DRAFT Informing Provincial Supports for Team-based Care GPSC Summit June 19, 2017.

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Presentation transcript:

DRAFT Informing Provincial Supports for Team-based Care GPSC Summit June 19, 2017

Presenter Disclosure Presenters: Dr. Joanne Young, Family Physician, Doctors of BC member to the GPSC Shana Ooms, Executive Director, MOH member to the GPSC Relationship with commercial interests: Grants/Research Support: none Speakers Bureau/Honoraria: none Consulting Fees: none Other: none

Managing Potential Bias

Session Objective & Overview 1. Vision - Why team based care? 2. GPSC Team-based Care Task Group – What supports exist provincially? 3. Abbotsford Division of Family Practice – What are the lessons on advancing team based care? 4. Small Group Discussions – Where am I on the spectrum of team based care implementation? What will it take to move to the next level, practice, community, provincially? 5. Closing and Next Steps Shana Objectives of the session To introduce team based care as an essential building block of the patient medical home and overall vision of the transformed primary and community care system To introduce the newly formed GPSC team based care task group and role To share lessons about team based care experiences (Abbotsford Division of Family Practice and Fraser Health Authority) To provide a forum for sharing and learning about how to advance to the next level of team based care in practice (co located/virtual) or linked to the practice (networked) Reminder – mention concurrent PSP session – Applying team-based care competencies in a primary care setting

Why Team-Based Care? “Health care teams are an essential part of a strong and responsive primary health care system” Service providers can focus on service provision and care planning rather than administrative work When teams are optimized in terms of skill mix and size, interprofessional teams can offer work-life balance by reducing excessive work burden on any one type of health service provider. And beyond the health care system, interdisciplinary teams have the potential not only to improve the health outcomes for populations, but also to impact the overall economy. An example cited by the Conference board of Canada estimated that full coverage of interprofessional teams for diabetes type 2 adult patients (teams involving three or more types of care and service providers, a physician, nurse, pharmacist); could have saved ~ $260 million in direct health care costs and ~$390 million in indirect costs due to productivity losses in the economy

Triple Aim Evidence Increased: Reduced: Patient and provider satisfaction and experience Quality, especially for people with complex care needs Time with providers and primary care capacity Support to provide comprehensive care Access to community resources and self management supports Opportunities to learn new skills/approaches through the collaborative experience Sustainable practice model with all team members working to optimized scope Efficiency and cost savings potential beyond health to the economy overall Reduced: Clinician burnout (stress and workload) Use of emergency and hospital Per capita costs A number of benefits have been articulated through the variety of team models being implemented that speak to the value proposition for working in teams from both the patient and provider perspective as well as the for the system (triple aim).   For GPs/practices: Reduced stress and workload Supports provision of comprehensive care Opportunities to learn new skills/approaches through the collaborative experience Supports a sustainable practice model For patients: Improved patient satisfaction Improved coordination, continuity and comprehensiveness of care Increased time with providers and improved quality of care for patients with complex needs Improved access to community resources and self-management education For the health system: Expanded primary care capacity and increased attachment of unattached patients Optimized scope of practice of team members based on patient needs Potential for increased efficiency and cost-effectiveness of primary care delivery Potential for improved sustainability of health care system, including decreased burden on acute care facilities From multi-jurisdiction evaluations regarding impacts of various interprofessional team models, e.g. Thompson Division’s Nurse in Practice Pilot, Nova Scotia’s Family Practice Nurse Program, Canadian Medical Association’s National Physician Surveys, Western Canadian Interprofessional Health Collaborative reports, Canadian Nurses Association. References: Can team-based care improve patient satisfaction? A systematic review of randomized controlled trials. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0100603 Primary health care teams and their impact on processes and outcomes of care. Statistics Canada. http://www.statcan.gc.ca/pub/82-622-x/82-622-x2008002-eng.pdf The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. http://content.healthaffairs.org/content/29/5/835.full.pdf+html

GPSC Vision and Goals The GPSC's vision is to enable access to quality primary health care that effectively meets the needs of patients and populations in BC, using the patient medical home to form the foundation for care delivery within  a broader, integrated system of primary and community care. The four goals that the GPSC is aiming to achieve are to: Increase access to appropriate, comprehensive, quality primary health care for each community. Improve support for patients, particularly vulnerable patients, through enhanced and simplified linkages between providers. Contribute to building a more effective, efficient, and sustainable health care system in order to increase capacity and meet future patient needs. Retain and attract family doctors and teams to work together in healthy and vibrant work environments.

Team Based Care – A critical building block Belief that the team based care attribute of the BC PMH model needs to be a key area of focus in order to advance toward that future state. Team-based care is a priority area for GPSC and foundational building block of the BC PMH and system of care Shana When we look at the current state in BC and compare that with the future state that we are trying to achieve, and when we consider the evidence and experience of health care providers both in BC and in other jurisdictions, the GPSC BELIEVES that the team based care attribute of the BC PMH model needs to be a key area of focus to advance toward that future state. It is seen as a critical building block to the integrated system of primary and community care, both at the practice level and at the community level (in practice teams and linked networked teams).

GPSC Team-based Care Task Group Purpose is to support the implementation of TBC in the province as part of GPSC’s PMH strategic direction In building this support we will be focusing on 5 areas: Creating a learning system Helping to build the business case Supporting early adopters Helping to build the change management supports Exploring Governance models Joanne

GPSC Team-based Care Task Group Members Ministry of Health Staff: Joanna Richards Health Authority Representatives: Darlene Arsenault Vanessa Salmons Division Representatives: Dr. Jel Coward Dr. Adam Thompson College of Family Physicians: Dr. Christie Newton GPSC Members: Shana Ooms (MOH) Dr. Joanne Young (DoBC) Dr. Khati Hendry (DoBC) GPSC Staff: Angie Chan Darcy Eyres Alana Godin Lucy Kirby Petra Lolić Afsaneh Moradi Joanne

Team-based Care Landscape Examples of TBC work being done by other groups in BC: GPSC Incentive Working Group simplifying and redesigning GPSC incentives PSP developing small group learning sessions focused on TBC Funding for initiating change management for PMH (up to $250,000 per division) PMH Assessment tool and Panel Assessment tool Ministry of Health Policy refresh on Primary Care in BC UBC Health Survey of TBC initiatives in BC College of Family Physicians of Canada TBC Best Advice Guide Joanne

Presentation from the Abbotsford Division of Family Practice Anne Marie to introduce Abbotsford presenters

Gauging the TBC Experience in the Room Contemplating Initiating Underway Anne Marie

Group Discussion Anne Marie

Time Remaining: 40 mins

Time Remaining: 30 mins

Time Remaining: 20 mins

Time Remaining: 10 mins

Time Remaining: 5 mins

Share any Emerging Ideas Anne Marie

Closing and Next Steps How will the feedback from this session be used? Ideas board near the registration area of the foyer for additional feedback Joanne or Shana

Thank You Contact email: gpsc@doctorsofbc.ca