1. Marathon Family Health Team (MFHT)

2. Marathon Family Health Team

3. What is Primary Care?: Primary health care refers to the patient’s first point of contact with a doctor or a health care team. Primary health care services covers all aspects of health for the patient from cradle to grave.

4. Marathon Family Health Team What Is a Family Health Team?: A Family Health Team is an approach to primary health care that brings together different health care providers to co- ordinate the highest possible quality of care for the patient.

5. Marathon Family Health Team Origins The Marathon Family Health Team was established in December 2005. The Marathon Family Health Team was established in December 2005. Family Physician Group Practice was established in 1996. Family Physician Group Practice was established in 1996.

6. Marathon Family Health Team Providers 1 Full-time Nurse Practitioner 1 Full-time Nurse Practitioner 2 Full-time Registered Nurses 2 Full-time Registered Nurses 1 Full-time Physician Assistant 1 Full-time Physician Assistant 2 Full-time Registered Practical Nurses 2 Full-time Registered Practical Nurses 1 Full-time Social Worker 1 Full-time Social Worker 1 Part-time Registered Dietitian 1 Part-time Registered Dietitian

7. Marathon Family Health Team Administrative Support 1 Full-time Director 1 Full-time Director 1 Full-time Administrative Assistant 1 Full-time Administrative Assistant 1 Part-time Epidemiologist 1 Part-time Epidemiologist 1 Part-time Receptionist 1 Part-time Receptionist

8. Marathon Family Health Team FHT funding is separate and distinct from the Group Physician funding FHT funding is separate and distinct from the Group Physician funding FHT funding provides financial support FHT funding provides financial support Commitment to implement primary care programs and services Commitment to implement primary care programs and services

9. Marathon Family Health Team New programs and services help to: Improve access to care Improve access to care Provide for the unique needs of our population Provide for the unique needs of our population Build on existing strengths Build on existing strengths Enhance existing linkages Enhance existing linkages Focus on chronic disease management and health promotion Focus on chronic disease management and health promotion

10. Marathon Family Health Team Established Programs Programs Diabetes Diabetes Well Woman Well Woman INR/Anticoagulation INR/Anticoagulation Smoking Cessation Smoking Cessation Asthma Asthma COPD COPD Prenatal Prenatal Sexual & Reproductive Sexual & Reproductive Health Health Travel Health Travel Health Programs Immunization Hypertension Foot Care Wound Care Mgmt Telemedicine Geriatric Mental Health Palliative Care Nutrition & Healthy Living

11. Marathon Family Health Team “I finally quit smoking by using the patch. I put six of them over my mouth” Wendy Liebman

12. Marathon Family Health Team Established Services Services Annual Physicals Annual Physicals Well Baby Exams Well Baby Exams Well Woman Exams Well Woman Exams Skin Treatment Skin Treatment Compression Stocking Measurements Compression Stocking Measurements Injections Injections Telephone Consults and Triage Telephone Consults and Triage Services Blood Pressure Monitoring Ear Syringing Preventive Care Services Nutritional Assessments and Care Plans Group sessions Infant Feeding Workshops Cooking Classes High School Clinic

13. Marathon Family Health Team Our Dietitian told a patient the other day, “you have to stay in shape”. My mother started walking five miles a day when she was 60. She’s 97 now and we have no idea where she is.

14. Marathon Family Health Team Improving Access Fiscal 2009 – 2010: Nurse Practitioner = 798 client visits Nurse Practitioner = 798 client visits (7 months only) * Advisory Phone Calls = 370 * Advisory Phone Calls = 370 Registered Nurses = 3,178 client visits Registered Nurses = 3,178 client visits * Advisory Phone Calls = 5,677 * Advisory Phone Calls = 5,677 Registered Practical Nurses= 2,495 client visits Registered Practical Nurses= 2,495 client visits * Advisory Phone Calls= 1,949 * Advisory Phone Calls= 1,949 Social Worker= 656 client visits Social Worker= 656 client visits Registered Dietitian= 244 client visits Registered Dietitian= 244 client visits

15. Marathon Family Health Team Improving Access Doctors can be frustrating. You wait a month-and-a-half for an appointment, and she says, “I wish you had come to see me sooner.”

16. Marathon Family Health Team ….. And a patient called reception the other day, suffering from a bad case of the flu, the outraged patient bellowed, “three weeks??? The doctor can’t see me for three weeks??? I could be dead by then! The receptionist, always a professional, calmly replied….If so, would you please have your wife call to cancel your appointment?”.

17. Marathon Family Health Team Issues & Challenges Funding Funding Evaluation Evaluation Mentorship Mentorship Recruitment & Retention Recruitment & Retention

18. Marathon Family Health Team Recruitment & Retention Inter-professional team Inter-professional team Electronic Medical Records and Clinical Management System Electronic Medical Records and Clinical Management System A well organized, modern clinic with on-site management A well organized, modern clinic with on-site management Flexibility of work schedules Flexibility of work schedules Balance between personal and professional life Balance between personal and professional life A teaching facility A teaching facility Opportunity to provide other services (new recruits can practice more than just family medicine, i.e. Obstetrics, E/R) Opportunity to provide other services (new recruits can practice more than just family medicine, i.e. Obstetrics, E/R) Turn-key operation Turn-key operation Recruitment & Retention Committee Recruitment & Retention Committee Start-up Housing options and community incentives Start-up Housing options and community incentives

19. Marathon Family Health Team Economic Spin Off Healthcare Providers: Are major employers Are major employers Help to stabilize the population base. Help to stabilize the population base. Provide more healthcare services which keeps residents at home Provide more healthcare services which keeps residents at home

20. Marathon Family Health Team Sustainable Primary Healthcare