from paricipans hrough small group discussions during he communiy conversaions. This summary also includes wha we heard from hose who paricipaed online. Wha you liked abou collaboraive family pracice eams Receiving care from a eam. You liked he idea of primary care providers working ogeher, and being able o see he righ provider for your healh needs. You said his could free up he docor o see paiens wih more serious healh concerns who need heir level of experise. You also hough i made a lo of sense ha when your regular primary care provider was no available (such as when hey are on vacaion), you would be able o see someone else on he eam. Access o differen ypes of healh care providers. You re excied o have access o a variey of differen healh professionals who could be par of a collaboraive family pracice eam. You liked ha hey would be locaed all in one place where possible, and ha each provider brings a unique experise o he eam. Many people alked abou he menal healh needs in heir communiy, and liked he poenial of a social worker being par of a eam. Availabiliy of appoinmen imes. There was a lo of ineres in he poenial for eams o offer same day, evening and weekend appoinmens. You also fel ha seeing he mos appropriae eam member for your healh care needs could shoren he amoun of ime you would wai for an appoinmen. Having an elecronic medical record. You liked he idea of an elecronic medical record ha is shared by he eam. Tha way, all he eam members you have appoinmens wih know your healh informaion and are up o dae on your care. Providers working ogeher creaes job saisfacion. You fel healh care providers would have a greaer sense of job saisfacion when working as par of a eam and providing suppor o each oher. You said ha eam members could ake a vacaion or go on maerniy leave and no have o worry abou coverage for heir paiens. Many agreed ha his should help wih recruimen and reenion. The family pracice becomes an anchor for he paiens. Individual praciioners come and go. I have confidence in he fuure of eams. This sounds like he mos efficien use of docors and nurses ime. This will help wih reducing physician burnou. I like he idea of providers working ogeher and having access o a shared medical record. 6 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

7 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Concerns you had abou collaboraive family pracice eams Recruimen and reenion of family docors. You expressed concern abou our province s abiliy o arac he family docors ha we need. You fel ha since docors in Nova Scoia are one of he lowes paid in Canada, his is a deerren o aracing docors o come and say in our province. Similarly, you waned o know how we plan o recrui and keep he oher primary healh care providers who are par of a collaboraive family pracice eam, such as nurse praciioners. Undersanding collaboraive care. You wan o see more public educaion on collaboraive family pracice eams and on he roles of differen providers. You wan o learn more abou he advanages of being a paien of a eam. Many people are used o only going o see heir docor, and you said he public needs o know wha o expec if hey have an appoinmen wih anoher member of he eam. You said some people may no be very comforable wih his a firs. You also said we should encourage paiens of eams o share heir firshand experiences. Amoun of communicaion. You wan o see more communicaion abou he process o creae collaboraive family pracice eams. You also wan updaes on wha is happening boh he progress and he challenges. You said here needs o be open conversaions beween decision makers in he province. Need a Family Pracice Regisry informaion. You don hink he informaion on he number of people who need a family pracice reflecs he acual need in many of he communiies. You said more needs o be done o ge he word ou for people o regiser if hey don have a family docor or nurse praciioner. Privacy of healh informaion. Many of you expressed concern abou he privacy of your personal healh informaion in an elecronic medical record. Specifically, you wan o know who is able o look a he informaion, and wha measures are in place o ensure privacy. Timelines and cos. Many of you expressed concern abou how long i will ake o se up collaboraive family pracice eams. Since here are many Nova Scoians wihou a primary care provider, you wan o know wha will be done in he meanime so ha people can access he care hey need. You also shared concerns abou how much i migh cos o creae eams. This is a slow process - we need beer access now. Where do we ge more providers o fill all he vacancies? We need more docors and nurses. More educaion is needed for people o undersand who hey migh see as a paien of one of hese eams, and ha hey can ask o see he nurse for some hings. Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 7

