This session featured the community projects and programs of the
A GP for Me initiative that have built the foundation of the patient medical home/primary care home model. The session opened with a rapid-fire “share and learn” by 22 communities, with each community presenting a Most Significant Change or Innovation story identifying a community problem, and the practical steps taken to effect change. The objective was to explore how funded projects can be transitioned into sustainable and scalable projects across communities.

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The “share and learn” activity was followed by a crowd-sourcing exercise during which participants were challenged to  translate A GP for Me successes and learnings into patient medical home/primary care home plans, and brainstorm ideas for change and innovation. Ideas presented by participants were reviewed, scored, and themed by the group.  The highest-ranked themes and ideas included:
 

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• Electronic medical records
   

  • Provincially incentivized improvements in EMR interoperability.
     

  • EMR interoperability with “one patient, one record” capability in a team-based care environment.
    
     

• Alternate payment models
   

  • Changing the fee-for-service model to support team-based care and physician satisfaction.
     

  • Blended payment plans that reward or incent physicians to build attachment with patients.
     

  • Salaried physicians (where suitable to a practice).
     

  • Allocation of funds to compensate physicians for moving to group practices.
    
     

• Team-based care/creation of an expanded health team
   

  • Develop a centre of excellence for mental health, with subset services.
     

  • Build culturally competent expanded health care teams that include allied health practitioners and elders from First Nations communities.
     

  • Create a fully integrated model of health care in which patients access allied health services through the physician (or care provider), supported by an alternate payment model.
    
     

Collected findings from this session will be developed into future resources for divisions.