Our Community. Our Hub

The center could be a human body

Looking more closely at the other sectors, we see how inclusive the connections are becoming. The colors represent the level of IT connection.

Green - already in place and functioning

Red - coming this fall

Blue - very interested, looking for IT solutions

The final result in the natural evolution of the FHT to become the health hub of their community, but probably the most important is the next phase in the evolutionary change; the ability of the hub to meet the needs of patients, providers, as well as the other health sectors will be determined by the strength of the foundation.

Connections

Our Community.Our Hub.

Excellent Health Care For All

PATIENTSBarrie and

Community FamilyHealth Team

Private Sector

Optimed – EMR Partner

Pharmacy Companies(Merck, Pfizer, FHO)

GovernmentMOHLTC

North Simcoe Muskoka LHIN LLC

Health Care ProvidersFamily MD’s - 68 Across 34 Sites

Barrie Community Health Care Centre

NP Clinics

Orphan Prenatal and Well Baby

CMHA

Community Specialists - Cardiology, Pediatrics, Surgeons

Royal Victoria Hospital

Barrie Medical After Hours Clinics

CCAC

Simcoe District Public Health

Alzheimer’s Society

Support ServicesLabs – Life Labs, Gamma DynaCare

Royal Victoria Hospital

Atrium Cardiology

Barrie Vascular Imaging

Georgian Radiology

Care CollaborativeDiabetes Collaboratives

Regional Diabetes Coordination CentreBarrie Breastfeeding Action TeamLung Health / Smoking Cessation

Regional Stroke Program

AcademiaUniversity of Toronto

Medical School

Georgian CollegeHealth and Wellness

Rural OntarioMedical Program

The Barrie and Community FHT is not significantly different from other FHT’S except for its size and resulting inclusiveness within the community. With 68 Family MD’s working within BCFHT, this means that the majority of primary care in

our community is delivered under the concept of a multidisciplinary team approach.

Primary Care of Family Medicine in our community means the full spectrum of health care delivery. From birth to end of life, preventative care and chronic disease management, prenatal care, hospital care, LTC, palliative care. There is no other health care sector that is as comprehensive.

Programs that have been developed, therefore also reflect these facts about primary care. I suspect most FHT’s recognize and respond to the same clinical needs. I suspect that most FHT’s have developed similar programs which are built on multi-disciplinary approaches and utilize evidence based models of care. The Barrie situation could represent the natural evolution of all FHT’s within their communities. The first important principle is that Family Health Teams, because of their relationship with patients and their family physician naturally become the hub within their community for health care delivery. The second principle that bonds between the central hub and other health sectors can be strengthened, and yet more flexible in their interaction if the bonds are created with IT network support. This IT network allows many opportunities - improved communication which fosters team based care, education of providers and patients, evaluation and analysis, and the ability to practice quality improvement. The third principle is the need for maximum inclusiveness. This promotes multiple perspectives and gathers the maximum expertise available in the community. The other health sectors in our community that have become connected to the central hub of patients and BCFHT include; health care providers, support services, ‘Care’ collaboratives, government, academic and the private sectors.

The Difference Pillars of Strength

The four main pillars of this foundation are:

QualityFamily physicians leading improvement in primary health care. The 6 areas of QI are: Access, Efficiency, Effectiveness, Equity, Safety and Patient Centered.

ResearchConstantly improve programs through systematic and scientific evaluation of the data gathered from programs.

ServiceProvide patient-centered, effective, efficient health care.

Education/CommunicationTo educate and train individuals and teams to employ the knowledge and learning developed in the quality and research pillars to achieve better health for our community.

•Patients Rostered ............................................119,614• Family MD’s ............................................ 68, 34 sites• NP’s .........................................................................15• Allied Health Mental Health ...................................................10 Dietician ..............................................................6 Pharmacy ............................................................2• RN Educator Diabetes............................................................3.5 Lung Health ........................................................2• University of Toronto Medical School Family Medicine Residency Program• Georgian College, Barrie Campus Health and Wellness Program• IT (Information Technology) Optimed, Accuro Hospital Report Manager

An OverviewChronic Disease Management• Hypertension• Diabetes• Lung Health – COPD/Asthma• Pulmonary Rehab• Anti-Coagulation Management• Cognitive Assessment - Geriatrics

Prevention / Health Promotion• Dyslipidemia• Healthy Lifestyle• Smoking Cessation• Childhood Healthy Lifestyles• Obesity Management• Breast Feeding• Prenatal Education

Unattached Patient Care• Prenatal Program• Well Baby Program• After Hours Clinics x 5• University of Toronto Medical School Family Medicine Residents

Programs

Brent ElseyMedical Director

Michael FeradayExecutive Director

The Barrie & Community Family Health TeamAdministrative Office

190 Cundles Road East, Suite 102 Barrie, Ontario L4M 4S5 Canada T: 705-725-4701 F: 705-725-4708

www.barriefht.ca

Georgian College

Mental Health

Barrie MedicalClinics

Prenatal Wellbaby

Dr. McLelland(Cardiologist)

Atrium Cardiology

CMS Servers

BFHT IHP

Royal VictoriaHospital

PhysicianSpecialists

Georgian Radiology

NP Clinic(Horseshoe Valley)

NP Clinic(Georgian)

Life Labs/Gamma–DynaCare Labs

Barrie and CommunityFamily Health Team

• Improved communication between providers• Improved quality of care• Educational opportunities• Research opportunities• Decrease in healthcare costs

Benefits of CMS