Primary Care Home What was the aim/context of your initiative? What - - PowerPoint PPT Presentation

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Primary Care Home What was the aim/context of your initiative? What - - PowerPoint PPT Presentation

Remote Virtual Primary Care Home What was the aim/context of your initiative? What assumptions did you make, and how did they pan out? What are you most proud of/what is the single biggest change that has taken place? What was your


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  • What was the aim/context of your initiative?
  • What assumptions did you make, and how did they pan out?
  • What are you most proud of/what is the single biggest change that has taken place?
  • What was your single most significant lesson learned?
  • What are you still struggling with/need help with?

Remote Virtual Primary Care Home

Gilford

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Disclosure

We have no conflicts of interest or commercial affiliations.

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  • Kingcome
  • Gilford
  • Sointula

►PORT McNEILL

  • Woss
  • Kyuquot
  • Zeballos

About the Initiative PROTOTYPE Phase 1:

  • 1. Sointula
  • 2. Zeballos
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Port McNeill Medical Collaborative

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Population Health

▪ A higher birth rate & a higher teen birth rate ▪ A lower life expectancy (76 yrs) ▪ A higher rate of alcohol & tobacco-related hospitalizations ▪ A higher rate-adjusted mortality rate, with nearly twice the rate of deaths due to alcohol, illicit drug use, suicide, motor vehicle accidents, diabetes and lung cancer ▪ A similar prevalence of leading chronic conditions including depression/anxiety (25%), hypertension (25%) and asthma (13%)

Vancouver Island North Local Area Health Profile (85) 2012

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Goals and Objectives

  • 1. Enhance longitudinal care
  • 2. Increase access to primary care

services in remote communities

  • 3. Better support for pts with chronic

diseases & pts requiring mental health & substance use services

  • 4. Enhance continuity & coordinated care
  • 5. Pt-centered care, closer to home
  • 6. Achieve the triple aim
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Accomplishments Since September 2016

✓ JSC Proposal Approved: 1st Phase ✓ Steering Committee established ✓ Work-flow mapping initiated ✓ GP Engagement

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Challenges

❖Governance/Leadership Model ❖Complexity of primary care ❖Fee-for-service model ❖Connectivity to some of the smaller communities

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Lessons Learned

  • Collaboration is essential

➢Co-leadership ➢Co-design ➢Co-management ➢Co-implementation

  • Relationships are key
  • Start small & grow it!
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Q&A & Our questions?

  • 1. Privacy & confidentiality

issues?

  • 2. Building trust with partners &

with pts?

  • 3. Sustainability?

Kyuquot Health Centre

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Presenters

  • Dr. Mehrtash Amini - Physician Lead, Port

McNeill Collaborative Clinic

  • Alison Mitchell - Director Mount

Waddington/Strathcona

  • Helen Truran - Project Manager, Rural &

Remote Division of Family Practice