The Model of Care Initiative in Nova Scotia (MOCINS) is a joint initiative of the Department of Health & Wellness, district health authorities, and the IWK Health Centre. It included the design, planning and implementation of the new collaborative care model on units in each district health authority/IWK.
Model of Care refers to the way health care services are organized and delivered.
This new way of delivering care uses information on the typical needs of patients on the unit (such as their medical condition, whether they can move around on their own, family support, etc.) to determine how care is organized and who delivers that care. Streamlined processes, faster access to information, and modern technology support staff to provide the safest and best possible patient care.
Nova Scotia is the first province in Canada to design and implement a new model of care provincially and at the same time conduct a rigorous evaluation of its effects on patients, health care providers, and the health care system overall.
The evaluation, conducted over a period of one year, collected information from patients, families, health care providers and administrators from the first 14 acute care units in the province to implement the new model of care.
Read more on the evaluation and results in:
District health authorities and the IWK are responsible for care delivery, and many have begun implementing this model more widely because of the success that they’ve seen in their districts. Results from the evaluation of the model of care project will also be considered as collaborative care teams are created and supported in large and small hospitals throughout the province as improvements to emergency care are made.
Read the stories from people across the province who are implementing the new Collaborative Care Model on the front lines. Through their stories, we hope to document the challenges, opportunities and triumphs of working differently to provide patient-centered, high quality, safe and cost effective care.
A key deliverable of the Model of Care Initiative is the establishment of province-wide standardized roles for health professionals to enable more consistent work practices at full scope of practice. A MOCINS Human Resources/People Committee was established to support the development, approval and implementation of standardized role profiles and position descriptions for use in the DHAs/IWK. The documents below have been approved for use. The 'role profile' defines the scope of practice and identifies the opportunities for role optimization. The 'position description' operationalizes the profile into a human resources tool that can be used for determining rate of pay, recruitment, performance management, orientation, career development, etc.
Collaborative Care Guidelines
Education to enhance inter-professional collaboration and patient-centred practice within new and existing health care teams is provided.
MOCINS Phase One Implementation - Status Report