Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power...

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Primary Health Care Primary Health Care and Service and Service Integration: Integration: Improving Improving Healthcare in Mount Waddington Healthcare in Mount Waddington Victoria Power Victoria Power Director, Primary Health Director, Primary Health Care, Chronic Disease Care, Chronic Disease Management & Rural Health Management & Rural Health Services Services September 22, 2010 September 22, 2010

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Transcript of Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power...

Page 1: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Primary Health Care and Primary Health Care and Service Integration: Service Integration: Improving Healthcare in Mount Improving Healthcare in Mount WaddingtonWaddington

Victoria PowerVictoria Power

Director, Primary Health Care, Director, Primary Health Care, Chronic Disease Management & Chronic Disease Management &

Rural Health ServicesRural Health Services

September 22, 2010September 22, 2010

Page 2: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

What You Requested to HearWhat You Requested to Hear

What is primary health care and how does it differ from traditional health care? 

There are 5 facilities in Mt. Waddington.  What changes will we see at the sites related to primary health care?

Please review the Mt. Waddington redesign structure to explain how the principles of primary health care are rolling out at each facility.

Please explain how this affects the way doctors and staff do their jobs and provide care.

Page 3: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Mount Waddington Mount Waddington Redesign for IntegrationRedesign for Integration

Changing the way we plan and provide

services:

“Identify the best supports to ensure

success and sustainability of this

work”

Page 4: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

The Focus is on Two Goals:The Focus is on Two Goals:1. Improve the health of Mount Waddington people and communities

2. Demonstrate an integrated management solution for

rural and remote communities

Page 5: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Mount Waddington Vision: A Primary Mount Waddington Vision: A Primary Health Care ApproachHealth Care Approach

“Comprehensive, seamless and locallyaccessible primary health care services deliveredby a network of provider teams, integrated into aregional health care system that supports our population to stay healthy, get better, manage illness and disease, and cope with the end of life.”Mt. Waddington Health Service Plan 2007

Page 6: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

What is Primary Health Care?What is Primary Health Care?VIHA Working Definition

Primary health care is the range of services and supports that individuals and communities receive on an ongoing basis in order to stay healthy, get

better, manage illness and disease and cope with end of life.

VIHA Primary Health Care Strategy June 2006

Page 7: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

An approach to health services An approach to health services delivery across the systemdelivery across the system

Key Attributes of Approach:

a. First point of contact to access care

b. Comprehensiveness of care

c. Coordination of care

d. Continuity of care

Page 8: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Traditional Care vs Primary Health CareTraditional Care vs Primary Health Care

Episodic / urgent in nature Services typically delivered

in silos Treating illness one person

(and one illness) at a time Referral to other

providers…your story over & over

Sometimes long waits

Coordinated, proactive service

Care delivered through integrated approach

Patients, families & care givers as partners

Focus on self-management Population health approach

Page 9: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

New Service Delivery FrameworkNew Service Delivery FrameworkService Delivery Framework – Regionally Integrated Services

Senior Manager MW Health Service

Chief of Staff MW Health Services

Manager, Acute / Primary / Public

Health

Manager Mental Health/ Home &

Community Care / Residential Care

Aboriginal Health

Mount Waddington Service Integration Team

Mount Waddington Health Network

Local Medical Advisory Committee

North Island Division of Family Practice

Collaborative Services Committee

Page 10: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

‘Namgis Health Services (FN)

Mt Waddington’s Regional Services

Port Hardy Cluster of Integrated

Services

Port McNeill Cluster of Integrated Services

Port Alice Primary Health Centre

Sointula Nursing Centre

Holberg

Fort RupertGwa’sala-nakwaxda’xw

Quatsino

Kingcome (outreach) Woss

Integrating VIHA Services in Mount Waddington…Integrating VIHA Services in Mount Waddington…

Guilford (outreach)Hopetown

Cormorant Island

Service Cluster

Page 11: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

An approach to health services An approach to health services delivery across the systemdelivery across the system

Key Attributes of Approach:

a. First point of contact to access care

b. Comprehensiveness of care

c. Coordination of care

d. Continuity of care

Page 12: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

First Point of ContactFirst Point of Contact

Same Day AppointmentsGroup VisitsNurse PractitionersFly-in teamsTelehealthExpanding Scope of Practice

Page 13: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Comprehensiveness of CareComprehensiveness of Care

Integrated Care Teams & Community Partnerships

Chronic Disease Management supports Mental Health Supports Divisions of Family Practice &

Collaborative Services Committees VIHA Rural Health Framework

Page 14: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Divisions of Family PracticeDivisions of Family Practice

Groups of physicians organized at a community level:

Working together to address common health care goals for their communitiesInfluencing population health

Page 15: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

What Divisions Offer …What Divisions Offer … Networking support for communities of

physicians.

Avenue for health system decision-makers to effectively engage community GPs.

Opportunities for enhanced clinical services, developed and supported in collaboration with partners.

Page 16: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Coordination of CareCoordination of Care

Community Health Integration Initiative A single patient care plan that can be

accessed across the health care system and created in partnerships with patients

Shared care between patient, NP-GP and specialists

Improved communication during care transitions

Page 17: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Patient as PartnersPatient as Partners

A collaborative relationship between patients (and their families and caregivers) and health care professionals so that patients can achieve better health

Patients have a better experience at a reasonable cost

Supporting patients to have greater confidence in managing their own care

Page 18: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Patient as Partners Goals:Patient as Partners Goals:

Voice Choice Representation

www.patientvoices.ca

http://www.patientvoices.ca/
Page 19: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Continuity of CareContinuity of Care

Attachment of every willing British Columbian to a family practitioner will reduce the number of emergency room visits and hospital admissions.

Maternity, Residential, End-of-Life, Inpatient care incentives in place

Hollander, M.J., Kaldec, H., Hamdi, R., & Tessaro, T. (2009) Increasing value for money in the Canadian healthcare system: New findings on the contribution of primary care. Healthcare Quarterly, 12(4), 30-42.

Page 20: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Benefits of AttachmentBenefits of Attachment

For patients More appropriate

preventative care. Better access to long-

term and coordinated care.

For physicians Strong support through

health care partners Incorporate inter-

professional care teams. Understanding of patient

population/needs.

2020 of ? of ?

Page 21: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Attachment Benefits to Attachment Benefits to SystemSystem

Health system annual cost for person living with diabetes Unattached:

$10,175 Attached

$4,027

Health system annual cost for person living with heart failure Unattached:

$16,710 Attached

$7,379

2121 of of

Page 22: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Rural Health Services FrameworkRural Health Services Framework & Strategy & Strategy

Vision: Healthy people, healthy rural communities, integrated

service

Page 23: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Next Steps…looking toward the Next Steps…looking toward the futurefuture

Page 24: Primary Health Care and Service Integration: Improving Healthcare in Mount Waddington Victoria Power Director, Primary Health Care, Chronic Disease Management.

Questions/

Discussion

http://www.viha.ca/phc_cdm/

http://www.viha.ca/phc_cdm/

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