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Primary Health Care: Provincial Primary Health Care Newfoundland and Labrador

2. Presentation:Overview. DOHCS PerspectiveBackground and ContextPrinciplesGoalsSupporting Inter-disciplinary teams (process/ status related to principles

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Primary Health Care: Provincial Primary Health Care Newfoundland and Labrador

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    1. 1 Primary Health Care: Provincial Primary Health Care Newfoundland and Labrador Inter-professional Teams November, 2006

    2. 2 Presentation: Overview DOHCS Perspective Background and Context Principles Goals Supporting Inter-disciplinary teams (process/ status related to principles & goals) Family Physician and PHC Team Perspective

    3. 3 PHC Provincial Framework: NL Department of health & Community Services Perspective

    5. Continuum of Service/Care Model

    6. 6 NL: PHC Framework Principles Timely access range comprehensive services Range services prevention/ promotion to end-of-life, incl. acute and episodic care Access urgent and emergency services 24/7 Linkages with secondary/ tertiary Focus health promotion/ prevention illness & injury Services by inter-professional teams & networks Full use provide knowledge & continual professional development Clear accountability & relationships

    7. 7 NL: PHC Framework Principles Inter- professional teams evidence based and affordable Population based, community development (including citizen involvement) and inter-professional approach planning, implementation & evaluation Recognition of health determinants Involvement client/patient decision making/ self-care Team access information/ communication Respect for privacy Support research, evidence informed practice, & health outcomes Funding arrangements & payment options

    8. 8 NL: PHC Framework Goals Enhance accessible, sustainable Primary Health Care services Support comprehensive, integrated, and evidence-based services Promote self-reliant healthy citizens & communities Enhance accountability and satisfaction of Health Professionals

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    11. 11 Implementing Inter-professional Teams: Process & Status Team Approach Leadership teams PHC team area Coordinator/ Facilitator/ Physician; Regional Director & VP leads; Provincial DOHCS leaders & Advisory Committee Team development/ Building Better Tomorrow (BBTI) Regional HR departments; Train the trainer sessions; Web-based Facilitation guide Guide being finalized; Web-based Physician funding model/ contracts Contracts later stages of development Memorial University Newfoundland Medical School: Pilot skills development module this fall Enhance pre/post-licensure education: working with team areas

    12. 12 Implementing Inter-professional Teams: Process & Status Right Services/When/Where Needed Needs/ Services Assessment Scope of Practice Initiated 8/8 PHC team areas; Action plans; Collaborative process initiated Chronic Disease Prevention & Management (CDPM) Diabetes Collaboratives PHC team areas; next Mental Health/ Arthritis Selfcare/ telecare 24/7 nurse line; opened late September Healthy Living Community Advisory Committees Established in all rural PHC team areas Wellness & community development projects Variety activity in all PHC team areas

    13. 13 Implementing Inter-professional Teams: Process & Status Information Management Enhanced Sharing of Electronic Information Pilots (urban and rural)* Information Management support CDPM Registration process (rural and urban) Early implementation Provincial Telehealth plan Plan/ implementation plan/ partial funds/ Cabinet paper Electronic Medical Record Contract to pilot 2 urban physician practices; ID rural gaps ICPC2 Literature review and benefits case

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