Patients Medical Home and Your Practice Presented By

Patient’s Medical Home and Your Practice Presented By: Dr. Jordan La. Rue, BSc, MD, CCFP Family Physician, Sylvan Lake Mark Watt, BN, RN Sr. Consultant, AMA 1

Your Presenters Dr. Jordan La. Rue Mark Watt 2

The Physician Leaders’ Network By Physicians and For Physicians & Health Professionals 3

Before we begin www. pcnpmo. ca/PLN 4

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Internal governance External stakeholders CONTINUI • Relational • Information TY al • Manageme nt ACCESS Appointment s & Referrals EMR Comprehensive Care 6

Seeing the light: Making the journey to proactive panel care Patient’s Medical Home 7

Traditional Approach 2 hour wait Walk-in Doctor • Takes history • Examination • Lab requisition Follow up with your family doctor. • • I can’t wait. I’ll go to a walk-in clinic. Dave’s Doctor Monitor Prescribe Self-management Inform family Appointment in 8 days Dave FEATURES Urgent issue Blood test Day 1 Day 2 Anxious Days 3 -7 Followup Ongoing care Day 8 Dave’s Doctor • Takes history to update • Tracks down lab results • Examination • Diagnosis • Referral to specialist • Answers questions Ø Dave coordinates his own journey, and often waits for care and information. Ø He has to repeat his story – and his care is partially provided by someone who doesn’t know him. Ø Dave’s doctor is solely responsible to help him understand self-manage his condition.

Patient’s Medical Home Approach Dave’s Doctor • Examination • Lab requisition Dave’s Doctor Care Team • Diagnosis • Referral to specialist • Answers questions • Renew prescriptions • Preventive screening No waiting! Appointment today Urgent issue Day 1 Dave Blood test Anxious Followup Day 2 Day 3 Patient Care Line • Lab results • Self-care advice • Q&A Patient Care Portal FEATURES • Books next appointment • Text reminder option Ongoing care Dave’s Doctor • Monitor • Prescribe • Inform family Care Team • Self-management • Group medical visits • Planning with patient/family Ø Dave receives care and information at the right time, from people he trusts who know his story. Ø Dave’s doctor and care team help him and his family to understand self-manage his condition. Ø The role of the physician has not changed; Dave’s care is augmented by the team and the system.

Where do we begin? 10

Your Partners 11