Private Practice

1
Private Practice

• A National Perspective

2
It is the best of times !

• It is the worst of times!

3
Statistics

• 17,324 physiotherapists in Canada (2006)
• 37 noted to be in private practice (1997).
• 39 noted to be in private practice (2004).
• Shift is away from public into private

4
Purpose of Presentation

• Touch on the environmental factors
• Highlight action occurring in the country
• Hypotheses potential in NL

5
Opportunities

• Shifting Political Agendas
• Public expectations
• Funding models

6
Shifting political agendas

• Worldwide, environment is becoming center
  stage.
• Minority conservative government in Canada
  creates political instability.
• This administration does not seem to view health
  as a priority its been done

7
Public Expectations

• Reduce wait times.
• 24/7 access to health care.
• Primary health care funding has run out and
  sustainability of the system is expected.

8
Crisis in Funding

• Public/ Private debate heating up.
• Re-identifying what is medically necessary.
• Mixed funding models being proposed in more
  sectors.
• 30 of health care already delivered in this
  manner

9
Threats

• Challenges to scope
• Decreasing market share
• Third party payors

10
Challenges to scope

• Established and emerging professions gaining
  momentum and respect politically and publicly.
• Aggressive and attacking public marketing
  campaigns against physiotherapy.

11
Third Party Payors

• Unifying the private practitioners with a common
  voice.
• Meeting data needs
• Developing best practices in concert with payors.

12
Newfoundland and Labrador

• Voice of private practice needed at the table.
• Identify needs
• Get perspective
• Better monitor environment
• Better prepared to meet
• Strengthens the position of physiotherapy

13
Closing Quote

• Coming together is a beginning.
• Keeping together is progress.
• Working together is success