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The 12 Attributes of a Patient Medical Home in BC

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource916
Published Date
2016-09-20
Link to File
http://www.gpscbc.ca/sites/default/files/PMH%20graphic%20%2020160920.pdf
Description
"This illustration shows the framing of a patient medical home in BC. It depicts one goal and 12 attributes grouped into three areas. The patient is located in the centre, with the goal being whole-person care."
Corporate Author
General Practice Services Committee
Published Date
2016-09-20
Topics
Patient Medical Home
PMH Attributes: TBC Toolkit - Understanding TBC
Resource Type
Info Graphic
File Type
Pdf
Link to File
http://www.gpscbc.ca/sites/default/files/PMH%20graphic%20%2020160920.pdf
Originating web page
http://www.gpscbc.ca/what-we-do/primary-care-bc/patient-medical-home
Description
This illustration shows the framing of a patient medical home in BC. It depicts one goal and 12 attributes grouped into three areas. The patient is located in the centre, with the goal being whole-person care.
Less detail
Program
Practice Support Program
Published Date
2018-04-20
Link to File
/media/divresources/BCPMHPracticeCharacteristicsMatrix_PosterVersion.pdf
Description
"The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
2018-04-20
Topics
Patient Medical Home
Resource Type
Poster
File Type
Pdf
Link to File
/media/divresources/BCPMHPracticeCharacteristicsMatrix_PosterVersion.pdf
Description
The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively.
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BC PMH Practice Characteristics Matrix with Cover Page

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1081
Program
Practice Support Program
Published Date
04-20-2018
Link to File
/media/divresources/BCPMHPracticeCharacteristicsMatrix_withCoverPage.pdf
Description
"The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively."
Program
Practice Support Program
Corporate Author
General Practice Services Committee
Published Date
04-20-2018
Topics
Patient Medical Home
Resource Type
Report
File Type
Pdf
Link to File
/media/divresources/BCPMHPracticeCharacteristicsMatrix_withCoverPage.pdf
Description
The PMH Practice Characteristics Matrix supports physicians to understand what the 12 attributes of the PMH model mean in concrete terms in the context of their practice, and what a transition towards the PMH could entail for them. As well, it helps GPSC and other health system partners to organize their thinking around the practice-level realities of the PMH model, and the strategic development of provincial supports for physicians to achieve the model. The Matrix—intended to be read from left to right--illustrates both the 12 attributes of the PMH model, as well as their corresponding sub-attributes, several of which are to be achieved cumulatively.
Less detail

Best Advice Guide on Recovery-Oriented Mental Health and Addiction Care in the Patient’s Medical Home

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1171
Published Date
2018/10/23
Description
"This document provides guidance for offering Mental Health & Addiction services using a recovery-oriented approach in the context of the PMH."
Corporate Author
Mental Health Commission of Canada (MHCC)
College of Family Physicians of Canada
Published Date
2018/10/23
Topics
Mental Health and Substance Use
Patient Medical Home
Resource Type
Guide
File Type
Web page
Pdf
Originating web page
https://patientsmedicalhome.ca/files/uploads/BAG_Mental_Health_ENG_web.pdf
Description
This document provides guidance for offering Mental Health & Addiction services using a recovery-oriented approach in the context of the PMH.
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Boundary Proof of Concept Patient Medical Home/ Primary Care Network: A summary of evaluation findings

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1179
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019-01-08
Link to File
/media/divresources/BoundaryPoCProvincialSummary.pdf
Description
"The document was provided during the GPSC Patient Medical Home Evaluation Webinar. It draws on the GPSC case study of the Boundary PoC in 2018."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Published Date
2019-01-08
Topics
Patient Medical Home
Primary Care Network
Evaluation
Event
GPSC Patient Medical Home Evaluation Webinar
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCProvincialSummary.pdf
Description
The document was provided during the GPSC Patient Medical Home Evaluation Webinar. It draws on the GPSC case study of the Boundary PoC in 2018.
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Boundary Proof of Concept Patient Medical Home/Primary Care Networks - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1395
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
"This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations."
Health Authority
Interior
Division
Kootenay Boundary Division of Family Practice
Corporate Author
General Practice Services Committee
Kootenay Boundary Division of Family Practice
Interior Health Authority
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Team-Based Care
Quality Improvement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/BoundaryPoCCaseStudy.pdf
Description
This case study is broken into the following main sections: 1) overview of case study approach, 2) Overview of Boundary PoC design and implementation, 3) Key outcomes achieved to date, 4) Key Boundary PoC successes, 5) Key enablers of success in the Boundary PoC process, 6) Key Boundary PoC challenges; and 7) Conclusions and recommendations.
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Building a System of Primary Care: Regional Partnership Perspectives - Infographic Handout

