Practice Support Program The What and the How Liza Kallstrom

1
Practice Support Program The What and the
HowLiza Kallstrom

• Orientation Session
• April 11 - 13, 2007

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Practice Support Program Components

• Orientation Sessions
• Regional Workshops
• Structured Collaboratives
• Provincial Learning Sessions

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Practice Support Program Components

• Orientation Sessions
• April 07, September 07, April 08, October 08
• Develop Practice Support Teams expertise in
  quality improvement, change management coaching
• On-going coach of coaching to support you in
  your new roles

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Practice Support Program Components

• Orientation Sessions
• Between Session Communication
• Listserv
• l_hlth_psp_at_lists.gov.bc.ca
• Teleconference calls
• 1-866-365-4406
• 7-Digit Access Code  638-2854

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Practice Support Program Components

• Orientation Session 1, April 11th
• Overview context, new culture, Charter, business
  case
• Practical aspects of PSP components, schedule,
  funding
• Updates New incentive fees, PITO etc
• Overview of Modules by GP Champion

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Practice Support Program Components

• Orientation Session 1, April 12th
• How to engage with local physicians different
  approaches, engagement scenarios
• Principles of Quality Improvement experience
  from local GPs, stuck points
• Working as a Team developing action plans

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Practice Support Program Components

• Orientation Session 1, April 13th
• How a GP practice works
• Practice assessment
• Modules in detail advanced access, group visits,
  CDM, self-management, using the modules
• Patient perspective
• CME accreditation 21 credit-hours

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Practice Support Program Components

• Regional Workshops
• May 1 June 14, 2007
• One-day sessions
• 4 in each HA
• First engagement with local GPs
• Schedule of locations and venues
• Agenda

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Practice Support Program Components

• Regional Workshops Schedule
• May
• 1 Burnaby, Hilton Metrotown
• 2 Fort St John, Quality Inn Northern Grand
• 3 Victoria, Westin Bear Mountain Resort
• 8 Cranbrook, Heritage Inn
• 9 Vancouver, Four Seasons Hotel
• 10 Surrey, Morgan Creek Golf Country
• 16 Castlegar, Sandman Inn

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Practice Support Program Components

• Regional Workshops Schedule
• May
• 17 Abbotsford, Ramada Plaza
• 22 Campbell River, Austrian Chalet
• 23 Richmond, Radisson Hotel
• 24 Kamloops, Comfort Inn
• 29 Prince George, Coast Inn of the North
• 30 West Vancouver, Hollyburn Golf Country

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Practice Support Program Components

• Regional Workshops Schedule
• June
• 1 Victoria, University Club, Univ. of
  Victoria
• 5 Eagle Ridge, Executive Hotel Coquitlam
• 6 Vancouver TBA (Sheraton Wall Centre)
• 7 Smithers, Hudson Bay Lodge
• 12 Kelowna, Ramada Hotel
• 13 Prince Rupert, Coast Hotel
• 14 Parksville, Tigh-Na-Mara Resort

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Practice Support Program Components

• Regional Workshops Agenda
• Context BCMA Board member HA representative
• GPSC initiatives GPSC member
• PSP and Business Case GPSC member
• Practice Assessment local GP Champion
• Billing Seminar Cathy Clelland

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Practice Support Program Components

• Regional Workshops Agenda
• Concurrent Sessions local GP Champions
• CDM and Advanced Access / Group Visits / Patient
  Self-management
• Local GP Champions in each HA
• Moving forward Practice Support Team
• CME accreditation 8 credit-hours

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Practice Support Program Components

• Structured Collaboratives
• Regional / local
• June 07 September 08
• Learning sessions and implementation periods
• Currently available change topic modules
• Sample pathways

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Practice Support Program Components

• Topic Modules Current
• Practice Assessment
• Introduction to Quality Improvement
• Advanced Access
• Group Visits
• CDM patient registries, CDM Toolkit, Planned
  recall
• Patient Self-management

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Practice Support Program Components

• Topic Modules Future
• Expanded Role of MOA
• Sharing Care with Specialists
• Investing in Prevention
• Working with Teams
• Moving to Group Practice
• Telephone and Email Visits
• Clinician/Patient Communication
• Others based on input from workshops

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Practice Support Program Components

• Provincial Learning Sessions
• Opportunity to share experiences across regions
• International faculty
• November 07, May 08, November 08
• Key Milestones

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Practice Support Program Funding

• Practice Support Teams
• GP HA Partnership
• Funded by change management monies
• Up to 1 million for each HA
• Building new capacity in HAs
• Direct support for GP practices
• Regional structured collaboratives

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Practice Support Program Funding

• Practice Support Teams
• HA reimbursed quarterly (monthly) basis
• Budget policies allowable expenditures
• Financial and activity reporting

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Practice Support Program Funding

• GP Practices
• GPs / MOAs reimbursed for
• orientation session
• regional workshops
• learning sessions (structured collaboratives)
• action periods (in-practice implementation)
• invoice to BCMA
• Budget policies allowable expenditures

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Practice Support Program Funding

• Activity Reporting Process
• Number of GP practices, GPs in practices,
  location of practices, number of patients
• Learning sessions, change topics, action periods,
  dates of events, time lines

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Practice Support Program Funding

• Activity Reporting Outcomes
• Aims and measures
• Team progress run charts
• Clinical outcomes targets reached
• Provider experience surveys
• Patient experience surveys

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Practice Support Program 2006 Agreement

• Non-Compensation Funding
• Change Management Support
• Spread of Quality Improvement in Primary Care
• Compensation Funding
• Targeted Incentive Fees
• Long Term Sustainability of Achievements

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Practice Support Program Evaluation

• PSP Evaluation Committee
• Share lessons learned
• Coordinate with GPSC Evaluation
• Foundation for on-going development

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Practice Support Program Outcomes

• Twin Goals
• Improved Patient Access and Care
• Improved Provider Work Life Quality

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Practice Support Program Outcomes

• Improved Patient Access and Care
• Improved Patient Health Outcomes
• Improved Patient Satisfaction
• Reduced Patient Complications
• Increased Cost Avoidance

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Practice Support Program Outcomes

• Improved Provider Quality of Work Life
• Increased Retention of GPs
• Increased Recruitment of GPs
• Enhanced System Sustainability