Alberta Primary Care Update

Transcription

1 Alberta Primary Care Update Faculty/Presenter Disclosure Faculty/Presenter: Dr. Edward Aasman Dr. Darryl LaBuick Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: Presidents of AMA Sections of General Practice and Rural Medicine Consulting Fees: Not applicable Other: This speaker will have expenses covered by the Alberta College of Family Physicians. 1

2 Faculty/Presenter Disclosure Faculty/Presenter: Dr. Lee Green Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: Chair, Department of Family Medicine University of Alberta Consulting Fees: Not applicable Other: This speaker will have expenses covered by the Alberta College of Family Physicians. Faculty/Presenter Disclosure Faculty/Presenter: Dr. Brad Bahler Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: Provincial Medical Director for PCNs, Senior Medical Director of the PHCIN Consulting Fees: Not applicable Other: This speaker will have expenses covered by the Alberta College of Family Physicians. 2

3 Faculty/Presenter Disclosure Faculty/Presenter: Dr. Jeffrey Bratvold Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: PCN Lead (compensated by the AMA) Consulting Fees: Not applicable Other: Holds investments in Managerial Discretionary trading which may include pharmaceutical organizations or medical device companies. Manages a medical service company owned by my spouse that provides privately contracted services to community physicians This speaker will have expenses covered by the Alberta College of Family Physicians. Faculty/Presenter Disclosure Faculty/Presenter: Dr. Tobias Gelber Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: Honorarium from the AMA for attending meetings Consulting Fees: Not applicable Other: This speaker will have expenses covered by the Alberta College of Family Physicians. 3

4 Faculty/Presenter Disclosure Faculty/Presenter: Dr. Sonya Lee Relationships with commercial interests: Grants/Research Support: Not applicable Speakers Bureau/Honoraria: Board Member of the ACFP, Board Member of the Foundations for Medical Practice Education Consulting Fees: Not applicable Other: This speaker will have expenses covered by the Alberta College of Family Physicians. ACFP 63 rd ASA Disclosure of Commercial Support This program has received financial support in the form of sponsorship from: Potential for conflict(s) of interest: Those speakers/faculty who have made COI disclosure are noted in the 63rd ASA Program and on the Salon A/B slide scroll. 4

5 Mitigating Potential Bias ACFP: The ACFP s Sponsorship Guidelines apply to ASA Sponsorship. The ACFP abides by the College of Family Physicians of Canada s Understanding Mainpro+ Certification Guidelines, the Canadian Medical Association s Policy Guidelines for Physicians in Interactions With Industry and the Innovative Medicines Canada Code of Ethical Practices (2016). As a non profit organization, the ACFP complies with Canada Revenue Agency regulations. When deliberating acceptance of sponsorship, the ACFP considers and accepts sponsorship only from those whose products, services, policies, and values align with the ACFP vision, values, goals, and strategies priorities. ASA Planning Committee: Consideration was given by the 63 rd ASA Planning Committee to identify when Planning Committee members and speakers personal or professional interests may compete with or have actual, potential, or apparent influence over program content. Material/Learning Objectives and/or session description were developed and reviewed by a Planning Committee composed of experts/family physicians responsible for overseeing the program s needs assessment and subsequent content development to ensure accuracy and fair balance. The 63 rd ASA Planning Committee reviewed Sponsorship Agreements to identify any actual, potential or apparent influence over the program. Information/recommendations in the program are evidence and/or guidelines based, and opinions of the independent speakers will be identified as such. Brings together the experience and expertise of physician partners who are involved in the advancement and improvement of primary care for all patients, families, and communities in Alberta. Members of the PCA bring together multiple perspectives, resources, and mandates to facilitate ways to collectively address and improve primary health care province wide and to advocate and support their constituents in that improvement. 5

6 2017 Key Topics and Areas of Discussion Ongoing Organizational Updates (AMA Section of General Practice, Section of Rural Medicine and AMA Board, ACFP, Departments of Family Medicine (U of Alberta and U of Calgary), Primary Care Networks) Member program development Primary Care Evolution and Planning Primary Care Communication and Collaboration Primary Health Care Integration Clinical Areas connecting with Primary Care Partners Family Physician Leadership Health Care System Human Resource Planning Integration of Information Management and Technologies Health Policy Discussions Family Medicine and Primary Care Research Priorities Patient and Community Engagement and Public Awareness Professionalism, System Stewardship and Social Accountability Continuing Professional Development and Quality Improvement Alberta College of Family Physicians 6

