The purpose of this form is to confirm your eligibility and commitment to panel management. You must complete and submit this form to claim the first payment of the Panel Development Incentive. Before completing this form, please review the important information about the Panel Development Incentive. If you have any questions or problems regarding the completion of this form or about the Panel Development Incentive, please email email@example.com.
The GPSC collects and uses information to support: education; mentoring and quality improvement training; practice supports; ongoing learning and capacity building; development of new programs, services and resources; and evaluation and reporting purposes. Information received is owned and stored at Doctors of BC with access limited to authorized Doctors of BC staff. Under BC privacy legislation, GPSC members, Ministry of Health staff/official and Health Authority staff do not have access to individual or identifiable data except with the explicit consent of the participating physician. Without such consent, they only have access to aggregate evaluation and quality improvement reports prepared by authorized Doctors of BC staff. The GPSC is subject to and complies with the BC Personal Information Protection Act. For more information, contact firstname.lastname@example.org.
Please answer the question below to indicate your interest in receiving PSP in-practice assistance for panel management. PSP can provide coaching support and simplified EMR reporting tools. Without PSP in-practice assistance, you may have to complete phases 1-3 of the Phases of Panel Management manually. (Note: PSP assistance is free of charge and may be subject to availability in your community)
PSP can provide coaching support and simplified EMR reporting tools. Without PSP in-practice assistance, you may have to complete phases 1-3 of panel management manually.
When your claim form is processed, you will receive an email with a unique link to your GPSC Panel Management Workbook. This Workbook provides a step-by-step guide on how to complete phases 1-3 of panel management.
You will be contacted by PSP Regional Support staff with more information about available PSP panel management supports in your community.
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