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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/