Office of Primary Health Care, Newfoundland & Labrador Newfoundland and Labrador Primary Health Care Renewal Initiative Final Evaluation Report Submitted by: Med-Emerg Inc. 6711 Mississauga Road, Suite 404, Mississauga, Ontario, Canada, L5N 2W3 October 2006 Final Evaluation Report Med-Emerg Consulting Team Med-Emerg Inc. Rob Alder MMedSc, PhD Heather Duong, BSc Harry Cummings and Associates Inc. Harry Cummings, PhD Don Murray, MSc Direct Enquiries to: Dr. Rob Alder (519) 673-4912 ext. 23
[email protected] ii Final Evaluation Report i Final Evaluation Report Table of Contents 1.0 EXECUTIVE SUMMARY ……………………………………………………. 1 2.0 INTRODUCTION ……………………………………………………………… 8 3.0 PRIMARY HEALTH CARE RENEWAL INITIATIVE IN NEWFOUNDLAND AND LABRADOR ……………………………………. 9 3.1 Context of the Primary Health Care Renewal Initiative ………………. 9 3.1.1 Federal Government ………………………………………………… 9 3.1.2 Newfoundland and Labrador ……………………………………… 9 3.2 Goals and Objectives for Primary Health Care in Newfoundland and Labrador …………………………………………………………………. 11 3.3 Features of Primary Health Care Renewal ………………………………. 12 3.4 Organizational Structure and Accountability …………………………… 13 4.0 DESCRIPTION OF THE PRIMARY HEALTH CARE TEAM AREAS …… 16 4.1 Bonavista ………………………………………………………………………. 16 4.2 Bonne Bay Region ……………………………………………………………. 18 4.3 Connaigre Peninsula …………………………………………………………. 20 4.4 Grenfell Region ………………………………………………………………… 22 4.5 Labrador East …………………………………………………………………. 25 4.6 Placentia ……………………………………………………………………….. 28 4.7 St. John’s ………………………………………………………………………. 33 4.8 Twillingate / New World Island ……………………………………………… 34 5.0 EVALUATION OBJECTIVES ………………………………………………… 37 6.0 METHODOLOGY ………………………………………………………………. 38 6.1 Development of the Evaluation Framework ……………………………… 38 6.1.1 Newfoundland and Labrador PHC PLM and Evaluation Matrix . 41 6.1.2 Evaluation Design …………………………………………………….. 58 6.2 Development of Instruments ……………………………………………….. 60 6.2.1 Administrative Process Record (APR) …………………………….