A GP for Me

1. A GP for Me Continuous Relationships Improved Primary Care

2. Why A GP for Me? • Build stronger, longitudinal relationships between patients and doctors • Build capacity so more patients attach to a GP • Everyone who wants a family doctor can have one • Why? Better health outcomes • Make the best use of health care resources

3. Numbers tell the story • Canadian Community Health Survey (pop. as of 2009) estimates: • 615,000 people in BC have no regular FP • 176,000 people in BC are actively looking

4. A strong primary care system • International studies and in BC – confirm benefits • Fewer hospitalizations • Reduced pressure on ERs • Improved health outcomes • Reduced health costs • Higher needs patients attached to FP = • potential cost savings of $85 million per year* • (*study based on findings for year 2007/2008)

5. Integration with existing services • Attachment and integration work hand in hand • Interdependencies enable increased access, coordination and continuity of care in a community

6. Integration with partners • Health Authorities • Collaborative committees: SSC, SCC and JSC • Many partners and resources available • Build a sustainable plan

7. Funding Our Goals • Community Level • $40 million over next three years to Division of Family Practice to evaluate community need, and develop and implement a community plan to improve local primary care • Physician Level • $60.5 million in new fees to increase efficiency and capacity to take on new patients

8. New Attachment Fees • G14070 Attachment Participation Code • G14071 GP Locum Attachment Participation • G14074 GP Unattached Complex/High Needs Patients • G14075 GP Attachment Complex Care Management • G14076 Attachment Telephone Management • G14077 GP Attachment Patient Conference

9. Supports and Structure

10. Consultation…Consultation…Consultation • Almost 400 FPs involved: • Collected and analyzed data to understand unattached patient numbers and priority areas • GPSC shaped the framework • BCMA and SGP Board of Directors reviewed GPSC’s work • Workshops helped define patient-FP responsibilities • Co-designed community supports with HA partners

11. Tested in Three BC Communities • Prototype tested in White Rock/South Surrey, Prince George and Cowichan Valley • Results: • Approx. 9,400 patients connected to FPs or primary care clinics • Complex care patients cared through clinics and/or Divisions/Health Authority initiatives • Capacity to connect any unattached patients to a FP in White Rock/South Surrey

12. Key Components of Attachment • Divisional Supports • Partnerships with Health Authorities and other partners to co-develop/design solutions • Leveraging existing Health Authority, Ministry and Physician Committee initiatives/programs • Patients are partners in their own health • Practice Supports Fee

13. But it will take time You Are Charting a New Course • A GP for Me is a multi-faceted approach to addressing patients without doctors • Never tried under a fee-for-service health care system • Keys to success are: • Collaboration: co-identify and co-create • Engagement • Partnership

14. Thank You for Your Time