Increasing Support for Family Physicians in Primary Care

1
Increasing Support for Family Physiciansin
Primary Care
Project Overview March 18 19, 2007
2
Increasing Support for FPs In Primary Care

• Project Objectives
• To identify issues relevant to FPs working in new
  or changing primary care models
• To develop a toolkit to assist FPs to adapt to
  changes in their practices
• To support FPs in new or changing models
• To identify support FP leaders in primary care
  renewal

3
Increasing Support for FPs In Primary Care

• Project Background
• Funded by Health Canada 2004 2007
• Leaders - Chair Dr. Robert Wedel
• - Primary Care Project Advisory Committee
• Others CFPC Chapters, Executive Committee
  Health Canada, as well as almost 100 family
  physicians to date
• Support CFPC Health Policy Director
  Coordinator w/assistance of external consultant

4
Increasing Support for FPs In Primary Care

• Project Accomplishments
• Five themes
• Remuneration
• Governance
• Interdisciplinary Collaboration
• Continuity Comprehensiveness of Care
• Information Technology
• Theme leaders - Drs. Ruth Wilson, Wendy Graham,
  Mo Ravalia, Art McGregor Allan Ausford

5
Increasing Support for FPs In Primary Care

• Project Accomplishments
• Developing family physician leadership in primary
  care
• 2nd Primary Care Forum - Nov 06
• Shared developments promoted Toolkit
• Interdisciplinary govt involvement
• Establishing PC Advisory Committee
• Scheduled to meet in March 2007
• Mandate information sharing, advisory
  networking

6
Primary Care Toolkit

• Project Accomplishments
• Primary Care Toolkit
• Web-based
• Focus tested revised by CFPC members
• Officially launched - January 12, 2007
• Ongoing maintenance support
• Interactive

7
Primary Care Toolkit

• http//toolkit.cfpc.ca

8
PC Toolkit Introduction

• The Patient as Central in Health Care
• Family Physicians Primary Care
• Goals ? Principles ? Common Elements of PC
• Other Resources (available in each module)
• Appendices (available in each module)
• Privacy Legislation
• Knowledge Transfer
• Change Management

Introduction
9
PC Toolkit Remuneration

• Remuneration Methods
• Key Success Factors and Pitfalls
• Analysis Evidence to Support Changes in
  Remuneration
• Overcoming Resistance to Current Models
• For Family Physicians / Patients / Provincial
  Territorial Health Systems
• Relation of Remuneration to Governance
• Appendices
• Provincial Medical Associations / Blended Funding
  Mechanism

Remuneration
10
PC Toolkit Governance

• Contracts and Governance
• Definitions of Contracts / Governance Agreements
  (Internal External)
• Key Success Factors and Pitfalls
• Liability / Legal Counsel / Group Decision-Making
  / Administrative Leadership / Community Advisory
  Associations
• Appendices
• Provincial Medical Associations
• Alberta Primary Care Networks Governance Issues
• Incorporation
• Legal Liability
• Liability Insurance

Governance
11
PC Toolkit Interdisciplinary Care

• Key Success Factors and Pitfalls
• Needs Assessment / Common Objectives / Transition
  to Interdisciplinary Collaboration / Role
  Identities and Responsibilities / Relationships
  to Patients / Legal Liabilities / Scopes of
  Practice / Negotiating Overlap of
  Responsibilities / Integrating New or
  Under-utilized Skills / Remuneration for
  Providers / Communication / Opportunities in
  Education
• Additional Structures and Process Issues
• What is a Team? / Team Development / Community
  Needs Assessment / Co-location / Conflict
  Resolution / Patient Acceptance
• Appendix
• Descriptions of Other Provider Roles

Interdisciplinary Care
12
PC Toolkit Continuity Comprehensiveness

• Necessary Elements for CC
• Major System Investments / Primary Care Sites
  Models
• Key Success Factors and Pitfalls
• Ensuring or Hindering Success - Remuneration
  Incentives / Infrastructure Support / Support for
  Interdisciplinary Care, etc.
• Other Challenges to CC
• Hospital Institutional Care / Walk-in Clinics /
  Third Party Care / etc.
• Chronic Disease Prevention and Management
• Appendix
• Clinical Guides

Continuity
Comprehensiveness
13
PC Toolkit Information Technology
Information Technology

• Electronic Records
• Electronic Medical Health Records
• Implementing Information Technology
• Formalizing Implementation / Choosing Technology
  / Connectivity Interfacing / Learning
  Complexity / Improved Access to Information, etc.
• Enabling Factors
• Financial Support / Paperless System / Virtual
  Integration / Clinical and Non-clinical Tools
• Appendices
• Privacy Legislation
• Clinical Links through Information Technology

14
Supporting Interaction thru PC Toolkit

• Submit a Document
• Add to or revise PC Toolkit information
• Discussion Forums
• Password username protected
• Print or E-mail
• Links
• Chapters, Medical Associations Primary Care
  Divisions of P/T Ministries
• Maintenance of Website
• CFPC contact management

15
Concluding Remarks

• Contact
• Ms. Michelle Knevel
• Health Policy Project Coordinator
• CFPC
• 1-800-387-6197, ext 315
• mknevel_at_cfpc.ca