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource987
Health Authority
Northern
Division
Prince George Division of Family Practice
Published Date
2017-06-19
Link to File
/media/divresources/PG_Partnerships_in_Action_diagram_12_16.pdf
Description
"Handout from one of several table discussion during the Building a System of Primary Care: Regional Partnership Perspectives session at the GPSC Spring Summit 2017."
Health Authority
Northern
Division
Prince George Division of Family Practice
Corporate Author
Prince George Division of Family Practice
Northern Health Authority
Published Date
2017-06-19
Topics
Engagement
Patient Medical Home
Event
GPSC Spring Summit 2017
Workshop
Building a System of Primary Care: Regional Partnership Perspectives
Resource Type
Info Graphic
Handout
File Type
Pdf
Link to File
/media/divresources/PG_Partnerships_in_Action_diagram_12_16.pdf
Description
Handout from one of several table discussion during the Building a System of Primary Care: Regional Partnership Perspectives session at the GPSC Spring Summit 2017.
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Building a System of Primary Care: Regional Partnership Perspectives - Roadmap Handout

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource986
Health Authority
Interior
Division
Central Interior Rural Division of Family Practice
Central Okanagan Division of Family Practice
East Kootenay Division of Family Practice
Kootenay Boundary Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Thompson Region Division of Family Practice
Shuswap North Okanagan
Published Date
2017-06-19
Link to File
/media/divresources/GPSC_June2017_Summitt_IHDoFP_Roadmap_to_Success.docx
Description
"Roadmap handout from one of several table discussion during the Building a System of Primary Care: Regional Partnership Perspectives session at the GPSC Spring Summit 2017."
Health Authority
Interior
Division
Central Interior Rural Division of Family Practice
Central Okanagan Division of Family Practice
East Kootenay Division of Family Practice
Kootenay Boundary Division of Family Practice
South Okanagan Similkameen Division of Family Practice
Thompson Region Division of Family Practice
Shuswap North Okanagan
Corporate Author
Interior Health Authority
General Practice Services Committee
Published Date
2017-06-19
Topics
Engagement
Patient Medical Home
Event
GPSC Spring Summit 2017
Workshop
Building a System of Primary Care: Regional Partnership Perspectives
Resource Type
Plan
Handout
File Type
Word
Link to File
/media/divresources/GPSC_June2017_Summitt_IHDoFP_Roadmap_to_Success.docx
Description
Roadmap handout from one of several table discussion during the Building a System of Primary Care: Regional Partnership Perspectives session at the GPSC Spring Summit 2017.
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Building Blocks for Maternity Care - Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1113
Health Authority
Fraser
Interior
Division
Burnaby Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Published Date
2018-04-17
Link to File
/media/divresources/GPSC_Summit_2018_Maternity_Care_Breakout_Slides.pdf
Description
"A presentation from the GPSC Summit 2018 on the several initiatives that are improving maternity care for providers and patients."
Health Authority
Fraser
Interior
Division
Burnaby Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Corporate Author
General Practice Services Committee
Burnaby Division of Family Practice
Kootenay Boundary Division of Family Practice
White Rock South Surrey Division of Family Practice
Personal Author
Dr Shelley Ross Nancy Falconer Kim Williams Dr Charlene Lui Dr Marvin Lemke Dr Jeanette Boyd Dr Tahmeena Ali Dr Karen Buhler
Published Date
2018-04-17
Topics
Maternity Care
Patient Medical Home
Event
GPSC Summit 2018
Workshop
Building Blocks for Maternity Care
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/GPSC_Summit_2018_Maternity_Care_Breakout_Slides.pdf
Description
A presentation from the GPSC Summit 2018 on the several initiatives that are improving maternity care for providers and patients.
Less detail

