PARTNERSHIP FOR RESEARCH AND INNOVATION IN THE HEALTH SYSTEM (PRIHS) Enhancing Care in the Community (2018-2019) Stage 3 Full Project Proposal – Team Membership Signature Form We expect the design of solutions will require a collaborative approach and the involvement of multiple SCN’s and stakeholders in primary health care and organizations within Alberta communities to maximize impact (patient and value) and to ensure proposed solutions do not exacerbate existing problems (upstream or downstream) or create additional silos within the health system. Provide the signatures the Operational Leadership and Team Collaborators of the project as outlined in the PRIHS 2018/2019 Stage 3 Full Project Proposal. Signatures may be submitted in two or more counterparts each of which will – be considered an original when combined. Please print additional pages if needed. Lead Strategic Clinical Network (SCN)*: Must be the SCN Senior Provincial Director/ Senior Program Officer and in their absence the SCN Senior Medical Director. Operational Individuals who hold both accountability and authority to operationalize the project in the indicated environment. Collaborators: All other organizations involved in the project. *Must be identified Role Last Name, First Name Signature
PARTNERSHIP FOR RESEARCH AND INNOVATION IN THE HEALTH SYSTEM (PRIHS) Enhancing Care in the Community (2018-2019) Stage 3 – Full Project Proposal Team Membership Signature Form We expect the design of solutions will require a collaborative approach and the involvement of multiple SCN’s and stakeholders in primary health care and organizations within Alberta communities to maximize impact (patient and value) and to ensure proposed solutions do not exacerbate existing problems (upstream or downstream) or create additional silos within the health system. Provide the signatures the Operational Leadership and Team Collaborators of the project as outlined in the PRIHS 2018/2019 Stage 3 – Full Project Proposal. Signatures may be submitted in two or more counterparts each of which will be considered an original when combined. Please print additional pages if needed. Lead Strategic Clinical Network (SCN)*: Must be the SCN Senior Provincial Director/ Senior Program Officer and in their absence the SCN Senior Medical Director. Operational Individuals who hold both accountability and authority to operationalize the project in the indicated environment. Collaborators: All other organizations involved in the project. *Must be identified Role Last Name, First Name Signature