Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.
Post on 26-Mar-2015
216 Views
Preview:
Transcript
Primary Health Care and Primary Health Care and Service Integration: Service Integration: Improving Healthcare in Mount Improving Healthcare in Mount WaddingtonWaddington
Victoria PowerVictoria Power
Director, Primary Health Care, Director, Primary Health Care, Chronic Disease Management & Chronic Disease Management &
Rural Health ServicesRural Health Services
September 22, 2010September 22, 2010
What You Requested to HearWhat You Requested to Hear
What is primary health care and how does it differ from traditional health care?
There are 5 facilities in Mt. Waddington. What changes will we see at the sites related to primary health care?
Please review the Mt. Waddington redesign structure to explain how the principles of primary health care are rolling out at each facility.
Please explain how this affects the way doctors and staff do their jobs and provide care.
Mount Waddington Mount Waddington Redesign for IntegrationRedesign for Integration
Changing the way we plan and provide
services:
“Identify the best supports to ensure
success and sustainability of this
work”
The Focus is on Two Goals:The Focus is on Two Goals:1. Improve the health of Mount Waddington people and communities
2. Demonstrate an integrated management solution for
rural and remote communities
Mount Waddington Vision: A Primary Mount Waddington Vision: A Primary Health Care ApproachHealth Care Approach
“Comprehensive, seamless and locallyaccessible primary health care services deliveredby a network of provider teams, integrated into aregional health care system that supports our population to stay healthy, get better, manage illness and disease, and cope with the end of life.”Mt. Waddington Health Service Plan 2007
What is Primary Health Care?What is Primary Health Care?VIHA Working Definition
Primary health care is the range of services and supports that individuals and communities receive on an ongoing basis in order to stay healthy, get
better, manage illness and disease and cope with end of life.
VIHA Primary Health Care Strategy June 2006
An approach to health services An approach to health services delivery across the systemdelivery across the system
Key Attributes of Approach:
a. First point of contact to access care
b. Comprehensiveness of care
c. Coordination of care
d. Continuity of care
Traditional Care vs Primary Health CareTraditional Care vs Primary Health Care
Episodic / urgent in nature Services typically delivered
in silos Treating illness one person
(and one illness) at a time Referral to other
providers…your story over & over
Sometimes long waits
Coordinated, proactive service
Care delivered through integrated approach
Patients, families & care givers as partners
Focus on self-management Population health approach
New Service Delivery FrameworkNew Service Delivery FrameworkService Delivery Framework – Regionally Integrated Services
Senior Manager MW Health Service
Chief of Staff MW Health Services
Manager, Acute / Primary / Public
Health
Manager Mental Health/ Home &
Community Care / Residential Care
Aboriginal Health
Mount Waddington Service Integration Team
Mount Waddington Health Network
Local Medical Advisory Committee
North Island Division of Family Practice
Collaborative Services Committee
‘Namgis Health Services (FN)
Mt Waddington’s Regional Services
Port Hardy Cluster of Integrated
Services
Port McNeill Cluster of Integrated Services
Port Alice Primary Health Centre
Sointula Nursing Centre
Holberg
Fort RupertGwa’sala-nakwaxda’xw
Quatsino
Kingcome (outreach) Woss
Integrating VIHA Services in Mount Waddington…Integrating VIHA Services in Mount Waddington…
Guilford (outreach)Hopetown
Cormorant Island
Service Cluster
An approach to health services An approach to health services delivery across the systemdelivery across the system
Key Attributes of Approach:
a. First point of contact to access care
b. Comprehensiveness of care
c. Coordination of care
d. Continuity of care
First Point of ContactFirst Point of Contact
Same Day AppointmentsGroup VisitsNurse PractitionersFly-in teamsTelehealthExpanding Scope of Practice
Comprehensiveness of CareComprehensiveness of Care
Integrated Care Teams & Community Partnerships
Chronic Disease Management supports Mental Health Supports Divisions of Family Practice &
Collaborative Services Committees VIHA Rural Health Framework
Divisions of Family PracticeDivisions of Family Practice
Groups of physicians organized at a community level:
Working together to address common health care goals for their communitiesInfluencing population health
What Divisions Offer …What Divisions Offer … Networking support for communities of
physicians.
Avenue for health system decision-makers to effectively engage community GPs.
Opportunities for enhanced clinical services, developed and supported in collaboration with partners.
Coordination of CareCoordination of Care
Community Health Integration Initiative A single patient care plan that can be
accessed across the health care system and created in partnerships with patients
Shared care between patient, NP-GP and specialists
Improved communication during care transitions
Patient as PartnersPatient as Partners
A collaborative relationship between patients (and their families and caregivers) and health care professionals so that patients can achieve better health
Patients have a better experience at a reasonable cost
Supporting patients to have greater confidence in managing their own care
Patient as Partners Goals:Patient as Partners Goals:
Voice Choice Representation
www.patientvoices.ca
Continuity of CareContinuity of Care
Attachment of every willing British Columbian to a family practitioner will reduce the number of emergency room visits and hospital admissions.
Maternity, Residential, End-of-Life, Inpatient care incentives in place
Hollander, M.J., Kaldec, H., Hamdi, R., & Tessaro, T. (2009) Increasing value for money in the Canadian healthcare system: New findings on the contribution of primary care. Healthcare Quarterly, 12(4), 30-42.
Benefits of AttachmentBenefits of Attachment
For patients More appropriate
preventative care. Better access to long-
term and coordinated care.
For physicians Strong support through
health care partners Incorporate inter-
professional care teams. Understanding of patient
population/needs.
2020 of ? of ?
Attachment Benefits to Attachment Benefits to SystemSystem
Health system annual cost for person living with diabetes Unattached:
$10,175 Attached
$4,027
Health system annual cost for person living with heart failure Unattached:
$16,710 Attached
$7,379
2121 of of
Rural Health Services FrameworkRural Health Services Framework & Strategy & Strategy
Vision: Healthy people, healthy rural communities, integrated
service
Next Steps…looking toward the Next Steps…looking toward the futurefuture
top related