8 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Wha you waned us o know o help make collaboraive family pracice eams successful in your communiy Paricipans old us ha collaboraive family pracice eams should: Promoe wellness. Provide suppor for people o say healhy (physically and menally). Teams need o become more focused on healh and wellness raher han on illness. Consider all he facors ha impac healh. Many facors affec a person s abiliy o access healh care: where hey live, heir income and educaion levels, social suppor neworks, ypes of employmen, and heir age and gender. Help wih navigaing he healh sysem. People need help wih finding he righ resources o suppor heir healh. You said eams should explore he role of a healh navigaor. Be flexible, collaborae wih exising services, and undersand communiy needs. Make sure ha collaboraive family pracice eams don duplicae services ha are already available in he communiy. Teams need o build heir knowledge of resources and make connecions. Teams also need o say curren and conneced o communiy needs, learning and undersanding he srenghs, needs and culure of he communiy i serves. Consider geography and available ransporaion. You said ha ransporaion is an idenified issue, especially in rural areas. Make sure he collaboraive family pracice eams are locaed where hey need o be and are susainable for he long erm. Offer oureach services o smaller communiies in he area. Involve he communiy in recruimen. You wan o be more involved in welcoming new healh care providers o your communiy, and showing hem he benefis of living here. You wan o know more abou wha is being done o recrui family docors and oher providers who will be par of hese eams. You wan o know how you can help. Rely on communiy leaders. Local leaders can help ge buy-in from he communiy abou eam-based care, and can share informaion abou collaboraive family pracice eams. Say conneced wih he communiy and share he plan. Share he challenges and he successes. Have a process for regular updaes and opporuniies for communiy inpu. Make sure ha i is always evolving always re-evaluaing he services based on he changing needs of he communiy. You are on he righ rack. We are looking forward o posiive changes. Prevenaive healh care needs o be par of he eam. 8 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

9 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams One Word Summary A he end of each session, everyone was asked o share one word ha described how hey fel afer paricipaing in he communiy conversaion. Paricipans shared he following words: Evaluaion Summary Paricipans were invied o complee an evaluaion a he end of each communiy conversaion. 360 evaluaions were compleed a response rae of 59 per cen. You can find more informaion from he evaluaions in he appendix secion of his repor, including he online evaluaion informaion. I can imagine a rural communiy wihou collaboraive care, i s wha we need for susainabiliy. There should be same day care, so you don have o go o emergency for hings ha are urgen. Of hose who responded: 89% 94% 85% fel hey had a beer undersanding of a collaboraive family pracice eam were saisfied ha heir houghs were heard and undersood fel confiden ha heir houghs and ideas would influence decisions Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 9

10 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Nex Seps Nova Scoia Healh Auhoriy is sharing wha we heard during hese communiy conversaions wih: paricipans who aended he sessions collaboraive family pracice eams healh auhoriy employees family docors he Deparmen of Healh and Wellness communiy leaders communiy healh boards, and key sakeholders Conversaions are ongoing wih all of hese groups on effors o creae more and srenghen exising collaboraive family pracice eams in Nova Scoia. We know we need o communicae more informaion, and more ofen. We are working o do his. Visi for informaion abou collaboraive family pracice eams and he roles of primary care providers. Locaions of eams suppored by Nova Scoia Healh Auhoriy are lised on his websie, as are a few videos abou eams. In addiion, we have been sharing informaion on Nova Scoia Healh Auhoriy s websie and hrough our social media channels on our recruimen effors. We are also creaing a oolki o suppor communiies o paricipae in recruimen. A every communiy conversaion we heard ha we need o provide educaion for he public abou collaboraive family pracice eams. We are exploring he opion of a public educaion campaign o increase undersanding of collaboraive family pracice eams and o explain wha o expec from he various primary care providers as a paien of a eam. As well, we coninue o promoe he Need a Family Pracice Regisry for hose who are wihou a family docor or nurse praciioner. We share a monhly repor on our websie wih informaion abou Nova Scoians who have found a primary care provider, and hose who sill need a family pracice. We are also sharing firs voice sories on social media and our websie abou people who have found a family pracice hrough he regisry. Thank You A sincere hank you o hose who aended communiy conversaions as well as hose who paricipaed online. We appreciae ha you ook he ime o provide us wih feedback on collaboraive family pracice eams. We look forward o fuure conversaions abou he primary healh care sysem, and how we can work ogeher. 10 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

