1 / 12

Primary Care Alignment

Primary Care Alignment. What this means for CHCs. Background. Provincial commitment to primary care reform in 2000 Commitment to bring 80% of family physicians within reform process in four years 2001 strategic review of CHC program and our role in reform process.

lynton
Download Presentation

Primary Care Alignment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Primary Care Alignment What this means for CHCs

  2. Background • Provincial commitment to primary care reform in 2000 • Commitment to bring 80% of family physicians within reform process in four years • 2001 strategic review of CHC program and our role in reform process

  3. 3 core service delivery areas for CHCs from review • Comprehensive primary care • Building community capacity • Integration and delivery of community-based programs

  4. Other primary care service models • Family health groups • Family health teams • Family health networks • Solo family physician practices and group practices

  5. What alignment means Key primary care renewal elements: • Common service delivery requirements • Client registration/enrolment • 24:7 on call/telephone health advisory service • Extended hours of service • Preventive care and comprehensive care incentives

  6. Common service delivery requirements • Health assessment, diagnosis and treatment • Primary reproductive, palliative and mental health care; access to OB and newborn care • Episodic care; appropriate periodic health assessments • Service coordination including access to hospital care and coordination • Patient education and preventive health care Issues for CHCs • Emphasis on each requirement will vary based on populations served by CHC • CHCs provide most of these services already • Inter-disciplinary team-based service delivery model at CHCs

  7. Client enrolment • All clients must be enrolled Issues for CHCs: • Many of our patients cannot be registered • Need to ensure still able to receive full scope of services • How will this affect incentive payments – currently only available for enrolled patients

  8. 24/7 On-Call/Link to THAS • Provision of a 24/7 on-call in conjunction with a provincial THAS • Funding incentives to participate in THAS Issues for CHCs • Most CHCs currently have on-call arrangements • Concern re. access by certain patient populations • Perceived as an erosion of service by some

  9. Extended hours of service • Reduces on-call demand and improves client satisfaction CHC issues • For some CHCs huge cost to providing extended hours (admin staff, security, remote locations, etc.)

  10. Prevention/Comprehensive Care Incentives • Access to incentive payments for meeting prevention targets as well as for provision of comprehensive care Issues for CHCs • Calculations based on enrolled patients • Interdisciplinary team, yet only MD incentives • No capacity to track services in CHC system yet • Need direction re. how to pay out

  11. Impact of primary care reform on Access Alliance • 50% of our patients are not currently enrollable; many more may not agree to enroll • Very high administrative and front line cost to enrolment as well as other aspects of service delivery model (staffing, translation of documents, interpretation of orientation, etc.) • Will incentives change practice over time? Will they affect retention of MDs?

  12. Status of primary care alignment at Access Alliance • Common service delivery components in place (see JANC indicators) • Client registration will roll out in September (AAMCHC participated in a pilot) • 24/7 – we already have on-call, THAS not ready to roll out provincially yet • Extended hours – in place • Preventive care and comprehensive care – in place, however can’t track and won’t receive incentives

More Related