Central Okanagan Division of Family Practice – Engagement Journey

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1569
Division
Central Okanagan Division of Family Practice
Published Date
2017
Link to File
/media/divresources/Central_Okanagan_Engagement_Journey.pdf
Description
"This is the Central Okanagan Division of Family Practice’s PMH Engagement Journey. The PMH Engagement Journeys were designed to capture eight divisions' early implementation of the patient medical home (PMH) model of health care. The stories offer a look at the challenges and successes the divisions experienced along their journeys, and the resources they created to engage members and partners around primary care. It is the hope that these stories will act as a resource, support, and source of inspiration for other divisions beginning their journeys to an integrated system of care via the PMH."
Division
Central Okanagan Division of Family Practice
Corporate Author
Central Okanagan Division of Family Practice
General Practice Services Committee
Published Date
2017
Topics
Engagement
Patient Medical Home
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/Central_Okanagan_Engagement_Journey.pdf
Description
This is the Central Okanagan Division of Family Practice’s PMH Engagement Journey. The PMH Engagement Journeys were designed to capture eight divisions' early implementation of the patient medical home (PMH) model of health care. The stories offer a look at the challenges and successes the divisions experienced along their journeys, and the resources they created to engage members and partners around primary care. It is the hope that these stories will act as a resource, support, and source of inspiration for other divisions beginning their journeys to an integrated system of care via the PMH.
Less detail
Published Date
2017-07-26
Link to File
/media/divresources/2017_07_26_GPSC_Upcoming_Incentive_Changes.mp4
Description
"This webinar recording reviews the changes to GPSC incentives that will become effective October 1, 2017 and allows participants to ask questions about billing GPSC incentives"
Corporate Author
General Practice Services Committee
Published Date
2017-07-26
Topics
Billing
Incentive Fee Codes
Patient Medical Home
Team-Based Care
File Type
MP4
Link to File
/media/divresources/2017_07_26_GPSC_Upcoming_Incentive_Changes.mp4
Description
This webinar recording reviews the changes to GPSC incentives that will become effective October 1, 2017 and allows participants to ask questions about billing GPSC incentives
Less detail
Published Date
07-26-2017
Link to File
/media/divresources/Info_webinar_on_changes_to_GPSC_incentives_07262017.pdf
Description
"These webinar slides review the changes to GPSC incentives that will become effective October 1, 2017 and allows participants to ask questions about billing GPSC incentives"
Corporate Author
General Practice Services Committee
Published Date
07-26-2017
Topics
Billing
Incentive Fee Codes
Team-Based Care
Patient Medical Home
File Type
Pdf
Link to File
/media/divresources/Info_webinar_on_changes_to_GPSC_incentives_07262017.pdf
Description
These webinar slides review the changes to GPSC incentives that will become effective October 1, 2017 and allows participants to ask questions about billing GPSC incentives
Less detail

Co-Creating the Future of Integrated Health Care - Presentation Notes

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource927
Published Date
2017-02-20
Link to File
http://www.gpscbc.ca/sites/default/files/uploads/GPSC%20Co-Creating%20the%20Future%20of%20Integrated%20Health%20Care.pdf
Description
"These notes accompany the presentation 'Co-Creating the Future of Integrated Health Care' which describes what the Patient Medical Home is and how Primary Care has evolved."
Corporate Author
General Practice Services Committee
Published Date
2017-02-20
Topics
Patient Medical Home
Resource Type
Presentation
File Type
Pdf
Link to File
http://www.gpscbc.ca/sites/default/files/uploads/GPSC%20Co-Creating%20the%20Future%20of%20Integrated%20Health%20Care.pdf
Originating web page
http://www.gpscbc.ca/what-we-do/primary-care-bc/pmh-resources
Description
These notes accompany the presentation 'Co-Creating the Future of Integrated Health Care' which describes what the Patient Medical Home is and how Primary Care has evolved.
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Co-Creating the Future of Integrated Health Care - Prezi Presentation