11 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Appendix A Paricipaion Summary Communiy Conversaions Dae Locaion Paricipans February 21 New Glasgow Picou Couny Wellness Cenre 28 February 22 S. Peer s S. Peer s and Area Lions Club 27 March 6 Lanz Eas Hans Sporsplex 9 March 7 Digby Digby Fire Hall 39 March 19 Sydney Grand Lake Road Fire Hall 24 March 21 New Minas Louis Mille Communiy Complex 41 April 12 Yarmouh Mariners Cenre 18 April 12 Darmouh Eas Darmouh Communiy Cenre 34 April 12 Amhers Communiy Credi Union Business Innovaion Cenre 26 April 18 Queenspor Chedabuco Fire Hall 18 April 18 Liverpool Queens Place Emera Cenre 50 April 25 Spryfield Capain William Spry Communiy Cenre 23 May 1 Wagmacook Wagmacook Culure and Heriage Cenre 38 May 10 Musquodoboi Harbour Old School Communiy Gahering Place 36 May 17 Bridgewaer Bridgewaer Fire Hall 11 June 6 Truro Rah Easlink Wellness Cenre 48 June 6 Norh Sydney Norh Sydney Fire Hall 19 June 6 Lawrenceown Lawrenceown and Disric Fire Hall 26 June 14 Shelburne Shelburne and Disric Fire Hall 11 June 21 Springhill Dr. Carson and Marion Murray Communiy Cenre 22 Sepember 18 Halifax Halifax Forum 23 Ocober 18 Inverness Inverness Fire Hall 12 Ocober 25 Lower Sackville Knox Unied Church 14 November 7 Anigonish The People s Place Anigonish Town and Couny Library 8 November 21 Windsor Hans Couny War Memorial Communiy Cenre 9 Toal 614 Online Paricipaion Area Counies Paricipans Wesern NS Annapolis, Digby, Kings, Lunenburg, Queens, Shelburne, and Yarmouh 33 Norhern NS Colcheser, Cumberland, Eas Hans, and Picou 23 Easern NS Anigonish, Cape Breon Regional Municipaliy, Guysborough, Inverness, and Richmond 30 Cenral NS Halifax Regional Municipaliy and Wes Hans 60 Unknown locaion 19 Toal 165 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 11

12 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Appendix B Resuls of Paricipan Evaluaions Communiy Conversaions Paricipan Evaluaions 360 of he 614 people who aended communiy conversaions compleed an evaluaion form, for a response rae of 59 per cen. Quesion Srongly Agree / Agree Neiher Agree or Disagree Disagree / Srongly Disagree The purpose of he conversaion was clearly explained. 97% 3% 0% I had enough informaion o conribue o he opic being discussed. 90% 8% 2% I was able o express my views freely. 97% 3% 0% I feel ha my views were heard. 94% 6% 0% I feel ha he inpu provided hrough his conversaion will be considered by he 85% 14% 1% organizers. I undersand how he inpu from his conversaion will be used. 68% 26% 6% I hink his conversaion will make a difference. 62% 35% 3% As a resul of my paricipaion in his conversaion, I am beer informed abou 89% 9% 2% Collaboraive Family Pracice Teams. As a resul of my paricipaion in his conversaion, I have greaer rus in being par of 64% 31% 5% conversaions wih Nova Scoia Healh Auhoriy. Overall, I was saisfied wih his conversaion. 90% 9% 1% This conversaion was a good use of my ime. 92% 7% 1% 12 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

13 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Online Paricipan Evaluaions 165 of 490 paricipans who visied he join he conversaion secion of alkaboufamilypraciceeams.ca conribued online, for a response rae of 34 per cen. Quesion Srongly Agree / Agree Neiher Agree or Disagree Disagree / Srongly Disagree The purpose of he conversaion was clearly explained. 84% 8% 8% I had enough informaion o conribue o he opic being discussed. 79% 9% 12% I undersand how he inpu from his conversaion will be used. 55% 25% 20% I hink his conversaion will make a difference. 39% 38% 23% As a resul of my paricipaion in his conversaion, I am beer informed abou 51% 28% 21% Collaboraive Family Pracice Teams. As a resul of my paricipaion in his conversaion, I have greaer rus in being par of 41% 38% 21% conversaions wih Nova Scoia Healh Auhoriy. This conversaion was a good use of my ime. 65% 24% 11% Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 13

