Family Doctor for All Overview & Research Opportunities Kristin Anderson Director, Primary Health Care Branch Applied Health Research Workshop, March

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 Teams QuickCare Mobile Clinic Self Management Family Doctor Connection Program IT Advanced Access Enrolment (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 of caregivers, 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

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