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource926
Published Date
2017-02-20
Link to File
https://prezi.com/ai8dn7nkzcoi/co-creating-the-future-of-integrated-health-care/?utm_campaign=share&utm_medium=copy
Description
"This presentation describes what the Patient Medical Home is, and how Primary Care has evolved."
Corporate Author
General Practice Services Committee
Doctors of BC
Ministry of Health
Published Date
2017-02-20
Topics
Patient Medical Home
Resource Type
Presentation
File Type
Prezi
Link to File
https://prezi.com/ai8dn7nkzcoi/co-creating-the-future-of-integrated-health-care/?utm_campaign=share&utm_medium=copy
Originating web page
http://www.gpscbc.ca/what-we-do/primary-care-bc/pmh-resources
Description
This presentation describes what the Patient Medical Home is, and how Primary Care has evolved.
Less detail

Collaboration to Foster FP Networks in the Thompson Region Division of Family Practice - Case Study

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1394
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Published Date
2019/02
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegionPMHCaseStudy_Dec2018.pdf
Description
"This case study employed four broad approaches to understand how PSP and the DoFP are working together to support the creation of networks. These approaches included: 1. A review of local documentation that focused on the relationship structure and current work taking place to support the development of FP networks. 2. A literature review which reviewed over 50 research articles, policy and position documents, guidelines, and best practices to focus on understanding how other groups across Canada and the developed world have worked together in primary care to create networks within primary care. These findings are available in Appendix 3. 3. Interviews with key stakeholders at a local, regional and provincial level to understand the various factors (i.e. political, environmental, technological, legal) influencing the development of FP networks in the Thompson Region and BC more broadly. The list of individuals interviewed is included in Appendix 1. 4. A survey of the members of the Thompson Region DoFP which asked questions on their current levels of networking and areas for which they see opportunities to network."
Health Authority
Interior
Division
Thompson Region Division of Family Practice
Corporate Author
General Practice Services Committee
Thompson Region Division of Family Practice
Published Date
2019/02
Topics
Evaluation
Patient Medical Home
Primary Care Network
Engagement
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/FinalReport_CollaborationtoFosterFPnetworksThompsonRegionPMHCaseStudy_Dec2018.pdf
Description
This case study employed four broad approaches to understand how PSP and the DoFP are working together to support the creation of networks. These approaches included: 1. A review of local documentation that focused on the relationship structure and current work taking place to support the development of FP networks. 2. A literature review which reviewed over 50 research articles, policy and position documents, guidelines, and best practices to focus on understanding how other groups across Canada and the developed world have worked together in primary care to create networks within primary care. These findings are available in Appendix 3. 3. Interviews with key stakeholders at a local, regional and provincial level to understand the various factors (i.e. political, environmental, technological, legal) influencing the development of FP networks in the Thompson Region and BC more broadly. The list of individuals interviewed is included in Appendix 1. 4. A survey of the members of the Thompson Region DoFP which asked questions on their current levels of networking and areas for which they see opportunities to network.
Less detail
Health Authority
Island
Division
Comox Valley Division of Family Practice
Published Date
2016
Link to File
/media/divresources/CVFP_AGM_MemberPriorityPresentation.pdf
Description
"A presentation on working better together. It focuses on working with allied health providers, community services, and specialists."
Health Authority
Island
Division
Comox Valley Division of Family Practice
Corporate Author
Comox Valley Division of Family Practice
Published Date
2016
Topics
Engagement
Community Engagement
Patient Medical Home
EMR
Mental Health and Substance Use
Nurse
Nurse Practitioners
Team-Based Care
Primary Care Network
Resource Type
Presentation
File Type
Pdf
Link to File
/media/divresources/CVFP_AGM_MemberPriorityPresentation.pdf
Description
A presentation on working better together. It focuses on working with allied health providers, community services, and specialists.
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Connecting the Dots on the Practice Support Program: Physician and Regional Support Team Perspectives and Experiences - Handout

