C2 Enhanced Collaboration between Primary Health Care and Population and Public Health_Victoria Lee

BETTER HEALTH Enhanced Collaboration between Primary Health Care and Population and Public Health Victoria Lee MD MPH MBA CCFP FRCPC

Medical Health Officer and Executive Medical Director Population and Public Health Fraser Health Authority

Petra Pardy RN MA Executive Director, Primary Health Care & Jim Pattison Outpatient Care & Surgery Centre Fraser Health Authority

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Update on PC PH Collaboration BC: Provincial FHA: Regional Langley Community: Local

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Creating the Burning Platform: Why Collaborate?

“Now more than ever”, collaboration between primary care and public health is needed. Collaboration between these sectors not only results in enhanced identification of health issues but also in addressing them such that health outcomes are optimized. – WHO, 2012

“PC and PH should be viewed as two interacting and mutually supporting components” – IOM, 2012

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We are all familiar with our

HEALTH CARE CHALLENGES Chronic conditions and injuries are responsible for over $22 billion per year in economic burden in BC1 The proportion of obese children has nearly tripled in the last 25 years3 Increasing costs of medical technologies and pharmaceuticals2 A growing and aging population with multiple and complex health care needs2 1.

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Kendall, P. (2006). Provincial Health Officer’s annual report: an ounce of prevention. Victoria, BC, Canada.

CIHI (2009). Canadian Institute for Health Information, National Health Expenditure Trends, 1975-2009. Canadian Institute for Health Information. Ottawa: CIHI. Canada, H. (2006, 10). Healthy Living. Retrieved 11 30, 2011, from Health Canada: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/life-vie/obes-eng.php

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Regional and Local: Areas of Collaboration Communication Community-based Activities Practice-based Research Prenatal and Early Childhood Clinical Prevention Division of Family Practice Priorities 8

Provincial  Divisions of Family Practice  Integrated Primary and Community Care  Health Officers’ Council and Doctors of BC (GPSC and SGP)

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Communication  Between PC-PH    

Immunization information CD prevention and follow-up Collaborative Service Committee Leadership teams

 Patients  Digital Signage 10

Community-based Activities

 “Through increased collaboration between primary care

providers and community social agencies the needs of individuals and families for early childhood development, income support, food, shelter and other social support can be met�. (Millar et al. 2011)

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Practice-based Research  CIHR  Community-Based Primary Healthcare Performance Measurement and Reproting

 IHSTS (Institute of Health Systems Transformation and Sustainability)  Assessment of readiness to transform to community-based primary healthcare 12

• Clinical Prevention • Healthy Connections – Nurse Family Partnership

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Division of Family Practice Priorities

 Attachment - GP4ME  Shared Care between primary care and specialists  NP4BC

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Next Steps  Continue the dialogue Prioritization Build on current initiatives Available resources Align Division/organization goals and objectives

 Partner with others  Support innovation and implement Community-Based System of Health 15

CBSH – Initiatives DRAFT

Patients, families, and their care providers working as a team for better patient care

Accelerated Primary & Community Care Initiatives

Primary Care Practice Support Program (PSP) Initiatives

- BreatheWELL, Home First, PTOP, Community REDi, End of Life

- Module Delivery

- Coaching

Divisions of Family Practice Partnership Initiatives

Care, Telehome Monitoring

Primary Care Initiatives

Integrated Health Networks Initiatives

- Diabetes Health Centres Standardization - EMR - PHC Performance Measures

Healthy Community Partnerships

Mental Health & Substance Use Initiatives

- ACT - Rapid Access Clinics

Seamless Care

Home Is Best

(NGOs & Municip. Gov’t)

Patient Advisory Committee

Working Group

First Nations Health Providers

- PITO (Physician Information Technology Office) - PSP Modules

Divisions of Family Practice Initiatives

- Division Attachment, In-hospital program, NP4BC

Family Physicians Community Partners

Divisions of Family Practice Initiatives

- IHN Initiatives: South Asian Health Centre, Chilliwack Srs. Clinic, Diabetes Practice Collaborative, Youth Clinic, Collaborative Services Committee, IMIT Working Group, Communication

HH CM GP, MH RAC, MH Collab Care

Date:

Seamless Care Initiatives -

FH Providers

Clinical Transformation

April 23, 2014

Revision: 2

Outcomes Improve Experience for Clients/Patients and Care Providers

More Sustainable Health Care System

- Standardizing documentation & processes

Medical Specialists

Improve Health of the Population

Acute Initiatives - Hospitalists, 48/6

Public Health

Home Health Initiatives - Case Manager Strategies

Shared Care Initiatives

- Partners in Care, Transitions in Care, Rapid Access to Physch., PSP, Polypharmacy, Teledermeatology, Youth Transitions, Funding & Scholarships, CYMHSU Collab.

Healthier Communities - Chronic Disease Prevention - Healthy Aging - Mental Health / Substance Use & Well-Being - Unintentional Injury Prevention

Public Health

- Stop HIV - Flu vaccine campaign - Best Beginnings

Health Care Integration Health integration initiatives – projects and quality improvement work initiated to produce collaboration, coordination, connectivity and alignment of services delivered by multiple providers.

Integration is an effective way to deliver comprehensive services for people living with complex and chronic care health issues, improve their health and quality of life, and prevent disease and unnecessary hospitalization.

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Institute of Medicine, Primary Care and Public Health. http://www.iom.edu/Reports/2012/Primary-Care-and-Public-Health/Video.aspx

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Victoria.lee@fraserhealth.ca

THANK YOU

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