BETTER HEALTH Enhanced Collaboration between Primary Health Care and Population and Public Health Victoria Lee MD MPH MBA CCFP FRCPC
Medical Health Officer and Executive Medical Director Population and Public Health Fraser Health Authority
Petra Pardy RN MA Executive Director, Primary Health Care & Jim Pattison Outpatient Care & Surgery Centre Fraser Health Authority
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Update on PC PH Collaboration BC: Provincial FHA: Regional Langley Community: Local
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Creating the Burning Platform: Why Collaborate? “Now more than ever”, collaboration between primary care and public health is needed. Collaboration between these sectors not only results in enhanced identification of health issues but also in addressing them such that health outcomes are optimized. – WHO, 2012
“PC and PH should be viewed as two interacting and mutually supporting components” – IOM, 2012
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We are all familiar with our
HEALTH CARE CHALLENGES Chronic conditions and injuries are responsible for over $22 billion per year in economic burden in BC1 The proportion of obese children has nearly tripled in the last 25 years3 Increasing costs of medical technologies and pharmaceuticals2 A growing and aging population with multiple and complex health care needs2 1. 2. 3.
Kendall, P. (2006). Provincial Health Officer’s annual report: an ounce of prevention. Victoria, BC, Canada. CIHI (2009). Canadian Institute for Health Information, National Health Expenditure Trends, 1975-2009. Canadian Institute for Health Information. Ottawa: CIHI. Canada, H. (2006, 10). Healthy Living. Retrieved 11 30, 2011, from Health Canada: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/life-vie/obes-eng.php
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Regional and Local: Areas of Collaboration Communication Community-based Activities Practice-based Research Prenatal and Early Childhood Clinical Prevention Division of Family Practice Priorities 8
Provincial Divisions of Family Practice Integrated Primary and Community Care Health Officers’ Council and Doctors of BC (GPSC and SGP)
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Communication Between PC-PH
Immunization information CD prevention and follow-up Collaborative Service Committee Leadership teams
Patients Digital Signage 10
Community-based Activities
 “Through increased collaboration between primary care
providers and community social agencies the needs of individuals and families for early childhood development, income support, food, shelter and other social support can be met�. (Millar et al. 2011)
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Practice-based Research CIHR Community-Based Primary Healthcare Performance Measurement and Reproting
IHSTS (Institute of Health Systems Transformation and Sustainability) Assessment of readiness to transform to community-based primary healthcare 12
• Clinical Prevention • Healthy Connections – Nurse Family Partnership
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Division of Family Practice Priorities
Attachment - GP4ME Shared Care between primary care and specialists NP4BC
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Next Steps Continue the dialogue Prioritization Build on current initiatives Available resources Align Division/organization goals and objectives
Partner with others Support innovation and implement Community-Based System of Health 15
CBSH – Initiatives DRAFT
Patients, families, and their care providers working as a team for better patient care
Accelerated Primary & Community Care Initiatives
Primary Care Practice Support Program (PSP) Initiatives
- BreatheWELL, Home First, PTOP, Community REDi, End of Life
- Module Delivery
- Coaching
Divisions of Family Practice Partnership Initiatives
Care, Telehome Monitoring
Primary Care Initiatives
Integrated Health Networks Initiatives
- Diabetes Health Centres Standardization - EMR - PHC Performance Measures
Healthy Community Partnerships
Mental Health & Substance Use Initiatives
- ACT - Rapid Access Clinics
Seamless Care
Home Is Best
(NGOs & Municip. Gov’t)
Patient Advisory Committee
Working Group
First Nations Health Providers
- PITO (Physician Information Technology Office) - PSP Modules
Divisions of Family Practice Initiatives
- Division Attachment, In-hospital program, NP4BC
Family Physicians Community Partners
Divisions of Family Practice Initiatives
- IHN Initiatives: South Asian Health Centre, Chilliwack Srs. Clinic, Diabetes Practice Collaborative, Youth Clinic, Collaborative Services Committee, IMIT Working Group, Communication
HH CM GP, MH RAC, MH Collab Care
Date:
Seamless Care Initiatives -
FH Providers
Clinical Transformation
April 23, 2014
Revision: 2
Outcomes Improve Experience for Clients/Patients and Care Providers
More Sustainable Health Care System
- Standardizing documentation & processes
Medical Specialists
Improve Health of the Population
Acute Initiatives - Hospitalists, 48/6
Public Health
Home Health Initiatives - Case Manager Strategies
Shared Care Initiatives
- Partners in Care, Transitions in Care, Rapid Access to Physch., PSP, Polypharmacy, Teledermeatology, Youth Transitions, Funding & Scholarships, CYMHSU Collab.
Healthier Communities - Chronic Disease Prevention - Healthy Aging - Mental Health / Substance Use & Well-Being - Unintentional Injury Prevention
Public Health
- Stop HIV - Flu vaccine campaign - Best Beginnings
Health Care Integration Health integration initiatives – projects and quality improvement work initiated to produce collaboration, coordination, connectivity and alignment of services delivered by multiple providers. Integration is an effective way to deliver comprehensive services for people living with complex and chronic care health issues, improve their health and quality of life, and prevent disease and unnecessary hospitalization.
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Institute of Medicine, Primary Care and Public Health. http://www.iom.edu/Reports/2012/Primary-Care-and-Public-Health/Video.aspx
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Victoria.lee@fraserhealth.ca
THANK YOU
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