virtual remote primary care home
TRANSCRIPT
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What was the aim/context of your initiative?
What assumptions did you make, and how did they pan out?
What are you most proud of/what is the single biggest change that has taken place?
What was your single most significant lesson learned?
What are you still struggling with/need help with?
Remote Virtual
Primary Care Home
Gilford
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Disclosure
We have no conflicts of interest or commercial affiliations.
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● Kingcome ● Gilford
●Sointula
►PORT McNEILL ● Woss
● Kyuquot
● Zeballos
About the Initiative
PROTOTYPE
Phase 1:
1. Sointula
2. Zeballos
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Port McNeill Medical
Collaborative
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Population Health
A higher birth rate & a higher teen birth rate
A lower life expectancy (76 yrs)
A higher rate of alcohol & tobacco-related hospitalizations
A higher rate-adjusted mortality rate, with nearly twice the rate of deaths due to alcohol, illicit drug use, suicide, motor vehicle accidents, diabetes and lung cancer
A similar prevalence of leading chronic conditions including depression/anxiety (25%), hypertension (25%) and asthma (13%)
Vancouver Island North Local Area Health Profile (85) 2012
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Goals and Objectives
1. Enhance longitudinal care
2. Increase access to primary care services in remote communities
3. Better support for pts with chronic diseases & pts requiring mental health & substance use services
4. Enhance continuity & coordinated care
5. Pt-centered care, closer to home
6. Achieve the triple aim
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Accomplishments Since September
2016
JSC Proposal Approved: 1st Phase
Steering Committee established
Work-flow mapping initiated
GP Engagement
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Challenges
Governance/Leadership Model
Complexity of primary care
Fee-for-service model
Connectivity to some of the smaller communities
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Lessons Learned
• Collaboration is essential
Co-leadership
Co-design
Co-management
Co-implementation
• Relationships are key
• Start small & grow it!
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Q&A &
Our questions?
1. Privacy & confidentiality issues?
2. Building trust with partners & with pts?
3. Sustainability?
Kyuquot Health Centre
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Presenters
• Dr. Mehrtash Amini - Physician Lead, Port McNeill Collaborative Clinic
• Alison Mitchell - Director Mount Waddington/Strathcona
• Helen Truran - Project Manager, Rural & Remote Division of Family Practice