14 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams Appendix C: Frequenly Asked Quesions abou Collaboraive Family Pracice Teams Wha is a collaboraive family pracice eam? A collaboraive family pracice eam includes family docors, nurse praciioners, family pracice nurses, and healh professionals such as social workers, dieiians and ohers working ogeher o provide comprehensive care for paiens, based on he size and healh needs of a communiy. A collaboraive family pracice eam provides: Collaboraive Family Pracice Team Definiion: Nova Scoia Healh Auhoriy considers a collaboraive family pracice eam, a a minimum, o have a leas hree primary healh care providers wih wo or more professional disciplines (e.g. wo family docors and a nurse praciioner or family pracice nurse). Comprehensive care a full range of healh care services, from basic wellness check-ups o managing complex condiions. Accessible care appoinmens are offered a various imes (day, evening, and weekend), and in ways ha bes mee he needs of paiens. Coordinaed care paiens see he righ healh care provider for heir needs. Coninuiy of care paiens see he same eam of providers hroughou heir life, building a medical hisory and rusing relaionship over ime. Communiy-oriened care he eam works o mee he specific healh needs of paiens, and of he communiy. Will my communiy ge a collaboraive family pracice eam? Our plan is for Nova Scoians o have access o a collaboraive family pracice eam. We are alking wih exising family pracices and groups across he province who are ineresed in working in a eam-based approach o primary care. Working wih communiies and exising pracices o creae eams depends on a variey of facors, such as he number of family pracices and providers in a communiy, family docors ineres in working as par of a eam, he size of he communiy, available infrasrucure, and more. How do I become a paien of a collaboraive family pracice eam? As we work wih an exising family pracice o add primary care providers, such as nurse praciioners, family pracice nurses, social workers, and ohers o creae or srenghen a collaboraive family pracice eam, he paiens of ha pracice will become paiens of a eam. As well, when a collaboraive family pracice eam is acceping new paiens, a lis of names from he Need a Family Pracice regisry can be provided o he pracice, and people are hen conaced abou becoming a paien of ha eam. Wha is being done o recrui more family docors? We are recruiing every day for family docors, as well as he oher healh professionals who work as par of a collaboraive family pracice eam. Family docors, like many medical professionals, are in high demand everywhere. Nova Scoia compees naionally and inernaionally for family docors, jus like oher areas. 14 Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams

15 h A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams I s imporan ha we showcase wha makes Nova Scoia a grea place o live and work. We hear from family docors who have relocaed here ha hey are araced o our province s lifesyle and naural beauy. Recruimen requires all of us o work ogeher: communiies, family docors, he healh auhoriy, and governmen. I s abou showing how our communiies are welcoming and a grea place o live and raise a family. Pracice opporuniies and communiy fi are very imporan in aracing and reaining family docors. We also know ha many family docors are ineresed in working as par of a eam. Tha s why we are focused on creaing more collaboraive family pracice eams. Wha is a nurse praciioner? A nurse praciioner is a regisered nurse wih advanced knowledge and educaion in primary healh care. A nurse praciioner can be your main primary care provider who diagnoses and reas healh issues, orders and inerpres medical ess, prescribes medicaions, and performs exams and procedures. Nurse praciioners also provide healh screening clinics, each paiens how o manage ongoing healh condiions, offer healhy lifesyle educaion, and can refer paiens o a specialis or oher healh care provider. Wha is a family pracice nurse? A family pracice nurse is a regisered nurse wih special raining in primary healh care. A family pracice nurse can help manage healh issues such as high blood pressure and diabees, provide immunizaions, review medicaions, provide well baby visis, perform pap ess, and much more. Wha if I don have a family pracice? People who do no a family docor or nurse praciioner should add heir name o he Need a Family Pracice Regisry. This can be done online a needafamilypracice.nshealh.ca or by calling 811, Monday hrough Friday, beween 10 a.m. and 6 p.m. There are also a number of opions o access care. For rouine healh care: call 811 o speak wih a regisered nurse for healh care advice, available 24 hours a day visi a local walk-in clinic For menal healh concerns: call he 24-hour menal healh crisis line a For emergency healh services: call 911 or visi he neares hospial emergency deparmen Wha We Heard: Communiy Conversaions Abou Collaboraive Family Pracice Teams 15

16 er A conversaion wih Nova Scoians abou Collaboraive Family Pracice Teams