Date post: | 31-Mar-2015 |
Category: |
Documents |
Upload: | colt-channon |
View: | 213 times |
Download: | 1 times |
Primary Healthcare Innovations in Canada
Are we heading in the right direction?
Marie-Dominique Beaulieu, M.D., MSc, FCMFPresident, College of Family Physicians of Canada
Objectives
• A realistic vision: highly performing primary care organizations
• A diagnosis: the current situation• Some actions: continuing the reforms
Highly performing primary care organizations
4
The 10 pillars of the Patient’s Medical Home
• Patient-centered• Personal family
physician• Team-based care • Timely access• Comprehensive
care
5
The 10 pillars of the Patient’s Medical Home
• Continuity• Electronic records
and health information
• Education and training
• System supports• Evaluation
6
Overview of Canadian initiatives
CPGsAffiliation
GP Divisions
Primary CareNetworks
Physicians IntegratedNetworks
FHNFHGFHT
GMFCSSSCRI
Summary of reported outcomes• Patient-centered– More individuals
affiliated to a family physician
– Mixed impact on timely access
– Improved users’ satisfaction
• Efficiency– Positive impact on
quality for some chronic diseases
– More individuals receiving team-based care
– Improved work satisfaction
8
Same-day or next-day access (Health Council of Canada, January 2013)
9
Discharge summary of visits to ERs within 48 hrs (Health Council of Canada, January 2013)
New models: do they have the characteristics of highly performing PC systems? (CFHI, December 2012)
Characteristics of highly performing PC systems AlignmentPolicy orientation explicitly based on patient-centered care +++
Provincial/territorial/locoregional governance mechanisms +
Rostering of patients +
Interprofessional teams +++
Involvement of patients -
Funding and compensation modes aligned with objectives ++
Information Technologies and DME ++
Ongoing performance measurement -
Training and support for quality improvement +
Leadership development -
Coordination and integration +
Systematic evaluation of innovation +
11
Some actions: continuing the reforms
• Vision of quality: commitment to access• Patients and care-givers involvement• Supporting quality– Information systems– Creating a culture of quality
• Leadership and regional/local governance
• Integration and coordination