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Family Doctor for AllOverview & Research Opportunities

Kristin Anderson

Director, Primary Health Care Branch

Applied Health Research Workshop, March 4 2014

Priority 4 – Improved Access to Care

• Implement a strategy to enhance the primary health care system that better meets the patient and population needs of Manitobans through a greater emphasis on the patient

Strategic Goals for Primary Care

• Access – timely, and without barriers• Comprehensive • Continuous Care • Excellent Chronic Disease Management • More support in living a well life • Respectful and Compassionate Care

2020 VISION: Manitobans will have knowledge of and access to high-quality, cost-effective primary care

2015 GOAL: All Manitobans will be able to access a family physician

health workforce and scopes of practice

hiring more doctors, NPs, PAs, resettlement

fund, student grants

new remuneration models

QBIF, CDM tariff

new models of care

QuickCare, Mobile Bus, primary care homes,

PCNs, chronic disease prevention, self

management, inter-professional team-

based practice

information and communication

technology

enhanced FDCP, primary care data

repository, PCN info sharing, enrolment

and primary care home registry

performance monitoring, evaluation

and quality improvement

performance measurement

frameworks, monitoring and evaluation plans, and Advanced Access

STRATEGIC AREAS

STRATEGIC ACTION & INVESTMENT

Interprofessional TeamsQuickCare

Mobile ClinicSelf Management

Family Doctor Connection ProgramIT

Advanced AccessEnrolment (home clinic)

Primary Care Network

Access for All

What is a Primary Care Network (PCN)? • Collaboration

– fee-for service primary care practices, regional health authorities, community organizations

– planning, development, service

• Sharing– resources– information – responsibilities

• People-centred– timely– efficient – quality– coordinated

Patient’s Medical Home• Family practice defined by its patients as the place they feel most comfortable.• Central hub for the timely provision and coordination of a comprehensive menu of health and medical services patients need. • Home base for continuous interaction between patients and their primary care providers•Where a team or network ofcaregivers, including nurses, physician assistants, and other health professionals

2020 Target State Description Framework

Care Delivery

Health System Management & Accountability

Health Human Resources

Funding & Remuneration

Information Management & Technology

Policy, Legislation & Regulation

Better Health Better

Care

Better Value Greater

Equity

TARGET STATE DIMENSIONS

Measureable Goals for 2020

Questions of interest • What is the impact of different payment models and/or models of

primary care on access to care, patient health outcomes, patient and provider satisfaction and cost effectiveness of services? Value for money?

• How to better align primary care with social services, prevention, mental health and specialty care e.g. vertical and horizontal integration

• How best to move towards measurement of outcomes with limited data sources? E.g. interprofessional teams working to full scope of practice, measurement of service coordination, access

• Complex patients/Multi-morbidity/high users of health system resources – how best to provide care and support in community and primary care to keep patients out of hospital?

• Knowledge translation approaches for primary care providers and teams to spread innovation and best practices

http://www.gov.mb.ca/health/primarycare/