A GP for Me
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Transcript of A GP for Me
Continuous RelationshipsImproved Primary Care
A GP for Me
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Why A GP for Me?
• Build stronger, longitudinal relationships between patients and doctors
• Build capacity so more patients attach to a GP• Everyone who wants a family doctor can have
one• Why? Better health outcomes• Make the best use of health care resources
Numbers tell the story
• Canadian Community Health Survey (pop. as of 2009) estimates:
615,000 people in BC have no regular FP176,000 people in BC are actively looking
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A strong primary care system
International studies and in BC – confirm benefitsFewer hospitalizationsReduced pressure on ERsImproved health outcomesReduced health costs
Higher needs patients attached to FP = potential cost savings of $85 million per year* (*study based on findings for year 2007/2008)
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Integration with existing services
• Attachment and integration work hand in hand
• Interdependencies enable increased access, coordination and continuity of care in a community
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Integration with partners
• Health Authorities• Collaborative committees: SSC, SCC and JSC• Many partners and resources available• Build a sustainable plan
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Funding Our Goals
Community Level • $40 million over next three years to Division of Family
Practice to evaluate community need, and develop and implement a community plan to improve local primary care
Physician Level• $60.5 million in new fees to increase efficiency and
capacity to take on new patients
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New Attachment Fees
• G14070 Attachment Participation Code• G14071 GP Locum Attachment Participation• G14074 GP Unattached Complex/High Needs Patients• G14075 GP Attachment Complex Care Management• G14076 Attachment Telephone Management• G14077 GP Attachment Patient Conference
Supports and Structure
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MoH and BCMA
•Funding partners•Transfer Physician Master Agreement money to GPSC•Appoints member to GPSC to be accountable for funding
GPSC•Sets direction• Two-way communications with Divisions•Provides funds to eligible Divisions•Reports results to the funding partners (MoH and BCMA)
Divisions•Develops community-level approaches and solutions through collaboration, engagement, and support from HAs and other partners•Two-way communications with GPSC
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Consultation…Consultation…Consultation
• Almost 400 FPs involved:Collected and analyzed data to understand
unattached patient numbers and priority areasGPSC shaped the frameworkBCMA and SGP Board of Directors reviewed GPSC’s
workWorkshops helped define patient-FP responsibilitiesCo-designed community supports with HA partners
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Tested in Three BC Communities
• Prototype tested in White Rock/South Surrey, Prince George and Cowichan Valley
• Results:Approx. 9,400 patients connected to FPs or
primary care clinicsComplex care patients cared through clinics
and/or Divisions/Health Authority initiativesCapacity to connect any unattached patients to
a FP in White Rock/South Surrey
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Key Components of Attachment
• Divisional Supports• Partnerships with Health Authorities and other
partners to co-develop/design solutions• Leveraging existing Health Authority, Ministry and
Physician Committee initiatives/programs• Patients are partners in their own health• Practice Supports Fee
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You Are Charting a New Course
• A GP for Me is a multi-faceted approach to addressing patients without doctors
• Never tried under a fee-for-service health care system
• Keys to success are:Collaboration: co-identify and co-createEngagementPartnership
But it will take time
Thank You for Your Time
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