Dr Jonathan Simon
Facilitator
West Auckland Health Network
Integrated Family Health Centres
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 6 Key ideas:
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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
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 BSMC
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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
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 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
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 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
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 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
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 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
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 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
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The New Zealand Triple Aim
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New Zealand Triple Aim
QUALITY
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Best ValueBest
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system resources
health system resources