Learning Series: Primary Care Networks Hosted by Jacquelyne - - PowerPoint PPT Presentation

Patient Engagement Learning Series: Primary Care Networks

Hosted by Jacquelyne Foidart | Engagement Leader Patient & Public Engagement

• 7. First Nations

(province-wide)

3

✓Understand the Primary Care Strategy ✓Understand what and who is the Primary Care Network ✓Recognize the relationship between Primary Care Networks and models of care ✓Understand collaborative local partnerships moving this work forward

We heard a desire to:

Pr Primar mary y Ca Care e St Strate ategy gy

Presented by Joanna Richards, A/Executive Director Primary Care Division

A s A sto tory y of two f two nei neighbour ghbours

PCNs s will be design gned ed to meet et the needs ds of indiv ividu iduals ls and ensur sure e the e compreh ehensiv ensive e suite te of prima mary y care re servi vices es are re accessi ssibl ble e by the commu mmunity nity popul ulatio ation n they ey serve. ve.

• PCN Polic

icy y Directio rection n 2017

“ ”

Who is the PCN CN?

PCN PCN

Health Authority Division members Other Groups First Nations

Primar mary y Care e Networks works (PCN PCN) )

CHCs UCCs

Primar mary y Care e Networks works (PCN PCN) ) (2/2)

Prima imary y Care Network

• rk Core Attri

ribu bute tes

• 1. Process for ensuring all people in a community have access to quality primary care, and are

attached within a PCN.

• 2. Provision of extended hours of care including early mornings, evenings and weekends.
• 3. Provision of same day access for urgently needed care through the PCN or an Urgent Primary

Care Centre.

• 4. Access to advice and information virtually (e.g. online, text, e-mail) and face to face.

5.

• 5. Provision of comprehensive primary care services through networking of PMHs with other

primary care providers and teams, to include maternity, inpatient, residential, mild/moderate mental health and substance use, and preventative care. 6.

• 6. Coordination of care with diagnostic services, hospital care, specialty care and specialized

community services for all patients and with particular emphasis on those with mental health and substance use conditions, those with complex medical conditions and/or frailty and surgical services provided in community.

• 7. Clear communication within the network of providers and to the public to create awareness

about and appropriate use of services. 8.

• 8. Care is culturally safe and appropriate.

PCN N Wave ve 1 CSCs SCs

Wave 1a: Wave 1b:

Comox South Island Richmond Vancouver Burnaby Fraser North West South Okanagan Similkameen Kootenay Boundary Prince George Ridge Meadows Pacific Northwest (Bulkley Valley-Witset) Wave ve 2 in plan annin ing

Stakeh kehold

• lder

r Map p – Who’s Who

Roles es and d Respon ponsi sibili bilities ties of Key y Stakehold keholder ers (1/2) 2)

• Community based and co-led by Health Authority Primary and Community Care leadership and Division of Family Practice

• Governs local Primary Care Networks facilitating broad engagement of providers and key community partnerships.
• Provide PCN strategic leadership with respect to establishment of local PCN Steering Committee(s), PCN design and

• Has primary responsibility and oversight to operationalize the PCN clinical services.
• The PCN SC will be co-chaired by a practicing physician member of the local division, and a Health Authority

• Decisions in regards to the operations of the local PCN will be made by consensus, consistent with existing primary care

• Provide integrated and effectively linked primary and community care services to the Primary Care Network and PMHs.
• HAs act as a co-chair of local Collaborative Services Committees (CSC), and participate in the PCN Steering Committee

• Provide fund administration and contract management for team-based clinical providers (RNs and Allied Health

• Community-based networks of family physicians (and NPs in some cases) organized into not for profit societies with

• Provide support to their members in the delivery of primary care, and implement GPSC funded initiatives.
• Support clinical network development and work in partnership with their local HA and other community partners to

• The division advises GP and NP members on local, regional and provincial direction and issues related to implementation of

• Works collaboratively to provide strategic advice, resources and supports to other provincial bodies and local PCNs on

• Provides strategic advice and influence to the primary care policy direction. Employs staff for the collaborative committees

