Integrated Family Health Centres * A germinating seed for

advertisement
Dr Jonathan Simon
Facilitator
West Auckland Health Network
Integrated Family Health Centres

 6 Key ideas:






BSMC, its objectives
IFHC + associated networks
Changing players in Practice ownership
Segmentation of the health sector
Model of care and revenue Agreement (MoCRA)
Localities
Integrated Family Health Centres

 BSMC






Care close to home
Integrated care
Putting patients first
Clinical leadership
Working together for better care
Healthier lifestyles
 Will require TRANSFORMATIONAL change.
Integrated Family Health Centres

 IFHC
 Is a part of an integrated delivery system not a co-location
 Will be focused on improved health care delivery using new
models of care and information to improve health outcomes
 Will house, or be connected to, integrated, devolved DHB
services and they will be part of the new integrated models
of care
 Will form a network of local practices that also participate
in the new models of care
 They will represent new ‘function’ whose form may be a
new building or a virtual network
Integrated Family Health Centres

 Practice Ownership
 Major changes are occurring in the sector
 Fuelled by older GPs looking for an exit strategy and
fewer new GPs wanting to own and operate general
practices
 Significant players:
 Radius Health (16), East Tamaki Healthcare(15+White
Cross), Peak Health (14) Pinnacle(10), Southern Cross
Primary Care(2).
 By Maori for Maori providers usually trusts
Integrated Family Health Centres

 Segmentation
 Five business models emerging
 High Needs business model – Radius, East Tamaki
Healthcare, Whanau Ora Centres
 Health Insurance models based on affluent populations
– Peak and Southern Cross Primary
 PHO/MSO owned practices being moved towards an
integrated model – Midland Health Network
 Private family practice owned IFHCs
 Community owned Trusts ( eg Maori for Maori)
Integrated Family Health Centres

 Model of Care and Revenue Agreement (MoCRA)
 This agreement in conjunction with the IFHC and
associated network in the lever for change within the
locality which is the unit of change within the health sector
 This is an agreement for a new way of ‘being’ not for
activity
 It will be voluntary for those who choose to embrace change
 Applied to IFHCs and general practices, it will create the
slowly germinating seed of transformational change in the
health sector
Integrated Family Health Centres

 Localities
 Metro Auckland DHBs all moving to localities
 Unit of 50,000 – 100,000 people
 Clinically lead networks of all health professionals,
primary and secondary
 Working to reshape health services and take
responsibility for Clinical governance
 IFHC will grow within these localities and expand
through their associated networks
Integrated Family Health Centres

The New Zealand Triple Aim
or
yf
uit
eq
h & ns
alt tio
he ula
ed op
N
ov all p
TIO
pr
LA
Im
PU
PO
Im
pr
ov
ex ed
pe qu
rie ali
nc ty,
e o sa
IN
f c fet
DI
ar y &
VID
e
UA
L
New Zealand Triple Aim
QUALITY
IMPROVEMENT
SYSTEM
value for
public
Best ValueBest
for public
health
system resources
health system resources
Download
Related flashcards

Labor

14 cards

Business

36 cards

Free business software

44 cards

Tourism in Greece

43 cards

Create Flashcards