7 Alberta Priorities Driving Continuity Forward 13 Why Focus on Continuity? Better coordination between providers of care Better patient reported outcomes Increased patient and provider satisfaction Better handoffs between providers Better communication Less duplication Increased patient and provider satisfaction Facilitates a patient centred approach to care Better health outcomes Decreased mortality Better quality of care Better coordination of care Reduced overall health cost to the system Increased patient and provider satisfaction Improved access Fewer ER visits & preventable hospital admissions Enabler for new physician compensation models 14 7

8 15 What is the Central Patient Attachment Registry? 16 Common provincial database Registry of primary providers and their confirmed panels submitted by each practice Technical enabler for improved continuity of care in Alberta 8

9 SGP Primary Care Compensation Strategy Priority Components 17 Negotiations Income Equity implementation plan Blended Capitation Model (BCM) Initiative Schedule of Medical Benefits (SOMB) Maintenance Shared Savings and Re allocation Peer Review Blended Capitation Model Myths vs. Facts Myth Fact BCM will be how all doctors Not at all it is being explored will be paid in future as a possible option, with FFS continuing to be an option CPAR is a precursor to BCM BCM clinics will use CPAR to manage affiliation (defined panel of patients via signed agreement) but not all clinics who participate in CPAR will be part of BCM it will continue to be a choice 18 9

10 A Unified Movement 19 Sponsors Specialty Care Alliance Partners Other Participants Physicians and health providers across the system (beyond primary care) Public and Patients Organizations and Institutions PCN Objectives 20 10

11 Primary Health Care Integration Network PHCIN Zonal Support Roll out Q Q Q Q Staggered roll out of zonal supports Home to Hospital to Home Co-define problem, co- design & co-deliver supports with zones Linking to Specialty and Back Co-define problem, co- design & co-deliver supports with zones Keeping Care In The Community Co-define problem, co- design & co-deliver supports with zones System Foundations for Integration Collaborate on IM/IT, Policy, SCN/zonal relationships, etc. 11

12 How can the PHCIN support your journey? 12

13 Provincial PCN Committee Priorities Objective 1: Accountable and effective governance 1.Monitor and report on outcomes using a performance measurement and evaluation framework. 2. Support policy recommendations regarding a revised funding model. 3..develop need-based models Objective 2: Strong partnerships and transitions of care 1. Establish accountabilities and policy recommendations for transitions of care between primary health care and other services, beginning with home to hospital to home transitions. 21/03/ Provincial PCN Committee Priorities Objective 3: Health needs of the community and population 1.Define, and identify guidelines for primary health care populations and models of service delivery dev 2.Support Physician Resource Planning to develop needs based model Objective 4: Patient s medical home 1. Achieve full participation by family physicians, primary care providers and PCNs in Central Patient Attachment Registry (CPAR). 2. Improve provincial information continuity. 3. Expand access to primary health care services. 21/03/

14 The PCN Committee Zone Service plans, through the identification of population based service priorities will ensure Albertans will be able to receive more consistent, comprehensive and seamless care closer to home. Population level data Inventory of existing services Attachment information 21/03/ Physician Resource Planning Physician Resource Planning Advisory Committee (PRPAC) General make up of the committee: Alberta Health, AHS, AMA, Professional Association of Interns and Residents of Alberta, students, schools of medicine, College of Physicians and Surgeons of Alberta. Technical Working Group Support the PRPC by providing technical expertise, assembling data, research, and submissions from independent experts. Findings and analysis are reported back to PRPC for review and input Operational Working Group Support the PRPC by providing operational expertise in developing the transactional processes, including issuing letters of endorsement and potential review mechanism, required to implement new physician roles 14

15 Physician Resource Planning Primary Care Need depends on the future model of care Primary care leadership strongly support continuing progress towards the patient s medical home as the dominant model of care Focus should be on a medical home for all Albertans within an integrated system rather than rationing of doctors 15