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)

We heard a desire to: ✓ 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 3

Pr Primar mary y Ca Care e St Strate ategy gy Presented by Joanna Richards, A/Executive Director Primary Care Division DRAFT for discussion

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 Primary Care Networks 6

Who is the PCN CN? Health Division Authority members PCN PCN First Other Nations Groups Primary Care Networks 7

Primar mary y Care e Networks works (PCN PCN) ) CHCs UCCs Primary Care Networks 8

Primar mary y Care e Networks works (PCN PCN) ) (2/2) Prima imary y Care Network ork 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. Care is culturally safe and appropriate. 8. 9

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 Primary Care Networks 10

Stakeh kehold older r Map p – Who’s Who Primary Care Networks 11

Roles es and d Respon ponsi sibili bilities ties of Key y Stakehold keholder ers (1/2) 2) Stakehol eholder der Roles es and Respon sponsibi bilities es Community based and co-led by Health Authority Primary and Community Care leadership and Division of Family Practice • leadership. Colla llaborat ativ ive Services ices Governs local Primary Care Networks facilitating broad engagement of providers and key community partnerships. • Committ ittee ees (CSC) Provide PCN strategic leadership with respect to establishment of local PCN Steering Committee(s), PCN design and • implementation, and analysis of data to help identify community care needs and outcomes. 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 • Primary Care Network representative. Steer erin ing Commit ittee ee Decisions in regards to the operations of the local PCN will be made by consensus, consistent with existing primary care • governance committees. 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 • (PCN SC), which is formed by the CSC to coordinate the operations and implementation of the PCN. Regio ional al Healt lth Authorit ities ies Provide fund administration and contract management for team-based clinical providers (RNs and Allied Health • Providers)as well as new GP and NP service contracts. Community-based networks of family physicians (and NPs in some cases) organized into not for profit societies with • funding and support from GPSC through the Physician Master Agreement. Provide support to their members in the delivery of primary care, and implement GPSC funded initiatives. • Division isions of Family ily Practice ice Support clinical network development and work in partnership with their local HA and other community partners to • examine gaps in health care in their community and to address these gaps. The division advises GP and NP members on local, regional and provincial direction and issues related to implementation of • PCNs and patient medical homes, UPCCs, and CHCs in local communities and SCSP developments. Works collaboratively to provide strategic advice, resources and supports to other provincial bodies and local PCNs on • First Nations Healt lth Authority relevant issues and programs for indigenous populations; in order to enhance and enable cultural safety and humility at the (FNHA) A) local level; and to support information sharing across all local PCN and Specialized Community Service Programs. Provides strategic advice and influence to the primary care policy direction. Employs staff for the collaborative committees • and provides administrative and practice support services on behalf of GPSC. Doctors s of BC (DoBC) In its advocacy role for physicians and its commitment to helping achieve the highest standard of health care, DoBC • participates in the development of physician payment models and reviews physician contracts and agreements. Primary Care Networks 12

Roles es and d Respon ponsi sibili bilities ties of Key y Stakehold keholder ers (2/2) Work Stream eam Details s & Risks 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 • Gener eral l Practic ice e Services ices Supports PCN development and delivery through support of the PMH as the foundation of PCN, physician incentives, • Commit ittee ee (GPSC) funding to divisions, communication tools and resources, and support of physician leadership, engagement and partnerships. 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 • primary care services within a HA region. Inter erdiv ivision isional al Strateg egic ic Advise the PCC Advisory Forum and GPSC on issues related to PCN implementation and SCSP alignment, and GPSC on Council ils (ISC) • issues related primarily to PMH implementation. The ISC advises CSC on regional issues related to PMH/PCN implementation and SCSP alignment. Communicates collaboratively and provides strategic advice to other provincial bodies and with local PCNs as needed on Nurse e Practit itio ioner er Council il of • nursing issues relevant to the PCN program Nurse e and Nurse Practit itio ioner ers of BC (NPC) Advises Ministry decision making on BC’s health system transformation agenda through collaboration and consensus. • Specifically, it will allow partners to: Share information and provide advice regarding the implementation of PCN policy (including UPCC and CHC) and Primary and Communit ity o SCSP policy for Mental Health and Substance Use & Adults with Complex Medical Conditions and/or Frailty; Advisory isory Forum Provide updates on progress, challenges, and issues; o Seek advice on how best to continue to move work forward and how to resolve issues. o Communicates collaboratively with other provincial bodies and with local PCNs as needed on issues relevant to the PCN • Provin incial cial Healt lth Services ices program and with effective linkages to SCSPs Authority (PHSA) 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 • practice and the foundation for the PCN and for community engagement and local implementation of the PCN. Ministry stry of Health Responsible for the PCN, Team Based Care and Specialized Community Service Program (SCSP) policy development, • oversight, funding and accountability. Provides data for regional and local planning and evaluation, and oversees ongoing monitoring and evaluation and policy • revisions. Primary Care Networks 13