- Continued usage of best practice flow sheets for management of Chronic Conditions in Primary Health Care clinics
- Ensure access to Primary Health Care teams via monitoring of the third next available appointment Region wide.
- By March 31, 2017, people living with chronic conditions will experience better health as indicated by a 30% decrease in hospital utilization related to six common chronic conditions (diabetes, coronary artery disease, chronic obstructive disease, depression, heart failure, and asthma).
- By March 31, 2017, there will be a 50% improvement in the number of people who say, “I can access my Primary Health Care Team for care on my day of choice either in person, on the phone or via other technology.”
- By March 31, 2020, 80% of patients with six common chronic conditions (diabetes, coronary artery disease, chronic obstructive pulmonary disease, heart failure, depression, and asthma) are receiving best practice care as evidenced by the completion of provincial flow sheets available through approved electronic medical records (EMR) and the EMR viewer.
Benefits of this Work:
- A team-based approach ensures patients receive the primary health care they need, when they need it, particularly in rural areas where recruitment and retention of family physicians is a challenge. Improved access and care consistent with best practice guidelines will result in better health for people living with chronic conditions, fewer visits to emergency departments, and fewer hospitalizations.