24 “Reform primary health care through networking” “Deliver the best care, in the best way, on time, every time.”Principles:AccessContinuity and ComprehensivenessQuality CareSafety and Reliability
25 Redesign GOALS for primary care AccessReduce delay for appointments to same dayReduce delays within the appointment x 30%ContinuityIncrease continuity of care x 90%Increase capacity (panel size) x 10%Quality OutcomesIncrease utilization of selected protocols and guidelinesImprove interdisciplinary team utilization and function.Safety and ReliabilityContinuous Measurement of this process and outcomes
26 Goals of Primary Care Renewal Improving frontline access to healthcareEnsuring the continuity and comprehensiveness of care for patientsIncreasing patient and provider satisfactionImproving the quality of care for patientsIncreasing the cost-effectiveness of healthcare services.Preserving the doctor-patient relationship as central
27 National/Provincial Primary Care Initiative Objectives Increase the proportion of residents with ready access to primary care.Provide coordinated 24-hour, 7-day-per-week management of access to appropriate primary care services.Increase the emphasis on health promotion, disease and injury prevention, care of the medically complex patient and care of patients with chronic diseases.Improve coordination and integration with other health care services including secondary, tertiary and long-term care through specialty care linkages to primary care.Facilitate the greater use of multidisciplinary teams to provide comprehensive care.
29 “Without access there is no quality.” Principle: ACCESS“Without access there is no quality.”
30 Principle: Continuity and Comprehensiveness See your own patients.Don’t make them wait.(Goal: increase capacity x 10%)The most valued qualities:“human relationships”“time to care”the “opportunity to share decisions”.
31 Principle: Quality of Care Quality clinical care is not doctor work,it is team work.”“The best clinical care is not delivered by physician visits alone”
32 Principle: Reliability and Safety “Safety is connected to Delay”
33 Outcome Measures Access measures: Continuity measures: Time to third next available appointmentContinuity measures:% of patients that see their own doctorPreventive Measures:Screening for Breast, Cervical, and Colon cancersClinical Measures:hypertensionDiabetesSmoking cessationImmunizations
34 Challenges Access Capacity Quality of Care Cultural Competency Data Quality and IntegrityPublic Education and OutreachOrganizational and Infrastructure DevelopmentNetworking
39 Six principles for second generation objectives: Social model of healthInvestment goalsReducing health gaps and social gradientsPolicy relevant data indicesPartnerships and alliancesInternational and sustainable development dimensions