Tools & Resources

Measurement for improvement is an important part of participation in the TOP Collaborative. Measurement tells us if we are improving and reaching our aims, helps teams communicate about their improvement efforts, and ultimately demonstrate the impact on the community.

To facilitate the process of selecting interventions by teams participating in the TOP Collaborative, the TOP
faculty has developed two resources: a Driver Diagram (a graphic to illustrate factors that contribute to the
overall TOP aims) and a Change Package (a listing of interventions for consideration by TOP teams to test in
working towards reaching their individualized aims).

The TOP Collaborative is a quality improvement (QI) initiative led by the BC Centre for Excellence in HIV/AIDS (BC-CfE) in partnership with Vancouver Coastal Health (VCH) Mental Health Services.

The Preparation Resource Manual contains activities and tips to help your team prepare for successful participation in the Treatment Optimization of Psychosis Collaborative.

The Plan-Do-Study-Act (PDSA) cycle is a useful tool for documenting a test of change. Running a PDSA cycle is another way of saying testing a change- you develop a plan to test the change (Plan), carry out the test (Do), observe, analyze, and learn from the test (Study), and determine what modifications, if any, to make for the next cycle (Act).

This short guide should answer some initial questions you might have about the TOP Collaborative Reporting Platform.

Effective Meeting Skills developed by The Dartmouth Institute as part of their extensive work in healthcare improvement.

Since time constraints is a common theme in healthcare, this approach addresses that by creating consistent structure to meetings, regardless of it being a 30 min meeting or 2 hours long. It involves establishing meeting ground rules, balanced participation through the use of meeting roles and a documentation process to track action items.

This short guide should answer some initial questions you might have about the TOP Collaborative Reporting Platform.

Recommended for healthy individuals ages 18-40 years old with no medical conditions and no history of clozapine-related reactions

Preferred recommended titration schedule for community initiation of clozapine

For clients that require a slower titration schedule (for example, 6.25mg increments) for various reasons OR for clients doing a clozapine restart (after a short period of discontinuation if there have been no problems or adverse effects) and starting from half of original dose.

A resource tool for health clinicians caring for clients optimizing
psychosis treatment in the Vancouver Community.

Clozapine order sets for regular titration schedule for physicians.

This is the VCH decision support tool for clozapine monitoring and management in community. This document contains guidelines for vitals and side effects monitoring, administrative protocols for clozapine registration, and monitoring tools. Please refer to VCH SHOP for most up to date version.

An educational pamphlet to provide your client that summarizes key information about clozapine, including its actions, side effects, what to do and not to do, when to see a care provider, and useful contacts. (Sourced from: Clozapine Collaborative 2019, and supported by Community Engagement Advisory Network, VCH)

Glossary for HoNOS Score Sheet

Data gathered from this assessment procedure are applied to the PANSS ratings. Each of the 30 items is accompanied by a specific definition as well as detailed anchoring criteria for all seven rating points.

A pamphlet to organize a client’s appointments during their clozapine titration. It also includes information about clozapine and side effects, including guidance on when and where to seek help during initial clozapine titration.
(Sourced from: Clozapine Collaborative 2019)

This tool helps monitor metabolic syndrome risk factors, including scheduling of monitoring and guidance on interventions.
(Sourced from: Vancouver Community Mental Health, VCH)

This tools helps guide care and treatment for any client experiencing treatment-resistant schizophrenia or schizoaffective disorders. Based on the Canadian Schizophrenia Guidelines.
(Sourced from: SME Group, TOP Collaborative 2021, VCH)

Information you can provide your client that opens up the conversation for optimizing their psychosis treatment and the benefits of clozapine. (Sourced from: Clozapine Collaborative 2019, VCH)