Primary Health

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Primary Health Care in Manitoba
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Primary Health Care Reform
Medical model Primary Health Care
? Treatment ? Health promotion
? Illness ? Health
? Cure ? Prevention, care, cure
? Episodic care ? Continuous care
? Specific problems ? Comprehensive care
? Individual practitioners ? Teams of
practitioners
? Health sector alone ? Intersectoral
collaboration
? Professional dominance ? Community
participation
? Passive reception ? Joint Responsibility
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Right provider, right place, right time
Working Together for Better Health
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Policy FrameworkPHC Vision

• Manitobans will have access to community-based,
  integrated and appropriate PHC services.
• Manitoba Health will work with the RHAs, in
  partnership with key stakeholders, to develop and
  support PHC services.

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PHC Policy Framework

• PRIMARY HEALTH CARE GOALS
• Promote the development of PHC organizations
  delivering services to Manitobans based upon the
  principles of PHC.
• Enable PHC service providers to deliver services
  in ways that reflect PHC principles.
• Improve the quality of PHC organizations to
  deliver services in accordance with the
  principles of PHC.

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Primary Health Care Transition Fund


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Manitobas Per Capita Grant Implementation

• Phase 1 support PHC provincial infrastructure
  (8.9 M)
• Phase 2 RHA initiated proposals (11.9M)

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PHCTF - Other Envelopes

• Multi jurisdictional
• Health Lines
• Western Health Information Collaborative
• Multidisciplinary Collaboration Primary Maternity
  Care Project (MCP2)
• Aboriginal
• Aboriginal Midwifery Education Initiative
• Northern Aboriginal Health Wellness Institute
• National
• National Nurse Practitioner Network
• National Primary Health Care Conference
• Making the Links Conference
• Facilitation
• Pan-Canadian Primary Health Care Indicators
  Project
• Official Languages Minorities Communities
• Mobile Health Care Team
• St. Boniface access model development

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Outcomes

• Development of 5 new community / primary health
  facilities (rural and urban)
• Expanded Health Links to province wide, 24-7
• Increased awareness regarding Primary Health Care
• Development of collaborative practice training
• Expanded roles of health practitioners
• Development of new information technology tools

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Looking Ahead

• Complete Evaluation of PHCTF initiatives and
  submit PHCTF Final Report(s) to Health Canada
• Further advancement of primary health care within
  the province
• Manitobas Approaches to Primary Care (MAPC)
• Physician Integrated Networks (PIN)
• Strategic Planning for the next 5 years
• Policy development
• Sustainability

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Manitoba Approaches to Primary Care


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Manitoba Approaches to Primary Care (MAPC)

• MAPC Vision
• Quality primary care is available to all
  Manitobans.
• MAPC is the umbrella concept capturing the
  variety of established approaches to primary care
  service delivery in Manitoba.

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Manitoba Approaches to Primary Care
Physician Integrated Networks
Primary Health Care Centres
Community Health Centres
Winnipeg Integrated Services
Large Group Practice Family Physicians
Solo Practice Family Physicians
Small Group Practice Family Physicians
Access Centres
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Physician Integrated Networks (PIN)


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Physician Integrated Networks (PINs)

• Vision
• Quality primary care is available to all
  Manitobans through networked Primary Care
  Physicians in collaboration with other
  providers.
• Physician Integrated Network (PIN) represents a
  single new approach to primary care service
  delivery that will be added to the MAPC
  landscape.
• The Physician Integrated Network (PIN) focuses on
  the engagement of autonomous, independently owned
  fee-for-service physician groups.
  Interdisciplinary Collaboration will be a key
  feature as this approach evolves.

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Objectives

• To improve access to primary care.
• To improve Primary Care Providers access to and
  use of information systems.
• To improve the working environment for all
  primary care providers.
• To demonstrate high quality primary care with a
  specific focus on Chronic Disease management.

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Nurse Practitioner / Project Manager


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Deliverables

• Environmental scan
• Evaluation of collaborative teams (including RN
  EP)
• Sustainable funding framework
• Engagement of RHAs / stakeholders
• Evaluation of RN (EP) supply and demand
• Marketing and Communication