• In its advocacy role for physicians and its commitment to helping achieve the highest standard of health care, DoBC

Roles es and d Respon ponsi sibili bilities ties of Key y Stakehold keholder ers (2/2)

• Collaborative committee between the Doctors of BC and the Ministry which includes HA and Division participation.
• Advises the Ministry of Health on key issues regarding primary and community care policy framework and implementation
• Supports PCN development and delivery through support of the PMH as the foundation of PCN, physician incentives,

• Regional forum including representatives of all Division and HA Primary Care leads within a region.
• Provide an opportunity for information sharing and problem solving and help to ensure strategic alignment of PCNs and

• Advise the PCC Advisory Forum and GPSC on issues related to PCN implementation and SCSP alignment, and GPSC on

• f BC (NPC)
• Communicates collaboratively and provides strategic advice to other provincial bodies and with local PCNs as needed on

• Advises Ministry decision making on BC’s health system transformation agenda through collaboration and consensus.

• Share information and provide advice regarding the implementation of PCN policy (including UPCC and CHC) and

• Provide updates on progress, challenges, and issues;
• Seek advice on how best to continue to move work forward and how to resolve issues.

• Communicates collaboratively with other provincial bodies and with local PCNs as needed on issues relevant to the PCN

• Support information sharing across all local PCN and SCSPs.

• Holds the overall accountability and funding for the health care system.
• Through the GPSC it holds joint accountability for the support and establishment of the PMH as the ideal primary care

• Responsible for the PCN, Team Based Care and Specialized Community Service Program (SCSP) policy development,
• versight, funding and accountability.
• Provides data for regional and local planning and evaluation, and oversees ongoing monitoring and evaluation and policy

Models dels of Care (1/2 /2)

Primary care will be built ilt around team am based ed care e provided through a mix of pat atient ient medica ical l home mes, urgent ent prima imary y care e centr tres es (primarily in larger urban communities), commu munit ity y healt alth centr tres (to better address the social determinants of health), and healt alth auth thorit ity based ed prima imary y care e servic ices es, , linked together in prima imary y care e netwo tworks. ks.

Primary Care Network

• rk (PCN)

Urgent Prima mary y Care Centres Patient Medical Homes Commun munity y Health Centres Health Authori

• rity

y Based d Primary Care Services s

Models dels of Care (2/2)

New Models ls of Car are Descrip iptio ion Pat atient ient Medica ical l Homes es The foundation and corner stone as the practice model for delivering key services associated with a full service primary care practice delivered by Family Physicians (FPs) and Nurse Practitioners (NPs) working to full scope as part of a broader team gradually replacing the traditional solo GP practice. Urgent ent Primar imary y Car are e Centr tres Will both provide primary care to patients who currently do not have a family doctor or nurse practitioner, and weekend and after-hours care. Commun mmunity ity Healt lth Centr tres Will bring together health and broader social services to improve access to health promotion, preventive care and ongoing services. Each

• f these centres will be designed and developed uniquely in line with

the needs of their communities and fully integrated into local primary care. Prima imary y Care e Netwo tworks ks: : Backbone of the team-based approach, allowing patients access to a full range of health- care options from maternity to end of life, streamlining referrals from one provider to another, and providing better support to family physicians, nurse practitioners, and other primary health-care providers. In addition to the above models of care, Techn chnology gy Solut utions will help bring health care even closer to home for people, particularly those in rural and remote areas of the province (telehealth, digital home health monitoring etc.)

Collab llaborat rative ive Local cal Partn tner erships ships

The local PCN Steering Committee will be minimally comprised of:

• Local

al patie ient nt repres esent entat ative ives

• Local

al First st Natio ions ns repres esent entat ative ives

• Physic

ysician an represent esentati atives ves from local al primar mary y care e pract ctic ices es

• Nurse

e pract ctit ition ioner er representati esentatives ves

• The Divis

ision ion

• The Healt

lth h Authori

• rity

Other local partners may be invited to participate as members of the PCN Steering Committee at the discretion of the CSC.

Questions?

Information & General Inquiries www.patientvoicesbc.ca pvn@bcpsqc.ca 1-877-282-1919