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1108
Health Authority
Interior
Division
Central Interior Rural Division of Family Practice
Published Date
2018-04-17
Link to File
http://www.gpscbc.ca/news/psp/pmh-practice-assessment-event-provides-valuable-gp-engagement-opportunity
Description
"This article was handed out at the GPSC Summit 2018. The article is about the Central Interior Rural DoFP's PMH practice assessment event, which provided valuable GP engagement opportunities."
Health Authority
Interior
Division
Central Interior Rural Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2018-04-17
Topics
Patient Medical Home
Event
GPSC Summit 2018
Workshop
Connecting the Dots on the Practice Support Program: Physician and Regional Support Team Perspectives and Experiences
Resource Type
Article
File Type
Web page
Link to File
http://www.gpscbc.ca/news/psp/pmh-practice-assessment-event-provides-valuable-gp-engagement-opportunity
Originating web page
http://www.gpscbc.ca/news/psp/pmh-practice-assessment-event-provides-valuable-gp-engagement-opportunity
Description
This article was handed out at the GPSC Summit 2018. The article is about the Central Interior Rural DoFP's PMH practice assessment event, which provided valuable GP engagement opportunities.
Less detail

Connecting the Dots on the Practice Support Program: Physician and Regional Support Team Perspectives and Experiences - Handout

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1109
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Published Date
2018-04-17
Link to File
http://www.gpscbc.ca/news/gpsc/local-approach-pmh-assessment-events-engages-east-kootenay-division-physicians
Description
"This article was handed out at the GPSC Summit 2018. The article informs readers of the work carried out in the East Kootenay DoFP, such as events held to encourage members to complete the PMH assessment."
Health Authority
Interior
Division
East Kootenay Division of Family Practice
Corporate Author
General Practice Services Committee
Published Date
2018-04-17
Topics
Patient Medical Home
Event
GPSC Summit 2018
Workshop
Connecting the Dots on the Practice Support Program: Physician and Regional Support Team Perspectives and Experiences
Resource Type
Article
File Type
Web page
Link to File
http://www.gpscbc.ca/news/gpsc/local-approach-pmh-assessment-events-engages-east-kootenay-division-physicians
Originating web page
http://www.gpscbc.ca/news/gpsc/local-approach-pmh-assessment-events-engages-east-kootenay-division-physicians
Description
This article was handed out at the GPSC Summit 2018. The article informs readers of the work carried out in the East Kootenay DoFP, such as events held to encourage members to complete the PMH assessment.
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Converting to Population Based Funding: Development and Transition Stages (Case Study)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1564
Division
Mission Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/MissonPBF_CaseStudy_FinalReport.pdf
Description
"Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model. The report provides important lessons about the preparation involved and support required from a broad set of stakeholders for the transition process."
Division
Mission Division of Family Practice
Corporate Author
General Practice Services Committee
Mission Division of Family Practice
Published Date
2020-11
Topics
Patient Medical Home
Population Based Funding
Payment Models
Resource Type
Case Study
File Type
Pdf
Link to File
/media/divresources/MissonPBF_CaseStudy_FinalReport.pdf
Description
Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model. The report provides important lessons about the preparation involved and support required from a broad set of stakeholders for the transition process.
Less detail

Converting to Population Based Funding: Development and Transition Stages (Executive Summary)

https://www.jcc-resourcecatalogue.ca/en/permalink/divisionresource1563
Division
Mission Division of Family Practice
Published Date
2020-11
Link to File
/media/divresources/MissionPBF_CaseStudy_ExecutiveSummary.pdf
Description
"Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model."
Division
Mission Division of Family Practice
Corporate Author
General Practice Services Committee
Mission Division of Family Practice
Published Date
2020-11
Topics
Payment Models
Patient Medical Home
Population Based Funding
Resource Type
Summary
File Type
Pdf
Link to File
/media/divresources/MissionPBF_CaseStudy_ExecutiveSummary.pdf
Description
Processes and initial outcomes of converting the clinic from a fee-for-service model to a population-based model.
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200 public records – page 1 of 10.