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Barcelona April 20, 2007

A new charter for primary care in British Columbia . Sponsored Breakfast. INTERNATIONAL FORUM ON QUALITY AND SAFETY IN HEALTH CARE. Barcelona April 20, 2007. Our objectives this morning . To share the BC experience in large system redesign through primary care renewal:

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Barcelona April 20, 2007

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  1. A new charter for primary care in British Columbia Sponsored Breakfast INTERNATIONAL FORUM ON QUALITY AND SAFETY IN HEALTH CARE Barcelona April 20, 2007

  2. Our objectives this morning To share the BC experience in large system redesign through primary care renewal: • Creating relationships to support improvement • Role of incentives • Need for a broad base of supports • Measurement to reinforce quality and forward movement

  3. British Columbia context • Approximately 2 x Spain • 4.2 million people • 5 regional and 1 provincial health authorities • Primary care is based in fee-for-service GP offices • Often solo, few nurses • Single payer – i.e. publicly funded, universal health system

  4. British Columbia context

  5. Chronic disease management • Collaboratives • Province-wide: CHF, diabetes • Regional, local Primary care practice management • Primary Care Networks • Scaling up Integrated Health Care Networks for targeted population groups BC’s improvement journey Primary care at the centre 2003 2005 2006 2007

  6. Relationships to support improvement Bill Cavers – General Practice Services Committee • Relationships are key • Health Ministry • Medical Association • Health Authority • Non-government organizations • Value based discussions • positional discussions lead nowhere • patient as the focus is essential • Joint committee with funding for addressing identified problems/issues

  7. Role of incentives Dan MacCarthy, BC Medical Association • ‘Buy what you want’ • Targeted Incentives – modifiable based on results Andrew Sear, General Practitioner • Funding supports • Creation of registry • Sessional fees for attending Learning Sessions • Advanced training of MOAs • Electronic lab transmission

  8. Broad base of supports Liza Kallstrom, BCMA • Change management funding • Practice Support Program • www.impactbc.ca Judy Huska, Northern Health • Regional practice support teams • Community level collaboratives • Integrated health network teams

  9. A1C Control <7.0% August 2006 Community Collaborative Target >65% Measurement to reinforce quality and forward movement Andrew Sear, General Practitioner • Patient level • Personal performance level % of patients with BP <130/80 August 2006 Community Collaborative Target >70%

  10. Measurement to reinforce quality and forward movement Val Tregillus, Ministry of Health • Government level • Process level indicators • Reduced hospitalizations

  11. Primary Health Care Charter for BC The Charter sets the direction, targets and outcomes to support the creation of a strong, sustainable, accessible and effective primary health care system in BC 11

  12. Integrating services around the needs of patients Family Practice Hospital ER Specialists Mental Health Home and Community Care Informal health system community resources

  13. Join us… British Columbia is working with IHI to sponsor 2009 IHI Summit on Clinical Practice Redesign Vancouver March 2009 Mark your calendars! For more information about BC’s health improvement journey contact: info@impactbc.ca www.impactbc.ca Health IMprovement PArtnerships in ACTion in BC

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