c2 enhanced collaboration between primary health care and population and public health_victoria lee

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BETTER HEALTH

Victoria Lee MD MPH MBA CCFP FRCPC

Medical Health Officer and Executive Medical Director

Population and Public Health Fraser Health Authority

Enhanced Collaboration between Primary Health Care and

Population and Public Health

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. Kendall, P. (2006). Provincial Health Officer’s annual report: an ounce of prevention. Victoria, BC, Canada. 2. CIHI (2009). Canadian Institute for Health Information, National Health Expenditure Trends, 1975-2009. Canadian Institute for Health

Information. Ottawa: CIHI. 3. 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

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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

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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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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

Practice-based Research

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• Clinical Prevention • Healthy Connections – Nurse Family

Partnership

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Attachment - GP4ME Shared Care between primary care and

specialists NP4BC

Division of Family Practice Priorities

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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

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CBSH – Initiatives

Primary Care Practice Support Program

(PSP) Initiatives- Module Delivery

- Coaching

Medical Specialists

FH Providers

Family Physicians

Community Partners

(NGOs & Municip. Gov’t)

First Nations Health

Providers

Primary Care Initiatives- Diabetes Health Centres

Standardization - EMR- PHC Performance Measures Improve

Experience for Clients/Patients

and Care Providers

More Sustainable Health Care

System

Improve Health of the

Population

Outcomes

Health Care Integration

Health integration initiatives – projects and quality improvement work initiated to produce collaboration, coordination, connectivity and alignment of services delivered by multipleproviders.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.

Public Health- Stop HIV- Flu vaccine campaign- Best Beginnings

Public HealthHealthier Communities- Chronic Disease Prevention- Healthy Aging- Mental Health / Substance Use &

Well-Being- Unintentional Injury Prevention

Patients, families, and their care providers working as a team for better patient care

Integrated Health Networks Initiatives

HH CM GP, MH RAC, MH Collab Care

Accelerated Primary & Community Care

Initiatives- BreatheWELL, Home First, PTOP,

Community REDi, End of Life Care, Telehome Monitoring

Divisions of Family Practice Initiatives

- Division Attachment, In-hospital program, NP4BC

Divisions of Family Practice Partnership

Initiatives- IHN Initiatives: South Asian Health

Centre, Chilliwack Srs. Clinic, Diabetes Practice Collaborative, Youth Clinic, Collaborative Services Committee, IMIT Working Group, Communication Working Group

Shared Care Initiatives- Partners in Care, Transitions in

Care, Rapid Access to Physch., PSP, Polypharmacy, Teledermeatology, Youth Transitions, Funding & Scholarships, CYMHSU Collab.

Divisions of Family Practice Initiatives

- PITO (Physician Information Technology Office)- PSP Modules

Healthy CommunityPartnerships

Mental Health & Substance Use Initiatives

- ACT- Rapid Access Clinics

Acute Initiatives- Hospitalists, 48/6

Seamless Care Initiatives-

Home Health Initiatives- Case Manager Strategies

Date: April 23, 2014 Revision: 2

SeamlessCare

DRAFT

Home Is Best

Clinical Transformation- Standardizing documentation & processes

Patient Advisory Committee

17 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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THANK YOU Victoria.lee@fraserhealth.ca