Marathon Family Health Team MFHT Marathon Family Health

Marathon Family Health Team (MFHT)

Marathon Family Health Team

Marathon Family Health Team What is Primary Care? : Primary health care refers to the patient’s first point of contact with a doctor or a health care team. Primary health care services covers all aspects of health for the patient from cradle to grave.

Marathon Family Health Team What Is a Family Health Team? : A Family Health Team is an approach to primary health care that brings together different health care providers to coordinate the highest possible quality of care for the patient.

Marathon Family Health Team Origins n The Marathon Family Health Team was established in December 2005. n Family Physician Group Practice was established in 1996.

Marathon Family Health Team Providers 1 Full-time Nurse Practitioner n 2 Full-time Registered Nurses n 1 Full-time Physician Assistant n 2 Full-time Registered Practical Nurses n 1 Full-time Social Worker n 1 Part-time Registered Dietitian n

Marathon Family Health Team Administrative Support 1 Full-time Director n 1 Full-time Administrative Assistant n 1 Part-time Epidemiologist n 1 Part-time Receptionist n

Marathon Family Health Team n FHT funding is separate and distinct from the Group Physician funding n FHT funding provides financial support n Commitment to implement primary care programs and services

Marathon Family Health Team New programs and services help to: n Improve access to care n Provide for the unique needs of our population n Build on existing strengths n Enhance existing linkages n Focus on chronic disease management and health promotion

Marathon Family Health Team Established Programs n n n n n Diabetes Well Woman INR/Anticoagulation Smoking Cessation Asthma COPD Prenatal Sexual & Reproductive Health Travel Health n n n n n Immunization Hypertension Foot Care Wound Care Mgmt Telemedicine Geriatric Mental Health Palliative Care Nutrition & Healthy Living

Marathon Family Health Team “I finally quit smoking by using the patch. I put six of them over my mouth” Wendy Liebman

Marathon Family Health Team Established Services n n n n Annual Physicals Well Baby Exams Well Woman Exams Skin Treatment Compression Stocking Measurements Injections Telephone Consults and Triage n n n n Blood Pressure Monitoring Ear Syringing Preventive Care Services Nutritional Assessments and Care Plans Group sessions Infant Feeding Workshops Cooking Classes High School Clinic

Marathon Family Health Team Our Dietitian told a patient the other day, “you have to stay in shape”. My mother started walking five miles a day when she was 60. She’s 97 now and we have no idea where she is.

Marathon Family Health Team Improving Access Fiscal 2009 – 2010: • Nurse Practitioner (7 months only) * Advisory Phone Calls • Registered Nurses • * Advisory Phone Calls • Registered Practical Nurses * Advisory Phone Calls • Social Worker • Registered Dietitian = 798 client visits = 370 = 3, 178 client visits = 5, 677 = 2, 495 client visits = 1, 949 = 656 client visits = 244 client visits

Marathon Family Health Team Improving Access Doctors can be frustrating. You wait a month-and-a-half for an appointment, and she says, “I wish you had come to see me sooner. ”

Marathon Family Health Team …. . And a patient called reception the other day, suffering from a bad case of the flu, the outraged patient bellowed, “three weeks? ? ? The doctor can’t see me for three weeks? ? ? I could be dead by then! The receptionist, always a professional, calmly replied…. If so, would you please have your wife call to cancel your appointment? ”.

Marathon Family Health Team Issues & Challenges Funding n Evaluation n Mentorship n Recruitment & Retention n

Marathon Family Health Team Recruitment & Retention n n Inter-professional team Electronic Medical Records and Clinical Management System A well organized, modern clinic with on-site management Flexibility of work schedules Balance between personal and professional life A teaching facility Opportunity to provide other services (new recruits can practice more than just family medicine, i. e. Obstetrics, E/R) Turn-key operation Recruitment & Retention Committee Start-up Housing options and community incentives

Marathon Family Health Team Economic Spin Off Healthcare Providers: Are major employers n Help to stabilize the population base. n Provide more healthcare services which keeps residents at home n

Marathon Family Health Team Sustainable Primary Healthcare