marathon family health team (mfht). marathon family health team

Marathon Family Health TeamMarathon Family Health Team(MFHT)(MFHT)

Marathon Family Health Marathon Family Health TeamTeam


What is Primary Care?:What is Primary Care?:

Primary health care refers to the Primary health care refers to the patient’s first point of contact with a patient’s first point of contact with a doctor or a health care team. doctor or a health care team.

Primary health care services covers all Primary health care services covers all aspects of health for the patient from aspects of health for the patient from cradle to grave. cradle to grave.


What Is a Family Health Team?:What Is a Family Health Team?:

A Family Health Team is an A Family Health Team is an approach to primary health care approach to primary health care that brings together different health that brings together different health care providers to co-ordinate the care providers to co-ordinate the highest possible quality of care for highest possible quality of care for the patient.the patient.

Marathon Family Health Team Marathon Family Health Team OriginsOrigins

The Marathon Family Health Team The Marathon Family Health Team was established in December 2005.was established in December 2005.

Family Physician Group Practice was Family Physician Group Practice was established in 1996.established in 1996.


ProvidersProviders 1 Full-time Nurse Practitioner1 Full-time Nurse Practitioner 2 Full-time Registered Nurses2 Full-time Registered Nurses 1 Full-time Physician Assistant1 Full-time Physician Assistant 2 Full-time Registered Practical 2 Full-time Registered Practical

NursesNurses 1 Full-time Social Worker1 Full-time Social Worker 1 Part-time Registered Dietitian1 Part-time Registered Dietitian


Administrative SupportAdministrative Support

1 Full-time Director1 Full-time Director 1 Full-time Administrative Assistant1 Full-time Administrative Assistant 1 Part-time Epidemiologist1 Part-time Epidemiologist 1 Part-time Receptionist1 Part-time Receptionist


FHT funding is separate and distinct FHT funding is separate and distinct from the Group Physician fundingfrom the Group Physician funding

FHT funding provides financial FHT funding provides financial supportsupport

Commitment to implement primary Commitment to implement primary care programs and servicescare programs and services


New programs and services help toNew programs and services help to:: Improve access to careImprove access to care Provide for the unique needs of Provide for the unique needs of

our populationour population Build on existing strengthsBuild on existing strengths Enhance existing linkagesEnhance existing linkages Focus on chronic disease Focus on chronic disease

management and health management and health promotionpromotion

Marathon Family Health TeamMarathon Family Health TeamEstablished ProgramsEstablished Programs

ProgramsPrograms

DiabetesDiabetes Well WomanWell Woman INR/AnticoagulationINR/Anticoagulation Smoking CessationSmoking Cessation AsthmaAsthma COPDCOPD PrenatalPrenatal Sexual & ReproductiveSexual & Reproductive HealthHealth Travel HealthTravel Health

ProgramsPrograms

ImmunizationImmunization HypertensionHypertension Foot CareFoot Care Wound Care MgmtWound Care Mgmt TelemedicineTelemedicine GeriatricGeriatric Mental HealthMental Health Palliative CarePalliative Care Nutrition & Healthy Nutrition & Healthy

LivingLiving


““I finally quit smoking by using the I finally quit smoking by using the patch.patch.

I put six of them over my mouth”I put six of them over my mouth”

Wendy Liebman Wendy Liebman

Marathon Family Health TeamMarathon Family Health TeamEstablished ServicesEstablished Services

ServicesServices

Annual PhysicalsAnnual Physicals Well Baby ExamsWell Baby Exams Well Woman ExamsWell Woman Exams Skin TreatmentSkin Treatment Compression Compression

Stocking Stocking MeasurementsMeasurements

InjectionsInjections Telephone Consults Telephone Consults

and Triageand Triage

ServicesServices

Blood Pressure MonitoringBlood Pressure Monitoring Ear SyringingEar Syringing Preventive Care ServicesPreventive Care Services Nutritional Assessments Nutritional Assessments

and Care Plansand Care Plans Group sessionsGroup sessions Infant Feeding WorkshopsInfant Feeding Workshops Cooking ClassesCooking Classes High School ClinicHigh School Clinic


Our Dietitian told a patient the other Our Dietitian told a patient the other day, “you have to stay in shape”.day, “you have to stay in shape”.

My mother started walking five miles My mother started walking five miles a day when she was 60.a day when she was 60.

She’s 97 now and we have no idea She’s 97 now and we have no idea where she is.where she is.

Marathon Family Health TeamMarathon Family Health TeamImproving AccessImproving Access

Fiscal 2009 – 2010:Fiscal 2009 – 2010:• Nurse Practitioner Nurse Practitioner = 798 client visits= 798 client visits

(7 months only)(7 months only) * Advisory Phone Calls * Advisory Phone Calls = 370= 370

• Registered Nurses Registered Nurses = 3,178 client visits= 3,178 client visits• * Advisory Phone Calls * Advisory Phone Calls = 5,677= 5,677• Registered Practical NursesRegistered Practical Nurses = 2,495 client visits= 2,495 client visits

* Advisory Phone Calls* Advisory Phone Calls = 1,949= 1,949• Social WorkerSocial Worker = 656 client visits= 656 client visits• Registered DietitianRegistered Dietitian = 244 client visits= 244 client visits


Improving AccessImproving Access

Doctors can be frustrating.Doctors can be frustrating.

You wait a month-and-a-half for You wait a month-and-a-half for an appointment, and she says, “I an appointment, and she says, “I wish you had come to see me wish you had come to see me sooner.”sooner.”


…….. And a patient called reception the .. And a patient called reception the other day, suffering from a bad case of other day, suffering from a bad case of the flu, the outraged patient bellowed, the flu, the outraged patient bellowed, “three weeks??? The doctor can’t see “three weeks??? The doctor can’t see me for three weeks??? I could be me for three weeks??? I could be dead by then!dead by then!

The receptionist, always a The receptionist, always a professional, calmly replied….If so, professional, calmly replied….If so, would you please have your wife call would you please have your wife call to cancel your appointment?”.to cancel your appointment?”.


Issues & ChallengesIssues & Challenges

FundingFunding EvaluationEvaluation MentorshipMentorship Recruitment & RetentionRecruitment & Retention


Recruitment & RetentionRecruitment & Retention Inter-professional teamInter-professional team Electronic Medical Records and Clinical Management Electronic Medical Records and Clinical Management

SystemSystem A well organized, modern clinic with on-site managementA well organized, modern clinic with on-site management Flexibility of work schedulesFlexibility of work schedules Balance between personal and professional lifeBalance between personal and professional life A teaching facilityA teaching facility Opportunity to provide other services (new recruits can Opportunity to provide other services (new recruits can

practice more than just family medicine, i.e. Obstetrics, practice more than just family medicine, i.e. Obstetrics, E/R)E/R)

Turn-key operationTurn-key operation Recruitment & Retention CommitteeRecruitment & Retention Committee Start-up Housing options and community incentivesStart-up Housing options and community incentives

Marathon Family Health TeamMarathon Family Health TeamEconomic Spin OffEconomic Spin Off

Healthcare ProvidersHealthcare Providers: :

Are major employersAre major employers Help to stabilize the population Help to stabilize the population

base.base. Provide more healthcare services Provide more healthcare services

which keeps residents at homewhich keeps residents at home


Sustainable Primary HealthcareSustainable Primary Healthcare

marathon family health team (mfht). marathon family health team

Documents

health care team

aspects of health

primary health care

primary care programs

care plansgroup sessionsinfant

advisory phone calls

outraged patient

client visits7 months