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Primary Healthcare Innovations in Canada Are we heading in the right direction? Marie-Dominique Beaulieu, M.D., MSc, FCMF President, College of Family.

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Presentation on theme: "Primary Healthcare Innovations in Canada Are we heading in the right direction? Marie-Dominique Beaulieu, M.D., MSc, FCMF President, College of Family."— Presentation transcript:

1 Primary Healthcare Innovations in Canada Are we heading in the right direction? Marie-Dominique Beaulieu, M.D., MSc, FCMF President, College of Family Physicians of Canada

2 Objectives A realistic vision: highly performing primary care organizations A diagnosis: the current situation Some actions: continuing the reforms

3 Highly performing primary care organizations

4 The 10 pillars of the Patient’s Medical Home Patient-centered Personal family physician Team-based care Timely access Comprehensive care 4

5 The 10 pillars of the Patient’s Medical Home Continuity Electronic records and health information Education and training System supports Evaluation 5

6 Overview of Canadian initiatives 6 CPGs Affiliation GP Divisions Primary Care Networks Physicians Integrated Networks FHN FHG FHT GMF CSSS CRI

7 Summary of reported outcomes Patient-centered –More individuals affiliated to a family physician –Mixed impact on timely access –Improved users’ satisfaction Efficiency –Positive impact on quality for some chronic diseases –More individuals receiving team-based care –Improved work satisfaction

8 Same-day or next-day access (Health Council of Canada, January 2013) 8

9 Discharge summary of visits to ERs within 48 hrs (Health Council of Canada, January 2013) 9

10 New models: do they have the characteristics of highly performing PC systems? ( CFHI, December 2012) Characteristics of highly performing PC systemsAlignment Policy orientation explicitly based on patient-centered care+++ Provincial/territorial/locoregional governance mechanisms+ Rostering of patients+ Interprofessional teams+++ Involvement of patients- Funding and compensation modes aligned with objectives++ Information Technologies and DME++ Ongoing performance measurement- Training and support for quality improvement+ Leadership development- Coordination and integration+ Systematic evaluation of innovation+

11 Some actions: continuing the reforms Vision of quality: commitment to access Patients and care-givers involvement Supporting quality –Information systems –Creating a culture of quality Leadership and regional/local governance Integration and coordination 11

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