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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