Health care stakeholders—providers, governments, payers, consumers, and other companies/organizations—struggling to manage clinical, operational, and financial challenges envision a future in which new business and care delivery models, aided by digital technologies, may help to solve today’s problems and to build a sustainable foundation for health care that is affordable, provides excellent patient experience, and delivers high quality results. The medical organizations that can offer these three deliverables, will be the ones that will succeed and prosper in the new era of “value-based care”.
Perhaps the most important rebalancing in health care systems must be the utilization of the primary care provider, i.e. the Family Medicine doctor as the entry point into the health care system for all patients. Primary care organizations focus on 8 core principles: access, comprehensiveness, continuity, coordination, prevention, family and community orientation, and patient centeredness. In addition, the model of Family Medicine,is the sole medical specialty dedicated exclusively to primary care – care that is not limited by age, gender, organ system, or disease. (American Academy of Family Physicians 2010)
In any balanced health care system, the Family Medicine Specialist should be at the center of a vertically AND horizontally integrated program with direct communication and feedback to and from the subspecialists to optimize patient care with the doctor providing active management for their patients in the community and acting as the head of a primary care team including nurses, care managers and other health professionals with specific skills in primary care.
It is this integrated model of care that can deliver on value-based care. Patients are seeking a higher quality of care and a better patient experience. This recognition is one reason why many Family Doctors in low and middle income countries are migrating to the private practice of medicine. This change however requires a new skill set by physicians. Most physicians have little business experience. As they explore their future in the private practice of medicine, they may seek expertise to help guide them into this new model of care.
Global Primary Care Consultants has the expertise and the resources to work with primary care physicians and organizations to help guide them to an understanding of their future capabilities and to support them as they create that future as a leader in the delivery of high quality, affordable health care that gives its patients an experience that allows for sustainable growth.
Our consulting team can help primary care physicians develop a road map for their future. It can assist either group practices, academic Family Medicine Centers or individual physicians who desire to join other physicians as a group to become a major presence in the health care delivery market in their region. The team does this through a process that leads their clients through four major organizational stages each of which has multiple steps.
The first stage of the consultation will be an extensive needs assessment. Interviews with major stakeholders is essential. The consultants will utilize this time to develop an understanding of the current state of health care in the client’s country and the desired state of the stakeholders. This first stage will result in a report to the stakeholders including recommendations for a road map to the desired state.
This stage begins the development of a new medical organization and will start with a visioning session to create a vision and mission for a new organization. Once this is accomplished the consultants will assist the organization to define the role of a board of directors and its leaders. Once the Board is formed then the organization will develop a set of bylaws. This will lead to a focused strategic planning session. Finally, consultants will assist the clients in developing job descriptions for and recruiting their organizational executive leadership.
Careful attention to the trends in care and the best practices for future delivery of health care in the client’s country will be analyzed. With the road map created by the strategic plan, the focus will be on the sites where health care will be delivered.
The steps needed for this process will include:
1. Designing the model of health care delivery (e.g. a Patient Centered Medical Home, use of Population Health)
2. Preparation of the Organizational Chart
3. Selection of the Information Technology vendor
4. Formation of the Primary Health Care Team
5. Development of the Policies and Procedures
6. Establishment of clinic workflows
7. Selection of Practice Guidelines
8. Definition of Practice Standards in accordance with Joint Commission International Standards
Our consultants will work with the client organization through the deployment of the health care delivery network. The consulting executives will pair with their counterparts on the organization's' executive leadership team to train and mentor them. Our team will actively work in the Family Medicine Centers during the deployment stage to monitor all aspects of leadership, operations and health care delivery. .
With completion of the four stages of development, the client’s organization will be in a position to apply for it's initial Joint Commission International review. Global Primary Care Consultants will remain prepared to re engage with the organization if additional services are desired.