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
