Integrated Family Health Centres – A germinating seed for transformational change in General Practice

1. Integrated Family Health Centres – A germinating seed for transformational change in General Practice Dr Jonathan Simon Facilitator West Auckland Health Network

2. 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

3. 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.

4. 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

5. 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

6. Integrated Family Health Centres • Segmentation • Five business models emerging • High Needs business model – Radius, East Tamaki Healthcare, WhanauOraCentres • 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)

7. 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

8. 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

9. Integrated Family Health Centres New Zealand Triple Aim Best Value for public health system resources