1. Teamwork in respiratory care in a family practice
Andrew Cave FCFP FRCGP Tanya Koenig RRT Hoan Linh Banh Pharm D
Kaye Edmonton Clinic, University of Alberta

2. Conflicts of interest
Dr. Cave has received research support and honoraria from
AstraZeneca
GSK
Grifols
Boerhinger Ingelheim
Novartis
Dr. Banh and Mrs. Koenig have no conflicts to declare

3. Kaye Edmonton Clinic

4. KAYE EDMONTON CLINIC Managed by Alberta Health Services
Affiliated with University of Alberta Hospital
Managed by Alberta Health Services
Comprehensive ‘free’ services
Multidisciplinary ambulatory clinic
Adult focus
Investigation services on site

5. PRIMARY CARE TEAM Population 6,000 patients registered
20,000 consultations per year
Team members
Office assistants
Registered nurses
Clinical pharmacist
Chronic Disease Nurse
Dietician

6. INTRODUCING A RESPIRATORY THERAPIST favourable factors
Identified need
Physician special interest
Collaboration with specialists upstairs
Shared records
Therapist availability

7. Process of introduction of therapist
Choosing services
Negotiating with physicians
Negotiating with administration
Inviting patients

8. SERVICES IN RESPIRATORY CLINIC
Assessment and diagnosis
Spirometry
Smoking cessation advice
CPAP advice
Medication review
Inhaler technique tuition
Asthma/COPD education
Joint consultation (RRT and MD)
Follow up if required

9. Issues Recruiting and advertising Evaluation Complexity Multimorbidity
Availability

10. Evaluation Description of content Report to physicians
Survey of other team members
Patient satisfaction survey
Outcomes analysis ?

11. Conclusions Desirable Meets a need Takes many steps to establish
Takes TIME to establish
Worthwhile
Evaluation in progress